Depression

Coping with Loneliness

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It’s safe to say that we’ve all experienced loneliness at some point or another in our lives.  A gnawing sense in your stomach.  A sadness that sets over you that seems to come out of nowhere.  A desire to be around other people, to talk to them about what you’re feeling or thinking.

Loneliness comes from a legitimate desire to be loved, seen, and known by others.  Since the days of our infancy, where we were dependent on parents or caregivers for connection, we’ve known we needed people.

Why might you be feeling lonely?

Depression and/or Anxiety

Isolation is a common symptom of depression.  Feelings of worthlessness or hopelessness can lead you to retreat within yourself and avoid social contact.  Anxiety can also prevent you from feeling connected to people.  You might have social anxiety that arises in situations when you’re with others.  Or you may be unable to maintain connection with others due to distraction by your worries. 

Both of these experiences may feel unique to you.  You might think, “does anyone else feel or think this way?”  Negative self-talk and beliefs that drive depression and anxiety (ie. “I’m a loser.”  “I’m alone.”  “No one could love me.”) perpetuate these feelings of loneliness.

Addiction Recovery

If you’re in recovery from an addiction, particularly sexual addiction, you might be dealing with loneliness as well.  Sexual addiction is an intimacy disorder, meaning that it substitutes false intimacy through sexual acting out in place of true intimacy.  Often loneliness drives the addictive behaviors. 

But while removing those areas of false intimacy in the process of recovery, an addict might also be experiencing the natural consequence of separation from loved ones or family members who have been impacted by the addict’s behaviors.  This can lead to intense feelings of loneliness, as the addiction is no longer present as a way to escape or self-medicate.

Partner Betrayal Trauma

Or perhaps you’re on the other side of the coin, where you’ve seen your spouse succumb to sexual addiction and you’ve been blindsided by the pain and hurt they’ve inflicted.  The person you once felt closest to has now become untrustworthy.

Further still, the pain of betrayal associated with sexual addiction is often a secret shame.  Whether out of protection for your spouse or out of fear of being judged by others, you might avoid telling others about what you’re experiencing.  This inevitably leads to feelings of isolation and loneliness as you don’t know where to turn for support. 

General Isolation

There are plenty of other reasons you might feel lonely.  A new move across the country to a city you’ve never lived in, difficulty finding people with mutual interests, hurt or betrayal from past relationships: all can make you reluctant to open up to others.

Whatever the reason, loneliness can be crippling and painful, and it’s hard to know how best to cope with it.

How to Find Your People

While this may not always be an easy option, the most straightforward way to move past loneliness is to find your people.  Here are a few places to start.

Existing Relationships

Identify a safe person you already know with whom you can talk: someone who can empathize with what you’re going through and offer support (Safe People by Henry Cloud and John Townsend is great resource for exploring this.) Ask these friends if they would be willing to offer you support on a regular basis.  Lead with vulnerability in those interactions, sharing about what’s really going on in your life, as vulnerability invites connection.  And be someone who offers support to others as well.  when they’re having a rough time, listen to them and validate their experience, offering care in the same way you’ve received it from them. 

Groups

Support groups are an easy way for you to find others who are dealing with similar issues related to depression, anxiety, or addiction recovery.  You can find this support through 12 Step meetings, church-based support, or therapy groups.  You might also benefit from finding a local meetup or group based on a special interest or hobby.  Volunteering is another great way to meet people in your area, along with providing other mental health benefits by focusing on the needs of others.

Coping with Loneliness in the Moment

If your feelings of loneliness happens often and cause a lot of distress, this hints that there is more to the story.  What if you feel lonely even when you’re surrounded by people?  Does loneliness feel intolerable to you when you’re in the midst of it?  Do you do whatever it takes to escape loneliness, even if “what it takes” is destructive to you or your family?

When you feel lonely, get curious.

Ask yourself why.  Where’s this loneliness coming from?  Check in with your emotions and thought patterns.  Identify what physical sensations are associated with that loneliness.  Understanding what might have triggered the feelings of loneliness or what might be contributing to them can help you decide how to move forward. 

Explore what loneliness felt like as a kid and how you coped (or didn’t) with it then.

When you’ve explored what loneliness feels like in your body and emotions, allow your mind to go back to others other experiences where you’ve felt similarly.  You might have memories from childhood or teenage years, or they may be more recent.  Ask yourself: how did I cope with loneliness back then?  What did I do with it, good or bad?  Was I ever taught to deal with loneliness by parents or caregivers?  Are there betrayals or wounds from relationships where I felt a similar sense of loneliness?

Ask yourself what you needed.

In those memories, allow yourself to connect back to that earlier version of yourself and ask: what did I need back then?  Maybe it was a friend to sit with you in your loneliness.  Maybe it was an understanding parent.  Maybe you needed to learn fun or healthy ways to take your mind off the loneliness until you were able to be with people again.

Validate your own loneliness.

After going through this exercise, does it make sense why you might feel lonely now?  What connections can you make to the present moment?  Do you have compassion or empathy from the younger version of yourself?  If you can identify and validate your loneliness, you’re less likely to be afraid of it.  It changes from a monster to something more manageable. 

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Get to know yourself better.

When you’re lonely without an easy way out, see it as an opportunity to spend some time with yourself.  Explore your hobbies.  Journal.  Learn more about who you are.  If it feels difficult to spend time with yourself, or if you feel avoidance or shame around getting to know yourself, that might hint at some deeper issues associated with identity that may be worth exploring further in one-on-one counseling.

Self-Care for When You Don't Have Time for Self-Care

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Life is busy.  Whether you feel like a taxi driver for your children’s after-school activities, you’re working long hours at the office, you’re raising a newborn, or maybe all of the above, free time can be hard to come by. 

So when someone suggests that you take time for self-care, no wonder you laugh and say, “when do I have time for that?” 

Practicing self-care is an important part of taking care of your mental and physical health.  In particular, if you struggle with anxiety, depression, trauma, addiction, or other mental health issues, self-care is an essential part of healing. Even if you see the need for self-care in your life, it’s easy to feel like you don’t have the time to make it happen.

Perhaps it’s an issue of cost.  Trendy “self-care” tells you to go get a massage, take a vacation, or otherwise spend exorbitant amounts of money with the promise of “relaxation and rejuvenation.”  For most people, this isn’t practical or realistic. While sometimes you might want to “treat yo’ self,” for the most part you can do good quality self-care for free.

Maybe you’re over the trend of self-care justifying selfish and self-centered behaviors.  I get that.  It’s not meant to be “I do what I want” or “I do what feels good” all the time.  True quality self-care Is not designed to replace loving other people and being the best parent, friend, spouse, partner, child, employee, or person you can be.  It’s meant to prep you to fill those roles well without burning out.

Self-care involves physical, mental, emotional, spiritual, and relational health.  Sometimes self-care feels exactly like what you don’t want to do, but it’s what will be good for you in the long-term.  Think of it like training for a marathon: you may hate going on those longer runs, but you know in the long term your training will help you prepare your body for the race ahead of you.

How to Make Self-Care Work for You

Check your thoughts about self care.  If you’re looking at it as if it’s selfish or wrong, you won’t be able to benefit from it, instead getting distracted by feelings of guilt.  Reframe self-care as something you’re doing to take care of your mental health and better fill the roles in your life.  See self-care as a discipline, something you consciously consider.  Work it into your routine, like taking a vitamin. 

When you’re short on time, get creative about how you do self-care.  In a recent training I completed on compassion fatigue, the trainer talked extensively about a concept she calls “flexi-self-care.”  This type of self-care takes advantage of small bits of time you have throughout your day where you can pause for a moment and do something nurturing.  Identify for yourself ways to practice self-care that take as little as 1 minute and make a practice of trying these things lately.

Take a look at some of these examples of self-care on a time budget.

1 minute of self-care

  • Take three long, slow, deep abdominal breaths. (It can help to place a hand on your abdomen to feel it rising and falling.)

  • Do a yoga pose.

  • Give a loved one a hug.

  • Feel your feet flat on the ground, supported by the earth beneath them.

  • Read a favorite quotation, affirmation, mantra, or Scripture verse.

  • Look out a window and observe what’s happening outside.

  • Identify what emotion you’re feeling currently and where you feel it in your body.

  • Squeeze a stress ball.

  • Look at a picture of a loved one. 

5 minutes of self-care

  • 5-4-3-2-1 grounding exercise: name and describe 5 things you see, 4 things you feel without moving, 3 things you hear, 2 things you smell or like the smell of, and 1 thing you taste or like the taste of.

  • Write a list of 10 things you are grateful for.

  • Send a text to a friend.

  • Stretch out sore muscles. 

  • Four-square breathing: breathe in for 4 counts, hold for 4 counts, breathe out for 4 counts, hold for 4 counts.  Repeat 10 times.

  • Complete one small item on a to-do list (ie. making a phone call, responding to an email, scheduling an appointment).

  • Visualize a place that feels calm and peaceful and enjoy the sensations associated with it.

  • Open a window and take a few deep breaths of fresh air.

  • Drink a glass of water.

  • Listen to your favorite song.

  • Light a candle and watch the flame.

  • Play with a pet.

  • People-watch.

10 minutes of self-care

  • Do a 10 minute YouTube workout. (I like this playlist from Yoga with Adriene.)

  • Eat a healthy snack.

  • Write in a journal.

  • Put on a dance music playlist and dance around your space.

  • Clean out your email inbox.

  • Tidy a space in your home.

  • Watch a YouTube tutorial for an activity you’re interested in learning.

  • Work on a crossword puzzle or a word search.

  • Play catch with a dog or child (or even with a wall!)

  • Do a Headspace meditation.

  • Watch a video that makes you laugh.

  • Pray.

  • Read a magazine article. 

20 minutes of self-care

  • Go for a brisk walk outside.

  • Read a chapter in a book.

  • Listen to a podcast, lecture, or sermon about a topic that interests you.

  • Call a friend, family member, or significant other on the phone to chat.

  • Work on a craft project, draw, or paint.

  • Write a thank-you note to someone.

  • Make yourself a cup of tea or coffee and sip it slowly.

  • Take a hot shower.

  • Play a musical instrument.

  • Clean a room in your home or your desk at work.

  • Create a photo collage of images that help you feel loved, inspired, or that bring you joy.

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Take these lists and make them your own.  Pay attention to how long it takes you to do these activities: you  may find that prayer can be as short as 1 minute, or your one yoga pose develops into a 10-minute yoga practice.  Be willing to be creative and try out some of these tools to make self-care something you can do every day, not just as a special treat.

Understanding Ambivalence: How Recognizing the Push-and-Pull of Your Desires Can Set You Free

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Think of the last difficult decision you had to make.  Maybe it was as simple as where you’d like to go out to eat or as significant as a change in career path.  What makes the decision difficult is the tension between the options: you might desire some more than others, or fear the downside if you make the wrong decision.  Eventually, the choice is made when one benefit outweighs the other and you feel confident enough moving forward.

But what happens when you get stuck between two desires?  Or worse yet, when you feel two opposing emotions about something at the same time?  Have you experienced loving someone and hating them in the same instant?  What about wanting closeness and intimacy, but pushing others away by your actions or words?

In these examples, what you’re experiencing is a phenomenon called ambivalence. 

What is ambivalence?

Ambivalence is often thought of as apathy or indifference, meaning you don’t care much about something or that it doesn’t matter to you.  On the contrary, ambivalence involves strong desires or emotions in opposition to one another.  You may feel pulled in two different directions at the same time, or you might flip-flop back and forth between two feelings.  This can take place in both simple decisions (where should we go for dinner?) as well as major desires (is this the person I want to marry?).

As time passes and you struggle to resolve these opposing emotions, you might find that you do experience a form of apathy.  The indifference is a numbing response to exhaustion from the tension of trying to balance both sides at once.

What in my story might cause ambivalence?

Ambivalence is common for survivors of sexual abuse or assault as they deal with the aftermath of their abuse.  In many cases, the abuser is someone with whom the survivor has a close relationship.  Positive memories and experiences with that person get mixed up with the abuse, and the confusion of feeling drastically different emotions toward the abuser can be overwhelming. The survivor may also struggle with aspects of sexual abuse that felt good when they confront the damage it has done in their lives.

Similarly, many partners of sex addicts experience the addict’s behaviors as a sexual violation against the partner.  Confusion around staying in the relationship to work things out or leaving is common as they try to reconcile the person they love with the addiction that has destroyed their relationship.

For addicts, shame is a major factor in ambivalence.  Addicts live a double life, attempting to balance the addictive thoughts and behaviors with the normal, everyday self.  Breaking off into these two versions of the self helps to ignore or deny the tension of ambivalence around the double life.

Ambivalence can appear in depression and anxiety as well.  If you’re anxious, you may hate being alone but feel terrified of breaking into a group or connecting with others.  In depression, ambivalence can appear when you lack the motivation and energy for self-care and yet know that the way to feel better is through exercising, spending time with loved ones, or other activities to take care of yourself.

How can I recognize my ambivalence?

One common characteristic of ambivalence is all-or-nothing or black-and-white thinking patterns.  The rigidity of thought patterns requiring a choice between two extremes is what makes the tension between them feel so difficult.  Sitting in the gray area of wanting two things equally and being unsure of what the right next step is can be stressful.  Often, that leads to a desire to escape.

That desire to escape is where apathy and numbness come in.  When alternating back and forth between the two desires or emotions becomes too much, you feel defeated by the struggle.  Rather than staying with the tension, you might just throw in the towel and numb out with addiction or distraction. 

How can I deal with my ambivalence? 

Acknowledge that there are gray areas.  Instead of the rigidity of black-and-white or all-or-nothing thinking, allow yourself to recognize that you can (and are!) feeling or desiring two seemingly opposite things at the same time. 

Press into that knowledge and explore your ambivalence with God and others.  Talk about it with a therapist or trusted friend and explore what might be coming up with each of the desires.   

As a Christian, ambivalence leads to greater intimacy with God.  So many Psalms contain ambivalence: lament, pain, and crying out to God; followed by reminders of the goodness of God and his character.  Often the Christian life involves suffering while also seeking to place hope in God.

Name your desires, even if it hurts to put words to them.  The naming of desires is painful because it involves grief, in understanding that your desires aren’t met yet and you may never see those desires realized.  But recognizing and working through that grief leads to life rather than numbing or escapism.  Addicts in particular struggle to know their true desires, as addiction has offered immediate relief or numbing from desires in the past.  In owning and acknowledging desires, addicts receive freedom to seek out other ways to meet that need instead of through addictive behaviors. 

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Learn to practice acceptance. Acceptance isn’t settling for the status quo or pretending that things are okay when they really aren’t.  Instead, acceptance involves recognizing the reality of where you are right now in this present moment, and reminding yourself that you’re okay.  If you aren’t satisfied with what you’re experiencing in the present, acceptance invites you to explore what you might like to change in the future.  Accepting your ambivalence helps you to begin to be curious about it and seek out the story behind your ambivalence.  Understanding your story opens you up to change.

Eight Hygge Ideas for Your Mental Health

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Imagine sitting in cabin lit only by a roaring fire in the fireplace and a few candles scattered throughout the room.  You’re wrapped in a blanket, holding your favorite book in one hand and a mug of hot tea in the other.  You’re full and satisfied from a delicious meal of soup and bread finished an hour or so earlier.  You take a look around the room to see your loved ones gathered around you, enjoying their quiet, cozy time.  You peek outside to see a blizzard blowing through, coating the trees and ground with a thick layer of snow.  You smile, grateful to be warm and wrapped up indoors and safe from the cold.

I don’t know about you, but this is my personal picture of happiness.  And, incidentally enough, the Danes would agree with me.

Hygge (pronounced HOO-ga) is a Danish word recently popularized through the book The Little Book of Hygge: Danish Secrets to Happy Living* by Meik Wiking.  Danish happiness researcher Wiking wrote from his research on what makes the Danes consistently rate among the happiest people in the world.  His theory centers around practicing what he called “the Danish art of cozy.”

As you consider the major elements of hygge, it’s easy to see why this concept can provide so many benefits to physical and mental health.

Health Benefits of Hygge

Hyggeligt activities include such behaviors as practicing presence, or mindfulness, to the present moment.  Mindfulness can lead to clarity of thinking, a sense of calm, reduction of negative thoughts, and reduced stress.  The sensory nature of hygge can also contribute to being in the present moment, in noticing the warmth from the fire or a hot drink, the smell of a burning candle, or the feel of a soft blanket.

In particular for trauma survivors, relaxation strategies like these are essential in calming the fight-or-flight response of the nervous system.  Hygge is about safety and self-care, which can significantly affect the feelings of lack of safety that propel anxiety.

Social support is another key element of hygge that has major health benefits.  Spending time with loved ones allows you to cope better with stress, improve your motivation, and reduce feelings of depression and negative self-talk.  Spending time with people you love also ups your level of oxytocin, which increases empathy and can be a healthy alternative to destructive, addictive behaviors.

Hygge is about being kind to yourself.
— Meik Wiking

Practicing gratitude for these relationships and the connections you have with others similarly reduces stress and decreases depression.

Embrace Your Hygge

Give yourself a break.

You can use this physical practice as a way of changing your mindset from one of perfectionism and busy-ness to one of slowing down, appreciating the moment, and allowing space.  When you approach your life with this mindset, you’re likely to be more kind in your self-talk, compassionate toward yourself and others, and experience more pockets of joy throughout your day.

Hygge is about giving your responsible, stressed-out achiever adult a break.  Relax.  Just for a little while.  It is about experiencing happiness in simple pleasures and knowing that everything is going to be okay.
— Meik Wiking

Create a hyggekrog.

A hyggekrog is a space set aside in your home where you can experience hygge, like a reading nook or corner that feels particularly cozy.  Set aside some space in your home with the intention to use it for your hygge time.  Include an assortment of hyggelig items in the space, like your favorite books, a cozy blanket, a candle, and a houseplant. 

Turn off your screens.

While you can practice hygge while watching a favorite movie or TV show, reducing screen usage allows you to stay more present in the moment, and it also helps to promote physical activity and improvements to sleep.  Choose to turn off your phone for an hour up to an entire day, or keep it elsewhere so that it doesn’t distract you.

Read a book.

Recent research has found that reading for even a short amount of time daily can drastically reduce stress.  Choose a book that is a personal favorite or a new interest you’d like to explore and set aside some time to read it.  You can read on your own or invite friends to join you for a day of reading your own books together (talk about an introvert’s dream!) 

Host a hygge get-together.

Invite a small group of friends over (Weiking writes that the best number for hygge is 4) for a warm meal, good conversation, and some hot drinks.  You could schedule this time around the premiere of a favorite TV show or the release of a movie you’ve been anticipating on Netflix.  Or choose a theme for the evening and create food and activities that support that theme.  Plan a craft night where friends can bring knitting, crocheting, needlework, or any other crafty hobby they have.

Bake or purchase sweets.

It seems the Danish love sweet pastries (see: cheese or fruit Danish).  Weiking talks about the production of dopamine, a feel-good neurochemical, that is released when you eat sweet foods.  Take some time to make a favorite dessert or treat yourself to a pastry from the bakery.

Create a hygge playlist.

What type of music helps you to feel the most cozy and calm?  Are there certain songs or genres of music that remind you of home?  Put together a playlist you can use when you’re practicing hygge by yourself or when you’re having a get-together, or use a pre-made playlist.  Sometimes the music itself can provide a cue to relax and slow down. 

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Play!

Nothing puts you more squarely in the present moment than play.  Whether you’re playing a board game, enjoying a sport, or simply doing something you loved when you were a child, you’ll find the joy of stopping your work for a short time to enjoy an activity that is frivolous and light-hearted.  Invite friends into this playful attitude and experience the happiness that a break for fun can bring.

12 Tools for Dealing with Anxiety and Depression

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When you get hit with an episode of depression or anxiety, it can feel sudden or unexpected.  You may be at a loss of what to do with the feelings of lethargy or restlessness. 

Anxiety and depression can be like two sides of the same coin.  One can cause the other, and you may feel like you’re switching back and forth between the two as your body adjusts from worry to sadness.  Both are often driven by negative thoughts.  They tend to cycle into each other and feed off of each other, as when anxiety leads to isolation or withdrawal from relationships, which contributes to depression. 

The next time that you face one of these unexpected experiences, try one of the 12 tips below to help you manage your negative mood and feel better

  1. Get outside and take a walk.

Exercise is an easy way to let off excess energy or steam, to become motivated to face the day, or simply to enjoy a rush of endorphins.  To get a double whammy, go outside for a walk or a run.  Nature can ward off feelings of anxiety or stress.  Yoga is another great exercise to release negative emotion, especially if you’ve experienced trauma.  Watch a free yoga video specific to anxiety or depression and notice those negative emotions melting away. 

2. Take a few deep breaths as you imagine a place that feels safe and calm to you.

When I work with clients who are dealing with anxiety, I often find that safety feels out of reach.  For those with depression, feelings of happiness or contentment are difficult to come by.  Take a few moments to imagine a place where you feel happy, content, and at peace.  It may be imaginary or real.  As you bring it to your mind, focus on the sensations and sounds, emotions, and images you see.  You may practice this exercise while lying down on the ground and resting your hands on your stomach so that you can feel the rise and fall of your breath.

3. Reach out to a friend or family member.

Depression and anxiety are inherently isolating.  Anxiety can lead to fear about social interactions, which causes withdrawal.  Depression can come with lack of motivation to connect with the people you love.  But often you’ll find that having a conversation with someone you care will be just what you need as they talk you down from the experience of a hard day. 

4. Dream about your future.

One common aspect of depression is losing hope for the future, while anxiety leads you to worry about the worst possible outcome.  You might feel discouraged that you aren’t living out the dreams you had when you were younger.  Take a step back and identify activities that bring you joy, moments when you’ve felt truly alive, or the purpose you feel for your life.  Identify one small step you can take toward that purpose that can help you gain a sense of ownership and control over your life.

5. Clear your space, mentally and physically.

I have a hard time when my space feels cluttered and overwhelmed.  If my desk is covered in papers, my home is messy, or my bed is unmade, my mind feels cluttered as well.  My physical space tends to represent my mental space.  I take the mess as a reminder to spend 10-15 minutes tidying my physical space or writing down tasks to clear my mental space.  I’m always surprised how much more productive this simple act of clearing can make my day. 

6. Read.

Reading a book is a quiet, focused practice that allows you to slow down and focus on one task at a time.  Find a book that focuses on a topic that interests you, a fictional story that you can get wrapped up in, or a memoir with an inspiring message of overcoming.  If you find yourself having difficulty focusing or you’re not a big reader, find an audiobook to listen to instead.  To keep the spirit of the quiet, focused practice with an audiobook, choose to focus just on listening rather than multitasking. 

7. Listen to a good podcast.

I’ll admit – I’m a bit of a podcast obsessee.  Just like a good book, there are so many options of what you can absorb and enjoy in the podcast world.  Do you like true crime?  There’s a podcast for you.  Productivity? Humor? History? Travel? There’s whole categories devoted to these topics.  Choose an interest from your dreams you listed earlier and dig deep into some of the top podcasts for each.  You can also find great podcasts specifically devoted to depression and anxiety

8. Say no to pressure.

A big component of anxiety is worry about the things we think we “should” be doing.  When those “shoulds” become overwhelming, depression sets in as we realize we cannot be perfect.  You have permission to set down that list of “shoulds” and allow yourself the space to breathe and take care of yourself.  If you’re constantly under the weight of an endless to-do list, you will be less productive than you could be otherwise.  Allow yourself space for self-care and return to your day with a clear mind.

9. Reframe your thinking.

Depression is characterized by negative thoughts about yourself, while worries tied to anxiety lead to catastrophic thinking.   When you notice these negative thoughts entering your mind, pause and ask yourself if there’s another way of looking at the situation.  See if you’re dealing with any cognitive distortions which run rampant in the anxious or depressed mind.  If you’re fearing the worst possible outcome for a future event, avoid this pitfall by looking for the most realistic outcome.

10. Give yourself credit.

One of the common cognitive distortions involves ignoring the positive things that you do in favor of focusing on the negative.  You might be angry at yourself for procrastinating on a project for work or forgetting an important form for your child.   What you aren’t noticing are the positive accomplishments you’ve made that day.  Particularly for those with depression and anxiety, even simple acts like getting out of bed or making a meal for yourself can be major accomplishments.  Make a list of all the accomplishments you’ve made in a single day.  Write down everything you can think of, even if it seems trivial.

11. Practice gratitude.

When you’re so focused on negative circumstances you’re facing on a daily basis, it can be difficult to remember the positive.  Take some time to write down a list of 10 items for which you’re grateful.  Gratitude has the effect of reducing depression and increasing a sense of optimism.  It breaks the cycle of negative thinking about the past and future and refocuses you on the present moment. 

12. Know that it’s okay to feel what you’re feeling.

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As you are plagued by the “shoulds” mentioned earlier, you might notice yourself continuing to spiral downward as you are hard on yourself for not feeling better.  Anxiety and depression come in waves, and they can’t be controlled by simply forcing yourself to feel better.  You might find that you try all the items on this list and realize that none of them has eliminated your anxiety and depression.  This can further perpetuate the shame-based beliefs that there’s something wrong with you because you aren’t immediately feeling better.  To stop this cycle, remind yourself that it is okay to feel what you’re feeling.  Know that you can ride these feelings out and that you’ll eventually feel better. 

How will you use these ideas to combat your anxiety and depression? 

The Unexpected Power of a Thank You

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When was the last time you said thank you?  Was it to the cashier at the grocery store out of politeness?  Was it to your spouse for helping you carry in the groceries?  Was it to a friend who was there for you when you had a hard day?

What about the last time you received a “thank you” from someone else?  Or when did you receive praise?  For most of us, this is the more difficult question: whether due to disqualifying the positive events of our lives or genuinely not receiving praise, it can be difficult to identify positive words that have been spoken about you.

How about this: when was the last time you asked for praise or affirmation?  When did you express what you needed to someone close to you?  If you can think of an example, what did that feel like for you?  If not, what holds you back from asking?  Would you feel needy?  Like the praise was forced?

Listen to this short, three-minute TED talk from Dr. Laura Trice about the importance of genuine, authentic praise. 

How can you up your praise quotient in your own life?

Offer specific and genuine praise to those around you.

Saying a simple “thank you” is better than offering no praise at all.  But to take it a step further, think of one or two specific affirmations that you can offer another person or specific actions for which that you are thankful.  This type of praise helps others to know that you see them and their efforts, which, in turn, feels more genuine and authentic.

Offer praise rather than assuming the other person knows you’re grateful.

Dr. Trice shares a powerful example from her work with addicts.  She indicates that the core wound of many addicts comes from their parents neglecting to tell their child how proud they were of him or her.  Often parents talk about this pride with others, but did not directly express that pride to their child.

We can’t assume that our loved ones know how we feel about them if we don’t express it in words.  Take time to thank your spouse for something that you usually take for granted, or offer an “I love you” just because.  As Dr. Trice suggests, thank your children for completing their chores, even if it’s what’s expected of them.

Ask yourself: what praise do I need to hear?

If you’re feeling down or having a hard time feeling appreciated, think through what you need to hear that would help you feel more secure.  Do you want to be recognized for the contributions you offer to your workplace?  What about the parenting “wins” you’ve had lately?  Or how you put effort into finding the perfect gift for your spouse? Make a list of these areas, and then identify: where can you offer that praise to yourself?  Where would it be helpful to hear that praise from others?

Acknowledge the vulnerability it takes to ask for what you need.

When she gets down to the “why” of the difficulty related to asking for praise or thanks, Dr. Trice reveals that it is a vulnerable ask.  By requesting specific affirmations, we are indicating our weakness or a need.  It is difficult to admit this need, as we fear it could be used against us or withheld from us in the future.  Asking to be praised involves risk and trust.

You could neglect me, you could abuse it, or you could actually meet my need.
— Dr. Laura Trice

For some of us, having our needs met might be the most vulnerable experience we could have.  Perhaps we aren’t used to others meeting our needs, or we’re used to having to fight for ourselves.  It can be both healing and redemptive to ask for what you need and to receive it. 

Practice asking for the praise and affirmation you need to hear.

After you’ve listed out your needs, seek out the people you trust to ask for them to offer praise or appreciation for you.  Choose someone who is safe first and who you trust to be able to offer genuine praise.  Get creative with your ask and offer praise for them as well.  Create this as a regular practice in your life. 

I’m giving you critical data about me, I’m telling you where I’m insecure, I’m telling you where I need your help.
— Dr. Laura Trice
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Surrendering Survival Mode: Letting Go of Coping From the Past to Thrive in the Present

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A few summers ago, my family held a garage sale, which is often quite the production.  Between my parents, my sisters and I, we have 4 separate households from which to sort through overstuffed closets and forgotten storage cabinets, hoping to find hidden treasures to add to the sale pile.  I’m often surprised by just how much stuff we’re able to produce from those parts of our home we barely think about.

One of my contributions to the sale was a Keurig coffeemaker. I loved it when I first received it.  But over the years, it had gone through some wear and tear.  Coffee brewed from it didn’t taste as good, I could only use filtered water in the tank, and I had to reset the clock settings often due to a frequently tripped fuse in my home.  I also noticed I had started drinking coffee less often, replacing it with a newfound love for tea.

Once, that Keurig was my lifeline.  Working long days and early mornings created a serious need for coffee. But as I entered into a new career, I used it less and less until it just became another piece of stuff to sell in a garage sale. That coffeemaker sat on my counter for over a year with me barely using it before I realized it was time to give it up. 

I got to thinking about how we cling not just to material items, but also to relational patterns, distorted thoughts about ourselves and our world, and defense mechanisms we learned in childhood that help us cope.  Oftentimes, we start these behaviors or thought patterns because they work – they ease our pain or anxiety.  They serve us in some way or another, meeting a need or a desire that we have difficulty fulfilling in a healthy way.

Before we know it, these habits become ingrained in our minds or in our daily practice and can develop into codependent relationships, depression, anxiety, addictions, or any number of difficulties in our lives.  We can often look at these patterns and know they cause problems, but they can feel familiar and safe after being used for years.

In a different season of life, we needed these thoughts or behaviors to cope.

Think of a child who is physically abused by her parents when she speaks up to protect her brother from similar harm.  We might expect that child to learn to stay silent and spend time alone in her room, avoiding interaction with her family.  As she gets older, she may make herself feel better by turning to food, sex, perfectionism, or alcohol.  These behaviors might have provided temporary relief for her then, but if they continued to be her only source of coping into adulthood, they could easily become addictive or problematic behaviors.

Maybe you’ve experienced a similar story. As a child, you may have learned to do what you needed to do to find ways to deal with the pain.

But these thoughts and behaviors might be holding you back and creating problems in your present-day life.

As adults, we have the opportunity to choose a different path, letting go of the old behaviors and stepping into newer ways to cope.  Often, though, that process isn’t something that can happen overnight.

When I sold that hardly-used coffeemaker, it felt like I was cutting off an arm.  I could think of about 100 reasons why I needed to keep it, and I almost felt physical pain at letting it go.  But I needed to clear it out, to have more physical space and declutter my home.

If this is how I felt about a piece of junk I barely used anymore, how much more difficult is it to let go of the unhealthy ways we’ve dealt with pain in the past?

Sometimes, giving these up feels impossible.

Many times, these behaviors and thoughts are based on past experiences that are no longer threatening us now.  It is important to learn how to let go of those things that are causing more frustration, pain, or harm than they’re worth.

But we can’t let go of these life patterns without filling that space with something different.  We need to learn to adopt new behaviors and thoughts that fit in our current season of life.  We need to get rid of the things that take up that mental and emotional space in order to make room for healthy self-care, more accurate views of ourselves and our world, and restored relationships.

What thoughts and behaviors are you clinging onto that helped you at a different season of life, but need to be let go of now?  

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Now I don’t think about my Keurig much.  I drink coffee less often, avoiding the caffeine because I know how it affects my anxiety.  I still find comfort in wrapping my two hands around a warm mug, but more often than not it’s filled with tea.  While this material example is minor compared to changing old coping patterns, it’s reminding me to let go, to create space in my mind and heart for the things that I need in the phase of life I’m in right now.

This article was originally posted under the title "The Curious Difficulty of Letting Go" on January 26, 2017.

Nine Warning Signs of Depression

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What might be some reasons you could wonder if you have depression?  It could be that you’ve noticed you’re feeling unhappy or gloomy a lot lately, and it’s hard for you to tell if it’s just a bad mood, or if there’s something more serious going on.  Or maybe you’ve been feeling this way for a long time, but it’s so much a part of your personality and who you are that it just seems normal at this point.  Either way, it can be hard to discern whether what you’re experiencing is normal, or if it could be categorized as depression.

If you’re struggling to know if you're experiencing depression, here are some symptoms to look out for:

Sadness is a common mood for you.

On a day to day basis, you might find yourself feeling discouraged or hopeless.  Or maybe you feel numb, or like you don’t have any feelings at all.  But if someone were to stop you and ask about how you’re feeling, you might start to cry or be overcome by feelings of sadness.  Sometimes you might switch back and forth between sadness and irritability or frustration with others. 

The things you used to love to do don’t seem fun anymore.

Do you find yourself thinking, “I just don’t care anymore”?  Oftentimes, the things that used to make you happy or bring you a sense of peace or joy lose that power.  It can feel like there’s nothing you really want to do, or it takes too much energy to do things you used to love.  You might notice yourself spending less time with people and avoiding social situations.

You’ve noticed your weight fluctuating significantly.

It may be that you feel as though you’ve lost your appetite, and you have a hard time feeling any desire to eat, which causes you to lose weight.  Or, on the other side of the coin, you could be eating more and having more cravings for carbs or sweet foods, which may cause you to gain weight.

You’re sleeping a ton, you feel lethargic, and you’re tired all of the time.

Another common symptom of depression is sleeping longer than normal, taking a lot of naps during the day, or having a hard time getting out of bed in the morning.  You might feel lazy or tired all of the time.  You may have lethargic movements and speech, in a way that is noticeable to others as well.  Has anyone pointed these things out to you? You could also notice fatigue without any apparent cause.  You might find normal daily tasks, like getting up, showering, or cooking a meal, to be too exhausting to complete. 

Insomnia feels like a familiar friend.

If you find yourself waking up in the middle of the night, waking up early without being able to fall back to sleep, or having trouble falling asleep at night, depression could potentially be the culprit. 

Others tell you that you seem jumpy, and you feel restless.

Your restlessness could show up as fidgeting, pacing, or being unable to stand still.  Likely, people around you may have noticed some of these things and mentioned something to you before.  

A core belief you hold about yourself is that you’re worthless, or you’re consumed by feelings of guilt.

You might notice constant feelings that you have no worth or value, which can feel true even if they aren’t based in any facts.  Guilt over past mistakes or wrongs could be haunting your day-to-day thoughts.

You have a hard time focusing, remembering things, or making decisions.

You might walk into a room and forget what you’re looking for.  Or you can’t read a book or keep your mind on a task for more than 5 minutes at a time.  A simple decision, like what to make for dinner, can sometimes send you into such a tizzy that you feel unable to do anything. 

You have thoughts about death, and sometimes even suicidal thoughts.

There can be a wide range of suicidal thoughts: it can start with wishing not to not be alive any longer and worsen to seriously considering or planning a suicide attempt.   If you are experiencing thoughts or plans of suicide, please call 911 immediately or drive to your nearest ER facility.

Do any of these symptoms sound familiar to you?  If four or five of them sound true, it may be time for you to consider seeing your primary care physician or a therapist to help you decide if you’re experiencing clinical depression.  Your healthcare provider can support you and help you make decisions to take care of yourself.  You are worth receiving care and relief from your pain.

This article was originally posted on March 9, 2017.

How to Brighten Cloudy Days: Dealing with Depression

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Have you ever had those days where nothing seems to go right?  I had one recently.  I woke up early one morning with full intention to do some work-related writing.  Instead of starting work right away, I spent an hour on my iPhone playing games and reading articles on Pinterest.  When I finally did get up to start my day, I sat down at my computer and got distracted by more articles on Pinterest and in blogs.  Once I finally forced myself to write, I was only able to finish an outline for an article before I felt discouraged and “needed a break.”

I felt disappointed in myself that morning, as I couldn’t check much off my to-do list.  As I moved on to the rest of my day, I thought to myself – how in the world do I cheer up after this?

Here’s a few thoughts that came to mind for ways to boost my mood.

Listen to Upbeat Music

True confession: I love boy bands.  One Direction and N’Sync are my pop idols of choice.  For me, putting on a 1D album will almost instantly change my mood.  In fact, a 2012 study in the Journal of Positive Psychology indicated that listening to upbeat music with the intention to boost your mood can cause you to feel happier.  Find whatever music is your favorite and put on a CD or radio station that plays it!  If you’re in search of ideas, I like flipping through Spotify’s mood playlists, like Mood Booster or Confidence Boost – even without a self-made playlist, you can still find some positive tunes.

Give Yourself Credit for the Good

When I reflected on my morning, my first instinct was to see all the things I did wrong, ways I procrastinated, or work I didn’t accomplish.  But, in reality, I did plenty of positive things.  I had time for meditation and Scripture reading in the morning.  I prioritized my to-do list and completed my top 3 tasks for the day.  I showered (that counts, right?)  David Burns, in his book Feeling Good: The New Mood Therapy*, identifies a distorted thought pattern he names “disqualifying the positive,” in which people can tend to believe negative thoughts or assumptions about themselves, but discredit any positive beliefs.  If I look at my day through the lens of everything I did wrong, of course I’ll feel discouraged.  But giving myself credit for those things I did will give that lift to my self-confidence.

Get Outside in Nature

There’s something about looking at beauty that makes it hard to focus on the negative.  I spent some time that afternoon sitting out in the backyard with my niece, basking in the sun and watching birds and squirrels.  We even saw a baby deer!  One evening earlier in the week a friend and I watched a giant cloud pass to the south of us, heat lightning flashing in the outline of the cloud.  It was absolutely beautiful.  Research shows that spending time in nature (or even viewing it from a window!) can have positive effects on mood, focus, and health.  Use the beauty you see to connect you back with a sense of awe and gratitude for the world around you.

Talk it Out 

A conversation with a friend can be an instant pick-me-up after a rough day.  There’s something powerful about knowing you’re not alone in the world.  Everyone has bad days, and having someone to sit with you in the middle of yours can make a huge difference.  Having a close network of friends has been shown to help people recover from depression. Give your friend a call, send a text, or even send a quick email to ask for encouraging words.

Give Yourself Permission to Take a Break

So you had a terrible morning trying to accomplish something that you couldn’t finish.  So the dishes are piling up in your kitchen, the crumbs have formed a layer on the kitchen floor, and you can’t remember the last time you wiped down the stove.  So your to-do list is a mile long and just keeps getting longer.  When you’re exhausted and overwhelmed to a point where everything feels like too much, it is okay for you to take a break.  Sit down, sip a cup of coffee, read a book, watch a quick YouTube video or TV show – whatever you love doing that refreshes you rather than drains you, give yourself a half-hour to do just that.  By giving yourself a short break with intention to return to your work afterwards, you’ll come back refreshed and ready to go.

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On that day, did I remember to do these things?  Maybe not as much as I would’ve liked.  But when I have another discouraging day in the future, I’ll remind myself to return to some of these ideas and make them happen.

This article was originally posted on January 12, 2017.

Six Simple Ways to Cut Through the Social Media Funk

It’s Saturday night, and you’re home alone again watching Netflix.  Cuddled up in your blanket, you open the Facebook app on your phone.  Before you know it, you’re scrolling through your newsfeed, checking out all the latest engagements and baby announcements of your friends.  You see a group of former high school classmates taking a beach vacation together, a group of friends posting a picture out at the bar, and your ex posting a photo with his new girlfriend.  Suddenly you’re swimming in a sea of depression, self-loathing, and comparison.

Whether you’re a mom of young children bogged down by the demands of a Pinterest perfect lifestyle or you’re obsessed with the number of likes on your perfectly filtered and retouched Instagram selfie, use of social media has infiltrated our culture to such a degree that our lives feel defined by our status updates.

A study completed at University of Pittsburg a few years ago indicated that heavy use of social media was correlated with depression.  Connections were also found between time spent using social media and the severity of depression symptoms, number of social networking platforms used and levels of depression, and a decline in happiness with use of Facebook.

A major factor in the link between social media and depression is what University of Houston researchers termed “social comparison”.  This refers to the tendency we have to flip through our newsfeeds and compare our lives to those of our “friends.”  People present their best, most polished selves on social media, and we spend time comparing those highlights to our worst moments.  We can feel jealous of what others have and give in to the mistaken belief that being perfect is what will make us happy.  Even comparing ourselves as better than someone else can have a negative impact on our moods.

Bullying plays a significant role in negative moods associated with social media.  Research shows that negative experiences are common on Facebook – in fact, as many as 1 in 4 adolescents reported being bullied through text or social media.  These negative experiences can not only contribute to depression in the short-term, but they can cause long-term traumatic effects.

What are some ways we can alleviate the effects of this social media funk?

Remove the apps from your phone.

Sometimes when I’m bored, I suddenly find myself mindlessly scrolling through Instagram.  The easy accessibility of apps on our phone makes the choice to look at social media almost unconscious. Deleting certain apps has made that decision more of a conscious choice.  I have to choose to type the website for Facebook into my browser before I can look at it.  This deters me from looking at social media more often.

Turn off your devices or charge them in a separate room an hour before bedtime.

In addiction treatment, “HALT” is an acronym used to describe situations in which addicts are more likely to be triggered: when they’re hungry, angry, lonely, or tired.  These emotions can come up late at night, particularly tired and lonely.  In other words, nighttime is the perfect setup for you to be sucked into a social-media-fueled depression.  If you place your devices in a separate room and make a point not to use them before bed, this takes the temptation away.

Take a social media break.

There have been times in my life when social media feels like it’s consuming my life.  This has prompted me to take a social media break over a few days, intentionally not looking at my Facebook or Instagram.  Enforcing this break might involve deleting apps from your phone or using a software application such as RescueTime to limit your ability to access social media.

Purpose to check at certain times of the day.

It’s fairly simple to click over to Facebook or Twitter multiple times a day without thinking, and we can feel the wasted time slipping through our fingers.  Instead, choose two or three specific times during the day that you know you’ll have time and plan to look at your social media accounts then.  Sticking to this plan allows you to look forward to your scheduled time to check.

Figure out your purpose for social media.

Have you ever stopped to think why social media is so important to you?  Is it to maintain friends?  To feel connected to people who are far away?  To receive support or encouragement from others?  Or even just to distract you when you’re feeling bored?  Ask yourself why you are using it.  Studies have shown that those who use social media for positive interactions, social support, and social connectedness actually have positive outcomes for depression and anxiety.  How can you use your social media as a means through which you can decrease loneliness?  Remind yourself of what purpose it serves for you every time you log in.

Take an active role.

Use your Facebook or Twitter accounts as a tool to post honestly about your life, to give encouragement to your loved ones, or to connect with your friends.  Studies show that “surveillance use,” or seeking to use social media to observe others’ lives rather than express your own (or what I think of as mindless scrolling) increases depression.  Use these accounts to share your authentic self and embrace your imperfections, combating the mistaken belief that perfection is the goal for happiness.