Self-Care Techniques for Stress Management

We are happy to announce that Lester Menke MS TLPC is a new therapist at our clinic! He is seeing teens, adults and couples. Welcome Lester! Tammy Ricke is heading to the annual conference for Internal Family Systems, and Tricia Schutz

by Anne Warren

TAKE BREAKS

Throughout the day, take “mini-breaks” to reduce stress and fatigue. Sit down and get comfortable. Slowly take in a deep breath; hold it; and then exhale very slowly. At the same time, let your shoulder muscles droop, smile, and say something positive like, “I am r-e-l-a-x-e-d.” Be sure to get sufficient rest at night.
PRACTICE ACCEPTANCE. Many people get distressed over things they don’t want to accept. Often, these are things that can’t be changed, for example someone else’s feelings or beliefs.
For every ailment under the sun
There is a remedy, or there is none;
If there be one, try to find it;
If there be none, never mind it.
~Mother Goose

TALK TO YOURSELF

See if you can let the negative thoughts go. Think through whether the situation is your problem or the other person’s problem. If it is yours, approach it calmly and firmly. If it is the other person’s, there is not much you can do about it. Rather than condemning yourself with hindsight thinking like, “I should have…,” think about what you can learn from the error and plan for the future. Watch out for perfectionism — set realistic and attainable goals. Remember: as Hannah Montana sings, “Everybody makes mistakes!”. Be careful of procrastination — practice breaking tasks into smaller units to make it manageable, and practice prioritizing to get things done.
“Fe Fi Fo Fum; I smell the blood of an Englishman!”
~Mother Goose

GET ORGANIZED

Develop a realistic schedule of daily activities that includes time for work, sleep, relationships, and recreation. Use a daily ” to do ” list. Improve your physical surroundings by cleaning your house and straightening up your office. Use your time and energy efficiently.
Multiplication is vexation,
Division is as bad;
The Rule of Three doth puzzle me,
And Practice drives me mad.
~Mother Goose

EXERCISE

Physical activity is great for relieving stress. In the past, daily work was largely physical. Now that physical exertion is no longer a requirement for earning a living, and we don’t get rid of stress so easily. It accumulates very quickly. Try to develop a regular exercise program to reduce the effects of stress before it becomes distress. Try aerobics, walking, jogging, dancing, or swimming.
“Jack and Jill
Went up the hill,
To fetch a pail of water;
Jack fell down,
And broke his crown,
And Jill came tumbling after.”
~Mother Goose

DON’T WATCH THE CLOCK

If you frequently check your watch or worry about what you do with your time, learn to take things a bit slower. Allow plenty of time to get things done. Plan your schedule ahead of time. Recognize that you can only do so much in a given period. Practice the notion of “pace, not race”. Think Mañana.
A dillar, a dollar,
A ten o’clock scholar.
What makes you come so soon?
You used to come at ten o’clock,
And now you come at noon.
~Mother Goose

LOSE THE COMPETITION

Every situation in life does not require you to be competitive. Adjust your approach to an event according to its demands. Playing tennis with a friend does not have to be an Olympic trial. Leave behind you your “competition weapons” of having the last word, putting someone else down, and blaming.
“Then I’ll Huff, and I’ll Puff, and I’ll blow your house down!”
~Grimm

TIME OUT

Balance your family, social, and work demands with special private times. Hobbies are good antidotes for daily pressures. Unwind by taking a quiet stroll, soaking in a hot bath, watching a sunset, or listening to calming music.
“There was an old woman and she lived in a shoe,
She had so many children, she didn’t know what to do.
She crumm’d ’em some porridge without any bread
And she borrowed a beetle, and she knocked ’em all on the head.
Then out went the old woman to bespeak ’em a coffin
And when she came back she found’ em all a-loffing.”
~Mother Goose

WATCH YOUR HABITS

Eat sensibly — a balanced diet will provide all the necessary energy you will need during the day. Avoid nonprescription drugs and avoid alcohol use — you need to be mentally and physically alert to deal with stress. Be mindful of the effects of excessive caffeine and sugar on nervousness. Put out the cigarettes — they restrict blood circulation and affect the stress response.
“Peter Piper picked a peck of pickled pepper;
A peck of pickled pepper Peter Piper picked.
If Peter Piper picked a peck of pickled pepper,
Where’s the peck of pickled pepper Peter Piper picked?”
~Mother Goose

FRIENDLY MEDICINE

Friends can be good medicine. Daily doses of conversation, regular social engagements, and occasional sharing of deep feelings and thoughts can reduce stress quite nicely.
Hush, baby, my dolly, I pray you don’t cry,
And I’ll give you some bread, and some milk by-and-by;
Or perhaps you like custard, or, maybe, a tart,
Then to either you’re welcome, with all my heart.
~Mother Goose

ABOUT STRESS

Many people don’t realize it, but stress is a very natural and important part of life. Without stress there would be no life at all! We need stress, but not too much stress for too long. Stress helps keep us alert, motivates us to face challenges, and drives us to solve problems. These low levels of stress are manageable and can be thought of as necessary and normal stimulation.
Distress, on the other hand results when our bodies over-react to events. It leads to what has been called a “fight or flight” reaction. Such reactions may have been useful in times long ago when our ancestors were frequently faced with life or death matters. We can react to many daily situations as if they were life or death matters. Our bodies don’t really know the difference between a saber-tooth tiger attacking and an employer correcting our work. How we perceive and interpret the events of life dictates how our bodies react. If we think something is very scary or worrisome, our bodies react accordingly.
When we view something as manageable, though, our body doesn’t go haywire; it remains alert but not alarmed. The activation of our sympathetic nervous system (a very important part of our general nervous system) mobilizes us for quick action. The more we sense danger (social or physical), the more our body reacts. Have you ever been unexpectedly called upon to give an “off-the-cuff” talk and found that your heart pounded so loudly and your mouth was so dry that you thought you just couldn’t do it? That’s over-reaction.
Problems can occur when the sympathetic nervous system is unnecessarily over activated frequently. If we react too strongly or let the small over-reactions (the daily hassles) pile up, we may run into physical as well as psychological problems. Gastrointestinal problems (examples: diarrhea or nausea), depression, severe headaches, or relapse can come about from acute distress. Insomnia, heart disease, and distress habits (examples: drinking, overeating, smoking, and using drugs) can result from the accumulation of small distresses.
What we all need is to learn to approach matters in more realistic and reasonable ways. Strong reactions are better reserved for serious situations. Manageable reactions are better for the everyday issues that we typically have to face.

REACTOR OR OVER-REACTOR?

Below are situations that cause stress in some people and distress in others. Imagine yourself in each one right now. How are you reacting?

  • Driving your car in rush hour
  • Getting a last minute work assignment
  • Misplacing something in the house
  • Having something break while you’re using it
  • Dealing with incompetence at work
  • Planning your budget
  • Being blamed for something
  • Waiting in a long line at the grocery store

By Anne M. Warren ATRL-BC, LPC
This article was created from information found online through a pamphlet created by Virginia Polytechnic Institute and State University and, of course Mother Goose.

From the director:

We are happy to announce that Lester Menke MS TLPC is a new therapist at our clinic! He is seeing teens, adults and couples. Welcome Lester! Tammy Ricke is heading to the annual conference for Internal Family Systems, and Tricia Schutz did a presentation at the Family Center and children and trauma. I am noticing an increase in Seasonal Affective Disorder symptoms in some clients already- the days are getting shorter, but it is beautiful outside, so spending time outdoors will help with the season change. Enjoy the fall colors and be gentle with yourself!
Devona Marshall

Back to School & Teens

We have had a lot of changes this past month! I am happy to announce that Kettle Moraine Counseling has added a NEW office location in Cedarburg. We have a new therapist joining us, who has many years of experience in the field- JoEllyn Schultz,

The Back to School Issue

On Teens:

They need you in their lives even when (and especially when) they act like they want nothing to do with you. I have recently been blessed with my adult son (now 23) who has told me what a good mom I was and how much he appreciates me. If you would have seen us when he was in the midst of teen years, you too would be amazed at what his perspective is now. What a gift! And I can honestly say, I too never thought he would feel thankful for all that I have done for him over the years; a part of me was afraid that he would feel “disdain” for me forever. He has so changed and so has our relationship- we both appreciate and understand each other so much more. So my advice is hang in there! It does get better as they mature and their brains develop.

Love them despite their crankiness, and be there even as they push you away. Get support from other parents for yourself so that you can deal with the rejection without taking it personally. Laugh at the craziness! It all will be over sooner than you know.

Devona Marshall
Parent of 3, 2 that are still in their teen years.

Research Update:

Parents need to change attitude about homework
September 2, 2011, Medical News Today
Parents with supportive attitude rather than focusing on completing an assignment or getting a higher grade, helped to improve child’s attitude and motivation
Instilling confidence in teens
August 26, 2011, Fox News
Parents need to have a conversation with their tweens or teens “about being a leader in their own life – not a follower.”

Happiness tends to deter crime
August 24, 2011, PsychCentral
Happy teens are less likely to be involved in criminal activities or use drugs.
www.devonamarshall@blogspot.com
Blog Post on Graduation: It can be such an exciting time! But also so difficult! Who am I, what do I want, what’s expected of me? BIG questions for sure, but if we have the luxury to even ask those questions, we are fortunate, because for some their only question is “how do I survive?”

Somehow we all learn to muddle our way through those early adult years, often with scars and disappointments, but also with more courage and sturdiness inside of us that we can handle the challenges that come our way
JoEllyn Schultz/Deb Graf/Bill Driscoll/Tricia Schutz/Lori Landy/Layne Sampson/Anne Warren/Julianne Morrison/Angela Waldoch/Tammy Ricke/Devona Marshall
www.kettlemorainecounseling.com

Clinic News: We have had a lot of changes this past month! I am happy to announce that Kettle Moraine Counseling has added a NEW office location in Cedarburg. We have a new therapist joining us, who has many years of experience in the field- JoEllyn Schultz, LCSW – she will be working solely out of the Cedarburg office, and has a busy practice seeing adults and couples.

The new office information will be added to the website shortly but the address is N62 W248 Washington Ave, Suite 203, in Cedarburg Square. All correspondence will still go to our West Bend location. Tammy Ricke, APSW has joined our team!! She comes with many years of experience in the mental health field and will be seeing adults. Her profile will be up on the website shortly.

To set up an appointment with her, just call the clinic, or email tammy@kettlemorainecounseling.com. Welcome Tammy and JoEllyn. Also, in the very near future, Lester Menke, LPCT will be joining our merry band. In other clinic news, Bill Driscoll has taken a full time job as a director of a non profit, so his hours with us will now be limited.

I spent a week training with Clarissa Pinkola Estes, PhD and I learned so much! It was a week well spent and I have been incorporating some of the things I learned into my therapy sessions. Some of my recent blog posts are a way to integrate the information I learned from her.

School is back in session, and I have 2 children in college and one in high school. It is not easy getting back into a routine after the late summer nights. We are all taking more naps! Enjoy the upcoming fall months, and especially the soon to be changing fall leaves.
Devona Marshall
Clinic Director

Insurance concerns? Would you like us to check benefits for you? Please contact Dorothy at 262.388.9425 or Dorothy@kettlemorainecounseling.com.

What’s Controlling Your Life?

Summer is almost gone already and I feel like I have not made the most of it yet- I haven’t swam enough, looked at stars as often, grilled out as much etc. But I am determined to make the most of the next few weeks!

What’s Controlling Your Life?

Life offers many stressors that we unfortunately have no control over. With ongoing accumulated stress, we may get down and feel life is controlling us; but is that really the truth?

Let’s look at the word “boundaries.” Boundaries are invisible lines that show what our responsibility is and what is not. For example, a fence is a boundary that shows what my property is and what is my neighbor’s property. If we would pick our neighbor’s flowers or repaint his house, we would be in violation of his boundaries. Our skin is a boundary that keeps the bad out of our body and keeps the good inside. Anyone who touches our skin without permission is violating a boundary. Emotional boundaries are similar: the purpose is to keep the bad away and the good inside.

In order to set healthy boundaries, we need to know who is responsible for what. We are responsible for our feelings, thoughts, behaviors, and attitudes. Others are responsible for their feelings, thoughts, behaviors and attitudes. That means if we say something respectfully to a person who then gets angry, the anger is his/her problem! It also means we can’t expect someone to take care of us and meet our needs – we are responsible for getting our own needs met. Many times we use the guilt trip, manipulation, blame, or irresponsibility (all of which are boundary violations) to avoid taking care of our personal issues. When someone puts a guilt trip on us, blames us for something they did, or are irresponsible for doing their jobs – it is not our job to accept the guilt, accept the blame or do another person’s job.

So what do we do when someone violates our boundaries?

When people are physically, emotionally or verbally harmful, we can physically move away from them. Another great boundary is words: saying “Stop, I don’t like that, I’m not accepting that guilt or blame, and I’m not doing your jobs anymore…” Of course, we can set consequences: “If you keep drinking and yelling at me, I’ll sleep at my neighbor’s house,” (but we must follow through). If we set boundaries in respectful ways, and as a result the other person behaves poorly, that is his/her problem, not ours.

We can’t change another person or some circumstances in our lives. However, we can set boundaries to take care of ourselves and get our needs met. Healthy relationships respect each other’s boundaries. Unhealthy relationships usually have a violation of boundaries.
We only have so much energy. Often we expend most of our energy trying to change what we don’t have the power to change (a person, job expectations, our past, teen’s natural explorations…)Instead, let’s accept what we cannot change, and use our limited energy to decide what to do about it.

If you have boundary issues in your relationships, Kettle Moraine has a wonderful team of counselors to help you sort through it.

Debra S. Graf, LPC

Research Update:

Fatty ‘comfort’ foods may alter brain’s response to sadness
August 1, 2011, USA TODAY
Research suggests that fatty foods do more than satisfy our stomachs. They may also soothe our psyche, serving as comfort foods.

Rose-colored glasses may help love last
July 25, 2011, Los Angeles Times
Research suggests that happy delusions help when looking at your partner in a general sense (but be more realistic on the details).

Blog Excerpt:

As I get older…. I have more appreciation for the “muddiness” of life, and don’t expect it (or myself) to come in a neat orderly package. I like myself more and even tolerate my inconsistencies. Change in myself and others is more OK, and I don’t have to insist we all stay the same.

From the director:

Summer is almost gone already and I feel like I have not made the most of it yet- I haven’t swam enough, looked at stars as often, grilled out as much etc. But I am determined to make the most of the next few weeks! We have Anne Warren starting to see clients on Saturdays. She is a counselor and an art therapist who sees children and adults. Welcome aboard Anne! In this issue Deb Graf has written a great article on Boundaries. Take care of yourself and your loved ones.

Devona Marshall

 

I have no libido, and it’s really affecting my marriage. Please help!

We are busy expanding our offices again! In the next few weeks we will have a therapy office devoted to art therapy- for children and adults. Although all the therapists can use the office, one of our therapists (Angela Waldoch) in particular has been waiting for a place

Question and Answer: I have no libido, and it’s really affecting my marriage. Please help!

Ok. Don’t panic. You are not alone. Although I have seen both men and women with low sex drives (or nonexistent), in my practice, it tends to be more of a woman complaint. There can be many reasons for low libido- from the physical, emotional and relational. It’s always best to rule out any physical reasons to start with- medications, especially antidepressants are notorious for reducing and even eliminating sex drives. High blood pressure, hormone changes and diabetes can affect libido along with many other physical ailments, so get a check up and talk to your doctor to see if this could be the problem. Physical exercise can help increase sex drive, so sweat a little! Then if you are fine physically, look at emotional issues- depressed people tend to have low libido, as can grief or just feeling overwhelmed, tired and overworked. Lastly, how is your relationship doing? Do you feel connected, listened to and heard? Have you been taking the time to be together and to enjoy touching each other in a nonsexual way? Often times it is a relationship issue that can be worked out in couple’s therapy by strengthening the connections. Take a multi modal approach to looking at the causes, and then have a plan of action to fix what you can!

Research Update:

Love Study:
Brain Reacts To Heartbreak Same As Physical Pain Love hurts, and that is not just a saying for the broken hearted. Heartbreak is a very strange distress. It is exquisitely painful, and yet we cannot find an injury on our body. New research finds that when you reminisce about the one that got away, the brain actually triggers sensations that you also feel in times of “real” physical pain, making heartbreak truly, physically painful to add to the emotional distress it sometimes causes. From Medical News Today, March 28, 2011

Impact Of A Bad Job On Mental Health As Harmful As No Job At All The impact on mental health of a badly paid, poorly supported, or short term job can be as harmful as no job at all, indicates research published online in Occupational and Environmental Medicine.

Blog Excerpt:

Often times as a therapist when I see clients for feeling general malaise, or down, I see a connection to the lack of intimacy in their lives. They may be married and have many people in their lives, but they don’t feel close; they don’t share the “soft underbelly” of their emotional life. I believe we heal in relationship to others, (and sometimes that other is a therapist) but most often it is the loved ones already in our lives. In therapy by having the client connect with me and share their inner worlds, it often naturally extends to them sharing with others in their lives, and the depression lifts. What’s really cool is that the current research on the brain and attachment is giving us scientific evidence on the healing powers of relationship!

www.devonamarshall@blogspot.com We all need intimacy

From the director:

We are busy expanding our offices again! In the next few weeks we will have a therapy office devoted to art therapy- for children and adults. Although all the therapists can use the office, one of our therapists (Angela Waldoch) in particular has been waiting for a place to put her art therapy supplies, and now it’s happening. If art therapy is an interest of yours- you can contact Angela at the clinic. She is accepting new clients. For those of you that have been following my “puppy chronicles”, I am happy to report she has calmed down a lot! Jordyn is now 8 months old, and besides a recent trip in a police car, she is listening much better, and is a regular part of our family. We did get the back yard completely fenced in so that she will not have anymore trips in the back of a squad! Enjoy the spring weather, and especially the sunshine. Til next time, be gentle with yourself and others, Devona Marshall

I feel “keyed up,” can’t relax & worry constantly about everything

Our newest therapist, Bill Driscoll LCSW is up and running and doing great! If you would like an appointment with him, please call or email the clinic. Many people utilize their insurance benefits for counseling, but the insurance maze can be difficult to maneuver, even for me who has been in the field

Question and Answer: Anxiety Disorder

Q: I feel “keyed up”, can’t relax and worry constantly, about everything. I’m exhausted from worrying! Please help.

A: You don’t need to suffer with this alone. It’s possible that you have an anxiety disorder. In any given year, 18% of the adult population has an anxiety disorder, which includes generalized anxiety disorder, post traumatic stress disorder, and obsessive compulsive disorder. There are many things that can help relieve your symptoms: exercise, stress reduction, guided imagery, deep breathing, journaling, changing your thoughts, talk therapy and medications. Changing how we think will help change how we feel! But we have to work at it and be consistent. If you don’t find relief on your own, seeking out a therapist can help.

Research update:

Workers antsy as morale plunges
March 28, 2011, USA TODAY
Employee loyalty is at a three-year low, but many employers are precariously unaware of the morale meltdown, according to a study out today.

Stress may alter gut bacteria to hinder immune system
March 25, 2011, U.S. News & World Report
By changing bacteria levels in gut, stress may cause changes in physiological function, study finds.

Can prayer control anger?
March 23, 2011, MSNBC
Praying may help ease anger, lower aggression and lessen the impact of provocation, new research suggests.

Blog Excerpt: Being Alone

I do know people who are afraid of being alone. Sometimes it is just that they are not used to it, and think it will be awful, and other times, it’s that they are afraid, of what, they don’t know, but for some it is because they feel they need the constant validation of another and if they are alone it means no one is thinking of them or caring about them. That almost sounds like attachment issue- where you can’t sustain the emotional attachment feelings if the other is not with you. Remember your love and connections are sustained even if you are apart! Tell yourself if you are afraid to be alone; It is safe for me to be alone. Practicing being alone is helpful. Do some planned activities with yourself (reading, drawing, walking, writing, dancing, etc) , and my guess is that you will find that you do like your own company!
www.devonamarshall@blogspot.com

From the Director:

Our newest therapist, Bill Driscoll LCSW is up and running and doing great! If you would like an appointment with him, please call or email the clinic. Many people utilize their insurance benefits for counseling, but the insurance maze can be difficult to maneuver, even for me who has been in the field over 10 years. The good news about insurance is that most insurances have to provide “mental health parity”, which basically means that if medically necessary, insurance companies cannot limit sessions, and they must cover mental health issues at the same level as they cover physical concerns. Our clinic will check your benefits before your initial session if requested. We believe everyone should have access to care and it shouldn’t be that difficult to accomplish!
Devona Marshall