How to Cope With Anxiety If You Can't Attend Therapy Immediately by Connor Cohen, LMSW

Anxiety is..well..anxiety inducing. At points it can appear due to known triggers and stimuli. In other moments anxiety can feel unknown, scary and random. Let’s face it, if anxiety followed a road map, it would probably be less anxiety inducing. The thing about anxiety is, it can kind of come up when we least expect it. 

So what do we do if anxiety strikes in between our therapy sessions?

Step one: Breathe. Take a big breath in and out in an effort to center yourself. It’s amazing how much of our anxiety can be rooted in our automatic processes. It makes sense if we think about it though. Anxiety often creates an increased heart rate, and we counter that with reducing our heart rate through calm, controlled breathing. 

Step two: Ground yourself. Grounding is a wonderful technique to further combat anxiety. Grounding is the act of centering yourself in the environment that you are currently in. The thing about anxiety is that our brain can often send our thoughts elsewhere. Sometimes anxiety sends our mind into the unknowns of the future, at other times, anxiety has us focusing on the past in a way that our thought process can get stuck in the notion of past mistakes. Grounding techniques take you from future or past to present minded. A great way to ground yourself is to be aware of the little things in your surroundings. For example, try making note of the things around you, count what you see, pay attention to what you can hear and feel around you.

Step three: Go outside. Outside can be helpful for several reasons as it relates to anxiety. One key reason is that changing your physical environment and surroundings can be great to break the cycle of anxious thoughts by forcing your brain into a new safe situation. Another way that it is helpful is that going outside can give you plenty of fresh air to breath (see step one) and plenty of things to see, hear and experience (see step 2). 

Step four: Write it out. Writing out our thoughts and feelings can be a wonderful way to again break from the cycle of anxious thoughts. Writing these anxious thoughts down can help bring the feelings from the cycle out of our mind into the practical world. By writing down your thoughts, we can basically put the thoughts on trial and examine critically if the thoughts are true or simply our perceptions masked in anxiety. Bonus points for this one because writing out the thoughts can be helpful for your therapy sessions especially if at times you are unsure what to talk about in sessions. 

Step five: Seek help. If you have tried all of these steps and strategies and the anxiety still feels as though it has a strong grip on you, don’t be afraid to reach out for help. Our team here at Niyyah understands that anxiety doesn’t just pop up while we are talking about it. Your friendly neighborhood Niyyah counselor can help connect you with resources to be used in the event that anxiety peaks outside of therapy. 

Coping with Seasonal Depression During COVID Isolation by Nabiha Hasan, LMSW

Covid isolation, unfortunately, seems to be never-ending. Right when we think that all is well and good, and begin to stop hearing about an influx of hospitalizations or an uptick in cases, there comes a new variant and we are told to isolate all over again. Isolation is enough to trigger seasonal depression in many individuals, but the constant back and forth can be even more triggersome. Stay tuned to take note of some tips and techniques to cope with seasonal depression while we endure this pandemic.

Remember that it’s temporary. Even though the pandemic seems to go on forever, and as cliche as it sounds, it is in fact temporary. It will not go on forever; Covid will eventually cease just like swine flu, bird flu, and ebola did, and we will be a world free of isolation once again. While we live in the pandemic on a day-to-day basis, it can seem as if this is what we’re destined to for the rest of eternity. Whatever you do, don’t let the current situation let you feel that this is what is meant to be until the end of time.

Focus on what’s in your control. Although we may continue to be isolated, which can lead to a whirlwind of emotions, try to focus on what you can do, rather than focus on what you can’t do (leave the house, associate with large gatherings, etc.). Utilize this time to virtually connect with family and friends, take a relaxing bath, splurge into your favorite show on Netflix, or cook your favorite meal. If you have children, use this opportunity to spend time with them either by playing, participating in something educational, or having them help you around the house. Thankfully, technology has become very useful particularly during this time; imagine being in this situation 50 years ago!

Avoid the news outlets. If watching the news causes your seasonal depression to get even worse, take a moment to detox yourself from being engrossed in the world’s current events and happenings. Chances are, you will feel your symptoms exacerbate upon reading, hearing, or seeing more of the news reports. The news is aimed to heighten your emotions, and taking yourself away from following it constantly may be just what you need. If you find yourself wanting to know more about the number of cases, increase in hospitalizations, or presence in your area, remember that this can trigger your depression to spiral…ignorance really is bliss in this situation.

All in all, seasonal depression during Covid isolation has become very common. There are numerous members of society who have found themselves struggling to stay emotionally afloat during the pandemic, and have sought mental health support during this time. If you feel that you need additional support and have tried to cope on your own, but haven’t been able to resolve your emotional state, remember that you are not alone in your feelings, and can lean on any of our wonderful therapists at Niyyah Counseling for guidance. We are a click, call, or message away.

Parenting Tips During Difficult Times by Amanda Young, LCSW

Parenting during difficult times has seemed to be never ending as of late. We would like to believe that all parents have encountered moments where our kids have had meltdowns in the store, tantrums in restaurants, screaming competitions when not wanting to leave play areas, negative attitudes, back talk, criticizing us as parents when they can’t do what they want or simply just shutting down when they can’t get their way. Well these last couple of years have expanded the definition of “parenting during difficult times.” due to the pandemic which made our entire world stop and struggle to get back to whatever normal is. 

With this new set of difficult times, we are not only seeing the behaviors mentioned above, we are seeing more isolation, acting out behaviors, high risk behaviors, and the list goes on and on. Not only are we struggling to mentally stay afloat, we are also struggling trying to figure out what is wrong with our kids as well as connect with them. When parents are faced with difficult times that are intensified by uncharted waters, they become helpless and missing signs that might prompt them to intervene when they need to.

Having some direction can definitely help the process. Below are a few tips that parents can keep in mind when difficult times arise. This is not an exhaustive list but some things that might help.

Tips for parenting through difficult times:

Be patient and calm

When approaching a child who is obviously upset, remain calm and show patience to gain an understanding of what the issue is according to their perception. If parents are calm and don’t show patience, they can shut down the communication lines and never be able to know what the issue is.

Be empathetic

Try to understand the issue from their standpoint and walk in their shoes. Encourage them to ask questions.

Listen with interrupting

There are times, as parents might have something we want to say right then or want to correct the child. If we interrupt, it can affect their thought process. So listen attentively so the child can know they are heard.

Check your emotions and practice self care

Consistently evaluating our emotions is important and making sure we are taking care of ourselves to decrease stress.

Be open and honest

It important to be honest but open with information, just making sure it is age appropriate.

Love/hug on your child

Comforting and showing/telling your child you love them during difficult times tell them they are safe and that you care about what is happening with them.

Being consistent

Keeping a schedule can provide a sense of predictability and comfort.

Giving praises and positive feedback

Praising them for talking about their feelings and being able to calm down is important. It shows them they did the right thing by being open and that you are proud of them.

Keeping these simple tips in mind, could help turn a difficult time to a pleasant one. Remember parenting is trial and error. Sometimes we need a little help to overcome some challenging times. If you need further assistance, Niyyah professionals are always here to help. WE are a phone call away.

Brain Fog and Anxiety by Kara Bradford, LMSW, LCDC

What is brain fog?

Brain fog is when you have difficulty concentrating or forming clear thoughts. Much like driving a car in the fog, you can only see a few feet in front of your car and cannot fully prepare for what lies ahead. Although brain fog is commonly experienced, it is not a condition on it’s own, it’s usually a symptom of something else.

How is brain fog associated with anxiety?

Brain fog is usually a symptom of ongoing, unmanaged, anxiety. When you’re continuously anxious or worried about so many things going on in your life, the overload of thoughts does not allow the mind to rest. Though you may not be actively having anxious thoughts, they can remain in the subconscious and continue to play in the background, causing physical symptoms such as upset stomach, increased heart rate, and fatigue. 

5 tips for addressing brain fog from anxiety:

Identify the source of anxiety
In recent times–especially during the pandemic–the source of anxiety may be easily identified. Maybe you have a huge work project that you are now having to work on from your home office and you have your entire family home in quarantine due to a positive case in the family. However, in some cases, it could be more difficult to identify the source of anxiety if you have a long history of recurring anxiety. In this case, you should try speaking with a mental health professional to help identify the source. 

Make sure to get enough sleep
Not getting enough sleep in itself can make it difficult to concentrate, whether you’re dealing with anxiety or not–anyone with children can tell you this is true! Honestly, a few nights of not getting enough sleep may make you irritable or sleepy during the day, but will likely not have a long-lasting impact on your mental health. Consistently not getting enough sleep can cause a variety of physical health symptoms, but also have a long-lasting impact on your mental health. Everyone should get at least 7 hours of sleep per night, but most studies conclude that 9 hours of sleep per night is optimal. 

Set firm boundaries
Once you have identified the source of your anxiety, set firm boundaries to protect yourself from feeling anxious. A few examples of this may look like: only working a set number of hours extra per day, no more and no less; asking your partner or spouse for help with specific tasks around the house; limiting yourself a set amount of time to scroll through social media.

Create protective factors
To help yourself hold firm to boundaries, create safeguards to help you. Some examples of this from boundary examples before might look like: setting a daily alarm on your phone labeled “a good days’ work!” or something to remind you that you have put in plenty of extra time for your work project; give your partner or spouse specific things that they can do daily such as unload the dishwasher, move laundry to the dryer if the washer is complete, don’t expect them to read your mind; set parental controls on your phone to block access to social media at a certain time or when you have reached a certain amount of time per day.

Take a mental break
Taking a mental break could be going for a walk around the block, lying down for 15-20 minutes, or just closing your eyes for a few minutes. Another great option for taking a mental break is to meditate. If you have never meditated before, there are many free guided meditations out there to help you through it, or if you have a therapist already, have your therapist walk you through how to meditate in your next session. 

How Much Fighting is Normal and How Much Is Too Much? By Connor Cohen, LMSW

Fighting has been a part of our human existence for millenia. In the past, we would fight for land, for freedom and for love. Nowadays, we may not individually fight for land or our freedoms but we still hold a soft spot in our hearts about fighting for love. It can get confusing though when fighting for love looks more like fighting with those we are in love with. So is this normal? Is my relationship doomed to fail if we fight? Short answer: YES IT IS NORMAL and NO fighting with your significant other does not mean that the relationship is doomed. 

Firstly, what does it mean to fight with your significant other? I feel as though I should not have to say this but fighting with your significant other should NEVER look like physically putting hands on one another out of frustration, anger, or to “get your point across”. That is not a fight, that is abuse. While we are on the topic, abuse can take a lot of different shapes between you and your partner. Abuse does not have to only be physical or sexual in nature, it can be emotional, verbal, or even financial. To learn more about abuse and to find resources.  Follow this link

Fighting is a very normal product of life. Think back to when you were young and would live with your caregivers and possibly siblings. Any time we spend in close proximity with another person over a period of time, it is only natural for tempers to flair and for buttons to get pushed. A relationship with your significant other is no different. Buttons will get pushed and emotions will be felt and felt strongly. A fight can look different depending on your relationship. For some couples, it is a mild disagreement, for others it involves yelling, possibly screaming and maybe even a few tears. 

So how do we know if our fighting is abnormal or a problem? Well we can attack this issue from a few points. 

  1. How often are the fights/disagreements? If you and your significant other are fighting more often than not, it may be time to address some underlying issues.

  2. How intense are the fights? As I said above, some couples fight intensely with words and yell and scream. Just because it is normal for some couples to do, does not mean that there is no improvement to be made. If the intensity of the fights are mentally, physically and emotionally draining then it may be time to address the issues at hand in another way or with professional help.

  3. Are the fights you vs. your significant other or you and your partner vs. the issue or disagreement? There is a big difference between being angry at your partner and being frustrated at a lack of communication or a misunderstanding.

  4. Are the arguments/fights leading to change or a shift in perspective? Fighting for the sake of fighting is not a healthy way to fight. Fighting to be understood or heard is arguably a healthy fight to have. If at the end of your fights, everything remains the exact same, it may be time to try a new approach. 

As we discussed, fights are very normal. If you have had them with your partner, chances are more will pop up from time to time. Just because you and your significant other can have a fight from time to time, does not mean that you are doomed to fail in your relationship. If you and your partner notice a trend in fights, it may be time to address the fights with professional help. Our team here at Niyyah would love to help you navigate these issues and help turn fighting from you vs. them to us vs. the problem.

How to Make Peace with Parenting Mistakes by Nabiha Hasan, LMSW

Being a parent comes with ups, downs, and just about everything else in between. Undoubtedly it is the most difficult yet most rewarding job in the world. Nonetheless, each parent has her or his own strengths and weaknesses; oftentimes as parents we are overly critical of mistakes we make when disciplining or communicating with our children. Overthinking these parenting mistakes can lead to guilt, remorse, and catastrophizing - feeling like the worst parent in the world. Take note of the following tips to make peace with parenting mistakes, which are inevitable and a part of life.

Accept. Accepting what happened is the first step to making peace with your parenting mistake. We are not perfect creatures, and being 100% responsible for significantly younger human beings is not an easy task by any means. Making mistakes is part of being a parent, though not the best part, but most definitely a part that we all have to live with as a segment of the parenting package.

Admit. Tell your child that you made a mistake. This is a learning opportunity for you both, and a life lesson on how mistakes are essential to learning. After all, we learn from our mistakes, and our children learn from us first and foremost. Speak to your partner about the mistake you made, and explain that you accept what happened. If you are a single parent, confide in a trusted individual, whether that’s your own parent, friend, therapist, or colleague.

Apologize. There is absolutely nothing wrong with telling your child that you’re sorry. End quote. When we apologize to our children, we are teaching them that we adults are human too, and being on the higher end of the power dynamic should not affect one’s ability or decision to apologize. Your child will feel valued by hearing an apology from you, while simultaneously learning that it is acceptable and encouraged to apologize when you’re wrong. We are walking, talking examples for our children, and we lead them more by practicing, not preaching.

Reflect and learn. Think about the mistake you made, and use it as a learning opportunity. Brainstorm some possible solutions to dealing with the issue in a more positive manner; if you made a mistake in a fit of anger, practice some brief calming strategies you can utilize to avoid making the same mistake again. Some of these calming strategies may consist of: taking deep breaths, counting backwards, or walking away from the situation to avoid escalation.

All in all, parenting mistakes are undeniable, and there is no shame in asking for help in making sense and peace of those mistakes. Remember that you can always count on one of our therapists at Niyyah Counseling to help walk you through your worries, encourage you to make a change, and allow you to voice yourself in a judgement-free zone. Until then, reminisce over the things you cherish as a parent, and allow these things to guide you through the rough times...you will find that your mistakes will serve as a learning experience going forward.

Supporting Teens with Suicidal Thoughts by Linda Hamza

The Facts

Mental illness affects people regardless of their culture, race, ethnicity, age, gender, or sexual orientation. Risk factors, such as a history of trauma/abuse or a major loss, along with a lack of coping skills, can trigger an episode.

Each year more than 34,000 individuals take their own life, making suicide the tenth leading cause of death among U.S. adults, and the second leading cause in those aged 10 to 24 years. 90% of individuals who die by suicide experience mental illness, oftentimes undiagnosed or untreated. Half of all chronic mental illnesses begin by the age of 14 but on average people delay seeking treatment by 11 years. We know that 80 to 90% of patients who do get help are treated successfully using therapy and/or medication.

10 Do’s and Don’ts to help communities effectively address mental illness:

Don’ts

  1. Don’t call the patient “crazy” -  such labels mean very little in describing the situation, and yet causes a great deal of harm. 

  2. Don’t respond judgmentally and harshly.

    • “Get over it”; “Just think positively”; “What have you got to be anxious about?”; “There are people who have it way worse.”

    • Don’t blame yourself as a parent.

    • Don’t blame another Ummah member.

  3. Don’t fear treatment. Your mental health professional will be able to help you navigate this and balance the cost-benefit-analysis of the chosen treatment.

  4. Don’t let shame prevent you from saving a child. The Shame Resilience Theory offers ways of responding to such feelings.

  5. Don’t ignore the warning signs! 

 

Dos

  1. Do raise awareness. Talk about suicide, mental illness, family genetics and history. If you are a professional, attend and educate other practitioners in Culturally Competent Interventions to help meet clients needs once treatments are sought. Talk to teachers, spiritual leaders, and police officers.

  2. Do normalize the idea of mental illness in the community. Learn about the various diagnoses and what they mean. Provide community support as if it were your child.

  3. Do debunk myths around mental illness & suicide.

    • Mental illness does not make you weak, nor mean you lack faith any more than poor eyesight requiring glasses, or a thyroid condition requiring medication does.

    • Teenagers are moody. Know the difference between developmentally appropriate responses, and when it is a cry for help. Depression as well as anxiety often presents in teenagers as anger and behavioral issues.

  4. Do take the warning signs seriously.

    1. Focusing on death, comments such as “wanting to disappear” or “never waking up” feeling like they’re a burden or hopelessness.

    2. If they are isolating, giving away items or researching or making a plan or suicidal  threats, comments, gestures, or attempts.

    3. Taking high risks: driving extremely fast, using drugs/alcohol, self-harming or sexually acting out.

    4. Mood swings, eating or sleeping more or less than usual

  5. Do seek immediate treatment for Suicide Prevention

    • Call the National Suicide Prevention Lifeline (Lifeline) at 1-800-273-TALK (8255), or text the Crisis Text Line (text HELLO to 741741). Both services are confidential, free and available 24 hours a day, seven days a week. The deaf and hard of hearing can contact the Lifeline via TTY at 1-800-799-4889. Contact social media outlets directly if you are concerned about a friend’s social media updates or dial 911 in an emergency.   

    • Know when to see a professional. 

      1. Psychiatrist: A doctor who prescribes and manages medication.  

      2. Therapist: A professional who can talk with your teen about the problems they’re experiencing, teach them coping skills, and refer them out as needed for higher levels of care.

How to Use Affirmations to Manage Anxiety by Connor Cohen, LMSW

Do you talk to yourself? If so, how do you talk to yourself? I don’t mean, do you find yourself walking around speaking out loud to yourself. I mean, when you talk to yourself, are you kind to yourself? See, the thing is, anxiety lies to you. That voice in the back of your head that has you doubting your own thoughts and actions is lying to you. So, what can we do about that? Well, the first step is realizing that you have had that anxious voice in the back of your head for years and that it will take time to combat these long-held messages.

Positive affirmations can help reduce anxiety by combating the negative messages. Anxiety tells us a lot of things, oftentimes anxiety is negativity masked as theatrical safety. Does worrying about our performance at work, or thinking we’re not good enough actually keep us from harm? Most likely not, and yet anxiety tells us these messages and more. So it may sound simple but changing how we talk to ourselves can have a great impact on anxiety. When anxiety chimes up and tries to tell us that we are not good enough, positive affirmations are our chance to build up a defence. Think of it like putting your thoughts on trial. Anxiety has theories but we have proof and evidence to refute anxiety’s attempts at making us a prisoner of our thoughts. There are several frameworks that support positive outlooks that refute negative anxieties.

Throughout history there have been truths that we hold to be self-evident. Some would refer to them as unalienable rights, unable to be separated from our status as human beings. The classic example is actually from the constitution of the United States, the truths of life liberty and the pursuit of happiness. But I believe these truths extend further than we often realize. We all deserve to pursue our own happiness but we often get caught up in anxiety’s trap. An example of a great positive affirmation for this would be “I am worthy of happiness” or “my happiness is important, and it matters”.

Another view of positive affirmations is the aspect of being one’s own best friend. Think of your very best friend. How would you feel if someone told you that they were worthless? For most people it is easier to see the value in others, that for some reason we feel as though we are the exception, everyone else deserves happiness but us. Well I hate to break it to you, but for as special as you are, you are no less human than your best friend. The longest relationship you will ever have is the one with yourself. It’s like the old saying goes, “No matter where you go, there you are.” So it is worth trying to be our own best friend. You are loved just for being who you are, just for existing and while it can be hard to love ourselves, the difficulty of self-love does not negate the validity of it. It may be hard to love ourselves like our best friend would, but that does not mean that we are not worth it.

If you or a loved one is struggling with anxiety, here at Niyyah Counseling we understand that each journey begins with a step, and that it can be difficult to rewrite that internal voice that anxiety uses. We are here to help. Contact us today to set up a session with one of our wonderful therapists!

The Relationship Between Depression and Social Media by Nabiha Hasan, LMSW

The world has become global to a new level; social media has made things that were once impossible, now possible at the tips of our fingers. Whether that means seeing what your cousin in London had for lunch, doing your Texas history assignment from Japan, or screensharing a movie on video call with your friend who lives on the other side of the country, the pandemic has really helped us recognize the extent of possibilities on social media. There are many adverse side effects as well, however; social media can indeed become an addiction, trigger, or a distraction. Depression and social media are very closely linked, for a variety of reasons, and here is an overview of how that is possible; considering that this article is being written at the closing of 2021, some of the common features of social media will be discussed.

Memories. The ‘memories’ feature on a lot of social media platforms can be particularly triggering. If one is going through a rough patch in life, has had significant changes in their family or friend circle, or has experienced loss in some kind of way, this feature can be troublesome. In my own experience as a mental health therapist, I have had discussions with clients about deactivating their accounts due to being reminded of specific changes in their life, which was causing more depression.

Comparisons. Social media has primarily the positives that are going on in people’s lives; this may include pictures or posts about their vacations, weddings, pregnancy announcements, children's first day of school, and other typically positive aspects of their lives. Oftentimes there are a number of bad days behind each of those posts, just like in any other person’s life. Seeing these things, however, can be a cause for one's own mood to spiral downward and put a timeframe or limit on one’s life. The fact of the matter is, though, that each individual is on his or her own journey on this earth. Society and culture are the only things that dictate being married by a specific age, having children by a particular time in life, or having the resources and time to go on multiple vacations per year.

Distractions. By far, social media can be one of the major obstacles to productivity. The endless scrolling may seem difficult to cease and can affect one’s ability to work on much needed projects, assignments, or even give time to her or his family. Thankfully there are tools current day that can assist with monitoring screen usage, but the constant act of being distracted can cause a disconnect with the real, offline world, and contribute to added feelings of depression.

Social media has its benefits, undoubtedly, but also can be a cause for a negative emotional state of health. Utilizing it within limits is a crucial life skill current day and taking advantage of its benefits can also help to recognize some ways in which it is useful. If you feel that social media, in itself or along with other factors, is affecting your emotions and potentially causing you to experience symptoms of depression, please reach out to us at Niyyah Counseling and allow one of our highly qualified and experienced therapists to walk you through these feelings; we will work together in order to help you come to terms with your emotions and manage your mental health in a positive light.

Identifying Signs of Addiction in Teens by Amanda Young, LCSW

Adolescence years are a very trying time for teenagers and their parents. Adolescents have physical and emotional changes that they go through that they aren’t able to describe or put in words. During this time, teenagers are also in a stage where they are trying to find out who they are and assert their independence. Parents with adolescents describe these years as the make-or-break years. These years are where adolescents are pushing parents away, demanding more privacy and would rather be with their friends opposed to their families. Adolescents' moods change quickly, attitude is not so great, and emotions are intense. It is common for adolescents to be confused, intense, angry or afraid.

Due to the magnitude of changes and the fluctuation of emotions adolescents experience, it might be hard to distinguish between what is a normal behavior or mood change due to adolescence opposed to abusing substances. Adolescents experiencing peer pressure, curiosity, stress, peer pressure, escaping from daily issues and just experimenting, can lead to substance abuse.

According to CDC 1 in 5 teens has abused prescription medications and 21 percent of high school seniors have reported using marijuana in the past month. Common drugs adolescents abuse include alcohol, marijuana, over the counter and prescription medication. Although it might be a difficult task to pay attention to every little thing your adolescent is doing, there are some signs that can help you identify if your adolescent is abusing drugs.

Common signs to be cautious of when it comes to adolescent drug abuse are:

  • Decline in grades

  • Bloodshot eyes

  • Laughing for no reason

  • Loss of interest in activities

  • Poor hygiene

  • Diminished personal appearance

  • Avoiding eye contact

  • Frequent hunger or “munchies”

  • Smell of smoke on breath or clothes

  • Secretive behavior

  • Unusual tiredness

  • Missing curfew

When approaching an adolescent regarding suspected drug use or abuse, it is important not to accuse but have an open dialogue about your suspicion. If drug abuse or use is confirmed, the best thing for parents to do is to manage their emotions about their adolescent abusing drugs, get the adolescent some help, and be supportive of the adolescent while going through treatment. If you need assistance, please give Niyyah Counseling PLLC a call at 817-435-2031. We will be happy to assist you and your adolescent on this journey.