Anxiety About Anxiety: What to Do, by Connor Cohen, LMSW

Anxiety is difficult. Anxiety about having anxiety is even harder. Not only are we struggling with the day-in and day-out of anxiety, but now even in our quiet peaceful moments, anxiety is creeping just underneath the surface. It's that worried feeling of the next anxiety attack. When we have anxiety about anxiety, the moments of peace and comfort are no longer moments of peace and comfort, we can feel on edge, we can feel as though something bad is about to happen,  and we can feel as though we are standing on a ledge about to fall in at any time.  So how do we cope with this feeling of anxiety about anxiety? 

Well, I think strangely enough it starts with anxiety. Examining our own thoughts and patterns in terms of anxiety can help us cope with not feeling anxiety. Understanding our own patterns and behaviors and thought process can help take some of the mystery out of what we may call preemptive anxiety. If we understand that certain social situations make us nervous or perhaps certain triggers result in anxiety, we can begin to better understand ourselves and that better understanding of oneself can turn this unknown of anxiety into a known aspect of our life. We fear anxiety about having anxiety when the anxiety is unknown and feels uncontrollable. To counter this one must simply start to learn about their own anxiety. It's almost like when we can rationally think about why we have an ailment, like a stomach ache or headache. Anxiety lives in the unknown. If we can understand that the stomach ache is from too much soda or a bad piece of fish and the headache is from not drinking enough water or staring at a computer for too long then all of a sudden these things that once scared us are no longer so scary. Understanding  the root cause of our anxiety can take away the sharp sting that leads to more panic.

Another helpful way to reduce anxiety about anxiety is the concept of acceptance. A lot of anxiety about anxiety happens when we don't want anxiety. That pushing away, the running from it, trains our mind to fear the feelings of anxiety. There is a great sense of freedom in accepting anxiety. There is freedom in acknowledging that these feelings that are so uncomfortable are simply anxiety. When we accept that we have anxiety and we accept my feelings and thoughts that come with it we can learn to live with anxiety. In life there will be moments when we're more nervous than others, it is a natural part of life and yet it is an uncomfortable part of life. It is natural to seek comfort and safety. Our anxiety tells us that we are uncomfortable and not safe. If we can view the anxiety as an overprotective friend then maybe we won't be so scared next time he comes around and just maybe we won't worry about when he's going to show up next.

If you or a loved one are struggling with anxiety, our therapists can help guide you on your journey towards coping with anxiety. Whether this is anxiety about having anxiety or countless other things that may give us a sense of panic, our team here can help guide you towards acceptance, comfort and coping.

Coparenting with Someone with a Narcissistic Personality Disorder (NPD) Diagnosis by Kathleen Chandler, LMSW, PMH-C

Co-parenting with someone who has a diagnosis of narcissistic personality disorder (NPD) is nearly impossible; co-parenting involves two parents coming together to make parenting decisions that are in the best interest of their child. Unfortunately, someone with NPD only thinks of their own best interest, so you’ll need to practice something called parallel parenting

What is Parallel Parenting? It means, as much as possible, you will each parent in your own lane, to reduce the amount of future co-parent decision making. To make this work, you’ll need to do as much pre-planning as possible during the initial agreements of your parenting plan. Think ahead and make sure everything discussed is written into your legal agreements. 

Example of things to consider: 

·      How often will you each have your child?

·      What will the schedule be? Holidays?

·      What time is drop off and pick up?

·      Where will it be located -is a public space best?

·      How will you handle sick days and emergencies?

·      Who will attend doctor appointments, therapy, haircuts?

·      You may need to think of things like clothing and toys. Will the child have two wardrobes? Do they need to come home in what they left in? Will your teenager get to decide what they wear? 

The following tips are intended to guide and support your Parallel Parenting journey:

Set and Hold Boundaries

Try to think of this as a wonderful opportunity to be your child’s shining beacon of example for healthy boundary setting. Lucky you! 

Document, Document, Document 

Make sure all parenting communication is written (Text or Email). This will help you hold boundaries and keep agreements made. 

Be your Child’s Advocate

Every child needs at least one stable, predictable, loving adult in their life; and that gets to be you! As much as possible parent with empathy, their other parent won’t be able to nurture them with true empathy. 

Practice Self-Care

Make sure that you are taking the time needed to nurture yourself. You will need to have a healthy reserve level to deal with the chaos that comes with co-parenting with someone with NPD.  (reword) 

If you find yourself in this situation it is important that you have people in your life who understand the complexities of what is going on. Talking to friends and family may be frustrating. No matter how frustrated you feel, it is important that you never engage in triangulation, by venting to your child about their second parent. The best person to talk to is a professional who understands the manipulative tactics they’ll likely continue to use. 

Feel free to reach out to any of our team members. We are here to support and guide you!

How is Remote Working Still Affecting Couples? by Connor Cohen, LMSW

The pandemic has been a bit of an ebb and flow. Cases have gone up and down, all while time has marched continually onward. It’s a bit strange to look back and think about how we collectively thought of the pandemic in March of 2020. It was scary and unknown and it began a trend of work from home. At the time we probably thought that it would be anywhere from two weeks to maybe a month or two of this change. And yet as of writing this, it is now March of 2022 and many of us are still at home. 

Working from home has created a lot of new changes and challenges both on a personal and interpersonal level. In the beginning, mainy of our issues may have been revolving around initial cohesion of working and living from home with our loved ones. In the early stages, maybe you had trouble finding a space in your home for you and your significant other to work at the same time. As time has marched on, we have no doubt found ways to adjust but some challenges may still exist and new ones may have even popped up along the way. 

One issue that may be affecting you and your loved one is the issue of scheduling. With work from home comes an adjustment to our schedule.  Not only is it more difficult to discern home time and work time when your workspace is now your living room, but schedules with your loved one may be conflicting and leading to tension and uncomfortability. It can be difficult when one person in a relationship works late into the night, not only does that eat into your time as a couple, but it potentially robs one partner of their space for that scheduled time. For example, if one partner is working late hours after the other partner has finished their work for the day, the partner that is done may just want to relax and enjoy their space at home. Due to the working partner, this person is forced to remain quiet, unseen and out of the space where the working partner conducts work. If not properly discussed and communicated, it can certainly be a frustrating scenario. 

Another issue that may still be arising is the issue of time. We all love our partner but let’s face it, sometimes there can be a feeling of spending too much time with someone. It can happen with family members and it can happen with significant others. We all naturally need our space and our own time to simply be by ourselves. Without the natural separation of work, tensions can build between couples, especially in cases where that couple is missing open and honest communication. To be honest, work is naturally stressful. Often in relationships before the pandemic, our partners did not have to deal with that stress directly, we had time away from our partner to cool down and process events that happened at work. In today’s day and age, we are seeing our partner right when the situation or stress is occurring so naturally, some tempers may flare from time to time. As a loving partner our natural instinct is probably to try and comfort our loved ones in those moments but our partner may be feeling overwhelmed with stress and act frustrated at these attempts to help. 

So what do we do in this work from home life? Step one: communicate, even when it feels difficult. No matter how long we have been with our partner, they can’t read our minds. Step two: Find ways to set boundaries with work and with home. It can be difficult to do but it is completely necessary. One helpful example is to stop talking about work after a certain time you and your partner agree on and try to stick to it. The key is to try to find a balance between letting work time feel like work and letting home still feel like home. 

If you or a loved one are struggling to communicate with the challenges that come from work from home life, don’t be afraid to contact a professional for help. Our therapists here at Niyyah can help you and your loved one find a healthier coexistence with work and home.

Coping with Travel Anxiety During a Pandemic by Nabiha Hasan, LMSW

It seems that Covid may be our most popular blog topic of the year. If so, that would be for very valid reasons - the pandemic is just about two years old and doesn’t appear to be ending anytime soon. Things that were once very normal have now become a luxury or commodity, such as: traveling, being in large gatherings, working from an office, or even going to school on campus. The focus in this article is going to be on traveling - the anxiety caused by some of the changes in traveling is surreal and can be quite overwhelming. Take note of some of the strategies and tips below to help combat this anxiety to the best of your ability when time comes for you to be on the go via air or sea.

Check travel requirements regularly. Make sure you are up to date with travel requirements at all times. In the event you are traveling internationally, do be cautious of that country’s rules and regulations regarding vaccines, positive tests, and/or quarantine periods. Yes, there have been countless instances where travelers have gotten trapped due to changing requirements or positive tests, etc., but doubling checking the rules and regulations at all times will definitely be helpful in allowing yourself to prepare for any potential things that you need to check off your travel-readiness checklist.

Focus on what’s in your control. Looking up all travel requirements, wearing a mask, being vaccinated, using sanitizer upon touching any surface or object, and socially distancing yourself from others are all things you can focus on. Remember that! Whether or not the person next to you on the plane is vaccinated, has tested positive for Covid, or washed his hands before touching your luggage when he put his in the stowaway compartment are all things you don’t have control over…but may definitely cause some anxiety. At the end of the day, you can only be in charge of yourself and your actions and take the necessary precautions.

Travel when absolutely necessary. If you feel that even your preparations and efforts in managing your anxiety around traveling are still impacting the ability for you to take your journey in peace, re-evaluate your travel plans. Yes, there are some circumstances in which traveling is inevitable, but if you can avoid your plans or postpone them, go for it. The only uncertainty here would be that no one knows for sure just how long the pandemic will last; take things day by day and be assured that you will be ready to travel when you are most comfortable.

All in all, our therapists at Niyyah Counseling have been working endlessly throughout the pandemic, and are familiar with some of the anxieties and emotions that have come up for the past two years. In the event that you feel the need for help in managing your emotions, trust that we will help guide you through your worries and fears. We are a click away and would be more than happy to help!

Why We Should Be Concerned with Redetermining Risk Factors for Postpartum Depression (PPD) by Kara Bradford, LCDC, LMSW

For most women, being pregnant and having a baby is a season of life bringing feelings of joy and excitement; however, for some women, the experience is distressing and difficult, provoking feelings of extreme sadness and indifference. PPD can cause symptoms that mimic major depressive disorder (MDD), accompanied by feelings of worthlessness or guilt, feelings of  being a bad mother, lack of interest in baby, not feeling a connection to baby, or being anxious when around baby. Some mothers can experience “baby blues,” which can occur for the first 2 weeks after giving birth due to changes in sleep patterns, causing restlessness, irritability, and anxiety. PPD is much different in that the symptoms are physically and emotionally debilitating and can last well beyond 2 weeks, up to months, after giving birth.  PPD is a very serious, yet treatable, condition that can negatively affect mothers and babies and should not be overlooked. 

Recent studies suggest that 1 in every 7 women will experience PPD world-wide, yet there is a lack of standardized screening tools available for providers to screen for risk factors during pregnancy. Redetermining risk factors for this condition is beneficial when taking the quality of life of mom and baby into account. The prevalence of 1 in every 7 is based on reported cases only, so there is a chance of a greater population affected by PPD that are not recorded due to women believing that PPD is not serious and is a “normal” part of becoming a mother. There is also an overwhelming stigma attached to PPD among mothers, with the wide-spread belief that if you have PPD, you are a bad mother because you want to harm your baby, or have neglected your baby. 

Due to the overwhelming number of women who believe that the symptoms of PPD are a “normal” part of becoming a new mother and do not seek help, it is important that women be screened by their obstetrician during pregnancy. There are several risk factors that have been linked to increased likelihood of developing PPD. Studies suggest that women who have a personal or family history of depression or anxiety are at risk of developing PPD and should be screened and treated during pregnancy. Age of the expectant mother is also a risk factor, as studies show that mothers between the ages of 13 to 19 years are where the highest levels of depression are reported during pregnancy. Hormonal changes or new thyroid issues are also risk factors of developing PPD and should be evaluated by a medical professional, such as an obstetrician. Though PPD suggests that the onset is after giving birth, there are risk factors that exist during pregnancy as well which include social aspects as well, such as lack of familial or partner support, a change in environment, or any other stressful situation.  

Redetermining risk factors for PPD is an important concern that should be considered in the medical and behavioral fields to develop standardized screening tools to be used throughout pregnancy to prevent PPD. In summary, addressing PPD during pregnancy can help prevent the number one cause of death among new moms–suicide. If you, or anyone you know, are experiencing symptoms of PPD, know that you are not alone and there is help. Reach out to Niyyah and allow one of our therapists to walk with you through finding relief from your overwhelming thoughts and feelings of becoming a mother. 

Why You Shouldn't Buy Into Parenting Trends by Nabiha Hasan, LMSW

Nowadays, it seems that there’s a parenting trend for every letter of the alphabet. News feeds, blogs, and posts are often flooded with the newest way of parenting your baby, toddler, school-aged child, or teenager, and every approach may have its pros and cons in a unique way (I feel that parenting adult children should also have a category, but we’ll talk about that another day). With every trend, however, comes a critique, which can be difficult to swallow if you’re already jumped on the latest-parenting-trend-bandwagon. There are lots of different ways to approach parenting, and today’s article will focus on some of the reasons for how and why not to buy into the trends. 

Parenting is not a one-size-fits-all approach. Anybody who has kids will agree with acknowledging that your children all have their unique personalities. I remember as a child, and I also happen to be a firstborn, thinking that one of my younger brothers got away with everything…that brother also happened to be a very headstrong child. The point here being, the parenting approach my parents took with my siblings and I slightly varied with each child. There are five of us, which means five unique personalities, accomplishments, achievements, and pet peeves. 

Not every child is your child. The parent who is raving about “gentle parenting” on Instagram is the parent to her or his child, not yours. Well what does that mean? Yes, there are child specialists who base their methods off of research, etc., but even then - not every method will work for every kid. This reiterates and re-emphasizes that individuals only can apply those parenting skills to their own children, not to the children of the world. Each child will have her or his own reaction to various methods of disciplining, rewarding, and implementing consequences. 

Eclectic is the way to go. Eclecticism is something that we discuss in modalities of therapy, which basically means taking a little bit of every approach and integrating it into one. For example, if you really like some of the techniques used in “love and logic,” you can pick and choose what you would use from that approach, blend in some “1-2-3,” and integrate other aspects of attachment-focused, per se. This way, you’re not bound to one parenting trend/style and can be lenient with the various methods that you feel will work best for your kiddo(s). At the end of the day, you know your child best, and will be the best person to get a feel for what approaches will or will not work.

All in all, if you feel that your parenting capabilities, stress levels, or child rearing responsibilities are affecting your mental health, seek guidance with one of our therapists at Niyyah Counseling. Many of our highly experienced professionals are parents themselves, and have also worked with clients who are parents on numerous occasions. Help is a click away if you need it - parenting is something we can connect to each other on. At the end of the day, it is the most challenging yet most rewarding job in the world; we at Niyyah Counseling are here to support you.

How to Actually Support Your Black Friends During Black History Month by Amanda Young, LCSW

Black history month was designed to highlight, celebrate and educate others of past and present African American figures who contributed to African American (blacks) culture. Black History month was first coined as Negro history week by Carter Woodson who intention was to highlighted the achievements of African Americans in Febuary and the history. It appears that African Americans are often questioned about why they get a month to celebrate Black history. Given that African Americans have contributed so much to history, one “short” month doesn’t do them justice. There cannot be history if African Americans are not a part of it.  By recognizing and bringing the works of African Americans who might not be famous to light, gives everyone the opportunity to appreciate and acknowledge their hard work.

In today’s world we all have or will come in contact with someone of color. In our classroom, work environments, social lives, personal lives and families.  No matter where we go, there is a chance that we will become friends with someone of African descent. Having a diverse group of friends can be good and fun but there will be challenging times that test your friendship.  When navigating our relationships with our Black friends it is important to understand and acknowledge the challenges they are faced with everyday. 

During these times we might not understand how it feels or what African Americans are thinking mentally because we may have never experienced their walk on any level. Some tips that will help get you started in learning how to assist your friend through black history month and beyond are listed below.

  1. Acknowledge your privilege, bias and -isms first!

  2. Make a conscious effort to understand Black history

  3. Connect with key spoken people of the African American community and immerse into that community.

  4. Cultural Humility-self reflect and self critique your own beliefs. Examine your own cultural identities.

  5. Be more open to listen and learning instead of talking and disputing

  6. Educate, Appreciate but don’t appropriate 

  7. Research about hidden figures that contributed to African American culture who might not be well known.

  8. Do not remain silent in the face of racism

  9. Get involved with changing policy through petitions, protest and advocacy

  10. Buy from Black own business

  11. Expand your mind and have empathy toward African Americans

  12. Holding others accountable and challenging them on the things that they say or their own beliefs such as family and friends.

  13. Join organizations of African Americans professionals

  14. Be apart of a group discussion

  15. Mentor and educate youth, our future

  16. Most importantly, get comfortable with being uncomfortable with having discussions regarding race.

Although there might be more you can do, the list above is a start. If you have friends and colleagues, blended family, etc the best thing you can do is ask them how and in what ways you can support them. Either you are part of the problem or part of the solution. You choose. Here at Niyyah Counseling PLLC, we have a diverse group of therapists ready to support you in any way we can. Contact us today!!

Are You a Victim of Gaslighting? by Kara Bradford, LCDC, LMSW

What is gaslighting? Gaslighting is a form of emotional and psychological abuse that one person inflicts on another. Over time, gaslighting can cause one to question their own values, beliefs, and perceptions of reality. This leads to the possibility of one to have diminished self-confidence and/or self-esteem, making them completely dependent upon the person that is gaslighting them. The term ‘gaslighting’ was influenced by the movie “Gaslight” released in the 1940s that followed the life of a husband who intentionally isolated and manipulated his wife with the intention of institutionalizing her for his benefit. 

What are gaslighting behaviors? Gaslighting is distinctly different from someone expressing their opposing view on something, lying to you, or telling you that you are wrong about something–it is a deliberate attempt to gain control. Some behaviors to look out for would be:

  • Twist events in a way that shift blame on you 

  • Apathetic to your needs and concerns, painting the picture that you are “too sensitive,” or “crazy.”

  • Refuse to acknowledge facts, especially from your perspective

  • Deny your recollection of events or argue that you said or did something that you, in fact, did not say or do. 

  • Verbally convey their mistrust about your beliefs, feelings, behaviors, or state of mind, to others.

People who gaslight are typically trying to preserve their self-fulfilling prophecy and validate themselves. Gaslighters tend to believe that their perception of reality is the only reality and when they can manipulate others to question their own reality, it gives them a feeling of superiority and control over somebody else. These beliefs and behaviors are forms of narcissism and sociopathic tendencies. 

Are you a victim of gaslighting? It may be difficult to identify gaslighting behaviors, especially if you have been a victim of them for quite some time. There may be some behaviors that you, yourself, have begun to exhibit. Some signs that you may be experiencing gaslighting are:

  • The belief that you cannot do anything right or taking blame in situations that didn’t go as planned or as imagined

  • Loss of self-confidence or lowered self-esteem

  • Feeling disconnected from who you thought you were

  • Continuously feeling hopeless, frustrated, or numb

  • Frequently being preoccupied with making sure that you have done everything correctly

  • Make decisions to please others above yourself

  • Isolating yourself from or lying to loved ones to avoid conflict

  • Participating very little (or not at all) in hobbies or things you enjoy.

Experiencing these things daily over time can have a serious negative impact on your mental health and your ability to trust yourself. The behaviors listed above are red flags that you are experiencing emotional and psychological abuse. Seasoned gaslighters know that they cannot manipulate you 100% of the time, so they will mix in some positive reinforcements and compassionate acts to keep you invested in the relationship.

If you believe you have been a victim of gaslighting, reach out to a friend, a trusted loved one, or a mental health professional for help. There are people who can and who want to help you. Recovery from gaslighting is possible and the team at Niyyah can walk with you through finding peace within. Reach out today!

What Happens When You Call a Crisis Hotline? by Nabiha Hasan, LMSW

Crisis hotlines are often non-profit organizations catered to provide immediate, temporary relief to those in crises. Some of the common ones include the National Suicide Prevention Lifeline and the National Domestic Violence Hotline. There are typically several other chapters locally within one’s metroplex which are catered to serve within a specific geographic area. If you haven’t called a crisis hotline before, what happens when you do call one? Read on below to find out more about what to expect if you ever pick up the phone and have to call for guidance, support, or assistance. 

Assessment

When you first call a crisis hotline, you will of course be asked to share your demographic information, such as name, address, phone number, etc. Afterward, you may be assessed for several different factors. One of the primary things included here would be asking you a series of questions to determine if you are safe. Safety can be analyzed according to asking about suicidality or if you feel safe in your home. In the event that you are unsafe due to being in close proximity to a perpetrator, you will be asked a series of close-ended questions so you are not required to speak in detailed sentences where the abuser can figure out that you are trying to seek help. If you are unsafe for reasons of feeling suicidal, you will be asked whether or not you have a plan or if you have access to any means to implement your thought-out strategy. If the hotline representative seems that you are unsafe, he or she will assist you in determining an immediate way to bring you to safety. 

Safety Plan

A safety plan is something we very frequently create, implement, and utilize in therapy. The purpose of a safety plan, quite like it sounds, is to ensure there is a plan in place to keep you safe in times of heightened stress. Safety plans include sections for you to recognize your internal triggers, external triggers, warning signs, coping strategies, and people you can trust and rely on to speak to for help. 

Referrals

When you call a crisis hotline, you will be given some referrals within your zipcode to utilize in supporting you going forward. If the hotline representative feels that you should be referred for a mental health assessment due to alcoholism or substance abuse for example, you will receive referrals for different places in your area which provide this service and assistance. You may also be provided with information on domestic violence shelters if you’re in an abusive relationship or mobile crisis units if you’re at risk of harming yourself. 

At Niyyah Counseling, we are experienced in working with a variety of populations, and each one of our therapists has a specialty which can be geared toward working with you and your specific needs. If you make the decision to seek therapy with us, we also will assess your safety and any other immediate concerns in the initial session. Whether you decide to call a crisis hotline or come to us for support, know that you will receive the support you need along the way.

Resources: 

  • National Suicide Prevention Lifeline - (800) 273-8255

  • National Sexual Assault Hotline - (800) 656-4673

  • National Domestic Violence Hotline - (800) 799-7233



Specific Exercises to Help Relieve Anxiety by Connor Cohen, LMSW

Anxiety can feel overwhelming, and at times incredibly difficult to manage. Anxiety can have our brain ruminating on past mistakes or looking forward to the worst that is yet to come. Sometimes it feels like our brain just goes off on it’s own, turning down corridors that lead to panic and fright and we are simply along for the ride. But what if there were activities that would allow us to regain that sense of control? Well, we’re in luck! Follow these exercises to reduce panic and regain control over that brain of ours!

Step 1: Something you are already familiar with but with purpose: Chances are, if you are reading this you already know how to complete this first exercise. In fact, you are doing it right this very second! While reading an online article about coping mechanisms and skills is a wonderful way to learn and pass the time, that’s not quite what I meant. I mean breathing! It’s funny how something so vital to our survival can be the same thing that never really crosses our mind. Breathing is a wonderful way to address anxiety, but there is a catch! We’re not talking about the classic in, out, in, out breathing that you are doing while reading these words. We’re talking about breathing with a purpose. Breathing to calm a nervous nervous system. There are many great ways to practice helpful breathing techniques but one of my favorites is the 5,7,8 technique. To use this technique, simply breathe in slowly through your nose for 5 seconds. Hold that breath for 7 seconds and then slowly release the breath through your mouth for 8 calming seconds. Then just repeat as many times as you would like! I personally go for about 3-4 rounds of this breathing technique when I feel anxious. 

Step 2: Visualize your calm: The mind is a powerful thing! Often more powerful than we give it credit for. At night, our brains can conjure up fantastical faraway lands, during the day, our brain is in charge of…well pretty much everything we do. Even though our anxious thoughts feel out of our control at times, we can utilize our brain's power to engage with a sense of calmness.  Try visualizing your favorite place, a place where you feel calm and comfortable, secure and safe. For some, it’s somewhere on a beach or in bed, for other’s their calm place is out amidst nature. The key here is to really sell the scene. Focus on the sounds you would hear in your calm place, can you feel the warmth of the sun or a big blanket? Really challenge all 5 senses to imagine that place.

Step 3: Exercise of…well exercise: I’ve said it before in an article and I’ll probably say it again, but I believe that the universal law that energy can neither be created nor destroyed is as true on a macro, universal level as it is at a micro, personal level. Our anxious energy has to go somewhere. Moving the body is a wonderful way to relieve the physical symptoms of anxiety and it can even reduce the non-physical symptoms as well! Next time you are anxious, try engaging with your body and doing a progressive muscle relaxation exercise. Start by making a fist and squeezing, notice the tension building as you increase the pressure on your hand and notice the sensation or relaxation as you slowly release the pressure. Next try this with other parts of your body that carry tension in your anxious moments like your shoulders, legs or feet. 

Step 4: Reach out: For this last helpful tip, I don’t mean the actual physical action of reaching out to grab something, though stretching can be wonderful for anxiety, I mean reaching out for help if you or a loved one feels overwhelmed by anxiety. Our wonderful therapists here at Niyyah Counseling can help guide you through these and other wonderful techniques to reduce anxiety’s impact and hold on your life.