Upbeat, Music, Hey Psych2Goers, have you ever thought about joining our team of animators or writers, Or perhaps you want to start an animation channel of your own? Are you looking through as many youtube channels as you could for tutorials and tips, but wasted a lot of time on some, not so helpful ones? Skillshare is a great place where you can learn new things with their online classes and they have animation courses as well Click the link in the description below to get your free trial of Skillshare Premium, Hey Psych2goers, and welcome back to our channel. This video is suggested by one of our viewers Army Blink. Thanks for the suggestion Now let’s get started. Have you been wondering if your mental health is possibly getting worse? Mental health just like physical health, affects everyone, whether you are suffering from a mental illness or not. Your mental and emotional health can fluctuate from time to time, depending on the stresses going on in your life, So it s always a good idea to check in with yourself and try to gauge the direction your mental health is going in With that said, here are Ten signs that your mental health is getting worse NUMBER ONE, You re losing interest in the little things. Do your favorite activities suddenly seem meh to you? If you’ve started to lose excitement for life s little things, then this is a sign that your mental health might not be at its best. You might be feeling this way because of an overload of stress in your life, or you’re feeling overwhelmed with all of your responsibilities and to-do lists When you lose interest and don t enjoy the hobbies and activities that you once did. This could also be a warning sign of depression If you think this could be what’s happening to you know that you are not alone and that help is just around the corner. Talk with a trusted friend or a family member or a mental health professional. To get the help you need to navigate these troubling times NUMBER TWO: You get overwhelmed easier. Do you find that you’ve been getting overwhelmed more often than normal? When do you have a to-do list for two or three tasks? Does it feel more like you? Have ten things to do When you start to get overwhelmed easily with everyday things, this could be a sign of worsening mental health According to Psychotherapist, Sheri Jacobson, feeling mentally overwhelmed could be an internal reaction to excessive outside stress. To help cope with this overwhelming feeling. You can journal meditate or practice mindfulness NUMBER THREE. You don t feel like socializing that much anymore Does it feel more exhausting to interact with people nowadays, Regardless of whether you’re an introvert extrovert, or somewhere in between? We all have a standard comfort level when it comes to social interaction If you feel yourself slipping below your comfort level. Pay attention to this. Remember that, even if it does t feel that way at the moment, interacting with people can help boost your mood. We want to mention that we’re happy to have Skillshare as a sponsor today because they promote the idea of a self-made. Are you planning to learn a new skill, perhaps illustration animation, or writing? It would be great if everything you need is all in one place right? Well, Skillshare has thousands of catered courses across all kinds of topics like design, business, tech, and more. There is truly something for everyone. Skillshare has a great intro class on animation that we recommend The course is called Creativity, Unleashed, Discover, Hone and Share Your Voice Online by Johannes Fast. If any of you are interested in learning basic animation, I recommend you go check it out. In the link below The first 1000, people will get a free trial of Skillshare Premium and after that, it s only around 10 a month. Let us know what Skillshare courses you’re taking in the comments below FOUR You don t have a consistent sleep schedule. Have you developed a seemingly random sleep schedule, Despite wanting to get up at a certain time in the morning, do you wind up sleeping all day When you have an irregular sleep schedule? This could signify increased stress in your life and a decline in your mental health. If you’re struggling to regulate your sleep, you can try setting up a routine to wake up and go to bed at the same time every day, This will get your body back into its regular rhythm of sleep and wake cycles, therefore, no longer causing sleep Disturbance, FIVE, You always feel drained Despite getting enough sleep and eating well, do you constantly feel exhausted or drained According to Healthline mental exhaustion can set in when you are under long term stress and this type of exhaustion can make it feel like you are trying to Move up a mountain More than just feeling tired. When you are this drained and constantly exhausted, you might struggle to get anything done. Healthline suggests practicing gratitude, relaxation, and yoga, as well as talking to a mental health professional, to provide medication for you. If it s needed Treatment, plans will look different for everyone, but regardless there is a way that will work best for you to help pull yourself out of this state of exhaustion. Six, Your anxiety seems to be increasing. Do you wake up in the morning with a crushing sense of anxiety that stays with you all day? Does this anxiety cast a cloud over your daily activities? Worsening anxiety can often coincide with worsening mental health. Anxiety affects us all whether or not you happen to suffer from a particular anxiety disorder. It s important to monitor your anxiety levels because a noticeable change can tell you a lot about your mental health. Anxiety is a stress response and it can cause a variety of psychological and physical symptoms. When you feel overly anxious, you might notice that your heart rate speeds up and your breathing rate increases, and you might experience a bout of nausea. Seven. You feel mentally and emotionally shattered. Do you feel like there are so many things happening around you, but you can t focus on any of them? If so, you’re not alone From time to time it s normal to feel this way, especially when you are going through higher amounts of stress. However, if you are feeling scattered and like things are spinning out of control, this could be a sign that your mental health is under strain According to Psychologist, Rick Hanson from Psychology. Today, you probably feel scattered, because you are struggling to find your center. This means that, for your brain to feel more organized, you need to feel at peace within yourself. Practicing mindfulness such as yoga and meditation are great places to start on the road to inner peace. Eight, You can t seem to pay attention. Do you have a harder time focusing and staying on task When you’re reading? Is it hard to comprehend? Do you have to reread the same passage over and over, Though it could relate to potential psychological disorders such as ADHD, depression, or anxiety? It is also likely that a lack of focus can be due to stress or poor self-care. It can be frustrating to start losing focus so frequently and those feelings are valid and normal Remember to take care of yourself and, as you recover know, that help is available NINE. You might be struggling with your impulse control. Are you acting more on impulse? Are you possibly indulging in things you should t, Whether it s retail therapy or binging, all of your shows, or playing video games for hours? When you act more on impulse like this, it can signify worsening mental health. You might pick up some unhealthy habits as a way to cope with life. Stress fulfills you or distracts you from a major issue going on in your life. Journaling, mindfulness, and therapy are great ways to start uncovering some of these issues. Ten, You are struggling to feel, grounded Similar to feeling centered when you are grounded. You are feeling confident and balanced within yourself. According to Irene Langeveld, an energy worker and meditation coach grounding starts with the root chakra at the base of the spine known to help. You feel secure Activities that connect your body with the world around you, such as hiking, meditating, or walking outside, are all great ways to help. You find your sense of grounding. Can you relate to any of the points made in this video? Do you think your mental health could be slipping If so know that there is help you can reach out to You. Can talk to a trusted friend, family member, or mental health therapist for support? Please like and share this video if it helped you and you think it can help someone else too. The studies and references used are listed in the description below Don t forget to hit the subscribe button for more Psych2Go videos. Thank you for watching. We’ll see you next time, Video by Psych2go.As found on YouTubeBrain Booster | Blue Heron Health News ⇝ I was losing my memory, focus – and mind! And then… http://flywait.4brain.hop.clickbank.net/ I got it all back again. Case study: Brian Thompson There’s nothing more terrifying than watching your brain health fail. You can feel it… but you can’t stop it. Over and over I asked myself, where is this going to end? What am I going to end up like? And nobody could tell me. Doesn’t matter now. I’m over it. Completely well. This is how I did it!
Depression affects many of us around the globe. According to the World Health Organization,
300 million people of all ages battle with it Depression is a sneaky mental disorder. It’s difficult to catch during the early
stages. Most of us realize we have depression when
we are deep in the grips of it. Those with this mental disorder feel hopeless,
empty or sad, fatigued, irritable, and restless. Depression not only takes your motivation
away, but you can have problems concentrating and making decisions. Those of us with this disorder can act in
ways that will worsen the situation. Here’s a list of 10 things depression makes
you do. 1. Isolating yourself. Individuals with depression isolate themselves
for different reasons. Some will keep to themselves because they
feel overwhelmed socializing, and others believe it’s better to be alone. In other cases, the person may feel so much
self-hatred that they prefer to not interact with people. Those with severe depression may even stay
in their house for weeks. 2. Being disorganized. Depression leaves you feeling exhausted, so
cleaning a room or home becomes an endeavor. Dirty dishes and clothes start piling up while
your garbage is overflowing the trash. It becomes an even bigger a physical challenge
to walk around your room because everything is on the floor. Living in a cluttered place leaves you feeling
uneasy, but the lack of energy doesn’t help. 3. Poor hygiene. Depression zaps all your energy. It’s difficult enough to get out of bed, so
showering, brushing your teeth, washing your hair and taking care of your body, it goes
out the window. Those without depression may see this behavior
as lazy, but the truth is, showering or changing into clean clothes is exhausting and painful
at times. 4. Struggling with sleep. Depression affects your sleeping schedule,
some of you may stay up and sleep very little. It keeps you up with your intrusive unwanted
thoughts. These may end up making you feel anxious
all through the night. In other cases, some of you will sleep excessively
and still feel unrested. 5. Catastrophizing every situation. Depression plays tricks on your mind, making
you believe negative things. It can get to a point where you’re constantly
looking out for bad things to reassure your pessimistic thinking. Every time something bad happens, you use
it as evidence to prove how bad life is. This slippery slope makes it difficult to
see life under a brighter light. 6. Terrible eating habits. Those with depression will either eat too
much or hardly anything at all. Some of you may find yourself in the kitchen
eating everything in side, trying to eat away the emptiness or sadness you’re feeling while others don’t have an appetite and may even feel disgusted by food. In other cases, some of you may feel so exhausted
that that thought of preparing a meal is overwhelming. 7. Lack of motivation. Depression steals your interests and desires
right from under you. Your favorite pastimes and hobbies no longer
satisfy you, slowly you find yourself feeling dead and numb inside. If you aren’t careful you’ll end up staying
in bed all day. 8. Evading your problems. Depression by itself is overwhelming, you
can feel devastated and out of control most days, so trying to face situations and problems
head-on is difficult enough. Instead you ignore or set the problem aside,
and this in turn can bring trouble because it will continue to pile up. 9. Feeling guilty and feeling self-hatred. If you allow depression to take over your
thoughts, then you’ll most likely feel self-hatred. You’ll continue to talk down to yourself and
this often leads to the development of self-esteem issues along with poor self-image, eventually
you’ll believe you aren’t worth it anymore. Some people with this mental disorder can
even feel guilt by thinking all their problems are their fault. And 10: living in fear. People with depression fear that terrible
things will happen to them. In severe cases, some of you will sabotage a good situation, believing that it will turn bad. Other times individuals will reject opportunities
and stop pursuing their dreams. It’s a twisted way to protect yourself because
this prevents you from living and achieving amazing things. Depression affects us in different ways. The list mentioned in this video contains
some of the common behaviors those with the disorder have. Do you agree with these points? What other behaviors have you noticed? Let us know in the comment section below. <3.As found on YouTubeBrain Booster | Blue Heron Health News ⇝ I was losing my memory, focus – and mind! And then… I got it all back again. Case study: Brian Thompson There’s nothing more terrifying than watching your brain health fail. You can feel it… but you can’t stop it. Over and over I asked myself, where is this going to end? What am I going to end up like? And nobody could tell me. Doesn’t matter now. I’m over it. Completely well. This is how I did it!
CEUs are available at AllCEUs.com/CBT-CEU This episode was pre-recorded as part of
a live continuing education webinar. On demand CEUs are still available for this
presentation through ALLCEUs. ALLCEUs.com/CBT-CEU I’d like to welcome everybody today
to cognitive behavioral therapy addressing negative thoughts. Now a lot
of us took courses and cognitive behavioral therapy we’ve worked with CBP
for many many years so some of the this is just going to be a refresher and
others you know you may pick up a few new tips or tools as we go along so
we’re going to define cognitive behavioral therapy and its basic
principles just get a really basic refresher on what was that original CDP
about well identify factors impacting people’s choices behaviors because you
know they always have a choice we’ll explore causes and the impact of
thinking errors whether you call them cognitive distortions irrational
thoughts or when I work with my clients I try to call them unhelpful beliefs or
unhelpful thoughts because distortions and irrational seems sort of pejorative
to me so I try to avoid those words as much as possible and help clients see
them as not incorrect necessarily but unhelpful and then we’ll identify some
common thinking errors and their relationship to cognitive distortions
and some of our just very basic fears why do we care
well because cognitive distortions or irrational thoughts or unhelpful
thoughts whatever you want to say really impacts people on a physical level a
mental level and an emotional level a person who perceives the world is
hostile unsafe and unpredictable will tend to be more hyper vigilant until
they exhaust the stress response system so think about you know a bottle ship
and you’ve got a bunch of new people on this battleship and all the sailors
every time there’s the least little thing they send off the
all-hands-on-deck so a big bird flies over and I mean literally a bird and
they freak out found me all hands on deck and this goes
on for a week or two or six months you know let’s think about our clients they
don’t usually come in right away where everything is set to OFF that startle
response everything sets off that fight-or-flight response the staff
starts to get exhausted all the rest of the sailors that have to drop everything
and run to their battle stations after a little while they’re like really no no
we just we can’t even do this and it also reminds me of the boy who cried
wolf anyhow I digress sticking with the battleship metaphor so eventually the
captain says you know what let’s retrain on what is worth setting off the all
hands on deck because everybody here is exhausted and nobody’s even really
responding anymore when they come to their battle stations they’re just kind
of dragging their butts in like whatever it’s probably another false alarm the
same sort of thing is true with us when we’re on on high alert for too long our
brain says you know what we got to conserve some energy in case some really
really big threat comes along so it turns down what I call the stress
response system it turns down the sensitivity so you don’t get alerted for
every little thing that would cause you stress but you also don’t get alerted
for those little things that would cause you happiness either anything that would
cause the excitatory neurotransmitters to be secreted you’re just not getting
those anymore which a lot of people kind of refer to as depression it’s just kind
of like the F whatever and only the biggest most notable things actually
cause an emotional effect we don’t want people to get to that point that’s no
way to live so we need to help them learn how to sort of retrain their
spotters to figure out what is actually stressful a person who perceives the
world is generally good and believe they have the ability to deal with challenges
as they arise will be able to allow their stress response system to function
normally there are going to be times you have all hands on deck whether it’s a
real emergency or whether it’s just a drill but it will happen and they can go
they can you know do what they’re going to do they have that adrenaline rush
they have the energy and the focus to do their jobs and when it’s over they
go back to their quarters they can relax refresh you know just kind of chill for
a while and then there’s a low where their body rebalances before the next
one and this is kind of what we want in life I mean ideally we wouldn’t have
super high peaks very often but we want to make sure we give our body time to
rebalance after there’s a stressor and not have to stand on on edge not be
hyper vigilant constantly just waiting for the next one to come along so what
is the impact of these thinking errors well whenever we have that stress
response system activated the body is saying we either need to fight or we
need to flee so you’re dumping all kinds of adrenaline and other neuro chemicals
so there’s anxiety there can be stress when people start having this reaction
you know they start having muscle tension sweating heart rate increases
breathing increases people will call that anxiety some will label that as
anger either way they’re both sides of the same coin
they need to do something but if it lasts too long then we start moving into
depression and they just they don’t have to get up and go anymore there’s just
not any excitatory neurotransmitters really left they need some time to rest
and rebalance behaviorally think about it if you go somewhere and you are just
constantly on guard are you going to keep going there or are you going to
withdraw so people who have a lot of thinking errors unhelpful thoughts tend
to withdraw more they may turn to addictions to kind of numb or blunt some
of the inputs sleep problems and changes when you are hyper vigilant when you
have this stress response going even if it’s not a full-bore if it’s still there
somewhat if you’re stressed out you’re not going to sleep as well you’re going
to maintain higher levels of cortisol so you’re not going to get that restful
rejuvenating sleep you may kind of goes on and off eating changes you know
depending on the person some people eat the self food that some people can’t eat
it all but we do see that the hormones Guerlain
and lets them get all out of whack not under stress but also when sleep
gets out of whack when your circadian rhythms get out of whack so we’re
starting to see the Cascade effect where it’s emotional and behavioral physical
you’ve got stress-related illnesses that start coming up if you’re on that lunch
you’ve got muscle tension for that long it starts to hurt I mean you start to
get migraines your back starts to hurt wherever you store your stress so to
speak it starts to come out and most people when they’re under a lot of
stress for an extended period you know a day is not a big deal for most people
but for an extended period become more susceptible to illnesses they start
getting sick easier headaches GI distress you know some people store
their stress right in their gut socially think about the last time you were
stressed were you patient and tolerant and just a pleasure to be around you may
have tried to be but you’re more prone to irritability and impatience and again
wanting to withdraw all of these affects contribute to fatigue and a sense of
hopelessness and helplessness which often intensifies thinking errors so
you’ll see this negative reciprocal interaction if somebody feels stressed
out and overwhelmed and that they withdrawal then they may start feeling
like they have no support and they don’t and they lose all their social buffers
to the stress so they feel even more stressed so they want to withdrawal even
more so we’re going to talk about how to prevent that now I like this little
diagram maybe because it’s got a heart in the center I don’t know
but behavior feelings and thoughts this is the outside of the circle all three
of these impact diecuts each other when you do something
it often impacts your feelings and your thoughts about a situation when you when
you’re thinking if you think positively you’re probably going to choose more
positive behaviors and more have more positive feelings you’re thinking
negatively obviously you may choose more of an escape behavior
Protection behavior and may have more feelings of anger anxiety depression etc
so these things are going on and they’re all interacting the one really cool
thing is if you break this chain somewhere or this circuit then you can
stop that reciprocal negative downward spiral so cognitive behavioral helps
people who are willing to show up or who are willing to address their thoughts
not everybody is willing to start addressing their thoughts right away
maybe they want to start addressing their sleep problems in their eating
problems or something that’s more physical okay that’s fine because
anywhere we interrupt this circuit is going to have positive effects assuming
the intervention is positive it’s going to have positive effects on the other
ones so what about the triangle well yourself
so you’re feeling thoughts and behavior impact you it impacts how you feel and
you’re like well yeah okay just stay with me but the way you feel think and
act impacts your future and it also impacts how you interact with others so
you know that kind of affects things because remember social support is a big
buffer for us now core beliefs and you can do this inward to outward or outward
to inward but either way it comes down to core beliefs if you have positive
thoughts and positive feelings and you generally engage in positive behaviors
to keep that cycle going you will probably feel pretty good about yourself
have good relationships have a somewhat optimistic feeling about the future and
your core beliefs may be more like people are generally good I can do this
you know very self affirming and other affirming positive core beliefs about
yourself in the world now if your thoughts or feelings are negative then
you have this negative outer circle you don’t feel so good you start questioning
the goodness and Trust ability and dependable
of other people you have more of a bleak look in the future so what do you think
is going to happen to the core beliefs the core beliefs may change too if
someone doesn’t love me I am completely unloveable they may
change to being more extreme more negative and more difficult to rectify
if you want to have somebody who’s happy I mean you’re not going to have somebody
who’s happy who thinks the world is an unkind unpredictable scary place going
it’s just wonderful roses today so we have to help people try to adjust
eventually start adjusting those core beliefs and when we get into causing
that behavior remember the ABCs your automatic but
well your automatic thought then your and beliefs are what happened as soon as
that event occurs and those you don’t think about that’s why they’re called
automatic so when you have the ABCs these core beliefs are those things that
pop up that we need to address so what factors affect this and whoops you know
there’s a lot of stuff right here and EBP they call them vulnerabilities you
know we’re just going to talk about in general different factors that affect
the choices our clients make in terms of behaviors so negative emotions if they
are not if they’re feeling angry if they’re feeling anxious they’re feeling
depressed they’re probably not going to be really motivated to get up and engage
in a whole lot of self affirming activities they’re not probably not
going to be having a lot of positive self affirming thoughts they’re going to
be focused on whatever is causing that distress and maybe escaping from that
physically pain and illness when you don’t feel well it’s harder to be Susie
sunshine I don’t think many of us are just a barrel of monkeys when we don’t
feel well so if our clients have pain this is one
of those if you want to put it in behaviors behavioral areas physical
areas we can address and have them go see their physician have them go see
their physical therapist and get recommendations so they aren’t feeling
physically painful physically and distress all the time because physical
distress and emotional distress both mess with sleep unfortunately sleep
is the first thing to usually go and I’m not talking about quantity I know a lot
of clients who when they get depressed they’re in in bed for you know days
they’ll get up they’ll maybe shower and you know go back to bed and they’re
sleeping a lot but it doesn’t mean it’s quality sleep so what we need to look at
is what is the quality of their sleep are they getting that rejuvenation the
time for their brain and neural chemicals to rebalance so they can feel
happy so they can have that nice balance of all the the neurotransmitters they
need to feel happy poor nutrition well no matter how much sleep they get if
they don’t have the building blocks to make the neurotransmitters and the
hormones that are needed to prompt the feelings the physiological sensations
that we’ve labeled happiness or excitement or you know even depression
and anxiety those are all caused by different neurotransmitters being
secreted in different combinations if your body doesn’t have the building
blocks to make those then it doesn’t matter how much sleep you get you’re not
going to get any benefit from it an intoxication and this can be uppers
downers anything that is psychoactive if you are messing with that
neurotransmitter balance you’re going to get it out of whack and you may either
use up too much of the excitatory or cause us a lot of it or you may use up
too much of the depressant either way there’s usually a rebound effect which
we call withdrawal so you’re not going to be in a good space either during the
intoxication sometimes but definitely when you’re sobering up
there’s a period where there’s going to be negative emotions negative feelings
environmentally yeah your environment can even make you grumpy
introduction of a new or unique situation some people love new
challenges love going to new places other people not so much depending on
the person taking on going somewhere new may be really stressful for them so if
they’ve already got de-stress going on because of having to go to this new
situation then their thoughts may be a little bit more on the anxious side
about a lot of things and they may have less patience and tolerance to deal with
other stuff that comes their way because they’re already kind of on edge and
exposure to unpress you know going places that you just really don’t want
to go maybe and one of the places I used to work we had this meeting once a month
and it was literally an eight-hour meeting and we would all sit in there
for eight hours and one person at a time would get up and give their staff
reports or whatever but it tended to be a relatively dreadful sort of
environment or eight hours and we all knew we had to be there and that was
fine but it was an unprecedented were grumbling on the way in they were
getting their coffee and going well I better do this because I’m not getting
out for another eight hours we need to help our clients obsess what is it in
your environment if anything that is making you already feel grumpy or not as
happy and likewise what can you put in your environment to make you feel
happier you know I keep pictures of my kids and my animals on my phone that way
if I’m having a moment or not sometimes I just like looking at them I can take a
look at it it makes me smile and I’m like okay life is good you know this
moment may not be so wonderful but it’s just this moment then we move on to
stress of a social nature peers or family who
convey irrational thoughts as necessary standards for social acceptance nobody
wants to associate with those people or nobody’s going to like you when you’re
like this or you read if you really want to be successful then you need to change
fill in the blank it’s always a something needs to change you are not
okay for who you are how you are and a lack of supportive peers to buffer
stress because we all have negative people in our life it happens but if you
have negative supportive peers that you can call afterwards and go yeah I had
just had to meet with someone so for an hour and it was just dreadful and that
person can go well I’m sorry or be there make you laugh or whatever they do it
helps buffer the stress if you don’t have those positive social supports then
you’re left walking out of it you’re kind of feeling shell-shocked and then
you also at the same time have to figure out for yourself all right what do I do
next now it doesn’t mean you can’t do it you
know people do it all the time but it is good it is awesome to have supportive
peers to buffer your stress so when cognitive therapy clients learn to
distinguish between thoughts and feelings realizing that thoughts will
trigger feelings but they don’t have to cause continual feelings and behaviors
and feelings can cause certain thoughts but they don’t have to you can unhook
from them and you can just say this is how I’m feeling right now now where am I
going to go from here and we talked about that on Tuesday with
unhooking from unhooking from your thoughts and stepping back and going
what is the next logical action to get me to where I want to go become aware of
the ways in which the thoughts can influence feelings in ways that are
sometimes not helpful being critical being jealous envious maybe you just
don’t like somebody and you know there’s a whole lot of reasons for that but you
don’t like everybody most people don’t like everyone
and so it’s you know that’s okay but recognize how that affects your
interactions with that person and your thoughts about that person
learn how thoughts that seem to occur automatically affect emotions so
recognize start getting down to what are these core beliefs that happen every
time it’s a negative incident that make me feel angry or anxious constructively
evaluate whether these automatic thoughts and assumptions are accurate or
perhaps biased evaluate whether the current reactions are helpful and a good
use of energy or unhelpful and a waste of energy that could be used to move
toward those people and things important to the person so again back kind of to
that ACP sort of thing is this a good use of your energy to help you achieve
your goals and be the person you want to be and develop the skills to notice
interrupt and correct these biased thoughts independently like I said you
don’t always have to call somebody you can do it on your own but sometimes it’s
nice to have that buffer in that middle moment so what causes these thinking
errors how can we even start helping people address their thoughts and until
we start thinking about well what caused them information processing shortcuts as
we grow up we learn things you know when you were knee-high to a grasshopper you
didn’t have a lot of experience so you learned things but things you learned
when you were a kid unfortunately because you were
cognitively a child are either our dichotomies they’re all or nothing it’s
either this way or no way at all so things that you have things that you
learn back when you were a child may not have been challenged if you heard
something from your parent maybe your parents said you’re a bad girl or you’re
a bad boy it’s all or nothing well I am a bad girl so I guess that
means I’m not okay and if I’m not okay right now I’m never okay that can stick
with a person so these outdated amis schemas can really trip somebody up
once the person gets into you know middle schoolish the thoughts aren’t
nearly as dichotomous there’s a lot more formal operational thought if you will
but up until then I mean you’ve got a child who’s experiencing a lot of stuff
and taking in like a sponge everything they hear and it gets sorted into a yes
or a No pile there’s there’s no kind of middle
pile that there’s no yes and so what we want to do is help people look at those
thoughts now and say okay if they’re all or nothing is there a way to find both
and so for example we’ll take that exam scenario I gave you earlier if a child
hears you’re a bad girl when they’re young they take that to mean always
everything about me is bad I’m unlovable so what is the both and compromise as an
adult we can look back and go you know I’m a good person I may not make may
make poor choices sometimes I may make bad choices but I’m a good person
so there’s that both and you know I’m not perfect but I’m good so that it’s
not all or nothing and I encourage my clients to really always look for that
middle ground how can it be both or does it have to even be that negative one but
most of the time there’s a little bit of something on both sides the brain’s
limited information processing capacity and limited responses when children are
young you know they hear something you know mom comes in and says you’re a bad
girl and child hears I’m totally unlovable and it just crushes the child
they don’t have experiences to go moms having a bad day she kind of tends to
say things she doesn’t mean when she’s having a bad day it’s just it’s
devastating to that child when you’re older if somebody says something that’s
not necessarily tactful you know you can look at it and go yeah that really
wasn’t nice but that person probably did not intend to be hurtful they may have
something else going on children have fewer experiences so what
was devastating or overwhelming as a child may not still have have to feel
that way when you’re a child if your best friend moved away oh that was
devastating it was the end of the world now as an adult you can go visit them
you can call them and with the internet and everything you can email them you
can still stay in touch so there are ways to do it yeah you can’t go out and
swing swing on swings together all the time but it doesn’t have to mean the end
of the end of time things will change and there’s a little process of grieving
that has to go along with that but to an adult a friend moving away is less
devastating than say to a six-year-old your parent being angry with you if you
grew up in an alcoholic or addicted household you learn don’t talk don’t
trust don’t feel when the parent came in if the parent was angry with you you
could have been in a lot of hurt you know there could have been some actual
danger to your physical or emotional person so it was scary as a 26 year old
or however old your client is is it that threatening you know if your parent gets
angry with you you don’t depend on them for food and shelter anymore you don’t
have to be an inner household if they were violent towards you so is it as
terrifying when your parent gets angry yes there’s lots of issues with wanting
acceptance from your parents that’s over here there’s a whole nother issue but
when your parent is angry do you have to have that person’s approval when we’re
in crisis we don’t process much when you’re in crisis your body is worried
about surviving if you’ve been in a car wreck if somebody has gone to the
hospital whatever the case is you’re not
processing all of the data in order to make it in for
decision you’re processing what’s right in front of you because when we’re in
crisis we generally have tunnel vision and really crappy memory so if something
happened when someone was in crisis that hurt their feelings made them angry you
know fill in the blank some sort of dysphoric emotion we want to say well
let’s look back at that and see if there’s a pose and let’s look back at
that and see if there was something that you missed that might help you
understand why this person reacted that way but understanding that in crisis we
just generally don’t make the most informed decisions so emotional
reasoning helping clients understand that feeling or not facts and helping
them learn to identify feelings and separate them from facts so if they say
I’m terrified all right so you’re terrified got that about what are you
terrified you know tell me what are these things that make you feel like the
world is such a scary place and let’s list them on the whiteboard or a flip
chart what is the evidence that those are present dangers right now that
they’re actually impending threats so tell me about what the evidence is in
what ways is this similar to other situations where you felt terrified and
how did you deal with those situations I have a friend who actually went this
morning on an airplane flight and she hates flying totally terrified of it so
what is the evidence that this plane is going to crash you know what is the
evidence that it is likely that this plane will crash and there really she’s
flying on an american-based commercial airliner there really isn’t any when you
look at the proportions so okay there’s there have been a couple of crashes over
the past 20 years and in a couple of those there were some fatalities no
doubt but looking at the proportions and running the numbers
what’s the likelihood in what ways this is similar to other situations that you
have felt terrified you know maybe there haven’t been any other situations where
she’s flown and gotten through it and been like score I did that but what
other situations have you had to get through that you were terrified and how
did you deal with those help people develop distress tolerance skills one of
the things I told her was when you’re sitting on the airplane and you know the
airplane starts up don’t wait til you start getting really stressed
necessarily but when we were little on the car when we’re in the car we used to
find things on the drive find something that starts with a and everybody would
find something that started with a and then find something that starts with B
and you know so on and if you couldn’t find something that started with that
letter you were out so I mean she’s going on this trip with her kids and I’m
like why don’t you try doing that because there are some letters that
you’re going to have to work really hard and it’s kind of like the game apples to
apples you end up finding something really inane in order to get that letter
and you laugh and you’re so busy focusing on that you’re not focusing on
all of the things that could possibly maybe go wrong other distress tolerance
skills you know you can go through the whole DBT curriculum and learn some of
those the biggest thing is if you have to face the terror if you have to go
through it figure out a way to not have to focus on it and fight it and go I
shouldn’t be afraid I shouldn’t be because that doesn’t work if it worked
we wouldn’t be talking about it and develop emotional regulation skills so
prevent those vulnerabilities set yourself up so you are as prepared as
you can to not feel stressed to not feel anxious she has her spouse with her who
can help diffuse some of it she’s got her kids with her she downloaded some
movies she’s prepared to endure the distress she’s you know trying to go
into it with a positive mindset as much as
possible and focusing on the destination which you know is ultimately the reason
she’s getting on the plane social causes of stress and thinking errors
everybody’s doing it well that’s not true there’s very real that everybody
does so correcting misinformation how the client gather objective information
about you know if they say well everybody else that I know has succeeded
okay well let’s gather objective information about that who do you know
and tell me if they’ve succeeded if I want to be liked I must do it
this need for approval or low self-esteem can cause a lot of problems
in thinking errors and fears of rejection so we say okay let’s look at
developing some self-esteem so you don’t need to worry about if somebody likes
you what would it be like if you woke up in the morning and you didn’t care if
so-and-so liked you I mean we all want to have friends don’t get me wrong I’m
not saying you want to be her moving out in the woods but if we’re talking about
a particular so-and-so what would it be like in the morning to get up and go you
know what if that person messages me today or call us me today that’s great
and if not I’m okay with that how liberating would that be to get your
power back and how people develop social supports that share their same values
and goals at least mostly or at least can respect yours so for example when
you know I work with people with co-occurring disorders and they don’t
drink and they don’t use drugs so they may be around people family friends who
drink if you’re going to be in that situation do you have to drink and can
you be around do you have social supports that can be supportive of your
choice to not drink doesn’t necessarily mean they’re it’s not going to not going
to not drink in front of you but at least they’re not trying to get you to
drink so the social causes of irrational
thoughts if I want to be liked I must do this
why can’t you be like for who you are cognitive bias negativity mental filter
focus on the negatives and worry about the future most of us know some people
like that most of us have had a moment where we felt like this we’ve just
gotten ourselves in a tizzy and spun out of control but you can bring it back so
you want to ask yourself or have your clients ask themselves what’s the
benefit to focusing on the negative if you know that this is going to go south
really fast what’s the benefit to just focusing on
that could you focus on alternatives or Plan B’s what are the positives to the
situation most people who have mood issues who present to us in counseling
don’t focus on both sides yes every side you know has a little bit of negative to
it if you really want to look hard enough but every side also has a silver
lining if you really want to look hard enough so we need to balance the the
positives and the negatives so encourage people to look for the positives in the
situation yeah this really sucked but and what are all the facts what are all
the things going into it sometimes people will go to work and not know or
wonder if they’re going to get laid off because you know you’re not necessarily
always guaranteed a job anywhere there can be layoffs but if somebody is going
to work every day worried about this focusing on the negative up yep I’m
definitely going to be the one that’s going to get the pink slip and they go
to their mailbox each time looking for that pink slip expecting it to be there
how is that going to affect their mood as opposed to alright there may be
layoffs coming what can I do to make myself really valuable or and what are
my options if I do get laid off let’s make a plan B and C so I don’t just feel
like the rug was pulled out from under me coin toss activity if
somebody tends to be stuck in negativity have them flip a coin every morning if
it lands on heads they can just see their normal selves to their heart’s
content if it lands on tails they need to act as if they are a happy positive
optimistic maybe even a noxious ly optimistic person for the entire day you
know we want them to be farting rainbows and when I say that they usually look at
me and laugh and but that’s okay I’m like every time you start having a
negative thought I want you to see a unicorn farting rainbows and take it
from there and then have them process how they felt at the end of the day if
they weren’t constantly focused on negativity and worrying and only seeing
the bad stuff disqualifying or minimizing the positive if something
happens when somebody says well I just got that promotion because they didn’t
have anybody else to give it to okay if your best friend just got a promotion
would you say that to them what is scary about accepting the positive about
accepting the fact that maybe you got the promotion because you’re awesome
sometimes we disqualify the positive because it fails to meet someone else’s
standards so might that be true here you know maybe you got this promotion and
you’re actually down deep down inside kind of proud of it but you know that
your mother had always wanted you to be this over here and you’re never going to
meet that expectation so you minimize it that way nobody else could say well you
know better than nothing and take away your thunder egocentrism my perspective
is the only perspective take different perspectives I always say three if
something happens and you know maybe somebody was rude to you
anyone they were rude to me okay they were rude to you what are three reasons
what are some alternate perspectives why that person might have been rude maybe
what you did something that triggers them maybe they were
having a bad day and it’s got nothing at all to do with you you know there are
options that we can look at personalization and mind-reading what
are some alternate explanations for the event that didn’t involve you if you
think well that person that person just really doesn’t like me and you know I’ve
got to work with them every day and they hate me my question to my client would
be what what’s the evidence for that and what are some alternative explanations
for why that person may be behaving that way
I had a staff member that a lot of my other staff members had difficulty
getting along with and ultimately you know we had to sit down and look when I
had some different staff meetings with people and say you know what gives you
the idea that she doesn’t like you what gives you the idea that it’s about you
and you know they cited all kinds of behaviors and I had to come back to well
what are some alternate reasons why somebody anybody not just her might be
expressing those behaviors could it be something besides you and of course they
came back – yeah availability heuristic remembering what’s prominent in your
mind if somebody was if you’re a supervisor for example and you’re doing
evaluation for the year what are you really remembering when you’re doing
that evaluation the whole year or the last three months and that’s the event
fail ability heuristic so when you’re talking to somebody about their
relationship with their best friend or their spouse or their kids and if
somebody says well that that child has always been a problem okay let’s look at
that you know the child is 18 and you’ve had a lot of problems with him lately
but what about three years ago so was he always a problem or is this something
that’s relatively new that something might have changed
magnification people getting stuck on fearing the absolute worst so you want
to ask them is this a high probability or low probability outcome if they’re
magnifying something that happened like oh my gosh that is the worst thing in
the world is this going to matter six months from now maybe you totaled your
car and yeah that is a huge bummer and you’re safe in six months is this really
going to matter that much you know there are going to be some bills and
everything but the big scheme of things is at the end of the world what have you
done in the past to tolerate events like these when something really really
unpleasant has happened and then if they’re looking at dichotomous ways of
thinking which a lot of our clients still do they’re like someone so it
always does this or never does this have them look at the differences between
love versus hate perfection versus failure and all good intentions versus
all bad intentions because a lot of our dichotomies fall in one of these three
categories this person always does this or Never
or does it intentionally or you know just doesn’t care belief in a just world
the fallacy of fairness encourage people to look for for good people they know
that have had bad things happen attributional bearers are labeling
yourself not a behavior such as saying I am stupid instead of I don’t have good
math skills I am is difficult to get rid of I can’t get rid of stupidity if it’s
part of me but if it’s a thought or a skill I can either get rid of it or
improve it stable I am means I am right now and I probably always will be stupid
verses I can change this thought or skill I can learn math and internal
attributions mean it’s about me as a person versus about a
skill or skill deficit or something completely unrelated so when somebody
makes a global internal negative statement we want to help them challenge
that global internal positive statements I’m all about but the negative ones I
want to say let’s take a look at that is that true that this is about you all of
the time and it means that there’s something wrong with you so we want to
ask them how are these thoughts how are these ways of thinking impacting your
emotions health relationships and perceptions of the world we want to
increase motivation to start looking at these spanking errors because it’s a lot
of work to start changing the way you automatically think because you’ve got
to stop you’ve got to become mindful and then you’ve got to decide well what are
the alternative thoughts because this is what I thought for so long how may have
this thought has been helpful in the past most of the time thoughts we have
came from somewhere and whether it was a thought we had when we were a child
something we learned when we were a child that is dichotomous and not quite
applicable anymore it may have been helpful in the past to help you navigate
situations doesn’t mean it was wrong it means it’s not helpful in the present
asking them to always ask themselves is this thought or feeling bringing you the
client closer to those people and things that are important to you it’s hanging
on to this negativity bringing you closer and and I like the energy
philosophy if you will when you are unhappy you are letting this person have
your power you are letting this person make you angry when you decide you are
not going to give them your power then you may start feeling happier and I
don’t always use that with clients but sometimes the power metaphor help
when we talk about thinking Ayers asked them are there examples of this not
being true and and or how can a statement be made less global stable and
internal is it about you or is it about what you do at work is it about you or
is it about your relationship with this particular person so the last couple of
slides focusing on some of the irrational thoughts or unhelpful beliefs
our basic fears are rejection and isolation failure loss of control the
unknown and death generally the things that cause people to have this
fight-or-flight reaction fall into one of those categories so some of the
unhelpful beliefs that we hear a lot coming up when we do the ABCs is that
mistakes are never acceptable so if I make one
I am incompetent so we’ve got dichotomous thinking and we’ve got a lot
of internal global labeling here rejection and isolation when somebody
disagrees with me it’s a personal attack against me well sometimes it is what
does that mean it’s about you we’re helping them address the rejection and
isolation fears we want to ask them you know if they disagree with you were they
attacking you and saying you were stupid or were they attack attacking you want
to use that word or were they attacking the thought and saying they disagreed
with the thought there’s a little bit of a difference it’s somewhat semantics but
it’s a difference because they may have a lot of respect for you but they may
disagree with what you just said if someone criticizes or rejects me there
must be something wrong with me again that’s one of those internal global
negative statements to feel good about myself others must approve of me we want
to make sure our clients can self validate and they don’t rely on external
validation because they’re setting themselves up for a world of hurt if
they are not their own best friend to be content in
life I must be liked by all people and thanks for a second are you liked by
everybody I know I’m not liked by everybody so does that mean that I
should not be content in life and what does it say to give people that power to
say if you don’t like me that I can’t be content because I’ve got to be liked by
everybody sometimes with clients I’ll help them look at what may be going on
with the other person why that person might like them because a lot of times
other people’s reactions towards you are more about their stuff than about you
and helping them see how that might be true my true value as an individual
depends on what others think of me so these other unhelpful beliefs pertain to
those thoughts of failure and loss of control none of us likes to fail don’t
get me wrong it’s not pleasant but it happens and there is a saying out there
that says if you haven’t failed you haven’t tried which means we need to get
beyond our safety envelope we need to push ourselves behind beyond our
boundaries and when we do sometimes we’re going to stumble and fall and we
pick ourselves up and we learn from it but to expect to never fail at anything
is not realistic so nothing ever turns out the way you want it to how many
times have you heard that from your clients I won’t try anything new unless
I know I’ll be good at it I’m in total control and anything bad that happens is
my fault so let’s look at this locus let’s control thing here you’re in total
control so you can make it rain you know it was unpleasant today because I had to
come to work and it was raining outside so that was bad it happened was it your
fault pointing out and depending on your relationship for your client you’re
probably going to be more or less snarky when you present some of these but a lot
of times I have a semi joking relationship if you will with my clients
and they’re like yeah I see your point that kind of didn’t make a lot of
since other times you know if they’re more serious I’ll ask them to identify
things that happened that were bad that they had nothing to do with if I feel
happy about life something will go wrong or I’m always waiting for the other shoe
to drop helping people stay focused in the moment with mindfulness and
something’s going to go wrong down the road somewhere sometimes yeah it’s true
this will happen let’s enjoy what we’ve got for right now the past always
repeats itself it was if it was true then it’s true now so what was true when
you were ten is true now that you’re forty always is that true it’s not my
fault my life didn’t go the way I wanted everybody conspired against me and
there’s no gray area so for people who feel the need to hold on to control its
dichotomous it is or it isn’t it’s got to be that way there’s no gray area and
it can make life be seem very uncomfortable because they’ve got to put
things in one of two buckets and sometimes things don’t fit nicely in
buckets what happens if we add a third bucket that both an bucket so a quick
note about irrationality the origins of most beliefs were rational and helpful
given the information the person had at the time and their ability to process
that information because of their cognitive development so things that we
identify as unhelpful or automatic beliefs now came from somewhere and they
made perfect sense whenever they were formed they may not be healthy or
helpful now which is why we want to look at them and either adjust them or just
throw them out the door but when they were formed they were on point
irrationality or unhelpful nasaw thoughts comes when those beliefs are
perpetuated without examination so again we need to look at them continually look
at what you’re telling yourself and go is this still accurate
and continue to be held despite causing harm to the person sometimes you’re
going to look at a thought an automatic thought and you’re going to go yeah that
is still spot-on now is holding on to this helping me
achieve my goals you know yet the world right now is kind of a scary place is
holding on to this fear and terror helping me and be a happy productive
yada-yada whatever kind of person you want to be or is it causing me to feel
anxious and angry and scared sometimes it’s more productive for clients to
think of thoughts as unhelpful instead of irrational because like I said I feel
like irrationality and distortions seem very pejorative to a lot of clients so
questions clients can ask themselves when they are faced with a situation
what are the facts for and against this belief is this belief based on facts or
feelings just because you feel scared is it a scary situation does the belief
focus on just one aspect or the whole situation does the belief seem to use
any of those thinking errors we talked about and if so you know what do I need
to do about it what are some alternate explanations for this belief what else
could have caused this to happen besides whatever I’m afraid of what would you
tell your child or your best friend if they had this belief
what would you took what would you want someone to tell you about this belief
you could have somebody tell you something that would make you feel okay
what would you want them to tell you and how is this belief moving you toward
what and who is important to you remembering that beliefs are a
combination of thought and fact and personal interpretation of those
thoughts and facts I tend to when I talk you know you see me I kind of I’m all
over the place with my arms I am a animated talker now if you are seeing me
from a hundred feet away and you are seeing me talk
might think I was angry because I make a lot of really big gestures because if
you had grown up in a situation where there was domestic violence or something
but if you had grown up in a household like I did where you had a first
generation Italian first generations of ten Italian Americans talk big they talk
real big with lots of gestures and sometimes loud and that doesn’t
necessarily mean any anger a lot of times it’s just pure excitement so
understanding that there’s thoughts in facts you know you see this going on but
your personal interpretation can really affect what you get out of it or what
you perceive that situation to be so we need to look at how is your personal
interpretation maybe adding a negative bias and what what do we do about that
it may be 100 percent accurate what do we do about it so it doesn’t keep you
miserable thoughts impact behaviors and emotional and physical reactions
emotional physical reactions impact thoughts and your interpretation of
events irrational or unhelpful thinking patterns are often caused by cognitive
distortions my two favorite words in that same sentence cognitive distortions
are schemas or shortcut ideas or memories if you will which were formed
based on faulty inaccurate or immature knowledge or understanding of the event
you know little kids may not have quite understood what was going on they just
understood that mommy and daddy were screaming identifying the thoughts the
hecklers I call them those negative voices inside your head that are
maintaining unhappiness helps people choose whether to accept the thoughts
and say yeah you know that’s right I really am not good at that or whatever
the negative thought is and change it or let the thought go are there any
questions you you thank you miss Benson well thank you all
if you come up with any questions you know you’re mulling it over later and
you think you know that yet I’ve worked with a client and with something similar
and I did this or you know you have a question about something I said feel
free to email me the easiest one to remember is support at all CEUs com
there’s only two others in the office so either my husband gets it err I do so
it’ll get to me and I guess that’s it so I will see you all on Tuesday if you
have any types of courses that you want to see added to the list please let me
know I’m always interested in doing what you want to learn about not necessarily
just where I pull out on my rabbit hat yes you can print the slides in the
golly golly golly when you go into the class there’s a link that has a PDF of
the slides that you can print if you want to print go ahead and print those
out the video version of this will be up on YouTube by tomorrow morning maybe
later this afternoon you okay everybody have an absolutely
amazing rest of your day and weekend if you enjoy this podcast please like and
subscribe either in your podcast player or on YouTube you can attend and
participate in our live webinars with dr. Schneider by subscribing at all CEUs
calm / counselor toolbox this episode has been brought to you in part by all
CEUs calm providing 24/7 multimedia continuing education and pre
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Do you often feel emotionally out of control nowadays and don’t know why Moodiness and irritability are common but often overlooked signs of burnout? So if you start to have trouble controlling your emotions, especially when it never used to be a problem for you, this might be the reason why Lazy people, on the other hand, are a stark contrast to this, because they’re, often very relaxed, laid back placid And unaffected by things Number five, you’ve neglected your self-care. One of the most distressing warning signs that someone may be emotionally and physically burnt out is, if you start neglecting yourself care and socially withdraw from others. There are concerning changes in your eating and or sleeping patterns. You stop making an effort to groom yourself or look good, and you tend to spend most of your time by yourself doing nothing because you’re so easily exhausted by even the simplest of tasks. The difference between being burnt out and laziness is starkly in the fact that you weren’t always this way And number six. These changes happened gradually. Finally, but perhaps most importantly, something you should know about burnout is that it develops in stages. So all of the points mentioned before losing interest and motivation, especially in things we used to love feeling detached from yourself and disconnected from everything around you, socially withdrawing, and neglecting your self-care won. ‘t just happen overnight.Studies show that there are five major stages of burnout, each with increasing degrees of severity, The honeymoon phase, the onset of stress, chronic stress, burnout, and habitual burnout. Many people begin to experience symptoms as early as the second phase when there is still a moderate amount of stress, but optimism, interest, motivation, and performance may already start declining by the time you reach the fifth and final stage. Burnout has already become so embedded in your life that the persistent mental and physical fatigue becomes more intense and harder to treat making you more vulnerable to developing depression and anxiety. Spotting the signs of burnout early makes it all the easier for you to get help and recover from it That’s, why it’s so important to raise awareness about burnout instead of simply dismissing it as laziness like most people tend to do So. If you or anyone you know, may be suffering from mental or emotional burnout, please don’t hesitate to reach out to a mental health care professional today and talk to them about it. If you find this video helpful, be sure to hit the like button, feel free to leave a comment down below with your thoughts, experiences, and suggestions, and share it with those out there battling the haze of burnout. 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Upbeat, Music, Hey Psych2Goers, have you ever thought about joining our team of animators or writers, Or perhaps you want to start an animation channel of your own? Are you looking through as many youtube channels as you could for tutorials and tips, but wasting a lot of time on some, not so helpful ones? Skillshare is a great place where you can learn new things with their online classes and they have animation courses as well Click the link in the description below to get your free trial of Skillshare Premium, Hey Psych2goers, and welcome back to our channel. This video is suggested by one of our viewers Army Blink. Thanks for the suggestion Now let’s get started. Have you been wondering if your mental health is possibly getting worse? Mental health just like physical health, affects everyone, whether you are suffering from a mental illness or not. Your mental and emotional health can fluctuate from time to time, depending on the stresses going on in your life, So it s always a good idea to check in with yourself and try to gauge the direction your mental health is going in With that said, here are Ten signs that your mental health is getting worse NUMBER ONE, You re losing interest in the little things. Do your favorite activities suddenly seem meh to you? If you’ve started to lose excitement for life s little things, then this is a sign that your mental health might not be at its best. You might be feeling this way because of an overload of stress in your life, or you’re feeling overwhelmed with all of your responsibilities and to-do lists When you lose interest and don t enjoy the hobbies and activities that you once did. This could also be a warning sign of depression If you think this could be what’s happening to you know that you are not alone and that help is just around the corner. Talk with a trusted friend or a family member or a mental health professional. To get the help you need to navigate these troubling times NUMBER TWO: You get overwhelmed easier. Do you find that you’ve been getting overwhelmed more often than normal? When do you have a to-do list for two or three tasks? Does it feel more like you? Have ten things to do When you start to get overwhelmed easily with everyday things, this could be a sign of worsening mental health According to Psychotherapist, Sheri Jacobson, feeling mentally overwhelmed could be an internal reaction to excessive outside stress. To help cope with this overwhelming feeling. You can journal meditate or practice mindfulness NUMBER THREE. You don t feel like socializing that much anymore Does it feel more exhausting to interact with people nowadays, Regardless of whether you’re an introvert extrovert, or somewhere in between? We all have a standard comfort level when it comes to social interaction If you feel yourself slipping below your comfort level. Pay attention to this. Remember that, even if it does t feel that way at the moment, interacting with people can help boost your mood. We want to mention that we’re happy to have skillshare as a sponsor today because they promote the idea of a self-made. Are you planning to learn a new skill, perhaps illustration animation, or writing? It would be great if everything you need is all in one place right? Well, Skillshare has thousands of catered courses across all kinds of topics like design, business, tech, and more. There is truly something for everyone. Skillshare has a great intro class on animation that we recommend The course is called Creativity, Unleashed, Discover, Hone and Share Your Voice Online by Johannes Fast. If any of you are interested in learning basic animation, I recommend you go check it out. In the link below The first 1000, people will get a free trial of Skillshare Premium and after that, it s only around 10 a month. Let us know what Skillshare courses you’re taking in the comments below FOUR You don t have a consistent sleep schedule. Have you developed a seemingly random sleep schedule, Despite wanting to get up at a certain time in the morning, do you wind up sleeping all day When you have an irregular sleep schedule? This could signify increased stress in your life and a decline in your mental health. If you’re struggling to regulate your sleep, you can try setting up a routine to wake up and go to bed at the same time every day, This will get your body back into its regular rhythm of sleep and wake cycles, therefore, no longer causing sleep Disturbance, FIVE, You always feel drained Despite getting enough sleep and eating well, do you constantly feel exhausted or drained According to Healthline mental exhaustion can set in when you are under long term stress and this type of exhaustion can make it feel like you are trying to Move up a mountain More than just feeling tired. When you are this drained and constantly exhausted, you might struggle to get anything done. Healthline suggests practicing gratitude, relaxation, and yoga, as well as talking to a mental health professional, to provide medication for you. If it s needed Treatment, plans will look different for everyone, but regardless there is a way that will work best for you to help pull yourself out of this state of exhaustion. Six, Your anxiety seems to be increasing. Do you wake up in the morning with a crushing sense of anxiety that stays with you all day? Does this anxiety cast a cloud over your daily activities? Worsening anxiety can often coincide with worsening mental health. Anxiety affects us all whether or not you happen to suffer from a particular anxiety disorder. It s important to monitor your anxiety levels because a noticeable change can tell you a lot about your mental health. Anxiety is a stress response and it can cause a variety of psychological and physical symptoms. When you feel overly anxious, you might notice that your heart rate speeds up and your breathing rate increases, and you might experience a bout of nausea. Seven. You feel mentally and emotionally shattered. Do you feel like there are so many things happening around you, but you can t focus on any of them? If so, you’re not alone From time to time it s normal to feel this way, especially when you are going through higher amounts of stress. However, if you are feeling scattered and like things are spinning out of control, this could be a sign that your mental health is under strain According to Psychologist, Rick Hanson from Psychology. Today, you probably feel scattered, because you are struggling to find your center. This means that, for your brain to feel more organized, you need to feel at peace within yourself. Practicing mindfulness such as yoga and meditation are great places to start on the road to inner peace. Eight, You can t seem to pay attention. Do you have a harder time focusing and staying on task When you’re reading? Is it hard to comprehend? Do you have to reread the same passage over and over, Though it could relate to potential psychological disorders such as ADHD, depression, or anxiety? It is also likely that a lack of focus can be due to stress or poor self-care. It can be frustrating to start losing focus so frequently and those feelings are valid and normal Remember to take care of yourself and, as you recover know, that help is available NINE. You might be struggling with your impulse control. Are you acting more on impulse? Are you possibly indulging in things you should t, Whether it s retail therapy or binging, all of your shows, or playing video games for hours? When you act more on impulse like this, it can signify worsening mental health. You might pick up some unhealthy habits as a way to cope with life. Stress fulfills you or distracts you from a major issue going on in your life. Journaling, mindfulness, and therapy are great ways to start uncovering some of these issues. Ten, You are struggling to feel, grounded Similar to feeling centered when you are grounded. You are feeling confident and balanced within yourself. According to Irene Langeveld, an energy worker and meditation coach grounding starts with the root chakra at the base of the spine known to help. You feel secure Activities that connect your body with the world around you, such as hiking, meditating, or walking outside, are all great ways to help. You find your sense of grounding. Can you relate to any of the points made in this video? Do you think your mental health could be slipping If so know that there is help you can reach out to You. Can talk to a trusted friend, family member, or mental health therapist for support? Please like and share this video if it helped you and you think it can help someone else too. The studies and references used are listed in the description below Don t forget to hit the subscribe button for more Psych2Go videos. Thank you for watching. We’ll see you next time, Video by Psych2go.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
this episode was pre-recorded
as part of a live continuing education webinar on-demand CEUs are
still available for this presentation through all CEUs registered at all
CEUs comm slash counselor toolbox I’d like to welcome everybody to today’s
presentation on common co-occurring issues exploring the interaction between mental health
physical health and addiction so we’re kind of putting together the stuff that we’ve been
talking about for a couple of sessions now we’re going to start by talking about some
questions and then reviewing what a healthy person needs and then going through and talking
about how different addictions may cause or be caused by mood disorders and physical health
issues and we’re going to talk about things that you may see in private practice or the
a facility that you’re working in just real quickly for those of you who are here how many people if
you would just type in the chat window if you’re a mental health counselor type mhm if you are a
addictions counselor type SI or whatever so just kind of so and know who I’m talking to you okay
so mostly mental health ok cool so what we’re going to look at is what you may
see in private practice or a mental health setting because these clients a lot of clients
that have substance abuse or addiction issues and I use the term addiction because we’re
talking about behavioral addictions too many times they don’t meet the criteria for admission
for substance abuse because they don’t meet that threshold of a substance use disorder tolerance
withdrawal yay yay so substance abuse agencies can’t get funding to provide the treatment so
they end up in a mental health facility or a mental health counselor’s office and they may
be dealing with some of these addiction issues and wanting to address them or they may not be
but those issues are out there and exist so we want to know how they interact so told you
we’re gonna have a couple of questions to think about and I’m just asking you to ponder these for
right now and you can add throughout the class if you want but we’re gonna talk about it more at
the end how can we and why is it important to address chronic illness and disabilities
that result from or that cause mood disorders or addictions so thinking about you know like
HIV or hepatitis are two of the big one’s cirrhosis of the liver chronic obstructive
pulmonary disease from smoking so these are things that can result from addiction why or how
is it important for us as clinicians mental health clinicians mainly to think about addressing these
how can we address depression and/or anxiety kind of our mood disorder genre and hopelessness that
results from or causes depression and anxiety so we know that thinking back affects acceptance
and commitment therapy there’s clean discomfort which is what he calls your initial emotion
when you feel something if you feel depressed if you feel anxious that’s how you feel and
it’s uncomfortable but it’s clean it is it is what it is and then he calls dirty discomfort
the feelings that we have about those feelings so we can get angry that we are depressed we can
get depressed that we’re still depressed and he calls that dirty discomfort because we’re kind of
layering on and piling in think about just kind of throwing somebody into a hole and piling more
dirt on top of them so we want to think about how can we address these issues that result from
depression or anxiety or sleeping eating or energy changes so if you’ve got somebody who is dealing
with a chronic illness or something else has happened or they’re they’ve got some sort of
an addiction and they are not eating well not sleeping well it could trigger depression or
anxiety so we’re going to talk about that how can we address sleeping eating and energy changes
seems like we’re getting repetitive we’re looking at how each one interface and how can we address
these things that are caused by or cause mood disorders or addictions because we know when we
look at the diagnostic criteria for depression for example sleeping eating and energy changes
primary in there and how can we address guilt and regret which may accompany addiction recovery
or the diagnosis of the disease as the result of addiction such as lung cancer or HIV or cirrhosis
of the liver and people who have liver disorders cirrhosis of the liver and hepatitis are at a
greater risk of liver cancer so that can they can have some additional anxiety that is related
to that so they may look back and go I wish I hadn’t well you have so how can we help you deal
with that and come to some level of acceptance so my little editorialized soapbox when we’re talking
about addictions I mean sometimes we don’t want to think that they exist we want to pretend that our
clients are coming in their mental health clients otherwise their perfectly healthy things are
going great well that may not be the trick the case a lot of people begin to use and I mean
think about ourselves when we’re when we were in high school and college or you know even later
some people use it for recreation you know they want to go out have a few beers do whatever cool you
know that’s fine some people drink or use it for relaxation my son has a love of we will use that
word videogames and he will get on his videogames and we’ll kind of get lost in it it helps him
escape from you know life as we know it for a little bit of time some people use
because of peer pressure you know it’s everybody’s doing it or you know you’re at a football party
or something and everybody’s having a beer and somebody offers you one and you don’t want to be
rude things like that can happen and some people begin to use straight up for self-medication
they’re like I feel crappy I need something to help me feel better or numb the pain so there’s
a lot of reasons people begin to use so then you might say well why don’t they just say no because
it’s easy to say no well it’s not some people start to use it because they’re bored and
they want something to bring some excitement some euphoria to their life and we’re talking about
everything from sex addiction to internet addiction to cocaine use I mean we’re running the gamut here
they may lack the awareness of the dangers or how quickly you can become addicted I know when I was
working in the facility in Florida there was the sort of knowledge if you will and knowledge is not
the right word rule I guess that with crack cocaine for some people, it was a one-hit wonder
you did it once and you were hooked and several drugs can be highly addicting
quickly especially if they’re taken either through injection or inhalation but we’ve talked
before about the fact that our bodies can start developing tolerance to opiates within 3 to 5
days so you know people may not a lot of people don’t realize when they go in and their doctor
writes him a script for two weeks of opiates and they take it as prescribed that they’re actually
becoming somewhat addicted to those opiates if they take the whole prescription so they may not
understand that some people don’t say no because they have low self-esteem so they’re looking for
comfort to help them relax to help them loosen up so they can be more fun at the party and or
to peer pressure somebody tells them why don’t use or why don’t come out and go drinking
with us or whatever the case may be so to fit in they may try to use it to fit in to feel
part of a crowd and part of it can also be you know with that peer pressure just generally the
culture promoting this kind of behavior going it’s ok I think I’ve shared with you before at
At the beginning of some of the original Beverly Hillbillies episodes they still advertised Winston
cigarettes, like they are the greatest thing and cool people, have them and that’s the thing to
do so if that message gets out people may start believing it and not do their research so to
speak on what the true problems or risks may be and then again self-medication some people may
be struggling just to get by from day to day and this helps them survive the best they can with the
tools they have until we give them some new tools so just saying you know I had I grown up
during the era of Nancy Reagan and you know God loves her she was trying to help and for a certain
small percentage she probably did but for a larger percentage just saying no is not that easy we need
to give people the tools so they can say no so they don’t so they aren’t relying on these drugs
for some reason because when people start using it for recreation and relaxation some people may not
have a big big issue with it other people may start throwing their neurotransmitters kind of out
of whack depending on how much how often they use what combinations if they’re on any medication so
people may inadvertently start messing with their neurotransmitters and creating and we’ll talk
about this creating depression or anxiety that they end up trying to self-medicate so that
that is my soapbox for it is not that easy to just say no we as a culture not just as clinicians
have some work to do so what do we need to do to help people be able to just say no
they need to have access to healthy nutrition and knowledge of what that means my son and it’s
still like drawing fingernails on a blackboard to me today this week, I told his sister that you
no, he didn’t understand why she was so concerned with the nutrition he’s a guy he doesn’t need to pay
attention to nutrition it’s just whatever and I was just like oh my gosh you know everything I’ve
said has fallen on deaf ears but okay we’ll back up and figure out a way they need access to
it and then they also need to eat it you know if we have healthy foods available but people are
still eating peanut butter and jelly sandwiches for every single meal it’s not going to help so we
need to make sure people understand what a healthy diet looks like and how to do it in a way that’s not
painful you know we’re not asking you to just eat rabbit food as my daddy used to say but so what
does it look like to eat a diet or nutrition that makes you feel good that’s happy that makes you
feel happily fulfilled you like it tastes good whatever you want to say but that’s also
healthy you know it’s not just pizza or just peanut butter we need to educate people and a
lot of adults that I work with have no clue about sleep hygiene you know they know they’re supposed
to try to go to sleep but they don’t know anything about turning off the blue turning on blue light
filters so the blue lights are not keeping them up so we need to do some education here ideally in
elementary schools but if we can get it out to the community so they can pass it on to their little
minions we’ll be on a good path to pain control we need people to start having pain control but
we need to also have them have alternatives to pain control besides opiates and there are a lot
of them out there again people don’t know about so we must educate and we’re not
prescribing pain control that’s not our job but if we have a client who’s in chronic pain we can
suggest that they work with their doctor that they look into options for pain control you can google
it and find a lot of different alternatives now if they don’t want to go to the doctor but you
know there are a lot of different things from acupressure it attends units to things that are
nonpharmacological that can help people manage their pain so they can sleep which will help
the rest and rebalance to deal with fatigue and be able to deal with life kind of on life’s terms
because they won’t be in this constant state of stress people need access to regular medical care
to prevent problems so you know we want to prevent this thing on your face from becoming skin cancer
we want to prevent anything else that that might trigger problems and early intervention so like
with Lyme disease, if people get early intervention mentioned they don’t end up with the chronic
problems with HIV the earlier the intervention the better same thing with hepatitis you know
the list goes on so we want to make sure that if people have some sort of issue that’s disrupting
their ability to get enough sleep process nutrition go to work do any of these things that
they have access to some method whatever method they need to address it so sometimes it’s medical
sometimes it’s mental health it’s social services they need safe housing so we’re on to
social services now and that includes a roof over their head that they’re not worried when
they go to sleep at night but also being safe from domestic violence and things like that safety
and this kind of goes with safe housing and I put internal and external because you know the first
part is external safety we want to be able to know that our patients can relax wherever they’re at
they have enough money to keep a roof over their head in a safe place and you know typically that’s
not something that we think about as mental health counselors we think about helping them deal with
their anxiety but if they can’t get enough sleep and they never feel safe when they’re at home
they’re not going to be able to rest and they’re at best their recovery is going to be impeded at
worst you know it’s going to contribute to the issue that they’re seeing us for so safe housing
is important we’re not going to get it for them but we can point them in the right direction your
local United Way which is 2-1-1 and most places generally has a listing of different resources
for accessing safe housing if you don’t work in a facility that’s used to dealing with that
and then internal safety that’s shutting up that internal critic that’s being able to go through
a day without being derogatory to yourself and that’s something that we definitely can
help with we can help people shut down that internal critic or that internal person that
is always calling gloom and doom and you know waiting for the other shoe to drop or whatever
the case maybe we can help clients change their cognitions so it’s safe inside their head
and then people need love and acceptance and this should sound pretty familiar are you
know Maslow’s hierarchy here kind of in Reverse but people need love and acceptance but in order
for love to have love and acceptance in many cases they also need to love and accept themselves so
we’re gonna work on self-esteem we’re gonna help people develop relationship skills hopefully there
are some people in their life that have provided some level of love and acceptance maybe not the
unconditional positive regard we’ve hoped for but they’re there so these are things that the healthy
happy person needs and these are things in large part we can do through education referral and direct
services help people get so why do we care about co-occurring issues as mental health counselors
well 35 percent of people with anxiety disorders have according to one of these studies abused
opiates so that’s a lot if you’ve got somebody with an anxiety disorder this isn’t just panic
this isn’t just something you know severe this is you know any of your anxiety disorders
one in three roughly have abused opiates they’ve used some sort of opiate drug to help them kind of
chill out of opiate or alcohol dependent patients 20% have major depressive disorder so of that
35% you know there’s going to be a percentage of them who may be opiate or alcohol dependent
and there are a lot of our clients that we see in mental health treatment who are not willing to be
truthful about how much they really drink or how often they drink because they might be
suspecting it’s a little bit of a problem but they’re not wanting to go there yet they’re in
what we call pre-contemplation okay so let’s just go with this in mind that there may be some
underlying other stuff that they haven’t told us about opiate or alcohol-dependent patients 20%
have major depressive disorder so you know we’re taking them and we may be seeing them in the clinic
for depression and we do want to be suspect of whether there’s either some opiate or alcohol
issues there depression and opioid-dependent patients including pain management patients so
those who are opiate-dependent by prescription have been associated with poorer physical health
decreased quality of life increased risk-taking behaviors and suicidality am I saying that pain
management clinics are bad no but what I’m saying is those who are in pain management clinics for a
variety of reasons are at a high in a higher risk category I mean think about it if your pain is
bad enough that you need to be going to a pain management clinic think about how much that must
hurt think about how much that must impair your daily life think about the impact of the drugs
that you’re taking on your mood your energy levels and the stigma in some cases associated with it
some people here suboxone and they’re like yeah whatever my neighbor takes that other person here
suboxone and they’re like ah you can’t be taking that so there is still a lot of social stigmas that
goes along with medication-assisted therapies so there are a lot of things that may contribute
to depression in opioid-dependent patients the prevalence and severity of depression tend to
decline within the first few weeks after treatment initiation so if they are trying to get off of
you know ideally their detox and they’re trying to you know remain sober the prevalence
and the severity of depression tends to decline so we need to get them off of it first and get them through
that acute withdrawal from a depressant including alcohol and I know this slide is boring
but we’re gonna be through in a second withdrawal from depressants including alcohol opioids and
even stimulants invariably include potent anxiety symptoms so it’s important to pay attention and
withdrawal from stimulants can also include potent depressive symptoms if they’ve been on a crack
binge for you know five days that won’t sleep for a while many people with substance use disorders
may exhibit symptoms of depression that fade over time and are related to acute with drawl well we
talk about acute withdrawal we’re talking about the first three months we’re not talking about
the detox period which is generally three days so encourage people who’ve gone through detox and
maybe they’re seeing you on an outpatient basis encourage people to you know be patient and work with
the treatment team if they need to but the first three months is always the hardest so chicken or
the egg you know did the person start using and become depressed or was the person depressed so they self
medicated does it matter depression and anxiety are associated with addiction because because
if you have stimulant withdrawal or recovery that period after you quit using that’s maybe
a week maybe two weeks where your body is going whew that was a run people may feel depressed
fatigued have difficulty concentrating which can impact how well they eat it’ll impact
their sleep they’re gonna sleep a lot more but the quality of sleep may be poor so they can mess
up their circadian rhythms and you know they may not have access to the social support that
they wanted they may but really with stimulant withdrawal we’re looking at nutrition
and sleep so we want to educate patients if they decide to stop taking stimulants what they need
to look at stimulant use can also be associated with depression and anxiety because many people
not you know the majority but a lot of people out there will self-medicate depression with
stimulants from anything from caffeine which you know maybe like mild dysthymia but if you
abuse enough caffeine you know it starts getting into your system you become dependent on it but if
you start combining caffeine and nicotine plus oh let’s add in some workout supplements or you know
the occasional Ritalin or something not suggesting it then it’s these things can wear the body down
which can lead to additional depression but people may use these things to try to feel better because
think depression is related for some people they may not feel like they can wake up they’re
fatigued they’re lethargic all the time and they’re feeling blue so if they take stimulants
they get that dopamine rush they’re starting to feel good and they’re awake stimulant
use can cause anxiety well the so if you’ve got somebody who already has maybe they are depressed
but they’ve also got some anxiety and they start using stimulants which may make the anxiety way worse
alcohol or opiate use some people use these things to numb or to forget and that’s just your
the standard used the depressant some people will use either one of these but especially opiates to
deal with physical pain to medicate depression or anxiety remember there are a lot of trials not
several trials right now that are looking at using opiates to treat intractable depression
but a lot of people also use opiates off-label illegally to address anxiety so if you’ve got a
client with depression or anxiety just kind of be alert for how they’re behaving if they’ve
got pinpoint pupils or if they’re itching and picking all the time I mean not the occasional
are winter and the heat just turned on I’ve got dry skin itch but constantly itching and picking
and you know where you’re like please just settle down detox from opiates can all often produce
depression produces a lot of flu-like symptoms which can make people feel crappy and the
flu-like symptoms I won’t get graphic impaired nutrient absorption impaired sleep you know
they’re sleeping a lot because they feel like crap but they’re also having to get up every
10 minutes to go to the bathroom sometimes so this first week or so during the initial if they
go cold turkey so to speak can be rough detox from alcohol as I’ve talked about before
can produce anxiety symptoms so understanding that when people are going through detox whether
they are alcohol dependent and have been drinking a whole lot which needs to be medically monitored
I can’t say this enough and I’ll say it a lot more tomorrow when we talk about where Nikki Korsakoff
syndrome but people who are detoxing from alcohol will have anxiety symptoms and a period of high
blood pressure and sometimes depression and anxiety are associated with addiction just because they
sober up one morning and they look at their life and they’re like what the hell have I done so
you know and you’re looking at them going yeah I don’t blame you for feeling that way now let’s
see what we can do to improve the next moment so make sure that we understand that these
things are going to go hand in hand and to be on the lookout because like I said a lot of people
aren’t forthcoming even about alcohol use which is legal but if they’re using something illegally
or using maybe their kid’s Ritalin or something they’re pretty much almost guaranteed not to tell
you so we want to be on the lookout for signs and symptoms bipolar disorder can be triggered by drug
use so we just know that we can the person could get worn down mess with the neurotransmitters
enough they’re not exactly sure how it happens but we have seen the initial acute episode of
bipolar disorder-triggered mania triggered by drug use it is more common for people with bipolar
to use stimulants when they’re depressed and just about anything when they’re manic now if you’re
working with somebody with bipolar you know you’re probably already having these discussions
about how you stay safe when you’re in a manic episode people with ADHD may use to self-medicate
and we’re talking cannabis is a big one for ADHD to help people feel like they’ve got more focus
and not feel like they’ve got so much coming in and so much stimulation all the time which can be
exhausting and after the use of any of the substances of abuse the disruption and neurotransmitters
can make people feel like they’ve got ADHD-type symptoms faculty concentrating difficulty
following through with things etc so understanding that even if things don’t meet the threshold for
DSM-5 diagnosis we want to look at what symptoms are there and how can we help people manage them
so they’re getting adequate sleep nutrition pain control social support and safety borderline and
antisocial personality just kind of threw those in there because we see those a lot when we’re
working in dual diagnosis facilities more people are more likely to use addictions to cope with a
lack of sense of self and their emotional lability if they’re borderline so I mean their world is so
chaotic many people with borderline personality disorder are likely to use to try to get some calm
in the storm now I will put out my other soapbox here with both of these personality disorders
when you see somebody in active addiction or early recovery they probably have symptoms that
would meet diagnosis you know their symptoms are pervasive in multiple areas of life their
symptoms would meet the diagnosis for one of these two personality disorders during this period
but it resolves as recovery becomes the norm as the neurotransmitter stabilizes they develop
interpersonal skills so you know giving people a little bit of time before we say it’s borderline
personality disorder versus borderline personality characteristics if you will be helpful because
both of these diagnoses can block people from getting into certain treatment centers and getting
some of the services they need okay so we’re going to move on to some of our more common addictions
alcoholism is associated with eating disorders there’s a really strong Association and it usually
flip-flops between bulimia and alcoholism so if somebody’s symptomatic for bulimia they may not
be drinking a lot of alcohol but they may during periods of remission from the bulimia drink a lot
more alcohol become alcohol dependent so there’s a lot of research out there that shows there’s
a strong correlation between these two things and it’s also associated with binge eating disorder
but especially bulimia nutritional deficiencies from alcoholism can cause mood disorders so
even if somebody is not and I use the term I should have put alcohol instead of alcoholism
because even the term heavy use without physical dependence can cause nutritional deficiencies that
can cause ulcers it can cause physical problems physical exhaustion which can disrupt sleep
alcohol impairs sleep quality alcohol makes apnea worse so if you’ve got a client who has
sleep apnea they’re drinking they’re probably gonna sleep even worse than they normally do
depression is the result of using well alcohol as a depressant so what do people expect well most
people expect to relax they don’t think about the rest of the stuff that’s going on in neurochemical
imbalances because the alcohol exits our system a lot faster than our brain can catch up and go okay
it’s not in there anymore so I need to adjust the temperature and in sleep disruption anxiety can
also, be triggered as a result of use I’ve said before say it again after that initial period
where people feel the depressant or relaxing effects of alcohol there is an upsurge in anxiety
so a lot of people have another drink to kind of quell that anxiety feeling but you know people
with anxiety disorders are gonna feel it more prominently and the neurochemical imbalances
that alcohol use causes can worsen pre-existing anxiety conditions or trigger anxiety conditions
nicotine is another one that we see a lot even in just straight-up mental health clinics not
co-occurring so what effect does nicotine have well anxiety and depression are 70% more likely in
smokers so that’s one of those statistics we want to look at nicotine triggers dopamine release okay
so nicotine is one of the most addictive drugs on the planet and you’re thinking I thought that was
opiates well opiates are in there but nicotine not only is nicotine legal but it’s also one of
the most addictive drugs on the planet so that’s another important point to think about people are
using their trigger and dopamine release their brain gets used to being flooded with dopamine so
their receptors on the other end start sensitizing so we’re creating an artificial environment
basically when people are smoking blood vessel changes when people smoke it causes blood vessel
changes that can cause high blood pressure as well as depression and fatigue and confusion in the blood
vessels narrow and get stiffer so the oxygenated blood has a harder time getting to where it needs
to be so people start feeling blah and that can cause them to think that they’re starting to feel
depressed can also cause those cause loss of energy people with severe and persistent mental
illnesses are two to three times more likely than the general population to use nicotine so that’s
just an interesting little fact to have out there if you work with people with SP MI and people
with ADHD may smoke because it increases their concentration and attention for about five minutes
literally, for about five minutes but during that five minutes they’re like oh my gosh it’s a relief
I can like focus for half a second so we want to look at what else is going on whether the
a person has adult ADHD for example physical health mental nicotine is linked with COPD and emphysema
and lung cancer so you know all kinds of lung and cardiopulmonary stuff well when that happens
you know we have less oxygenated blood efficient efficiently getting through the system we’re going
to have increased fatigue increased confusion some grief that may go along with that especially if
people are starting to have to carry an oxygen tank around with them or something you know we may
have to help them deal with disability acceptance and depression and stroke because smoking like
I said increases blood pressure and reduces circulation so cutting off or greatly reducing
circulation to the brain they have shown that people who smoke especially heavy smokers are at a
much greater risk of stroke and addiction nicotine is strongly correlated with other addictions a
a lot of people when they’re in the bar well not so much anymore since smoking is not allowed in
public places but used to be when they were in the bar they would also be smoking but a lot of
people associate alcohol and nicotine or nicotine and other drugs so if somebody is using other
drugs likely they’re smoking now it doesn’t work the other way around just because they’re smoking
doesn’t mean they’re likely using other drugs the reason this is more important is that people
who continue to smoke after they have gone into recovery for their drug of choice have a relapse
rates as high as 68 percent higher than for people who quit smoking so we start thinking about that
and we say well why is that well because nicotine is a mood-altering substance you know we don’t
think of it as such because it’s not a woohoo it’s Marva hey okay it’s not as prominent
of interaction as maybe cocaine or something but it does change the balance and people still
do use smoking to cope with life when things get stressful they smoke well if things get stressful
and you know they’re too stressed for smoking to handle then they may start going back to what
else can I take use or do that will make this feeling go away right now we know also that was
smoking and that repeated release of dopamine they’re messing with the neurochemical balances
in their brain, so it makes sense that eventually just like tolerance to other drugs happens it may
not be enough at a certain point and they may fall back into other habits nicotine has been known to
suppress appetite and but whether it keeps weight off or not they haven’t shown alcohol
and nicotine both are appetite suppressants which is another reason people with bulimia tend to
drink and one of the reasons why people quit smoking they tend to be hungrier so helping
them get through that period now whether it helps them keep weight off the party that deals with
the reason that they eat it’s not really that it’s suppressing their or increasing their metabolism
so much its nicotine suppresses the anxiety and sometimes the desire the hunger but if people
are still eating out of anxiety if they’re still eating under stress eating then you know when they stop
smoking and they don’t have a cigarette to put in their mouth when they’re stressed they tend to
go for other things and so we need to help people figure out when they stop smoking are you
eating because you’re hungry or are you eating because you’re stressed if they’re eating
because they’re hungry and they’re getting heavier than they want to be they need to talk with their
doctor about you know thyroid tests and also let their doctor educate them on biological setpoint
theory of you know not everybody’s going to be a zero so you know that may be something we can
help them deal with body acceptance issues if you know maybe they’re programmed genetically to
be you know a size X whatever that is and they’re not happy because they want to be a zero which our
culture does tell us to do as clinicians we can help them look at you know the costs and
benefits of continuing to smoke and what being you know a size zero means for them to opiate
abuse there’s a lot of physical stuff and we’re just gonna run through it real quick because
you’re not as concerned with it the physical stuff the doctors are gonna see but we need to be
aware of from a clinical point because it can keep people from getting their basic needs met blood
and injection site infections you know that’s probably going to lay them up for a while but if
they have repeated infections and are repeatedly out of work they can lose their job they can lose
their housing they can you know get some sort of MRSA or something else which can be really
expensive it can be life-threatening ya-ya collapsed veins and this is more common obviously
this is only for injection drug users but collapsed veins just as you would expect keep the
oxygenated blood from getting where it needs to be so people are more likely to experience strokes
and may have certain forms of vascular dementia because of the strokes dementia we’re familiar
with endocarditis is the inflammation around the heart so again this is only for needle
drug users but if you’ve got a client who is using needles to inject any kind of drug be aware
of that and what they get and what they inject is rarely pure so knowing what else they’re injecting
into their system if they’re you know crushing pills from the pharmacy you’re a little bit more
sure about what they’re getting as opposed to if it’s from the corner dealer and sometimes
they’re cut with really nasty things like you know comic bathroom cleaner and stuff HIV if
people get HIV from injection or some other risky behavior they’re probably going to experience
some depression and a lot of times HIV from opiate abuse they’re gonna experience depression
remorse regret all that kind of stuff anxiety about how long they’re going to live what’s
going to happen and oh those medication side effects those the antiretroviral medications that
they have to take are doozies I’ve seen people go through the induction weeks on their medications
and it is a rough time so helping people get through it so they are medication compliance
so they can continue to live we need to help them maintain hope and self-efficacy and all that kind
of stuff to maintain that forward movement to get through the induction period liver damage from
acetaminophen can set people up for you know physical pain among other things and it decreased
pain tolerance now this generally the decreased pain tolerance goes away after the
the body starts producing its endorphins and natural painkillers again but that initial period if somebody quits using and maybe you know you are seeing them as a mental health client and
they had an accident or had surgery or something they started using pills they got a couple of
refills then the doctor said no I’m cutting you off and now they’re going through a detox period
detox from opiates is unpleasant but it is rarely life-threatening unless somebody becomes their
electrolytes get imbalanced because of the flu symptoms but we still may see this in private
practice in mental health practice because of the scenario I just told you people can start
taking painkillers as prescribed for something they may get addicted you know take them for
a month or so then when they get off of them not only do they feel like you know really bad
but their pain is also back and it may be they had their wisdom teeth out that pain may be gone
but other aches and pains and everything you feel is probably going to be intensified until the
body kicks back in so educating clients about this is what happens you know it’s not uncommon
if you think it’s too bad go see your doctor helping them make sure they’re getting
good nutrition you know it’s hard if you’ve got flu symptoms to feel like you want to eat or
hold anything down so what can you do to make sure your body has the building blocks to make the
stuff that it needs to help you feel better what can you do to improve your sleep and a lot of our
clients and you know where I used to work we had a methadone clinic and we also had a mother
baby unit and as soon as the mothers would give birth then the doctor would start them on
their detox from methadone and he didn’t believe in the kinder gentler taper he was just like okay
baby’s gone threats gone because you can’t detox from somebody from opiates when they are pregnant
because it can cause the baby to die anyway so as soon as they would stop or as soon as
they weren’t pregnant anymore he would just D see them and they would feel really bad I mean
not only did they just push an 8-pound something out of their body but they also are experiencing
a decreased pain tolerance because they’re not on the opiates anymore and all they want to do is
sleep it’s just like please so understanding that is important in helping people get through
that period even though they may want to sleep all the time helping them understand that it’s
important to maintain their circadian rhythms if they have to take two or three ten-minute
power naps throughout the day to get through the day you know more power to them but if they
can practice good sleep hygiene they’re gonna be way better off in the long run OPD opiate
abuse is also or opiate use is also associated with the treatment of depression but it can cause
depressive symptoms due to its pharmacological properties I mean it slows everything down from
you’re gastrointestinal to your heart rate to your respiration you’re not breathing as much you’re
not getting as much oxygen in you’re gonna have more fatigue you’re gonna have more confusion
you’re going to have more of those symptoms of depression for some people they find it is and
certain opiates they find it is a powerful way to reduce anxiety it makes them feel like they’ve
got a ton of energy because they’re not stressed out anymore and this last one is one of the
The main reason that I find people don’t want to give up opiates is that they finally feel better when
they’re on the eating disorders commonly a coat co-occur with depression and anxiety which can
be caused by nutritional deficiencies you know you’re not giving your body the building blocks
so it can’t make the neurotransmitters it needs and it also probably disrupts your sleep some
and depression anxiety can cause or trigger or whatever you want to say eating disorders because
people with eating disorders may fear becoming fat have low self-esteem have a sense of lack of
self-control or have body dysmorphic disorder so we also want to be aware that there are mental
health stuff that can trigger dysfunctional eating patterns there’s about a 24% prevalence of PTSD
among people with eating disorders so if you’ve got a client with eating disorders especially
bulimia be on the lookout for depression anxiety body dysmorphic disorder alcoholism and PTSD they
maybe smoking too but of the things, I just listed that’s probably the least of their worries it’s
all eating disorders are also associated with alcoholism and smoking I said physical health
issues now you’re seeing somebody with an eating disorder it’s a mild eating disorder you’re seeing
them once a week outpatient so you’re not and you have you know you have training and
working with eating disorders or maybe it’s mild enough that you’re just getting supervision
on treating this issue whatever being aware that people with eating disorders anorexia or bulimia
can have irregular heartbeats and cardiac arrest due to potassium imbalances and electrolyte
imbalances so if they’re not eating or if they are binging and purging in some way shape or
form and that includes excessive exercise which can trigger a lot of heart problems they may have
loss of bone mass and osteoporosis so they may break bones a little bit easier going back up to
the heartbeat not to belabor the point but again heart problems mean a lack of available oxygen
mean confusion fatigue potential difficulty sleeping depressive symptoms and you know cardiac
arrest in and of itself is bad kidney damage from Doretta caboose and low potassium can also
potentially drain damaged the adrenals which are on the kidneys and so it’s important to be
aware of what people are using a lot of people with eating disorders are going to creatively
use stimulants to suppress their appetite think about any of your diet drugs your enter mean I
think it’s one of them the ones they give to help people lose weight they’re stimulants
they’re intense stimulants so people who are struggling with eating disorders are likely to go
towards abusing stimulants or at least using them which can drain the adrenals it can in some
cases have been linked to the development of Addison’s disease liver damage from not eating
or binging and purging causing toxin buildup and possibly pain we can help people deal with it
as much as we can anemia which can cause symptoms of depression in and of itself so goes back to
that nutrition making sure they’re getting enough infertility which in and of itself can be
devastating for young women if they can’t have children anymore or can’t have children
ever that may be a grief issue that we need to help them deal with cathartic: and this is
an important one to be aware of because you don’t have to have somebody who uses laxatives
all the time but people who regularly use or abuse laxatives can become dependent on them so
when they don’t use them they have a feeling of bloating feeling full and abdominal pain which
especially in people with eating disorders or body morphic disorders surrounding just general
body fit bad back body fat can greatly increase anxiety depression hopelessness and in some
cases of suicidality so again educating people is the first step to helping them understand what’s
going on and how dangerous laxatives can be but also if somebody is trying to cut back on their
use of laxatives or just recently stopped using laxatives like when people stopped using
opiates it takes the body a while to get back online but for most people it eventually does
people with eating disorders also have chronic ulcers which are painful and can keep you up at night
As you know gastric reflux and pancreatitis which can flare up at a moment’s notice will is
extraordinarily painful and can cause people to lose time from school or work social activities
feel bad about themselves and also pancreatitis causes a lot of bloating
which in eating disorders is a huge trigger for anxiety and depression pathological gambling
is associated with stimulant abuse especially cocaine methamphetamine and Ritalin to stay
focused disrupted sleep and rebound depression when they quit taking that stuff they wake up and
they’re like oh wow what did I just do alcoholism is also associated with pathological gambling
some people drink to calm their nerves some people drink because it’s the culture if you go
to any of the casinos you know their hand-and-out drinks, they’re trying to get you drunk so you
keep gambling more and there’s as we spoke about earlier rebound depression or anxiety smoking
may help people increase their focus or make them think they can increase their focus so if
you can’t smoke in public places this is more of an issue if you have somebody who does a lot of
online gambling or they gamble at their friend’s house or somebody’s house where there’s poker
games and stuff smoking has some anti-anxiety anti-anxiety properties and may be part of the
the culture I know when my daddy used to have his poker games everybody would smoke cigars and even
the one woman who went there would be smoking a cigar with everybody else and it was just the
culture of being there so there are a lot of different reasons that people may use substances
in addition to gambling mental health issues from gambling anxiety from the stimulant use or from
the tension and release of am I going to you know I’m down $20,000 am I going to make it back ADHD
is also strongly associated with pathological gambling bipolar disorder, especially during manic
phases are associated with pathological gambling generally you see them co-occurring it’s not
like gambling causes it it’s you will see co-occur depression can occur due to losses and
gambling can start because somebody’s depressed because of their financial situation and their
trying to figure out a way to you know borrow from Peter to pay Paul and get ahead you also see
pathological gambling is more strongly associated with people who have obsessive-compulsive
disorder if you’ve got clients with these diagnoses just kind of you know be attentive to
the fact that they are more likely to engage in pathological gambling or if they start gambling
it’s more likely to become a problem than for people who don’t have these issues internet
an addiction that is diagnoseable so you know I’m not just making something up
depending on your resource affects eight point two percent to thirty-eight percent of the
general population now obviously we were looking at you know like games versus you know games plus
Facebook plus shopping or something so depending on the study you looked at their parameters
were a little bit different but either way up to 38 percent of the population has sacrificed
significant personal recreational activities to engage in some sort of internet
behavior Internet addiction can cause anxiety or depression due to eyestrain and chronic headaches
you know if you’re hurting all the time it can make you feel wonky it can also interrupt your
sleep can cause circadian rhythm disorder which can trigger depression fatigue reduced stress
tolerance this is a condition when your body doesn’t know whether it’s supposed to be awake
or asleep because a lot of people who engage in internet-addictive behaviors do so in the dark or
you know they don’t pay attention to whether the lights are on or not they may just sit there kind of
in their cave carpal tunnel contributes to pain and sleep disruption because carpal tunnel does
wake you up at night back ache again may disrupt your sleep and can cause chronic pain during the
a day which can interrupt your daily activities poor nutrition I know a lot of gamers that will sit
there for an entire weekend and not get up to go eat so if it’s not brought to them they don’t eat
they’ll even wear adult diapers so they don’t have to get up to go to the bathroom reduced immunity
due to exhaustion from not sleeping and job or relationship problems I know uh several people
whose marriages ended over a world of warcraft’ so internet addiction is a real thing and it’s
something that we need to be cognizant of because it does cause a lot of problems and a lot of
relationships and it may be one of many problems but it’s something to look at sex addiction
can cause hepatitis and a variety of different STDs which if not treated can cause systemic problems
it’s related to anxiety and depression because sex addiction may begin in order because somebody
wants to feel loved or connected maybe after a breakup or because they never felt loved you’re
connected and then they feel that rush and they’re like oh I like that I want to do that again part
of it could be engaging in that behavior which is so thrilling you know depends on the person
psychological withdrawal from sex addiction people who have been engaging in sex addiction
type behaviors and I include pornography addiction in it for this presentation if they’re not able to
access that may start feeling anxious or depressed they can’t get to that they can’t get to the
the thing that’s gonna cause the dopamine rush and reflection on behaviors that they’ve engaged in
as a part of their sex addiction can also prompt anxiety about a spouse finding out you know am I
going to develop an STD and am I you know how I feel about what I’ve been doing so as clinicians
if we’re working with somebody who has compulsive sexual behaviors even if you know anywhere about that
the spectrum we need to be aware that these things may exist and figure out or help them figure out
how they feel about it and what they need to do to make sure that they’re getting good sleep
that they’re dealing with their depression and their anxiety so that they can have a safe internal
and external environment so back to that global perspective how can we and why is it important
to address chronic illness and disabilities that result from or cause mood disorders or
addictions how can we address depression anxiety and hopelessness that results from or causes
depression anxiety or physical problems how can we address physical problems that are caused
by mood or addictions and how can we address guilt or regret which may accompany addiction
recovery or the realization of a diagnosis of a disease caused by the addiction so while you kind
of ponder those there was a question that came in so question what about robbing Peter to
pay Paul in association with trauma specifically childhood trauma so if you could clarify that
for me a little bit I had mentioned robbing Peter to pay Paul in terms of gambling so I’m just so
mental health issues can be caused by or trigger addictions or physical health issues addictions
can cause or trigger mental health issues or physical health issues that can
be caused by addictions or mental health issues so again chicken-or-egg we don’t necessarily know
which one came first when you have any one of these it’s probably going to or likely impact
each other person or each other area common issues are seen in all three changes in sleeping
changes in nutrition fatigue and grief effective treatment requires addressing the underlying
causes as well as the ripple effects you know so yes after childhood trauma or trauma
of any sort, some people may spend a lot of time feeding the addiction as you put it or
engaging in addictive behaviors to avoid some of the PTSD symptoms to avoid thinking about it
to deal with the grief to deal with the shame so they may engage in something that makes them
feel better or helps them forget to cope with the trauma that happened until they
have other tools so they can come to some sort of terms with it and you know as I
say close that chapter in their book already if there are no other questions tomorrow’s
the presentation I learned a lot creating is on alcohol-related dementia and vascular dementia
and fetal alcohol spectrum disorders all three of which are issues that are caused by substance
use and specifically alcoholism and then I’ll give you a hint about where an acute Korsakoff a
a lot of clients who abuse alcohol but they’re not alcohol dependent who decide to stop drinking can
trigger where Nikki Korsakoff syndrome and causes alcohol-related dementia-type symptoms
so again in mental health, we need to be on the lookout for it if we hear that our clients
are trying to cut down on their alcohol use alrighty everybody and so tomorrow is that
presentation and then Thursday we’re going to look at different models of new bottles of
treatment if you enjoy this podcast please like and subscribe either in your podcast player
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– Hey Psych2Goers, welcome back. Think you've never
experienced anxiety before? Well, you might not have realized it because people experience
anxiety in different ways. Your idea of anxiety might not align with
how you experience it. And you may not notice anxiety in someone who grapples with it privately. So, it's important to
remember to always be kind because you can never know
what others are struggling with when they're alone. If you're dealing with anxiety, know that you're not alone
in facing these challenges. Anxiety is a normal part of life.
It alerts us to dangers
and helps us prepare for a wide variety of situations. But according to the Diagnostic and Statistical
Manual of Mental Disorders, DSM, anxiety becomes a disorder
when it starts to impact daily functioning and
different aspects of life. With that said, here are five things people with anxiety secretly do alone. Number one, overthink,
overthink, and overthink. Anxiety disorders are
characterized by excessive or disproportionate worry and fear that gets in the way of daily activities. It may not be as obvious to other people, but those who struggle with
anxiety tend to overthink while in the presence of
others and when alone. Many people who struggle with anxiety tend to dwell on negative thoughts about themselves and their past. They may replay these
past events in their head over and over, trying to think of what they
could have done differently.
And may also imagine
possible future events to try and anticipate
things that might go wrong. Two, confine themselves
to their comfort zone. Everyone feels anxious now and then, but those struggling
with an anxiety disorder constantly adjust their
lives to cater to it. They may stick to activities that calm their racing thoughts, or engage in pursuits that
allow them to avoid the things that make them feel anxious instead of choosing activities
purely for fun or interest. Like re-watching the
same shows over and over because they don't have to
feel anxious anticipating what might happen next. Some people may not even
be able to leave the house out of fear of being in
places and situations where escape may be difficult.
Or they may struggle to leave the house without a certain person
they're scared to lose. Three, withdraw from social interaction. Some people with anxiety may
have a limited social life and turn down invites, not
out of a lack of interest, but to stay home to calm
certain worries and fears. In some cases, the person
may seem uninterested in spending time with others due to a crippling fear of
feeling humiliated, rejected, or looked down on in social interactions. People with anxiety may withdraw socially to cope with their fears
and might avoid their phones or ignore or turn off their notifications to manage their feelings of anxiety, and then feel overwhelmed
and anxious later when they see the backlog of messages. Number four, procrastinate
or struggle to finish tasks. People with anxiety, especially
high functioning anxiety, may seem like completely
put together achievers, but they may also grapple
with getting their work done when they're alone, because anxious thoughts may
force them to procrastinate.
Anxiety also affects working memory, which makes it difficult
to focus long enough to complete tasks. And so, they may then have to rush to get things done on
time, adding extra stress. Then number five, tossing
and turning in bed. Having anxiety doesn't
immediately translate to nervous, jittery energy that
others can easily detect. Someone with anxiety can
seem calm and rested, when in reality, they might be
tossing and turning at night, unable to fall asleep because
of their anxious thoughts. If they do manage to get some sleep, they might be restless or
riddled with nightmares about their anxieties. For example, those with
separation anxiety disorder may have nightmares about being separated from their loved ones. Anxiety disorders are complex and varied, but remember that a certain
level of anxiety is normal and anxiety disorders are those that cause significant distress or impairment in different areas of life.
If you or anyone you know, are struggling with an anxiety disorder, please don't hesitate to
reach out to a qualified mental health care provider. Can you relate to any of these signs? Share with us in the comments and remember to like and share this video with someone who might benefit too. As always the references and studies used are listed in the description below. Until next time, take care friends..
Light music Narrator, Hey Psych2go ers. Before we begin, we would like to thank you all so much for your love and support for our channel Psycho2go.’s mission is to make psychology and mental health knowledge more accessible to everyone, and we hope we’ve helped you along the way.Now let’s begin As a child.I loved to be the center of attention.I wasn’t afraid to introduce myself or speak up, but now there are days when I find it difficult just to look someone in the eye.It was frustrating to watch my peers build relationships with ease.While I struggled just to make a connection at all For years, I blamed shyness and lack of self-esteem for these changes, But it wasn’t until college that I truly learned about social anxiety, Just as with any mental illness.Social anxiety affects everyone differently.For me, it even changes from moment to moment.Sometimes my nervousness reveals itself in stuttering or repetitive speech.Other times I freeze, I’ve learned a myriad of coping mechanisms, some more helpful than others, and techniques to understand the root of my anxiety, but none have been more beneficial than therapy Finding communities such as Psych2go, where I have a voice, as well as the Support system to reach out and relate to, also help me practicing using my voice with confidence, Even when I feel so fragile that I could shatter It’s. Okay, if you don’t, feel ready to join a community or speak up about your experiences, but the team at Psych2go wants you to know that we are here.Here are seven things: people with social anxiety will understand, Number one being social can be draining, While not everyone with social anxiety is an introvert.Many people can feel exhausted after a social event.Worrying can be tiring and trying hard to keep your anxiety under control while interacting with others can be enough for you to require time to recharge for the rest of the day.It’s, okay, to push yourself to be social but be sure to know your limits and respect them.Pushing yourself too far may end in more anxiety and exhaustion than you began with, And it’s important to take care of yourself and your needs.First, Two: you prefer texting over calling.Do you relate to the dread that comes when you receive a phone call For? They fear that calling someone will bother the other person For others.They may not know who is calling or know what to say when they pick up.Phone Calls can be sudden, disruptive, and unpredictable. So you may worry about what the other person is going to tell you Number three.You feel anxious without direct interaction.Sometimes you might feel anxious without directly talking or interacting with someone Just being aware that someone is watching.You can be difficult For some that occurs when they’re eating or doing other simple tasks.The fear can stem from judgment for doing something wrong or differently, but more often than not people don’t pay attention as closely as you think, Number four.When it comes to friends, quality is greater than quantity, Not everyone.’s idea of fun includes hanging out with a huge group of people or going to a party.It can be intimidating to be around a lot of people.You don’t know, And you’d – much rather prefer to spend time with a few close friends.The beauty of life is that no two experiences are the same, So there’s a friend out there for everyone, Even if you may be socially anxious.Five, it’s, not all in your head. Social anxiety can manifest as physical sensations for a lot of people.These symptoms are similar to feeling embarrassed, sweaty, hands, blushing hyperventilating, but can feel more intense and last longer.Facing social situations can potentially lead to panic attacks for some people, while others feel physically ill or faint.These physical symptoms may be scary, but they rarely are threatening to one’s immediate health Number.Six, you feel, like everyone is judging you When you’re socially anxious it can feel like you’re under a magnifying glass all the time.You feel overly conscious about yourself and project those worries onto other people about their perceptions of you, but just because you’re monitoring every detail about yourself, doesn’t mean everyone else is too In reality.People aren’t as focused on you, as you think, and they likely have their worries too And number seven.You are your harshest judge.When you’re socially anxious, you might find yourself comparing how you think act, or look to others.This self-criticism can seriously hurt your mental and emotional health and it’s important to treat yourself more kindly While it might feel like others, make connections more easily or have it so. Well, it’s important to remember that everyone is going through their things and they have worries and concerns.Just like you do.When it comes to social anxiety, it can be hard to interact with people or make friends when you’re overly worried.The truth is, though, there is no normal when it comes to being social.Everyone has their way of socializing with others, And you’ll find someone who you connect with on the same level.There’s nothing wrong with leaving early or spending another night at home with your dog.We hope you enjoyed this and found some comfort.What have your experiences been with social anxiety? Leave a comment down below to share your thoughts.If you enjoyed our video, please give it a like and subscribe to our channel for more content like this.Thanks for watching – and we’ll see you at the next one.As found on YouTubeAnimated Video Maker – Create Amazing Explainer Videos | VidToon™ #1 Top Video Animation Software To Make Explainer, Marketing, Animated Videos Online It’s EASIER, PRODUCTIVE, FASTER Get Commercial Rights INCLUDED when you act NOW Get Vidtoon™
– [Narrator] There’s been a huge decline in mental health around the world, which is why we’re so committed to creating more content
than we ever have. Thanks for being a part of our journey. Hey you, Psych2goer’s happy
Mental Health Awareness Month. It’s so important to
have a month dedicated to spreading awareness of medical conditions that can’t be seen. When you think of depression
what do you think of? Being sad? Thoughts related to death,
unanswered calls, or texts? These are all very common
and noticeable signs of depression, but did you know,
there are more subtle signs of depression that can
fly under the radar? Let’s check out seven signs of
depression that go unnoticed. Number one, you toggle between emotions depending on your surroundings. When we think of depression we often think of being sad all the time but did you know that that
isn’t always the case? A subtle sign of depression
is when an individual flips between sadness and happiness based on the scenario and setting. For example, you might
be sad when you’re alone but happy when you’re
out with your friends. Having people around or
something to keep your mind off things allows for a bit of reprieve. This can also be something
called forced happiness, where the person feels inclined to put on a smile for others. A group of researchers found that potential depression
sufferers on Twitter change the way they use language and interact on social media. You may notice them sending
you more negative texts or posting darker posts on
their social media accounts. But when you hang out with them in person, they’re completely happy. This online persona allows them to be and say what they want. Number two, you notice
changes in your habits. There’s a certain stigma around
staying up late at night. When you see posts or texts from a friend in those early hours, you
may not think anything of it but when you notice it more consistently this could be cause for concern. Other habits that can be
disrupted can be eating, bathing, getting dressed, and going to work school or other appointments. Ignoring these basic human needs
is not caring for yourself. Then it could be a sign that
there are more things at play than just being tired or feeling lazy. Number three, you start
blaming yourself for things even if it’s not your fault. When you’ve done something, it’s important to take
responsibility for it and hold yourself accountable. But do you notice someone
apologizing for everything, even for things they didn’t do? You say I spilled juice on my shirt. They say, sorry. You say it’s raining,
I wanted to go running. They say, sorry. They didn’t make you
spill juice on your shirt. They didn’t make it rain
and purposely ruin the day but they feel like it’s their fault. This can even manifest as remembering or reliving an embarrassing memory and not moving on from it. Even having a feeling of guilt can leave someone feeling depressed. Number four, you’re not
doing what you used to do. Have you noticed a certain friend has declined a lot of your
invitations to hang out later? Did you notice they’re not going anywhere besides work or school? Maybe there’s a friend who
still shows up at their hobbies like sports practice or music rehearsal but has lost all enjoyment. These are all signs of
potential depression. When you’re depressed, activities that used to produce dopamine, the feel-good hormone,
don’t react the same way causing you to not feel that same joy. This is another sign that can be paired with toggling mentioned
in the first point. The individual may feel
like they need to match their previous high spirits and hide their new emotions so they don’t bring the mood down. Number five, you have
difficulty making decisions. When you ask your
significant other to hang out it’s nice to get some
input on what they wanna do or even leave the decision up to them. Someone who may have depression may not have any opinions on anything. It can be as small as
what to eat for dinner or more difficult as what to major in or deciding your budget. This can mean the
individual doesn’t feel like they’re good or smart enough
to make the right decision. Pushing away from making
decisions can be a good indicator of possible depression. Number six, you’re always on edge. Irritability is a common symptom of mental health conditions. But how can you tell the difference? Let’s say you’re crushing on someone and your friend knows it. If your friend starts
flirting with your crush in front of you, this is a situation where being irritable is a valid
and reasonable response but say you have a
roommate and one shared TV. You wanna watch a movie after
work, but when you come home your roommate is already
watching something which causes you to blow
up at your roommate. The reaction is out of
proportion to the situation. Sure, it’s annoying that
someone’s watching TV but it’s something a simple
conversation can solve. You can ask your roommate
if they would mind you watching a movie
after they’ve finished. That knee-jerk reaction
to get angry can be a sign of other mental health
issues like depression. And number seven, you feel physical pain. Have you ever felt pain like
muscle ache or headache? And you have no idea where it came from? When you feel physical pains regularly, it’s always a good idea to
consult a medical professional to determine if there are any
underlying reasons for them. If nothing is found, it
may be a good next step to contact a trusted
mental health provider. So did any of these signs surprise you? Have you noticed these other signs of depression in yourself or a loved one? Let us know in the comments below. If you are someone you know is concerned that they may be showing
signs of depression, please consult a mental
health professional. And if you found this video helpful please share it with others. The references and studies used are listed in the description below. Until next time, take
care and see you soon.As found on YouTubeHi, My name is James Gordon 👻🗯 I’m going to share with you the system I used to permanently cure the depression that I struggled with for over 20 years. My approach is going to teach you how to get to the root of your struggle with depression, with NO drugs and NO expensive and endless therapy sessions. If you’re ready to get on the path to finally overcome your depression, I invite you to keep reading…
Hey, Psych2Goers! And welcome back to another Psych2Go video. Do you find it hard to socialize with other people? Do you feel overwhelmed at the thought of going to a social event? It can be very easy to confuse social anxiety and shyness.. ..since they share many of the same characteristics. While shyness is a personality trait.. ..social anxiety is a mental illness. Before we begin we’d like to mention that this video is created for educational purposes only.. ..and is not intended to substitute a professional diagnosis. With that being said, here are eight signs you might have social anxiety. #1 You’re always self-conscious. One aspect of social anxiety is the extreme fear of being judged. According to Kocovski and Endler if you have social anxiety; You’ll constantly worry about the way you look or act and what others think of you. Your greatest fear is of embarrassing yourself in front of others. A shy person, on the other hand, will only worry about being judged in certain situations.. ..like in public speaking or when meeting someone new. #2 Your anxiety feels out of hand. There are times when it’s normal to feel shy or nervous around other people. ..for example when you move to a new school or have to perform in front of an audience. But social anxiety is irrational and unwarranted. You may feel distressed about things as simple as making eye contact with someone,.. ..using public transportation, or eating in front of other people. The fear is always there. The fear is always there. #3 It interferes with your performance. Have you ever called in sick to work when your anxiety became too overwhelming? ..or have you kept quiet when you were having trouble in class? Social anxiety can impact your performance in many ways.. ..with the constant fear of people’s judgment You may even be afraid to do well to avoid drawing attention. You don’t pitch ideas at meetings.. ..raise your hand in class… or join clubs because of how much anxiety it creates. #4 It affects your relationships. While it’s hard to make friends when you’re shy.. ..it can feel almost impossible when you have social anxiety. For a shy person, it’s usually about breaking the ice.. ..and going through the initial awkwardness of meeting each other. But having social anxiety can complicate your relationships. You feel tense and uneasy around people...no matter how close you are or how long you’ve known them. #5 It doesn’t go away with familiarity. It’s normal to feel shy at the beginning of a new relationship. But as you get to know each other the tension will start to subside. This isn’t the case if you have social anxiety. Instead, you always experience fear distress, and embarrassment whenever you’re around other people. Doesn’t matter if it’s your parent’s siblings or best friend.. ..you always feel uneasy and stressed unless you’re alone. #6 You overanalyze everything. Have you ever said things to yourself like; “I took too long to reply and now she doesn’t like me ..” or “He didn’t say hello this morning because he’s upset with me ..” Social anxiety can make you obsess over your social interactions. You may spend a lot of time and energy.. ..analyzing other people’s facial expressions.. ..body language and tone of voice.. ..to see if they mean what they’re saying or not. #7 You avoid social situations. Are you often absent or very late to social gatherings? It’s a serious matter if your social anxiety leads you to avoid social situations altogether. You decline invitations, refuse to speak in front of people, ..and would rather sit in the corner.. ..to avoid being noticed and mingle with anyone else. It doesn’t matter if it’s a normal day at work or school.. ..your birthday party, or even your wedding day. And #8 You have physical symptoms. Do you feel nausea? dizziness or chest palpitations when you’re in social situations? Just like most anxiety disorders.. ..social anxiety is often accompanied by physical symptoms. Some common ones are sweaty palms, shortness of breath.. lightheadedness, and trembling. While these are also the same signs of someone having a panic attack. You’ll be able to tell the difference if you only show these symptoms.. ..when anticipating or being out in a social setting. Do you relate to any of these symptoms above? Let us know in the comments below. If you do, you’re not alone…nor are you bad for feeling this way. The references and studies used in this video are added in the description below. If you find this video helpful, be sure to like, subscribe…and share this video with those who might benefit from it as well! Thanks for watching and we’ll see you in the next video!As found on YouTubeShow me the simple steps to overcome shyness & cure social anxiety ➫ The Shyness and Social Anxiety System was created by Sean Cooper, a former social anxiety sufferer. Learn how to overcome your quietness, erase your insecurities and be confident around people using proven psychology.