Anxiety Articles

Non-Medication Strategies for Reducing Chronic Pain: Use and Effectiveness

Friday, July 25th, 2014

About 100 million Americans suffer from chronic pain. Lasting longer than six months, such pain can be mild or excruciating, episodic or continuous, inconvenient or totally incapacitating.

For too many, chronic pain is an invisible and debilitating condition. Often employers and even spouses can’t quite appreciate the impact of a migraine or the limitations imposed by back pain. As such, those who suffer often report feeling isolated in addition to feeling depressed, worried about levels of medication and anxious about a future of no relief from pain.file0001875581713

Scientifically Proven Non-Medication Strategies

The good news is that in addition to ever expanding medication options, there are an increasing number of scientifically proven non-medication approaches to reduce chronic pain, increase the effectiveness of medication, address flare-ups, and in some cases reduce need for medication.


Dissatisfied With Your Appearance? Re-set The Criteria of Beauty

Wednesday, July 2nd, 2014

How satisfied are you with your appearance?

Across the ages, norms of beauty have been set by cultures and passed down in the context of family, close community and friends. With time and technology, however, the setting of norms has changed and so has their impact.looking in the mirror gown


Superstitions: Coping with Uncertainty

Tuesday, May 27th, 2014

black catAre you superstitious? Do you knock on wood? Wear a lucky jersey when your favorite team plays? Believe deaths occur in three’s or use your horoscope as a life guide?

If so, you are not alone. It may surprise you to know that according to a 2012 CBS News poll, 51% of Americans endorse “knocking on wood” to insure good luck or ward off adversity, and 17% of Americans believe in the power of sports superstitions, like fans wearing lucky hats, to determine the outcome of a game!


Reducing Procrastination By Addressing The Role of Anxiety

Thursday, May 8th, 2014

Most of us procrastinate about doing some things, some of the time. I may put off folding clothes and you may find yourself avoiding the mail, the boxes in the garage or the report due next week.  For 20% of men and women in the US, procrastination becomes a pervasive life style pattern that impairs quality of life by limiting success, compromising relationships and lowering self-esteem.boy sitting with dog

Procrastination and Anxiety

While there are many different reasons offered for procrastination, one dynamic that underscores many of them and much of the delaying or postponement of responsibilities is the difficulty regulating anxiety. In a sense, procrastination becomes a default position which offers a temporary fix but ultimately adds more anxiety.


Forgiving Can Protect Your Health:Evidenced-Based Strategies

Tuesday, December 3rd, 2013

shaking handsThere are lots of reasons that we forgive.

To err is human; to forgive, divine. (Alexander Pope)

 An eye for an eye, and the whole world would be blind. (Kahil Gibran)

While many reasons are ingrained in our moral fiber and cultural roots, a more recent one has been the finding that forgiveness changes our emotional state and as such our physical well-being. Forgiving is a way to stay healthy.


An Unrecognized Reason That Married Men Have Affairs

Friday, September 27th, 2013

man on benchEvolutionary theory, gender differences, stereotype, media myth and cultural expectations invite us to recognize that men have more sexual desire than women both in frequency and intensity, are wired to have many partners, have more difficulty with monogamy and that as such, married men are more likely to have affairs than married women. The reality is that while married men have more affairs than married women –The difference is not that great.

  • In the largest most comprehensive poll of its kind in 1994, Edward Laumann and colleagues found that 20% of women and just over 31% of men in their 40’s and 50’s reported having sex with someone other than their spouses.
  • Young and Alexander in their 2012 book, The Chemistry Between Us: Love, Sex and the Science of Attraction accept a rough estimate of 30 to 40 percent infidelity in marriage for men and women.

The other reality is that while extra-marital affairs by definition involve a romantic and emotional relationship that has a sexual or sexualized component, research suggests that sexual drive is not the primary reason married men have affairs.


Overreacting in Your Relationship: Reasons and Remedies

Thursday, August 22nd, 2013

OLYMPUS DIGITAL CAMERAAnyone is a relationship knows that partners have the uncanny ability to bring out the best and worst in each other. Accordingly, whether newly married or celebrating many years together, partners can find themselves overreacting in a way that rarely happens anywhere else in their lives.


Would You Risk Rejection for Happiness?

Monday, July 15th, 2013

womanrejectionGiven that most of us don’t associate being rejected with feeling happy, it is understandable if your inclination is to decline.

A brief look at the growing research on risk-taking and happiness and the connection of happiness with social relationships, may give you pause to reconsider.

A consideration of risk-reducing strategies may even make it seem possible.


The Ohio Kidnapping Case:The Moral Injury of Witnessing Atrocity

Thursday, May 16th, 2013

oldcoupleonbenchIn the past two weeks it has been difficult to be anywhere without reading or hearing about the Ohio Kidnapping, 10 year captivity, sexual abuse, torture and beatings causing miscarriages to three young woman and one daughter, locked in a neighborhood house by one man.

Both in and outside of my office people have commented and questioned:

  • How does something like this happen?
  • I can’t watch the news anymore.
  • How could the neighbors not know?
  • Why is there such evil in the world?
  • I could never have survived. 
  • Can these women ever be the same?

Judith Herman tells us that a traumatic event is one that has the capacity to provoke fear, helplessness, or horror in response to the threat of injury or death, or witnessing that in another.

When the trauma is that of nature, we speak of disaster.

When the trauma is man-made, we speak of atrocities.

It is worth considering that in face of this Ohio atrocity, whether we live in that neighborhood or witness the horror in the virtual community of viewers, we cannot easily shake this inhumanity because it is not only traumatizing— it evokes moral injury.

According to psychologist Brett Litz, moral injury is the (social, psychological, spiritual, behavioral) impact of perpetrating, failing to prevent or bearing witness to acts that transgress our deeply held moral beliefs and expectations.

Much like the impact of bearing witness to the horror of the Holocaust, the Genocide in Rwanda, or the modern slavery of human sex trafficking, the Ohio kidnapping transgresses our moral code.

  • We are compelled to talk about it, read about it, rage and despair in face of it because it assaults our beliefs and implicates our humanity.
  • We not only identify with the fear and terror of victims, we fear that we could resonate with the guilt and shame of perpetrators.
  • It disturbs us on many levels.
  • As humans it is beyond us to accept that one of us could do this to another.
  • Yael Danieli suggests that in face of moral horror, we suffer the “Guilt of the Just.”

How Do We Deal …


When Couples Stop Talking: Reasons and Remedies

Wednesday, April 24th, 2013

couplecrpdMost couples know the positive sounds of silence–the mutual experience of sharing time and space together without needing words. Be it walking the dog together, cooking side by side or listening to music–it is the silence of connection and love.

Many couples also know the silence that reflects tension, conflict or disconnection. Unable to speak beyond the necessities of daily life, these couples report, “ We just don’t talk anymore!”

If we recognize “ talking together” as a metaphor for the communication of confidantes, the special interest of partners and the pillow talk of intimates, then we understand that this is a silence that can start to feel emotionally deafening.

Why do couples who once had so much to say end up feeling this way? Is it inevitable as time passes in a marriage? Is there a way back?

Years together need not result in negative sounds of silence.

Yes, events can disrupt harmony and patterns can erode vitality, but if couples are curious rather than blameful about the silence between them, they may find some reasons and remedies to speak together again.

The Reasons:

If we look closer at those partners who end up sitting in a restaurant with nothing to say, painfully aware of the couples happily chatting around them, we find that partners are often unaware of what they may be doing or what has happened to shut down the verbal connection.

Here are some possibilities:

  • The Monologue: Sometimes a partner is in so much need of attention, affirmation or containment by the other that they never stop talking. More interested in what they have to say, they barely realize there is no space for dialogue. The listening partner often complies as audience for a time but there is no real ” we sharing ” and eventually no reason to continue talking.
  • The Critique: Sometimes speaking has become unsafe if one or both partners imply by verbal criticism, overt disinterest or non-verbal gestures that what the other is saying is of little interest or importance. Some are embarrassed or enraged into silence. Some give-up. Some find outside confidantes who want to listen—while the silence at home …

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Suzanne Phillips, Psy.D., ABPP & Dianne Kane, DSW are the authors of Healing Together: A Couple's Guide to Coping with Trauma and Post-Traumatic Stress. Pick up the book today!

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