Tag: counseling

Anxiety Understood: Checklists

Overcoming-Social-Anxiety
Anxiety often feels like this

Personally, I have wrestled with anxiety over the years. The residual effect on my personality has been profound. The ‘panic attacks’ are coming about once a week, and they can be a formidable enemy. So far, I have not required meds for them, but I usually just crawl into bed, dim the lights and pray. They seems to pass in about 20 minutes. However the other symptoms kind of linger– a sort of ‘background noise’ to the soundtrack of my everyday life. Low levels of anxiety can be brought under control by the work of the Holy Spirit.

I hold God by His promises of peace. I have not been instantly healed yet, but I’m learning to cling to Jesus through it. I have to believe that anxiety keeps me close to Him, I suppose that is a good thing.

Common anxiety symptoms include:

Body (anxiety symptoms commonly associated with the body in general):

  • Allergy problems, increase in allergies (number, sensitivity, reactions, lengthier reactions)
    Back pain, stiffness, tension, pressure, soreness, spasms, immobility in the back or back muscles
  • Blanching (looking pale, loss of color in the face or skin)
  • Blushing, turning red, flushed face, flushed skin, blushing, red face or skin
  • Body jolts, body zaps, electric jolt feeling in body, intense body tremor or “body shake”
  • Body temperature increase or decrease, change in body temperature
  • Burning skin, itchy, “crawly,” prickly or other skin sensations, skin sensitivity, numbness on the skin
  • Burning skin sensation on the face, neck, ears, scalp, or shoulders
  • Chest pain, chest tightness
  • Choking
  • Chronic Fatigue, exhaustion, super tired, worn out
  • Clumsiness, feeling clumsy, co-ordination problems with the limbs or body
  • Cold chills, feeling cold
  • Craving sugar, sweets, chocolate, usual craving for sugar and sweets
  • Difficulty speaking, moving mouth, talking, co-ordination problems with the mouth or tongue
  • Dizziness, feeling lightheaded
  • Dizzy, feeling dizzy
  • Electric shock feeling, body zaps
  • Excess of energy, you feel you can’t relax
  • Falling sensation, feel like your are falling or dropping even though you aren’t
  • Feel like you are going to pass out or faint
  • Feeling cold or chilled
  • Feel wrong, different, foreign, odd, or strange
  • Flu-like symptoms, general malaise, feel ill, like you are coming down with a flu
  • Flushed face, red face, flushed skin
  • “Head Zaps”
  • Heart palpitations, racing heart
  • Hyperactivity, excess energy, nervous energy
  • Increased or decreased sex drive
  • Infection – increased infections, persistent infection
  • Mouth or throat clicking or grating sound/noise when you move your mouth or jaw, such as when talking
  • Muscles that vibrate, jitter, tremor, or shake when used
  • Muscle twitching
  • Nausea
  • Nausea, vomiting
  • Neck, back, shoulder pain, tightness/stiffness
  • Night sweats, waking up in a sweat, profusely sweating at night
  • No energy, feeling lethargic, tired
  • Numbness
  • Numbness tingling, numbness and tingling
  • Numbness and tingling, and other skin sensations on hands, feet, face, head, or any other places on the body
  • Persistent muscle tension, stiffness
  • Pounding heart, heart feels like it is beating too hard
  • Pulsing or throbbing muscles. Pulsing or throbbing sensation.
  • Rib or rib cage tightness, pressure, or feeling like a tight band around the rib cage
  • Sexual Dysfunction, sexual uninterest
  • Shooting pains, stabbing pains, and odd pressures in the neck, head or face
  • Shooting pains in the face
  • Shooting pains in the scalp or head
  • Skipped heart beats
  • Sore or tight scalp or back of the neck
  • Startle easily
  • Sweating, uncontrollable profuse sweating
  • The floor feels like it is moving either down or up for no reason
  • Tightness in the ribs or rib cage area, may also feel like a tight band around the ribs or rib cage area.
  • Tingling sensations, anywhere on the body, including the hands, feet, legs, arms, head, mouth, chest, groin area
  • Throat or mouth clicking or grating sound/noise when you move your mouth or jaw, such as when talking
  • TMJ
  • Trembling or shaking
  • Twitching
  • Unsteadiness, dizziness, feeling dizzy or lightheaded
  • Urgency to urinate, frequent urination, sudden urge to go to the washroom (similar to urinary tract or prostate infection symptoms)
  • Warm spells
  • Weak – feel weak, weakness, low energy, light, soft, like you may faint
  • Weak legs, arms, or muscles
  • Weight loss, weight gain

Chest (anxiety symptoms commonly associated with the chest area):

  • Chest pain or discomfort
  • Concern about the heart
  • Feel like you have to force yourself to breath
  • Find it hard to breath, feeling smothered, shortness of breath
  • Frequent yawning to try and catch your breath
  • Heart Palpitations – beating hard or too fast, rapid heartbeat
  • Heart – Irregular heart rhythms, flutters or ‘skipped’ beats, tickle in the chest that makes you cough
  • Pounding heart, heart feels like it is beating too hard
  • Rib or rib cage tightness, pressure, or feeling like a tight band around the rib cage
  • Emotions (see mood) (anxiety symptoms commonly associated with emotions, mood, and feelings)

Fears (anxiety symptoms commonly associated with fear):

  • A heightened fear of what people think of you
  • Afraid of being trapped in a place with no exits
  • Constant feeling of being overwhelmed.
  • Fear of being in public
  • Fear of dying
  • Fear of losing control
  • Fear of impending doom
  • Fear of making mistakes or making a fool of yourself to others
  • Fear of passing out
  • Fear that you are losing your mind
  • Fears about irrational things, objects, circumstances, or situations
  • Fears of going crazy, of dying, of impending doom, of normal things, unusual feelings and emotions, unusually frightening thoughts or feelings
  • Heightened self awareness, or self-consciousness
  • Need to find nearest washrooms before you can feel comfortable
  • Need to seat near exits

Head (anxiety symptoms commonly associated with the head):

  • Burning, itchy, tight scalp
  • Dizziness
  • Dizzy
  • Dizziness or light-headedness
  • Frequent headaches, migraine headaches
  • Feeling like there is a tight band around your head, pressure, tightness
  • Head, neck or shoulder pain, tightness/stiffness
  • Head zaps, head tremors
  • Giddiness
  • Numbness
  • Numbness tingling, numbness and tingling
  • Shooting pains, stabbing pains, and odd pressures in the neck, head, or face
  • Shooting pains in the face
  • Shooting pains in the scalp or head
  • When you close your eyes you feel like are beginning to, or will, float upwards
  • Sore jaw that feels like a tooth ache
  • TMJ (Temporo-Mandibular Joint) – clenching of the jaw or grinding of the teeth

Hearing/Ear(s) (anxiety symptoms commonly associated with hearing):

  • Feel like there is something stuck in your ear, that your ear canal it plugged or blocked, that there is a pebble in your ear that you can’t get out
  • Low rumbling sounds
  • Reduced hearing, frequent or intermittent reduced hearing or deafness in one or both ears
  • Ringing in the ears, noises in the ears, noises in the head
  • Pulsing in the ears, throbbing sound in the ear(s)

Mind (anxiety symptoms commonly associated with the mind and thinking):

  • Afraid of everything
  • Altered state of reality, consciousness, or universe feeling
  • Deja Vu, a feeling like you’ve done or experienced something before
  • Depersonalization
  • Derealization
  • Desensitization
  • Difficulty concentrating, short-term memory loss
  • Difficulty thinking, speaking, forming thoughts, following conversations
  • Disorientation
  • Fear of going crazy
  • Fear of losing control
  • Fear of impending doom
  • Feelings of unreality
  • Frequent feeling of being overwhelmed, or that there is just too much to handle or do
  • Having difficulty concentrating
  • Nightmares, bad dreams
  • Obsession about sensations or getting better
  • Repetitive thinking or incessant ‘mind chatter’
  • Short-term learning impairment, have a hard time learning new information
  • Short-term memory impairment, can’t remember what I did a few days, hours, or moments ago
  • Spaced out feelings, feeling spaced out
  • “Stuck” thoughts; thoughts, mental images, concepts, songs, or melodies that “stick” in your mind and replay over and over again.
  • Trapped in your mind feeling
  • Underlying anxiety, apprehension, or fear
  • You often feel you are carrying the world on your shoulders

Mood / Emotions (anxiety symptoms commonly associated with mood, emotions, and feelings):

  • Always feeling angry and lack of patienceups-downs-anxiety_3011
  • Depersonalization
  • Depression
  • Dramatic mood swings (emotional flipping)
  • Emotionally blunted, flat, or numb
  • Emotional “flipping” (dramatic mood swings)
  • Emotions feel wrong
  • Everything is scary, frightening
  • Feeling down in the dumps
  • Feeling like things are unreal or dreamlike
  • Frequently being on edge or ‘grouchy’
  • Feel like crying for no apparent reason
  • Have no feelings about things you used to
  • Not feeling like yourself, detached from loved ones, emotionally numb
  • Underlying anxiety, apprehension, or fear
  • You feel like you are under pressure all the time

Mouth/Stomach (anxiety symptoms commonly associated with the mouth and stomach):

  • A ‘tinny’, ‘metallic’ or ‘ammonia’, or unusual smell or taste
  • Aerophagia (swallowing too much air, stomach distention, belching)
  • Burning mouth, feeling like the inside of your mouth is burning, or tingling, or like pins and needles, or all of these together or at different times
  • Burning tongue, feeling like your tongue is burning, or tingling, or like pins and needles, or all of these, or all of these together or at different times
  • Choking
  • Constant craving for sugar or sweets
  • Constipation
  • Diarrhea
  • Difficulty swallowing
  • Difficulty talking, pronouncing certain letters or sounds, mouth feels like it isn’t moving right, slurred speech
  • Dry mouth
  • Feeling like you can’t swallow properly or that something will get caught in your throat
  • Feeling like your tongue is swollen
  • Lack of appetite or taste
  • Lump in the throat, tight throat, something stuck in your throat
  • Mouth muscles twitching/jumping
  • Mouth or throat clicking or grating sound/noise when you move your mouth or jaw, such as when talking
  • Nausea
  • Nausea vomiting
  • Nausea or abdominal stress
  • Numbness
  • Numbness tingling, numbness and tingling
  • Stomach upset, gas, belching, bloating
  • Teeth grinding
  • The thought of eating makes you nauseous
  • Tight throat, lump in throat
  • Throat or mouth clicking or grating sound/noise when you move your mouth or jaw, such as when talking
  • TMJ
  • Tongue symptoms – Tingly, “stretched,” numb, frozen, itchy, “crawly,” burning, twitching, “jumpy,” aching, sore, or swollen tongue (when it isn’t).
  • Urgency to urinate, frequent urination, sudden urge to go to the washroom
  • Vomiting

Skin (anxiety symptoms commonly associated with the skin):

  • Burning skin sensations, skin sensitivity
  • Numbness
  • Numbness tingling, numbness and tingling
  • Skin problems, infections, rashes

Sleep (anxiety symptoms commonly associated with sleep):

  • Difficulty falling or staying asleep
  • Frequent bad, bizarre, or crazy dreams
  • Hearing sounds in your head that jolt you awake
  • Insomnia, or waking up ill in the middle of the night
  • Jolting awake
  • Waking up in a panic attack
  • You feel worse in the mornings

Sight (anxiety symptoms commonly associated with sight):

  • Distorted, foggy, or blurred vision
  • Dry, watery or itchy eyes
  • Eye tricks, seeing things our of the corner of your eye that isn’t there, stars, flashes
  • Eyes sensitive to light
  • Spots in the vision
  • Flashing lights when eyes are closed
  • Your depth perception feels wrong

Touch (anxiety symptoms commonly associated with touch):

  • Burning skin sensations, skin sensitivity
  • Feeling cold or chilled
  • Numbness
  • Numbness tingling, numbness and tingling
  • Pain
  • Tingling, pins and needles feelings

Other anxiety symptoms are described as:

Being like a hypochondriac, muscle twinges, worry all the time, tingles, gagging, tightness in the chest, tongue twitches, shaky, breath lump, heart beat problems, head tingles, itchy tingling in arms and legs, and so many more.

In addition to these anxiety symptoms, you may also find yourself worrying compulsively about:

• Having a heart attack • Having a serious undetected illness • Dying prematurely • Going insane or losing your mind • Suddenly snapping • Losing it • Uncontrollably harming yourself or someone you love • Losing control of your thoughts and actions • Being embarrassed or making a fool out of yourself • Losing control • Fainting in public • Not breathing properly • Losing control of reality • Choking or suffocating • Being alone

These are some of the more common anxiety symptoms. This list isn’t exhaustive. :-)

This information can also be found at: http://www.anxietycentre.com/anxiety-symptoms.shtml

Good Teaching by CBN on Overcoming Anxiety http://www.cbn.com/spirituallife/teachingsheets/keys-Overcoming_Anxiety_Worry_and_Tension.aspx

Jesus says, “Come to me, all who labor and are heavy laden, and I will give you rest.”

Matthew 11:28, ESV

bry-signat (2)

The Fighting Caregiver

towardthefight

 

0If you know someone who has bipolar disorder, it affects you too. The first and most important thing you can do is help him or her get the right diagnosis and treatment. You may need to make the appointment and go with him or her to see the doctor. Encourageyour loved one to stay in treatment.

caregivers
Your touch can make a big difference

To help a friend or relative, you can:

  • Offer emotional support, understanding, patience, and encouragement
  • Learn about bipolar disorder so you can understand what your friend or relative is experiencing
  • Talk to your friend or relative and listen carefully
  • Listen to feelings your friend or relative expresses-be understanding about situations that may trigger bipolar symptoms
  • Invite your friend or relative out for positive distractions, such as walks, outings, and other activities
  • Remind your friend or relative that, with time and treatment, he or she can get better.

Never ignore comments about your friend or relative harming himself or herself. Always report such comments to his or her therapist or doctor.

Support for caregivers

Like other serious illnesses, bipolar disorder can be difficult for spouses, family members, friends, and other caregivers. Relatives and friends often have to cope with the person’s serious behavioral problems, such as wild spending sprees during mania, extreme withdrawal during depression, poor work or school performance. These behaviors can have lasting consequences.

Caregivers usually take care of the medical needs of their loved ones. The caregivers have to deal with how this affects their own health. The stress that caregivers are under may lead to missed work or lost free time, strained relationships with people who may not understand the situation, and physical and mental exhaustion.

Stress from caregiving can make it hard to cope with a loved one’s bipolar symptoms. One study shows that if a caregiver is under a lot of stress, his or her loved one has more trouble following the treatment plan, which increases the chance for a major bipolar episode. It is important that people caring for those with bipolar disorder also take care of themselves.

Recommended help for Caregivers: http://www.healthyplace.com/bipolar-disorder/support/member-of-family-is-mentally-ill-what-now/menu-id-67/

This post is dedicated to Lynnie, who is both amazing and aware of me and my issues. She covers me through depression and delusions. She has bandaged cut wrists, and helped me through the blackest of despair. She has been the best caregiver ever. Thank you my love. –B
 
 
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Profound and Certain Issues

Walking through a wasted world

As stumbling and struggling believers in God’s grace, we gather in a simple circle and wonder out loud.  There are many things that perplex us.  We share notes and try to make sense of our Father’s sovereignty and grace.  Sometimes, it seems He is out to get us.  I remember reading a saint, she said something like, “[God] no wonder you have so many enemies, when you treat your friends so shoddily.” (You can tell that I’m working on my attitude here.)

But it isn’t that he is out to “get” us.  It is more like he is out to “make” us.  A distraught woman who just lost her children in a house fire sobbed bitterly. It was obvious that she was completely broken and shattered. She turned to a close friend,  “What is God doing to me?”  Her dear friend, an older saint, quietly spoke with a profound wisdom. “Honey, He has just now started to make  you.”

Beware of giving counsel.  As I age, I’m starting to see how stupid that really is.  The human heart has pain that only God, the Father can discern.  I really think it is more  important to love, than to be right.  It has taken me decades to come to this place, and I’m still not sure I’ve settled into this. (But isn’t something God might come up with?)

We can guide, but we can’t direct.  We can give out a road map, but honestly it seems that is the best we can do.  I’m of the opinion that Job’s friends have a real need within themselves– to be “counselors.”  They seem to fulfill a selfish interest when the give their friend directions.  They want so much it seems, to be regarded as perceptive and astute.  They seem to be like Boy Scouts trying to get their “merit badges.” Often people in ministry are this way.  It’s like it is an occupational hazard, that pastors, elders and counselors must be aware of.

We live in a twisted world, and we are all trying to make our way through it. We often are clumsy and bumbling. But there is an acquired humility and a gentleness that drips slowly on our own hearts. This how wisdom is secured. This is a wonderful work of God’s grace that ends up changing us.  Surely He is making us, and the promise is that when it is all said and done–we will be like Jesus.

“And I am certain that God, who began the good work within you, will continue his work until it is finally finished on the day when Christ Jesus returns.”

Philippians 1:6, NLT

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ybic, Bryan

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Anorexia & Bulimia

What Are Eating Disorders?

An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in eating behavior, such as extreme reduction of food intake or extreme overeating, or feelings of extreme distress or concern about body weight or shape.

A person with an eating disorder may have started out just eating smaller or larger amounts of food than usual, but at some point, the urge to eat less or more spirals out of control. Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral and social underpinnings of these illnesses remain elusive.

The two main types of eating disorders are anorexia nervosa and bulimia nervosa. A third category is “eating disorders not otherwise specified (EDNOS),” which includes several variations of eating disorders. Most of these disorders are similar to anorexia or bulimia but with slightly different characteristics. Binge-eating disorder, which has received increasing research and media attention in recent years, is one type of EDNOS.

Eating disorders frequently appear during adolescence or young adulthood, but some reports indicate that they can develop during childhood or later in adulthood. Women and girls are much more likely than males to develop an eating disorder.

Men and boys account for an estimated 5 to 15 percent of patients with anorexia or bulimia and an estimated 35 percent of those with binge-eating disorder. Eating disorders are real, treatable medical illnesses with complex underlying psychological and biological causes. They frequently co-exist with other psychiatric disorders such as depression, substance abuse, or anxiety disorders. People with eating disorders also can suffer from numerous other physical health complications, such as heart conditions or kidney failure, which can lead to death.

Eating disorders are treatable diseases

Psychological and medicinal treatments are effective for many eating disorders. However, in more chronic cases, specific treatments have not yet been identified.

In these cases, treatment plans often are tailored to the patient’s individual needs that may include medical care and monitoring; medications; nutritional counseling; and individual, group and/or family psychotherapy. Some patients may also need to be hospitalized to treat malnutrition or to gain weight, or for other reasons.

Anorexia Nervosa

Anorexia nervosa is characterized by emaciation, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior. Some people with anorexia lose weight by dieting and exercising excessively; others lose weight by self-induced vomiting, or misusing laxatives, diuretics or enemas.

Many people with anorexia see themselves as overweight, even when they are starved or are clearly malnourished. Eating, food and weight control become obsessions. A person with anorexia typically weighs herself or himself repeatedly, portions food carefully, and eats only very small quantities of only certain foods. Some who have anorexia recover with treatment after only one episode. Others get well but have relapses. Still others have a more chronic form of anorexia, in which their health deteriorates over many years as they battle the illness.

According to some studies, people with anorexia are up to ten times more likely to die as a result of their illness compared to those without the disorder. The most common complications that lead to death are cardiac arrest, and electrolyte and fluid imbalances. Suicide also can result.

Many people with anorexia also have coexisting psychiatric and physical illnesses, including depression, anxiety, obsessive behavior, substance abuse, cardiovascular and neurological complications, and impaired physical development.

Other symptoms may develop over time, including:

  • thinning of the bones (osteopenia or osteoporosis)
  • brittle hair and nails
  • dry and yellowish skin
  • growth of fine hair over body (e.g., lanugo)
  • mild anemia, and muscle weakness and loss
  • severe constipation
  • low blood pressure, slowed breathing and pulse
  • drop in internal body temperature, causing a person to feel cold all the time
  • lethargy

TREATING ANOREXIA involves three components:

  1. restoring the person to a healthy weight;
  2. treating the psychological issues related to the eating disorder; and
  3. reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse.

Some research suggests that the use of medications, such as antidepressants, antipsychotics or mood stabilizers, may be modestly effective in treating patients with anorexia by helping to resolve mood and anxiety symptoms that often co-exist with anorexia. Recent studies, however, have suggested that antidepressants may not be effective in preventing some patients with anorexia from relapsing. In addition, no medication has shown to be effective during the critical first phase of restoring a patient to healthy weight. Overall, it is unclear if and how medications can help patients conquer anorexia, but research is ongoing.

Different forms of psychotherapy, including individual, group and family-based, can help address the psychological reasons for the illness. Some studies suggest that family-based therapies in which parents assume responsibility for feeding their afflicted adolescent are the most effective in helping a person with anorexia gain weight and improve eating habits and moods.

Shown to be effective in case studies and clinical trials, this particular approach is discussed in some guidelines and studies for treating eating disorders in younger, nonchronic patients.

Others have noted that a combined approach of medical attention and supportive psychotherapy designed specifically for anorexia patients is more effective than just psychotherapy. But the effectiveness of a treatment depends on the person involved and his or her situation. Unfortunately, no specific psychotherapy appears to be consistently effective for treating adults with anorexia. However, research into novel treatment and prevention approaches is showing some promise. One study suggests that an online intervention program may prevent some at-risk women from developing an eating disorder.

Bulimia Nervosa

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

  • chronically inflamed and sore throat
  • swollen glands in the neck and below the jaw
  • worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
  • gastroesophageal reflux disorder
  • intestinal distress and irritation from laxative abuse
  • kidney problems from diuretic abuse
  • severe dehydration from purging of fluids

As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication. Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

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For more on these Eating Disorders, see: http://www.nimh.nih.gov/health/publications/eating-disorders/complete-index.shtml

For a Christian perspective: http://www.christiananswers.net/q-eden/eatingdisorders.html

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