Understanding Suicidal Thoughts
/If you are someone who has ever experienced suicidal thoughts, know that you are not alone.
Read MoreIf you are someone who has ever experienced suicidal thoughts, know that you are not alone.
Read MoreGroup therapy is one of the most misunderstood forms of therapy. This post hopes to challenge some common preconceived notions about group therapy and open your mind to the potential benefits of the approach.
Read More“Gentle parenting,” a term first coined by Dr. William Sears, a renowned pediatrician, has become an increasingly popular parenting style in recent years. As a new generation of parents seek to do things differently than their parents did, many are turning to methods that are backed by research and have a more child-centered approach.
So what is gentle parenting?
Gentle parenting is a style of parenting that prioritizes empathy, respect, and compassion for children. Instead of using punishment, rewards, or control, gentle parenting seeks to build a strong and loving relationship between parent and child that is built on trust and mutual understanding. This approach is grounded in the idea that children are inherently good and deserving of respect, and that an effective way to raise healthy, happy, and well-adjusted children is through a loving and supportive relationship. Certain techniques that are hallmarks of gentle parenting include:
Positive Reinforcement: Rather than punishing a child for misbehavior, gentle parenting focuses on positive reinforcement for good behavior. For example, praising a child for sharing their toys, rather than scolding them for not sharing.
Empathy: Gentle parenting prioritizes empathy and understanding for the child's emotions. For example, acknowledging a child's frustration when they can't have a toy they want, rather than dismissing their feelings.
Active Listening: This can involve taking the time to listen to a child’s perspective and working with them to find a solution to the problem.
Respectful Discipline: Redirecting a child’s behavior or setting clear boundaries, rather than punishment or control.
Building Trust: Leaning into tenets of attachment theory, gentle parenting emphasizes the importance of creating an environment where the child feels safe and secure.
Research suggests that children who are raised with gentle parenting techniques are more likely to develop a stronger sense of self-esteem, better emotional regulation skills, and better relationships with others.
Are there challenges to practicing gentle parenting?
Most parents are on board when they hear about the general concepts of gentle parenting. It is usually easy to agree with the idea that a child is inherently good and deserves all the love and empathy in the world. However, when gentle parenting moves from the theoretical to the practical, parents may encounter some of the following challenges:
Self-Regulation: In order to practice gentle parenting, parents must be able to regulate their own emotions and respond to their child in a calm and supportive manner. This can be challenging for parents who have a hard time staying calm in challenging situations.
Boundaries: A core component of gentle parenting is setting boundaries in an appropriate way. If a parent has trouble setting appropriate boundaries in their own lives, it may be even more challenging to set them in a healthy way for their child.
Time: Gentle parenting requires a significant amount of time and patience. It involves taking the time to listen to your child, respond to their needs, and work with them to find solutions. This can be challenging for parents who are maxed out and are already having trouble juggling work, household chores and other responsibilities.
If you are finding yourself having trouble parenting in the way you’d prefer it may be time to reach out for a therapist. Often when there is a gap between our ideal vision of ourselves as a parent and actual selves, we can experience anxiety, shame, or guilt. A trained therapist can help you understand your own challenges and roadblocks when it comes to parenting in the way you’d like to.
No matter what parenting approach you choose, approaching your children from a place of empathy, respect, and compassion can be enough to build strong, loving relationships that allow them to thrive and grow.
Imagine this: It’s a new day and you’ve decided to go for a stroll. You lace up your running shoes and grab a jacket, ready to smell the crisp morning air. You pass by familiar buildings and people - the post office, your favorite coffee shop on the corner, and a sea of schoolchildren shepherded by sleep-deprived parents. You extend a half-smile to the passersby and all seems well-until your racing heartbeat and shaking legs catch you off guard. Confused, you stop in your tracks, wondering what has prompted this rapid change in your body, but now your thoughts are going a mile a minute and it feels like you are out of control. You double over, placing your hands on your knees to catch your breath, and despite your best effort, it feels like you're gasping for air. You’re convinced you're dying at this moment. Sound the alarm, you’ve just had a panic attack.
Roughly one in ten adults will have at least one panic, or ‘anxiety’ attack every year.
While the clinical picture of panic attacks can vary, they are characterized by the following symptoms: increased heart rate, sweating, trembling, shortness of breath, choking, nausea, stomach pain, dizziness, lightheadedness, tingling in the arms or legs, feeling hot or cold, derealization (feeling that things around you aren’t real) or depersonalization (feeling like you are outside of your body), and fear of dying or losing control. Despite only lasting minutes, panic attacks can be very debilitating and can develop into panic disorder.
Fortunately, panic attacks aren’t random. In fact, panic attacks are very predictable because they are triggered by internal or external cues of perceived threats. When you come in contact with these cues (i.e. a large group of people headed toward you during your morning walk), it signals to your mind that you are in danger and need to avoid, escape, or surrender to something to survive that moment. In essence, panic attacks are your body's emotional fire alarm system.
When physical threats were a daily occurrence in human evolution (i.e. avoiding becoming a large animal's lunch), our ability to detect them and react appropriately was advantageous. What an effective fire alarm system! Fast forward a couple thousand years and becoming lunch isn’t a common concern anymore and our fire alarm system has evolved to detect psychological threats too. Reminders of deep fears, difficult, or traumatic events (i.e. a swarm of people subtly reminds you of the time you were caught in a stampede), or really uncomfortable thoughts about yourself (i.e. the thought “I am not good enough”) are perceived as ‘dangerous.’ This is just enough to sound off our body’s fire alarm. For individuals with recurrent panic attacks or with panic disorder, the fire alarm becomes too sensitive and will detect a wider variety of triggers that don't seem threatening at all. At this stage, panic attacks are like the alarms that sound the second you turn on the stove - you’re receiving all the signs that the house is on fire when in reality, the alarm is reacting to one controlled flame.
Panic attacks are treatable. Through therapy, you can learn the underlying meaning of your anxiety, become aware of your triggers, and begin to form a new relationship with distressing thoughts and feelings that arouse panic symptoms. In the meantime, understanding the neuroscience of panic attacks gives us ways to ‘hack’ our nervous system and override our emotional fire alarm at the sign of the first symptom to decrease the intensity and duration of panic episodes.
Activating the Parasympathetic Nervous System: During a panic attack episode, our sympathetic nervous system - the fight, flight, and freeze system - is activated. However, we can override our panic symptoms by activating our parasympathetic nervous system - the rest and digest system - through paced breathing or changing our bodies temperature when we notice early symptoms of panic.
Paced Breathing: Exhaling through the mouth twice as long as we inhale through the nose is a proven way to activate the parasympathetic nervous system. Practice inhaling for 4 counts and exhaling 8.
Temperature: Taking a cold shower or placing a cold compress on your face or the nape of your neck while holding your breath can activate the mammalian diving reflex. This reflex slows your heart rate and activates the parasympathetic nervous system.
Releasing Endorphins: Another ‘hack’ to mitigating panic symptoms is to fight fire with fire, literally! Eating spicy foods releases endorphins in our brains which aid in reducing pain, releasing stress, and improving mood. Additionally, for heat-averse individuals, eating spicy foods at the earliest sign of panic is such an overwhelming experience that the brain shifts our attention away from thoughts and feelings related to panic (i.e. “oh no, everyone will see me panic now”) to focus on relieving the burning sensation (i.e. “my mouth is on fire, I need water”). Carrying spicy candies or gums such as RedHots or Big Red gum can be helpful for individuals on the go. For spice-lovers, eating spicy candy or gum may not have the same overwhelming effect, therefore eating sour foods or candies like lemons or sour candy is advised.
Although these hacks are helpful and effective, they are temporary. These skills can disrupt a current panic attack episode from progressing if caught early enough, but will not prevent future episodes from occurring. Forming a relationship with a trusted therapist to address your panic attacks is the only way to reprogram your emotional fire alarm and prevent future episodes.
As a parent, one of the most important things you’ll do is create a bond with your child. But have you ever wondered what makes a bond “secure” or how you can help ensure that your child develops a secure attachment?
Read MoreBirthing individuals undergo many changes during conception, pregnancy, and postpartum recovery (i.e., changes in hormone levels, relationships, weight, and stress) that often have impacts on their mental health. Ongoing complications during this time can develop into mental illness (such as postpartum depression and anxiety) which has several significant risks for parents and baby.
Conflict with your partner can be painful. However, if done effectively, it can also create positive change and help you and your partner learn more about each other.
Read MoreMom guilt has roots dating back to our evolutionary past when there were often clear and present risks facing both mother and child.
Read MoreWhen struggling with Post-Traumatic Stress Disorder (PTSD), life can feel scary and limiting.
Read MoreWhile the holiday season may be regarded with warmth, twinkling lights, and holiday cookies for some, it can activate (and trigger) unpleasant or traumatic experiences for others.
Read MoreThe process of initiating couples therapy can be particularly daunting. Not only are you entrusting a total stranger to share your most intimate and difficult internal experiences with, but you’re doing it with your partner.
Read MoreThe holidays often mean spending more time than usual with extended family. This means that parents, grandparents, aunts, uncles, great aunts, etc. may be spending more time with your children.
Read MoreWhether you’ve struggled with lifelong feelings of anxiousness or noticed it’s harder to cope with overwhelming thoughts lately, anxiety can feel like a riptide in our lives that is pulling us under.
Read MoreAlthough today’s culture is more open about discussing women’s mental health, pregnancy loss continues to be a topic seldom discussed. This silence around a common occurrence (10-25% of pregnancies are lost) can lead to feelings of isolation for the birthing partner and close family. Additionally, the lack of information can leave friends and family wondering how to show up for their loved ones and support them after loss. While every person’s experience of pregnancy loss is different, here are some general suggestions to help you be there for your loved ones:
Show up
Sometimes when we don’t know what to say, we decide not to say anything at all. This only perpetuates the post-pregnancy loss isolation that many individuals experience. While some individuals would prefer privacy, others would prefer to talk about it. Check-in, offer support, and communicate that you are a listening ear if and when they need you. It is important to note that by checking in or offering support, you are not prompting the person to think about the loss. Instead, you’re giving them an opportunity to share about something that is most likely already on their mind in one way or another.
Listen and keep it simple
If you are unsure where to start, sometimes the shortest phrases, such as “I’m so sorry,” can have the most impact. After that, the best thing you can do is listen and try to validate the person’s experience. Another important thing to listen out for is if the family has named the baby. If they have, it can be important to say the child’s name as a way to communicate to the family that you are listening
Remember the whole family unit
The person carrying the pregnancy is usually not the only one deeply affected by the loss. Spouses and partners may be grieving as well. While they have had to step up to support the expectant partners, this won’t necessarily mean they are “ok.” A small check-in can give them the space to share their feelings.
Give space to grieve
Because pregnancy loss is so misunderstood, those experiencing it may feel like they cannot grieve or if they do, they may feel that they are grieving for “too long”. Mourning may even continue after a subsequent full-term pregnancy and that too is okay. Some important sentiments to communicate to your loved one are that grief has no playbook, there is no right way to grieve, and there is no timeline. By acknowledging the pain of the expectant individual, you are endorsing the real relationship with a baby that came to an end.
It can be hard to know how to show up for someone when they experience loss. Your best bet is to approach your loved one with genuine empathy, care, and compassion. A little support during a very difficult time can go a long way in helping someone heal.
Click here if you want to work with a therapist so you can best support your loved one.
In parenthood there is often a desire and pressure to get it right, but not just right, perfect. The perfect schedule, the perfect educational toys, the perfect amount of independent play versus structured play, the perfect sleep schedule, the perfect amount of screen time, the perfect weight, the perfect latch, and so on, and so on…
With an endless list of tasks to perfect, most parents are left with an inevitable sense of failure. Feeling as though you are not meeting the mark of the perfect parent can lead to guilt, shame, anxiety, and/or depression. Several studies have even linked perfectionism to the development of postpartum depression.
Alas, there is no such thing as a perfect parent, and in fact, no child needs a perfect parent. Children with perfectionistic parents are more likely to experience:
Depression and anxiety
Poor coping strategies
Self-criticism
Their own perfectionistic tendencies
To back up this bold statement, I lean on the term “good enough mother” by the late renowned pediatrician and psychoanalyst Donald Winnicott. Winnicott posited that perfect parenting was not only unattainable but also undesirable. Of course, infants need attention and to have their needs met. But as children grow they are better off with a “good enough” parent, one who lets them explore their independence and encounter struggle and disappointment. When a parent isn’t always perfectly attuned and doesn’t instantly meet every one of their child’s needs, the child is able to develop resilience. This resilience behooves the child as they grow up and encounter a world that will fail them many times. These later setbacks will not derail the child, as the “good enough” parent gave the child the space to learn to effectively deal with the frustrations of reality.
All of this is to say, when we “fail” our kids in manageable, developmentally appropriate ways, we are actually helping them become healthier, more adaptive adults.
Here are some strategies to move away from perfectionist parenting and lean in to the “good enough” parent:
Be good to yourself. No one can do everything. Give yourself a break, ask for help, and practice self-compassion.
Stop the comparison game. Social media allows us to endlessly scroll through feeds of highlight reels which can often make a person feel inadequate. Do not worry about what others are doing with their families, do what is right for yours.
Trust your child to figure it out. The best way for a child to learn coping skills to help them thrive in a challenging world is to give them the space to figure things out on their own. The best time for them to learn these important skills is when they are in the safety of their parents’ home.
Focus on the present, not the future. Try to stay in your child’s experience of childhood, not on the movement towards successful adulthood. For example, find a school where they enjoy learning rather than a school with the best credentials.
Ultimately, the “good enough” ideology stands in direct contrast to perfectionistic parenting. It recognizes that a parent cannot be everything all the time, and not only is that okay, it has its own set of benefits for children in the long-run.
Are you looking for help to manage your stress? Below are steps you can take to feel more calm and in control.
First, try to find out what is causing the stress in your life. A good way to do this is to track it. Get a notebook and write down when something makes you feel stressed. Alongside the stressful event, write down a number from 1-10 (1 being least stressful and 10 being most stressful). This practice will help you to identify the areas of your life that are causing the most distress.
Once you have an idea about what is stressing you out, you can start to implement techniques to reduce the stress. You may not be able to eliminate stress completely, but below are some suggestions to help you lower your stress levels and make your life more enjoyable:
Prioritize Your Responsibilities - Start Small
Having too many “to-dos” can be stressful, work on quickly knocking out small tasks to clear up your mind to focus on larger responsibilities.
Develop good problem-solving skills
When faced with a stressful problem, try to clearly define what about the issue issue is causing a problem for you. Then generate a list of various ways the problem could be managed. Evaluate each potential solution and then make a decision.
Take good care of yourself
Get plenty of rest! Find and/or make time in each and every day for some self-care. It can be as small as scheduling a 5 minute mindfulness meditation, just any activity where *you* are the priority.
Keep things in perspective
In the most stressful situations, problems can feel bigger than they are. Take a step back and ask yourself…will this matter in a week? In a year?
Talk to someone
Whether to friends or family, opening up about your stress can help! Getting additional perspectives can help you gain insights to your stressful situations. There is evidence that those who have a strong support network manage stress better.
Laugh
All jokes aside…when you are stressed your body tends to tense up. Laughing has been shown to relieve physical tension and relax muscles for up to 45 minutes. Laughing also produces a general sense of well-being which can diffuse the stress you were feeling.
If these tips aren’t reducing your stress enough or you are finding yourself completely overwhelmed, it may be time to seek additional help. Here at Therapists of New York we have psychologists trained in helping individuals manage and understand their stress levels. Click here to book a consultation.
Your child asks for water. You give your child some water. And suddenly the screaming starts…What is going on? The water could have the wrong temperature, could be in the wrong cup, your child may not like the way you handed them the water – who knows. The one thing that is clear is that your child is about to have a tantrum. Read on to learn what tantrums are, why they happen, how to deal with them, and better yet, how to prevent them.
Tantrums are your child’s form of protest. They come in all shapes and sizes and may involve screaming, stiffening limbs, an arched back, kicking, falling down, flailing about, or running away. In some cases, children hold their breath, vomit, break things, or hurt themselves or other people as part of a tantrum.
Tantrums are normal, common, and expected. Between the ages of two and four, over 90% of children will have tantrums. Tantrum throwing tends to peak during this age range because children are still at the early stages of social, emotional, and language development. They can’t always communicate their needs and feelings which often leads to frustration. And they’re learning that how they behave can influence others. So tantrums end up becoming one of the ways children learn to express their feelings and change what’s going on around them.
Before moving into strategies on how to help prevent and ease tantrums, it is important to clarify what tantrums do not mean. Tantrums do not mean you are failing your child or are a bad parent. Tantrums are not a sign that you have a bad kid or that your child is trying to manipulate you. It is common for parents to take tantrums personally and react accordingly, but really what your child is doing is completely developmentally appropriate.
Ways to make tantrums less likely to happen:
Identify tantrum triggers like tiredness, hunger, fears, or overstimulation. You may be able to plan for these situations and avoid the triggers
Help your child understand their feelings so they do not feel as big. This can start at birth by using words to label feelings like “happy”, ”sad”, “angry”
Have your child tune in to the feelings they have when they move through a stressful situation without a tantrum. For example “Mommy said we had to leave the park and you left without getting upset. How did that feel? Did you feel calm?”
Model positive coping strategies for handling stressful situations. “I am getting worried we will be late because of this traffic, I am going to take a few deep breaths”
Offer choices in decision making to encourage independence “Would you prefer to wear the orange shirt or blue shirt today?”
Ways to help you and your child through the tantrum:
Use a mantra - repeating a mantra can help you keep your cool, which will allow you to have more emotional resources to support your child. Some mantras include
“It’s not personal - it is normal and developmentally appropriate”
“They are not giving me a hard time - they are having a hard time”
“Stop and take a breath”
Say less - being rational adults, we like to talk ourselves out of problems, but when your child is in the throes of a tantrum sometimes saying less is more. Their feelings can be so big that any explanation is best saved for when the tantrum is over
Offer empathy and acknowledgement - Even though your child may be losing their mind over something that feels silly to you, like not being able to wear the ketchup-stained shirt from yesterday, speaking to your child with empathy will help them feel seen and understood
Stay calm but do not give in - your child will mimic what you do. If you take deep breaths and regulate your emotions, your child will have an easier time doing the same. You can acknowledge your child’s frustrations in a calm way and not give in, which will only reinforce the tantrums. An example of this type of statement would be “I see that you are very angry and frustrated that we have to leave the park, but we cannot stay here any longer”
When you have made it through a tantrum, it is important to remind your child how loved they are even when their feelings are so big. A hug will remind your child that they are secure with you and you are not deterred by their tantrums. When the tantrum is over, it is important to debrief with your child and narrate the course of the tantrum, from the trigger to the behavior to the calm down. This will help your child understand that their feelings are in reaction to something.
Tantrums can be very triggering depending on our own childhoods and the ways we learned to deal with negative emotions. If you are finding it difficult to follow these tips or remain calm in the face of your child’s distress, it may be important to better understand and process your emotional responses to your child’s dysregulation.
If you’d like help navigating parenting, click here for a consultation with one of our parenting specialists.
Society has conditioned us to view anger as a bad emotion. However, the experience of anger in and of itself is not a bad thing. Emotions-including anger-are neither good nor bad. All emotions have functions. Read more here about some of the functions of anger.
Read MoreWhile it is important to understand and feel our emotions, not every occasion is appropriate or useful for doing so. You can use these simple grounding techniques to help you detach from emotional pain that isn’t effective for you to feel in the moment. Grounding techniques work by shifting your attention and focus to something other than the difficult emotions or thoughts you are experiencing.
Color Breathing
Mentally picture a color that represents how you want to feel (i.e. Blue for relaxation, orange for joy, green for healing) and a color that represents what you want to let go of in life (red, for instance).
Get in a comfortable position and allow yourself to relax. Now breathe in the color of your choice for 2-3 seconds, imagining yourself bathed in the color. Now breathe out the color that represents what you want to let go of for 4-6 seconds, imagining it fully leaving your body. Note that your exhale should be twice as long as your inhale for best results.
5-4-3-2-1 Grounding Technique
Use all 5 senses to help you refocus and bring you back to the present moment
First, look around you and name in your head 5 things you can see (you can look within the room and out of the window)
Then touch 4 things you can feel (the silkiness of your skin, the material on your chair, the texture of your hair)
Then listen for 3 things you can hear (traffic noise, birds outside...you would be surprised how many things you hear that you normally tune out when you’re mindfully listening!)
Then notice 2 things you can smell (hopefully nothing awful!)
And finally, 1 thing you can taste (the taste of your mouth, a sip of a drink)
Positive Self-Talk
The way we talk to ourselves matters and affects our emotions. Notice how your mood shifts when you replace catastrophizing statements with more realistic and positive self-talk. Sometimes it can be useful to consider how you might speak to a friend or a child. It may help you realize how harsh you’re being to yourself.
“There will be difficult moments as I take the test, I expect them and can handle them now” vs. “I am definitely going to fail”
“I feel good about myself and most of my abilities” vs. “I am a failure because I am struggling with one task”
“I may have done poorly on this test before, but now I have the skills to pass this test” vs. “I failed once and will likely fail again”
Remember: Although grounding techniques won’t solve the original problem causing your distressing emotions, they provide a temporary way to gain control over your feelings and prevent yourself from making things worse.
If you’d like to seek out more grounding techniques at Therapist of New York, contact us here.
When a baby is born, many assume that the birthing parent will be nothing less than overjoyed. However, it is more typical for birthing parents to experience a range of complex emotions after bringing a baby into the world. When these emotions become predominantly negative and longstanding, leaving parents feeling like they don’t know what to do, where to turn, or whom to ask for help, they may be experiencing Postpartum Depression (PPD).
There has been a steady increase in attention on PPD over the past two decades. There are two reasons for this. First, it was officially recognized as a distinct mental illness in the late 1990s which led to an increase in the science and literature on the subject. Second, celebrities have begun to speak out about their experiences with PPD, which may have eliminated some of the shame around the subject and helped others understand their own experience. But what actually is Postpartum Depression?
What Does PPD Look Like?
Many are familiar with the “baby blues”, or a two-week period after delivery where a birthing parent’s mood may be lower than normal due to a drop in hormones. This may look like intense crying, an increase in anger or anxiety, and feelings of sadness. The key is that whatever the symptoms are, they only last for a short time. Postpartum depression on the other hand tends to be more severe and long-lasting. Some of the symptoms of postpartum depression include:
Feelings of anger or irritability
Lack of interest in the baby
Crying and sadness
Feelings of guilt, shame, or hopelessness
Loss of interest, joy, or pleasure in things that you used to find enjoyable
Possible thoughts of harming the baby or yourself
If you identify with any of these symptoms, the first thing to realize is that you are not alone….1 in 7 women and 1 in 10 men experience postpartum depression. These numbers may even be an underestimation, as experts agree that PPD is often under diagnosed because those who endure it may be too ashamed to seek help. There is help though!
Ways to get Help
Build A Support Network
New parenthood can be a very isolating time, so reach out! If you do not have close friends or family nearby, consider trying baby and toddler classes, join a local parent Facebook group, or download apps like Peanut that can connect you with other parents.
Take Care of Yourself
So much of new parenthood is an identity shift, so finding ways to connect back to the “you before parenthood'' is critical in helping to cope with the postpartum period. This may look like, getting out in the sunshine, pampering yourself, exercising (when medically appropriate), or watching a favorite TV show. Whatever “it” is, finding space to have “you” time is incredibly important.
Psychotherapy and Medication
Therapists can help an individual better understand their depression and also provide tools and skills that can help a person better cope with the postpartum period. Here at Therapists of New York there are clinicians specifically trained to work with individuals who are experiencing postpartum depression.
If the depression is very severe a doctor may suggest antidepressants in addition to therapy to help combat the symptoms.
Resources and Ways to Learn More & Find Help
Postpartum Support International - https://www.postpartum.net/
Postpartum Progress - https://postpartumprogress.com/
If you’d like to seek out help for postpartum depression at Therapist of New York, contact us here. You can also read more on how we work here.
Therapists of New York
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