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If, And How, Does Covid Shift The Themes, Styles And Goals of Psychotherapy?

One of The Center’s founders, Andrew Rosen, Ph.D. was recently a guest on The Experts Speak, a free podcast series from The Florida Psychiatric Society, to discuss some of the changes, themes, and pivot points that telemedicine and the Covid crisis have produced, and how it may modify – or not — the styles and goals of psychotherapy.

Listen to the full podcast here.

Professional Help For Anxiety

We offer both virtual / online and in-office treatment options.

For more information, please contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida at 561-496-1094 today. 

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back to school separation anxiety

Back To School Separation Anxiety During The Pandemic

As the 2020 – 2021 school year begins, many parents and children are experiencing a form of separation anxiety over sending kids back into the classroom during the pandemic. The beginning of the new school year can be threatening to a child during normal times, but the prospect of going into a situation where the coronavirus is likely to be present has raised anxiety levels in many families.

For parents who live in school districts that offer a choice between virtual or in-person learning, it can be overwhelming to make a decision over which is best for their child. Being safe at home means that kids who have special needs or who learn better in person will lose out on many learning opportunities, while children who are fearful of being in a classroom will struggle if they have to go back into the school.

All this stress can bring up separation anxiety and school refusal in kids, not to mention heightened school anxiety in parents.

Separation Anxiety And In-Person Schooling During Covid-19

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Navigating The Pandemic Paradox

Sometimes it seems as if we’ve all become trapped in a movie that is playing out worldwide. The coronavirus pandemic is like nothing we’ve ever seen before and has indelibly changed our lives. This time last year, people would have laughed if you’d predicted the shuttering of schools and businesses, that face masks would become a fashion statement, or that our normal lives would be turned upside down so completely. Yet, despite this upheaval, there are still good things that have come from the pandemic.

Is There A Pandemic Silver Lining?

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Man looking hopeful

Psychiatrists Prescribe Medication, This Psychiatrist Prescribes Hope

A first time patient comes into my office. I attentively listen to their story, ask pertinent questions, order tests when necessary, make an assessment and recommend a course of treatment. The prescription of medication is often involved. Thankfully, most people get better. But why do they get better? Was it the medication, the talking therapy or just the “tincture of time?” I would like to think that it was my careful choice of medication while the psychotherapist will want to take credit for their role. I think that the honest answer is more than the sum of these parts. 

I would like to suggest that there is a component of treatment often ignored. It is the power of hope. Hope you say! What does this four letter word have to do with medical care? It certainly has no relationship to the tremendous advances in medical science and technology that exist today. I don’t want to minimize the power of medical science. But I contend that in fact the power of hope provides an essential component of the therapeutic process.

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Morning Anxiety – Starting Your Day Overly Stressed

Does your anxiety begin before you even hit the alarm button in the morning? Or maybe you are waking up early with anxious thoughts about the day ahead already coursing through your mind. Morning anxiety is common simply because stress is common, and it’s usually nothing to worry about. If you find that you are frequently anxious about the everyday tasks and situations that most other people aren’t threatened by, however, you may have developed an anxiety disorder.

What Are The Symptoms Of Morning Anxiety?

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COVID Paradox

The COVID Paradox

Never before in modern memory has the human race been faced with such a stressful and anxiety provoking foe. The novel coronavirus or COVI-19 has resulted in untold emotional unrest and fear among all nations and peoples of our world. There has been a lot of talk about the “invisible enemy,” an RNA based complex protein that looks like a World War 2 anti-ship mine with spikes sticking out of its surface. We are informed daily by the media that young and old victims of this virus are ending up on ventilators for weeks at a time if they survive. To “flatten the curve” and avoid overwhelming our hospitals we have had to become socially isolated, settle in place in our residences, wear masks when going out and remembering to wash our hands and not touch our faces. And after three months of dealing with this enemy of grown ups we are now being informed that children who we believed were not at risk of being made seriously ill have suffered as cases of a strange multi system inflammatory syndrome much like Kawasaki disease began to appear at hospitals.

The reality of this plague is bad enough to fathom by any rational person. The facts we are presented with certainly evoke fear and apprehension. Our frontline healthcare providers who are by their profession somewhat desensitized to run-of-the-mill suffering as they treat patients with terminal illness, heart attacks, metastatic cancer or debilitating strokes, find themselves traumatized by the COVID crisis.

So what is generating this degree of emotional suffering? Much of it comes from the unseen enemy, this virus that is only visible under special microscopes. Some of it comes from the fact that its genetic structure is novel. No human being had been exposed to it prior to its appearance in Wuhan so our immune systems had no defense against its onslaught. It is extraordinarily infectious so that an infected person will infect several people in close proximity over time.

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game tiles spelling anxiety

Is The Coronavirus Pandemic Affecting Your Mental Health?

For months we’ve been hearing about the spread of the coronavirus and rising COVID-19 death rates. Some areas of the country have begun to slowly reopen, but others still remain either locked down or people are very restricted. While we tend to think of the virus in terms of health and physical illness, there is also a mental health toll to the fear and stay-at-home orders that have resulted from the pandemic.

What Are The Effects Of COVID-19 On Mental Health?

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game tiles spelling anxiety

Is The Coronavirus Pandemic Affecting Your Mental Health?

For months we’ve been hearing about the spread of the coronavirus and rising COVID-19 death rates. Some areas of the country have begun to slowly reopen, but others still remain either locked down or people are very restricted. While we tend to think of the virus in terms of health and physical illness, there is also a mental health toll to the fear and stay-at-home orders that have resulted from the pandemic.

What Are The Effects Of COVID-19 On Mental Health?

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Coping with COVID-19

Coping With COVID-19

The virus pandemic has certainly had an impact on all of us. Not being able to meet with my patients in person has required a major clinical adjustment. Thankfully, telemedicine has provided me with the ability to provide necessary ongoing treatment. But I also know firsthand how difficult and taxing social isolation and sheltering in place can be.

What has made this viral illness so stressful? After all, we have been dealing with annual episodes of influenza for decades. We also successfully made it through the fears of the bird flu, SARS, and swine flu. What makes Covid 19 so special and so scary? Covid 19 is called a novel virus because it is a protein that is totally new to the world’s human population’s immune systems. Our immune systems therefore do not have the capacity to adequately fight off this infection. The elderly and those with chronic illnesses are especially at risk. But 20 to 65 year olds are not immune from infection and risk severe illness if they are not cautious and follow CDC guidelines.

We can all agree that there are reasons to be fearful of this unique virus. We would all agree that sheltering in place and social isolation plays a role in our unease and insecurity. The inability to see loved ones and friends certainly takes a toll. Job loss and the subsequent financial stressors contributes as well. Lack of definitive treatment or a protective vaccine adds to our worries. But the level of emotional unrest seems to be much greater than what these issues would suggest. So what accounts for our level of apprehension?

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Man wearing face mask

Stress Relief For Dealing With COVID 19 Anxiety

The worldwide outbreak of COVID 19 has thrown everyone into chaos. For starters, we’re all worried about catching the virus. Some of us are dealing with financial stressors due to layoffs. Then there is the strain of having kids and spouses at home 24/7. In addition, medical workers are caring for numerous sick and dying patients, as well as the fear of bringing the virus home to their families. For many of us, this sudden upending of the world we knew has led to unprecedented anxiety levels and an inability to cope with it all.

Taking Control Of Your Coronavirus Anxiety

We all have natural reactions to the fears and stressors in our lives. We want to feel better, so we turn to certain behaviors to try to settle ourselves down.

There are, however, both positive and negative coping behaviors. For example, exercise can be a positive coping method, while excessive drinking is a negative response.

How we choose to cope also varies because stress is made up of several components. Each aspect causes us to respond differently, yet they each can affect us deeply.

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