All Posts Tagged: the center for treatment of anxiety and mood disorders

child wearing mask in school

Help For School Anxiety During Covid

School is starting up again and many school districts have gone back to in-person learning. While back to school anxieties are typical during any given year, COVID-19 is still with us, which has added more uncertainty and stress for everyone involved.

Since virtual, at-home learning took place during the previous school year, many kids may now find it difficult to adjust to being away from the safety of their home and parents. Add to that the fear that others around them may unknowingly be sick and you may find that even well-adjusted children are experiencing heightened stress. For children who already suffered from anxiety, however, the return to physical classrooms may mean their anxiety worsens when they return for the first day of class.

What Signs Of Stress Can Be Observed In Children During The COVID-19 Pandemic?

In general, children are resilient. Many kids will manage this transition just fine with help and support from their parents. Those who already struggled with anxiety or emotional problems or who had behavioral or developmental concerns before the pandemic may need additional assistance, though. It’s important that you keep a watchful eye on them, as they might be at risk for increased or severe depression and anxiety.

Signs of stress to watch for include (by age group):

Preschool age – Children in this age group may be more whiny or clingy than usual. They may have problems sleeping, have nightmares, or become afraid of the dark when they weren’t before. You may also find that they withdraw or their behavior may regress. They may lose their appetite or become picky eaters.

5 – 9 – Children who are in elementary school also may be clingier. They may be angrier or more irritable and cry or otherwise resist to going to school. They might have nightmares and sleep problems, along with poor concentration. In addition, your child may stop showing interest in friends or activities they used to enjoy.

10 – 19 – Adolescent children may show everything from sleeping and eating disturbances to agitation or arguments with others. They may have physical complaints such as headaches or stomach aches. They may also exhibit poor concentration or engage in some type of delinquent behavior.

Parent Anxiety About School During Covid

The uncertainty surrounding the pandemic makes in-person schooling nerve-wracking for some parents. Obviously, they are apprehensive about their child’s health and well-being, but they also have to address their child’s concerns and reassure them that they will be safe in school. For many, it’s a balancing act of trying to be supportive while also telling the child to be careful, wear their mask, and social distance. Talk about stressful!

It is important to keep in mind that your children look up at you for guidance on how they should react during times of stress. You want to show them that they need to take the situation seriously, but without panicking.

We all do better when we have a sense of control over something that worries us. Children are no different. Discuss their fears and help them find positive ways to deal with their stress.

Ensure they know how to wear a mask correctly (it should cover their nose and mouth). Teach them to carry and use hand sanitizer and how to wash their hands (wash for the time it takes to sing the birthday song). Make sure they understand how social distancing helps to reduce the spread of the virus. Teach them to cough into their elbow or a tissue and to throw a used Kleenex away immediately.

Lastly, protect your child’s health by encouraging them to eat well, get plenty of sleep and exercise daily. This will help build their immunity so they can fight off illness in the future.

Helping Students Return To School After Covid

Going back to in-person learning is a transition and, as with any big change, there will be upset and stress for a couple of weeks until the child settles into the new routine. This is particularly true during the pandemic, when kids are having to adjust to so many new things.

You may find that your child is overly tired during the first few weeks of school. They may be more emotional than usual or act out more often. But if there are major shifts from their normal behavior – such as withdrawing from friends or refusing to take part in things they usually enjoy – and this behavior doesn’t go away after a couple of weeks, this could signal problems and you should consider seeking help.

This is the time to sit down and talk to your kids. Encourage them to tell you what’s bothering them; acknowledge their concerns even if you don’t agree with them. When you know what is concerning your child, work with them to come up with a plan for addressing it. What can you, as the parent, do to help? What can the child do? Does the school need to get involved?

Remember that you also need to take care of yourself. What helped you before the pandemic? Was it calming to work on crafts? What about yoga or engaging in exercise? Maybe listening to calming music or reading reduced your stress? Whatever worked in the past should help you now, but you must take the time for self care.

Keep in mind that even just taking a small break can help you mentally regroup and make you feel less overwhelmed. Take a short walk around the block or indulge in some deep breathing exercises. You don’t have to take a long break – a little bit goes a long way!

Pandemic Anxiety? We Are Here For You

If you are experiencing pandemic fatigue and anxiety, we are here to help. Contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida at 561-496-1094 or email Dr. Andrew Rosen and The Center today.

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woman wearing mask

Are You Struggling With Covid Stress Syndrome Or Covid PTSD?

Those with mental health concerns often feel like they can’t control the world around them. Sometimes they may feel like they, themselves, are spiraling out of control. Now that we’ve gone through the last year and the challenges brought by the coronavirus pandemic, I think most of us can relate to those feelings in some way.

For many people, going through this pandemic means that trauma and post traumatic stress disorder (PTSD) has now become a part of their life. This can be for a variety of reasons.

Maybe you’re a front line worker who is burned out and mentally exhausted. You may have had the personal experience of having had Covid-19. Or, perhaps you’ve had to face the illness and/or passing of someone close to you, due to the disease. Even going through lock downs, losing jobs, and being separated from friends and family for long periods can wreak havoc on our mental health.

No matter the reason, anyone who witnesses or goes through the events surrounding a traumatic, life-threatening illness like Covid-19 may find they have anxiety, depression, or post traumatic stress afterwards.

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virtual therapy

Will Teletherapy Continue After Covid?

Before the Covid 19 pandemic, the potential of telehealth and virtual therapy was just starting to be recognized as an option for the treatment of mental health disorders. Then, the world shut down and remote care exploded into universal acceptance.

In the months since, people (and insurance companies) have learned to navigate the ins and outs of virtual therapy. Once we are free to resume our normal lives, however, will this option go away?

What Is A Telepysch Appointment For Mental Health Care During The Covid-19 Pandemic?

In a nutshell, a telepsych appointment for mental health care is pretty similar to an in-person session – with a few convenient differences.

With telemedicine, the client talks to their licensed mental health professional from the comfort of their own couch, instead of going in to the office.

Clients can choose to see their therapist via an online platform like Skype or Zoom or they can take part in an online chat session via their phone or computer. They don’t have to worry about traffic or commuting to the office in bad weather – and don’t even have to change out of their pajamas!

Because there was often no other option during the pandemic shut downs, individuals who had been in therapy before covid-19 quickly adapted to virtual and online teletherapy. This allowed them to safely continue treatment at a time when stress levels were through the roof.

How Effective Is Teletherapy?

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book cover for Hope for OCD: One Man’s Story of Living and Thriving With Obsessive Compulsive Disorder

Hope for OCD: One Man’s Story of Living and Thriving With Obsessive Compulsive Disorder

Millions of Americans go through each day tormented by the uncontrollable thoughts (obsessions) and compulsive rituals and behaviors that characterize OCD. Difficult to understand and even harder to experience, Hope for OCD – One Person’s Story of Living and Thriving with Obsessive Compulsive Disorder is a profoundly courageous inside look at navigating life with the challenges of this anxiety disorder.

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HOCD: Everything You Didn’t Know – A Primer for Understanding & Overcoming Homosexual Obsessive Compulsive Disorder

HOCD: Everything You Didn’t Know – A Primer for Understanding & Overcoming Homosexual Obsessive Compulsive Disorder

HOCD (Homosexual Obsessive Compulsive Disorder) is a debilitating condition that attacks without warning in those who already struggle with classic OCD. It leaves its victims reeling with uncontrollable doubt about their sexual orientation (despite never having questioned it before), while igniting a vain pursuit of certainty over the question of whether they are truly straight.

In this HOCD primer, Andrew Rosen, Ph.D. draws on more than forty years of clinical practice to give readers insight into the disorder, as well as offering practical help to those who are fighting against a sexuality they know deep down really doesn’t exist for them.

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What Is Harm OCD?

Studies show that the vast majority of us occasionally have unwanted violent thoughts about injuring ourselves or others. For example, we might briefly fantasize about harm befalling the guy who just cut us off in traffic and then scared us even more when he immediately slammed on his brakes to avoid other cars. Although we don’t like to acknowledge them, about 85 percent of people do experience some type of random harmful thoughts, but they are fleeting and don’t disturb our normal lives.

For people who have obsessive compulsive disorder (OCD), however, having unwanted thoughts about hurting someone may not be able to be dismissed so easily. In fact, these thoughts can become frequent enough to become intrusive, taking over the person’s life. When this happens, the individual is dealing with Harm OCD.

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Counseling Adults with Autism

Our very own Dr. Ali Cunningham recently released a book, Counseling Adults with Autism. The cover art for the book was produced by a local man with autism, Michael Vidal (pictured here with Dr. Cunningham).

Counseling Adults with Autism is a practical guide for counselors, psychologists, and other mental health professionals looking to improve their confidence and competence in counseling adults diagnosed with mild to moderate autism spectrum disorder (ASD). Organized into 11 chapters based on key areas for guiding assessment and treatment planning for this population, this book highlights evidence-based practices and therapeutic interventions through case examples to demonstrate how assessment and treatment can be applied. Replete with insights from a variety of disciplinary approaches, this is a comprehensive and accessible resource for practitioners looking to support and empower clients struggling with social and behavioral challenges. Buy the book here.

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toddler with social anxiety

Social Anxiety in Toddlers

Toddlerhood is defined as the age range from 12 to 36 months. During this period, a child’s emotional and cognitive development grows by leaps and bounds, as do their social skills. This also coincides with the time when children are likely to go into a daycare environment or head off to preschool. As they engage more often with other children and adults, it may also be the stage when a toddler’s social anxiety begin to emerge.

Just as with adults, some children are comfortable with social interactions while others may not be. Each group of kids will have the social butterfly as well as the “shy” child who quietly observes and doesn’t interact as much. It is one thing to be shy, however, and another to be intensely fearful and anxious in a social setting. Because we know it can show up early in life, a toddler who shows such strong reactions in a social environment is often regarded as having social anxiety.

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Asperger’s And Diagnosing Autism In Adults

We usually think of autism as being a childhood disorder because it is typically talked about in kids. Nowadays, children are screened for the signs of autism by their pediatricians during their 18- and 24-month well checks. This means that most cases of autism will have been identified by the time a child is two years of age. But, this screening procedure is fairly recent, so what if you are an adult who was told you had a learning disorder years ago or were called a “difficult” child before this protocol? Is it possible that you may have undiagnosed autism spectrum disorder (ASD), even if your symptoms are mild?

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The Connection Between Diet And Mental Health

The Connection Between Diet And Mental Health

Hungry? Beware – reaching for the chips or soda could be at the root of your mental health. After all, we really are what we eat. As it turns out, recent studies have shown that diet and mental health are more closely linked than we realize.

“A very large body of evidence now exists that suggests diet is as important to mental health as it is to physical health,” says Felice Jacka, president of the International Society for Nutritional Psychiatry Research. “A healthy diet is protective and an unhealthy diet is a risk factor for depression and anxiety.”

Nutrition Psychiatry

Mental health conditions are more common than you think in the United States. In fact, the Centers for Disease Control and Prevention (CDC) estimates that about 50 percent of Americans will be diagnosed with a mental health condition at some point during their lives. As of 2018, “mental illnesses, such as depression, are the third most common cause of hospitalization in the United States for those aged 18-44 years old.”

These alarming statistics, coupled with the fact that the Western diet is often filled with junk food, made scientists wonder if the two were linked. Does nutrition affect the brain as much as it does the body? To find out, about ten years ago, researchers began to look into the relationship between diet and mental health.

The last decade of study has shown that, “the risk of depression increases about 80% when you compare teens with the lowest-quality diet, or what we call the Western diet, to those who eat a higher-quality, whole-foods diet”, reports Drew Ramsey, MD, an assistant clinical professor at Columbia University. He goes on to note that, “the risk of attention-deficit disorder (ADD) doubles.”

Now researchers are even thinking that food allergies may play a role in bipolar disorder and schizophrenia.

Food and Mental Health

Most of the recent studies have revolved around the connection between a healthy diet and mood disorders like anxiety and depression. Although direct evidence connecting diet and mental health hasn’t been found yet, currently there are trials in progress to obtain it.

Meanwhile, we do know that a healthy diet affects brain health by:

  • Boosting brain development.
  • Changing brain proteins and enzymes to increase neural transmitters, which are the connections between brain cells.
  • Increasing good gut bacteria. This promotes a healthy gut biome, which decreases inflammation. Inflammation is known to affect both cognition and mood.
  • Raising serotonin levels through various food enzymes, which improves mood.

We know that a nutrient-rich diet produces changes in brain proteins that improve the connections between brain cells. But diets that are high in saturated fats and refined sugars have been shown to have a “very potent negative impact on brain proteins,” Jacka says.

Additionally, a high sugar, high fat diet decreases the healthy bacteria in the gut. Some study results have shown that a diet that is high in sugar may worsen the symptoms of schizophrenia. And, a 2017 study of the sugar intake of 23,000 people by Knuppel, et al., “confirms an adverse effect of sugar intake from sweet food/beverage on long-term psychological health and suggests that lower intake of sugar may be associated with better psychological health.”

Foods For Brain Health

It sounds logical that the foods that are best for the body would also be the ones that promote brain health. This is supported by the results from a large European study that showed that nutrient-dense foods like the ones found on the Mediterranean diet may actually help prevent depression.

The nutrients that may help brain health include:

  • Zinc – low levels of zinc can cause depression.
  • Omega 3s – may improve mood and do help improve memory and thinking.
  • B12 – A report by Ramsey and Muskin that was published in Current Psychiatry in 2013y, noted that “low B12 levels and elevated homocysteine increase the risk of cognitive decline and Alzheimer’s disease and are linked to a 5-fold increase in the rate of brain atrophy.”
  • Vitamin C – The report by Ramsey and Muskin also noted that, “Vitamin C intake is significantly lower in older adults (age ≥60) with depression.”
  • Iron – iron-deficiency anemia plays a part in depression.

Eating nutrient-dense foods like whole grains, leafy greens, colorful vegetables, beans and legumes, seafood, and fruits will boost the body’s overall health – including brain health. Both the Mediterranean diet and the DASH diet, which eliminates sugar, were found to significantly improve symptoms in the patients who took part in one study on diet and mental health.

Adding fermented foods like sauerkraut, miso, kimchi, pickles, or kombucha, to your diet can improve gut health and increase serotonin levels. Serotonin is a neurotransmitter that helps to regulate sleep and stabilize mood. About 95% of serotonin is produced in the gut, so it is understandable that eating these foods can make you feel more emotionally healthy.

The next time you reach for the chips and soda, ask yourself if they are benefiting your brain. Then, grab some cultured yogurt or an apple instead. Remember – every bite counts!

Note: Dietary changes shouldn’t substitute for treatment. If you are on medications for a mental health disorder, don’t replace or reduce them with food on your own. Speak with your doctor about what you should eat, as well as what you shouldn’t. Medications will work better in a healthy body than an unhealthy one.

Questions? We Can Help

In Getting to Know Anxiety Drs. Rosen and Gross offer readers an overview of today’s challenging mental health issues and the most current treatment methods available, as well as practical strategies for mental and emotional self-care.

For more information about the relationship between your diet and mental health, talk to the professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida help. Contact us or call us today at 561-496-1094.

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