by Counseling and Wellness Center of PittsburghMay 27, 2020 anger management counseling, greensburg counseling0 comments
Managing Displaced Anger During Difficult Times
It has been said that anger is a secondary emotion, triggered by preceding fear, rejection, hurt feelings, humiliation, and sadness. With the current pandemic, restrictions on our daily activities, the uncertainties of our futures and our medical and financial wellbeing, it is no wonder people have been on edge. This disruption has been significant and abrupt. Suddenly, we no longer have the same level of stability in our lives and the need for structure, safety, and predictability has been jeopardized. Everyone has experienced some form of loss, and many are grieving.
Lately, while watching morning news, we hear the retellings of incidents involving explosive anger where someone has violated another physically or verbally. Often, we are seeing these acts in public arenas, on display for anyone to witness, which is telling that we are not coping well as a society. So, what is happening? Has the world gone crazy? Are these the preludes to a hostile, post-apocalyptic dystopia? Likely, no. It’s more probable that people are misplacing or “displacing” their frustrations. Displaced anger or aggression occurs when one is unable to express anger towards the source of provocation so instead, the individual acts out towards others. Often, we are not able to direct our anger toward the actual cause of our fears and frustrations. For example, it would be of no use to air our grievances to the virus itself and we are also unlikely to get our desired response from people who have direct influence over our day to day struggles. So, then many of us are left fearful, anxious, grieving, and frustrated with no say or control over what happens next.
While it’s easy to focus our attention on our lack of control, doing so will only increase these feelings of frustration and helplessness. Despite current limitations, there is still much we have influence on in our lives today. We can choose what type of activities we engage in throughout the day, our diet, exercise, and our sleep hygiene regimen. We have influence over our thoughts and mindset, whether we focus on the negative or we see the positive in situations. We can control what we are watching on television and social media or listening to on the radio or podcasts, all of which impact our outlook and perspective. Those choices effect how we feel and in turn how we cope with our stress.
Even the most Zen of us will displace our anger onto innocent bystanders from time to time. After all, we are human. In these moments, when you feel yourself becoming easily agitated or triggered, take a second, breathe, and identify the real cause of your anger by asking yourself, “What’s really bothering me? Does this make sense?” and even, “Does my emotional reaction match the situation?” Note that if it is something you cannot change, there are still things about the situation or in your life that you do have influence over. Exercise positive self-care practices such as physical activity, being outdoors, reading, listening to music, eating a healthy diet, guided meditations, deep breathing and other stress reducing techniques. These can be thought of as preventative activities to increase your threshold for stress and strengthen emotional resiliency. Be mindful of when you have reached your limit and need to seek additional help or support. Lastly, always remember to T.H.I.N.K. before you speak. Is it true? Is it helpful? Is it inspiring? Is it necessary? Is it kind? Choose to be kind.
Andrea Kellman, MS, LPC who provides therapy, marriage, and family counseling services in our Greensburg counseling center.Learn More
by Counseling and Wellness Center of PittsburghMay 21, 2020 self care month, sex therapist, sexual wellness, Uncategorized0 comments
May is Self Care Month! In honor of that, let’s explore a form of self care that might not be the first thing you think of when you think about wellness. When the oxygen masks drop on the plane you always put on your own before helping someone else. This is self-care. The actions you take to keep all dimensions of your own health (physical, emotional, social, spiritual, mental) as strong as possible so that you can continue performing at your peak, whether at home, at work, or in your personal life. The phrase ‘self-care’ has made its rounds in mainstream media and for many people may include a spa day, sleeping in, or saying ‘no’ to certain obligations. However, one activity, self-pleasure or masturbation, has not gotten the credit it deserves as the ultimate form of self-care. Sex therapist Lauren Aikin-Smith from Counseling and Wellness Center of Pittsburgh shares her expertise in masturbation as a form of self care.
To start, anyone can masturbate. It isn’t restricted by wealth, gender identity, body shape/size, ability, sexual orientation, race, or ethnicity. It’s easily adjustable based on your other life factors. For example, you can get it done in a few minutes while the kids are napping or leisurely take up an afternoon if you have the time. It can be done alone or with a partner(s). It’s cost effective and fits every budget. It can fit everyone’s personal style and isn’t limited to just involving the genitals, but may include a bubble bath, rubbing lotion on your body, or even involve other erogenous zones like the ears, scalp, and nipples.
Self-pleasure simultaneously has positive effects on the physical, mental, and emotional dimensions of health. The sensations, relaxation, deep breathing, and mindfulness that accompany masturbation promote the release of endorphins and oxytocin, even without achieving orgasm. Orgasm is accompanied by a surge of dopamine, activating the brain’s reward pathways. The endorphins and flow of blood throughout the body help release pent up energy, and promote stress and pain relief throughout the body by relieving stress, tension, headaches, and period cramps. Finally, there is a release of serotonin which is responsible for good mood and relaxation and can help promote sleep, another essential aspect of self-care.
Self-pleasure connects the mind and body, and can help you better understand what arouses and turns you on. It can help you recognize how your body responds to touch, sounds, and smells. Over time, you’re able to get a better sense of the sensations and movements that are pleasurable for you, which in turn also promotes body positivity.
Masturbation is empowering. You will never be in control of all aspects of your life, and many times you may feel like you aren’t in control of much at all, but, you can at least be in control of your own pleasure. You don’t need to rely on someone else for pleasure, it can be all your own.
Lastly, and perhaps most importantly, masturbation is the ultimate form of self-care because through all the craziness of life, it allows for a few moments that are focused solely on nothing other than your own personal gratification. The only way any of us are going to make it through life is by making time for ourselves, for our self-care, and for personal pleasure.
To discuss any sexual or intimate health concerns with one of our licensed counselors or sex therapists, call us at 412-322-2129 for an appointment.Learn More
by Counseling and Wellness Center of PittsburghMay 11, 2020 doctors and suicide, health care coworkers and coronavirus, pandemic and self care for doctors0 comments
Health Care workers are among the most vulnerable populations right now with the Coronavirus impact. It is not what we initially think, but those who are battling the epidemic and caring for our sick are also some of the most vulnerable. Particularly those who are front line workers who are exposed to those who have or could have Covid-19 infections. With concerns about the well-being of the front line workers, this piece focuses on their emotional and mental health needs right now. Please keep in mind, even prior to Covid-19, there is a slightly higher than average suicide rate for medical professionals. What makes medical workers especially vulnerable is that they are less likely to seek mental health support, they are less likely to acknowledge their own emotional needs or self care needs such as sleep and nourishment, and they are often overworked. All of these things make them a population of special concern during Covid-19.
Coronavirus has impacted health care workers with the omnipresence of the needs of patients that may or may not be able to be helped. To be on the front lines dealing with gravely ill individuals and to not be able to offer them more than palliative care is stressful for medical professionals. Additionally, many hospital centers are not equipped with personal protection equipment which allows providers to feel safe in their delivery of care for others. This adds a layer of helplessness when personal exposure can result in disease and death of themselves and their family members. All of these factors together create the perfect storm for increased stress, fatigue, anxiety, burnout, depression and the onset of other mental health concerns.
Post Traumatic Stress Disorder (PTSD) is defined as an emotional response to a sudden and unexpected event such as an accident or natural disaster. Commons symptoms are uncontrolled emotions, flashbacks, strained relationships, and nightmares. Corona Virus and its impact has been traumatic for most people and most especially our front line workers, there will be variability in those who recover from the traumatic nature of this event with resiliency, rebounding quickly to a full recovery, versus those who experience lingering symptoms for months or years to come.
One important thing that we can do for ourselves and others to enhance our mental and emotional health is to acknowledge how difficult this has been, mentally, emotionally, and physically. It is normal to be stressed, frustrated, and overwhelmed during a pandemic crises. To be realistic, the health care workers should check in with supervisors and try to reduce their work load right now and minimize other stresses to prevent the overall impact from complicating in greater ways.
If any health care worker is noticing that they are feeling heightened fatigue, hypersomnia or insomnia, changes in weight or appetite, flashbacks, intrusive thoughts, anxiety, depression, or thoughts of self harm they should immediately talk with a mental health professional, employee assistance program, or call a crises hotline in the event of thoughts of self harm. In times of crises, absolute burn out can come on quickly and been all encompassing before one even realizes what they are experiencing. It is normal to have limitations and important to acknowledge ones own mental, emotional, and psychological needs.Learn More
by Counseling and Wellness Center of PittsburghMay 11, 2020 corona virus and shared custody, family counseling during corona virus0 comments
Tips for Co-Parenting during Quarantine Coronavirus
It is always important for parents to be on the same page when it comes to their children, perhaps it is even more important that parents take the time create an atmosphere of predictability and consistency in shared custody and co-parenting family dynamics. The family counseling community has seen many examples of damaging dynamics from families during quarantine COVID times. From parents who are unable to agree on whether their children will be able to see in person health care providers, to parents who attempt to withhold visitations under the guise of COVID, it is the children who stand in the middle to lose much needed contact with their loving parents and caregivers. Here are some child therapist and family counseling verified tips to help you and your child’s other parent get on the same page. Remember, it is pretty likely that you and your former partner share the goal of helping your children adapt during these difficult times.
The courts have not waived parents’ rights to visitations due to COVID. That means your normal custody arrangement remains in full effect during this period, even if you have concerns over how your child’s other parent is enacting social distancing or who they are coming into contact with while they are having their visits, you still have a legal obligation to uphold the legal arrangement. Of course, if you feel that their other parent or family members are behaving in a dangerous way you should speak to your legal counsel but in most every instance the courts have not interfered with custody arrangements over COVID family concerns.
What is really best for the kids. The impact of this virus is even more difficult for small children as they do not have the rationale to understand the purpose of limitations on their behavior. This makes it even more important that we follow up as caretakers with consistency in the rest of the routine. Routine has an effect of soothing fear and anxiety, seeing the same family members and important people in kids lives are a big part of what makes their life feel predictable and manageable.
Parents will need to communicate, with each other! There are a lot of instances of parents using others as a ‘go between.’ From asking young children to relay messages to asking receptionists, and therapists, teachers and doctors to tell their former partner what is happening with their child, this is not a good idea. First, it is outside of the role of any child or provider/professional person to manage the communication between you are your child’s other parent. If you feel unable to manage basic communication with your child’s other parent for any reason, you should enter co-parenting family counseling immediately.
Remember that there are things outside of your control. COVID is a massive reminder that there are so many things outside of our control, while we should always act in our own and our loved ones best interest, there are still so many variables that we can not influence. Your child’s other parent may be to some degree, one of those situations that makes your feel helpless. We know that in the face helplessness and uncertainty most people feel a large measure of anxiety. Acknowledge your anxiety and spending some time assessing whether it is rational or irrational. You will likely need to have a moderate degree of flexibility in allowing your children to have a slightly different experience in their other parents home versus your own. These personality differences may have led to the demise of your relationship with your former partner and they will likely make co-parenting with them tricky but not impossible. Try to start with the points where your agree, maybe as simple as ‘we both love the kids.’
With COVID, there are a few categories of people and they are reacting to Corona differently. Some of concerned for their health and the health of others and are closely monitoring the CDC guidelines for managing COVID. Others are concerned about their loss of freedom and autonomy. Others are concerned about the financial impact of COVID closures. All of these are perspectives that come from a place of caring about the well-being of our society and others albeit in different ways. If your child’s other parent has a perspective very different from your own, you should attempt to find some compassion for them and really hone in to be sure that any concerns you have for your children to assess that they are well founded concerns and rational. One of the most important things that you can do for your children right now is to care for your own stress and manage it effectively so that you can be the best version of yourself during the challenges that we are all facing.
Check out the link by World Health Organization for tips on parenting during quarantine!