If you’re here, congratulations on taking the first step and beginning therapy! Deciding to go to therapy is a major step in overcoming issues like anxiety or depression, healing trauma, getting support to cope with difficult life transitions, managing stress or working on developing healthier relationships. We asked the therapists at the Counseling and Wellness Center of Pittsburgh to share their suggestions for how to get the most out of therapy.
How to Get the Most Out of Therapy
by Counseling and Wellness Center of PittsburghOctober 17, 2022 adult therapy, anxiety therapy pittsburgh, cognitive behavioral therapy, cognitive distortions, coping skills, counseling, counseling for anxiety, counseling for depression, counseling for depression pittsburgh, counseling monroeville, counseling near me, counseling pittsburgh, counseling south hills, counseling wellness, counseling wexford, depression counseling, depression therapy, generalized anxiety disorder therapy pittsburgh, greensburg counseling, how to get the most out of therapy, how to reach your goal, mental health, online counseling, psychotherapist, searching for a therapist in monroeville, searching for a therapist pittsburgh, south hills counseling, stress management, therapist in murrysville, therapists, therapists for depression, therapy for anxiety, therapy in wexford, therapy pittsburgh0 comments
- Be consistent with your appointments. When we go to physical therapy after an injury, it is only by being consistent in our treatment that we get better in a timely way. Mental Health Therapy is the same.
- Have an accurate perspective on the role your counselor has. They are a facilitator, helping you identify goals, steps for reaching these goals, and barriers that may get in the way. The therapist is not there to ‘fix’ you, the work is on your part.
- Timing is important and change happens over time. We may not be ready to address every concern or goal at the same time. As long as we keep working on what is important at the time, we are making progress and moving forward. To get an accurate perspective on your growth, don’t just look ahead at where you are not, look back at where you were and how far you’ve come.
- Put in the work. The therapy hour is once per week. While therapy offers skills, opportunities for discovery and ways to challenge your thought patterns and beliefs, it works best when these tools are applied outside of the therapy office and in between sessions.
- Keep a therapy journal to take notes during your therapy session as well as notes throughout the week to be addressed during your next session. This helps keep treatment productive and makes sure that clients are reminded of things important from their sessions during the week.
- Therapy is about change. Be eager for change in your life. Be willing to challenge yourself.
- Don’t give up if you don’t see results right away. Therapy is a process, and mental health is an ongoing journey.
Ready to Get Started With Therapy?
Call 412-322-2129 to get scheduled with a therapist or fill out the form below.
Cover Photo by Leah Kelley
Journal Photo by Alina Vilchenko
White Woman in Van in Nature Photo and Bike Photo by Alex Azabache
Black Woman Working at Desk Photo by Anna Krasnikova
How to Help a Teenager With Anxiety
by Counseling and Wellness Center of PittsburghAugust 31, 2022 anger, anxiety, anxiety therapy pittsburgh, help for anxiety, mental health, social anxiety, teen anxiety, therapy for anxiety, treatment for anxiety, treatment for anxiety disorder0 comments
Sept 26: Intro to Group: Ice Breaker Activity, Review Rules and expectations
Teenagers often have worries and intrusive thoughts that can lead to ongoing anxiety. One of the most common types is Generalized Anxiety. The DSM-V explains Generalized Anxiety Disorder as, “excessive anxiety and worry occurring more days than not for at least 6 months, about a number of events or activities such as work or school performance.” Anxiety can have physical and emotional effects that can feel like an endless burden. As adult mentors, educators, and caregivers, here are tips for how to help a teenager with anxiety.
The anxious brain is conflicted as the mind can race, but inversely “blank out.” The frustration of not having a clear mind can lead to poor performance in school. Teens can start to lose concentration after school during homework or at work. Validate some of their worried thoughts by using logical thinking such as separating facts from fiction. Encourage creative outlets after mentally draining tasks. Teens can use journaling and stream of consciousness type writing to free these intrusive thoughts. Make sure there is a safe place for creativity as expression can be personal. Respect the privacy of your teen, but encourage them to share if comfortable.
Anger & Tension
Anger and irritability can unfortunately arrive during anxiety as a result of frustration. As we feel tense with worry, our bodies follow suit. Find what works best for your teen in the realm of movement. Sports are an obvious go-to, but yoga, tai chi and even light stretching can help. Giving your teen a time and space to calm down when angry will benefit you both. Talking about the anger when clear headed will improve your connection.
Sleep & Rest
Since one purpose of anxiety is to keep the brain and body on alert, there is a restless component that comes with anxiety. Frequently one can feel hypervigilant, especially when racing thoughts are added.
As a result, teens with anxiety may feel more tired and lethargic. Sleep becomes more crucial as anxiousness is prone to poor sleep patterns. Teenagers also need more sleep than their adult counterparts. Make early mornings less stressful by sticking to a more relaxing “down time” routine before bed. Find what type of nightly routine and sleep schedule works best. Remember that rest isn’t always sleep; meditation and taking breaks when acceptable can refresh the mind. A “mental health day” off school or work when appropriate can rejuvenate the soul.
One of Maslow’s hierarchy of needs is a sense of safety. The recent pandemic drastically affected schooling and activities. As a result, teens have had to learn to adapt to change and deal with disappointment. Teens especially crave the consistency of routine. Knowing what to anticipate in advance can help calm the anxious brain. Try to be realistic with expectations and set rules together. If you are uncertain of plans, be honest with your teen and come up with alternatives so that they know what to expect.
Using the 5 senses can be grounding to calm the nerves. For example, making a favorite meal together is comforting and incorporates all senses. Carrying a rollerball scent to smell, a fidget spinner to touch or sour candy to taste can be quick remedies when anxiety starts. Small changes of surroundings can also be refreshing, such as letting your teen rearrange and redecorate their room. There has been a resurgence in sensory items among teenagers. Being playful and letting teens enjoy video games and toys from their younger years also creates a sense of comfort.
There are many disorders that accompany anxious feelings such as Major Depressive Disorder, ADHD, and OCD. Anxiety can also be a result of traumatic events or major life changes.
Social anxiety (social phobia) is common among teens. Based on data from The National Comorbidity Survey Adolescent Supplement (NCS-A), an estimated 9.1% of adolescents have social anxiety disorder, with an estimated 1.3% causing severe impairment.
Therapy for teens with a licensed professional counselor gives space to divulge these complicated thoughts and emotions. Group Therapy for Teenagers is a unique opportunity to gain skills and new behaviors with the benefit of an expert-led experience while being accelerated through the lens of social learning that can only come from peer support. Group formats have been used to successfully manage a variety of mental health disorders such as depression and anxiety.
Remember to practice your own self care when anxious as we are a great influence in their lives. When children see us coping better, they experience positive results firsthand. Normalizing honest conversations about emotions will show teens how to develop into healthy adults.
Group Therapy for Teenagers: Teen Art Group
This in-person Group Therapy for Teenagers runs from September 26-November 14 at 6PM on Mondays. It takes place at our Monroeville location. The group will be led by Licensed Professional Counselor Rachel Taylor, author of this article.
Teen Group Therapy: Teen Art Group will help teens learn Social Skills, Depression Coping Skills, Anxiety Strategies, and How to Handle Anger all within the context of making art.
Sept 26: Intro to Group: Ice Breaker Activity, Review Rules and expectations
Oct 3: Social Skills: Healthy relationships and make bracelets for friends
Oct 10: Depression Coping Skills: Jeopardy game
Oct 17: Anxiety Strategies/Discuss Group Topic choice
Oct 24: *Group topic Choice and craft*
Oct 31: Halloween!-Mask Craft and discuss different “sides” of self
Nov 7: Anger: role plays
Nov 14: Closure *Apples to Apples type game to review Group Skills *discuss future groups
Written by Rachel Taylor, LPC. Rachel is accepting patients at our Monroeville location as well as online. She is leading Group Therapy for Teenagers: Teen Art Group.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)
Maslow, A. H. (1954). Motivation and personality ([1st ed.].). New York: Harper.
National Institute of Mental Health. (2021). Social Anxiety Disorder. Retrieved from: https://www.nimh.nih.gov/health/statistics/social-anxiety-disorder
10 Natural and Sustainable Ways to Manage Anxiety that Aren’t Meditation or Exercise!
by Counseling and Wellness Center of PittsburghApril 30, 2021 anxiety, Anxiety and Stress, anxiety therapy pittsburgh0 comments
Anxiety management in a healthy sustainable way!
Here is the ultimate listicle of healthy ways to reduce and manage anxiety symptoms beyond meditation and exercise because while both of those do work, they might not be in everyone’s tool bag. Here are 10 simple and effective therapist verified ways to help.
- Blow bubbles! This works two ways, one who can be anxious when they are looking at a shiny bright bubble? But seriously, bubbles require us to blow our air out, when we are blowing out we activate our parasympathetic nervous system. It is also speculated that anxiety and panic can be induced by a CO2 sensitivity, this is helped anytime we blow out slowly. So go ahead, let your inner child emerge and blow some bubbles!
- Try a hot bath! Hydrotherapy works, this is all about vasodilation, when we take a warm bath our blood pressure increases but what goes up must come down so we float into a state of deeper relaxation after, if you can take your bath with candlelight and a good book, even better!
- Count down from 100 backwards. Many anxiety management techniques help us to focus on something other than the anxiety, counting backwards works well!
- Scanning techniques, focus on what you see around you, you can even use the alphabet, start by looking around for something that starts with the letter A, then B. Some people respond best to this by writing out their answers too.
- Listen to soothing music, sound can be very therapeutic because our heart rates do respond to auditory stimulation. If you listen to something below 60 BPM (Beats per minute) you will naturally bring down your heart rate too.
- Progressive muscle relaxation is a system of focusing on each muscle group and squeezing them, holding the tension for 10-20 seconds, then relaxing. You start at your toes and slowly move up to the crown of your head. After working through each muscle group you squeeze every muscle and then relax. This is effective because we are best at relaxing after being active!
- While most of us want to harness our calm without any pharmacological intervention, that is not always possible. Some mental health and medical diagnosis respond only to medical treatment. With that in mind, some forms of stress can be aided by using herbal remedies, herbs such as hops, valerian, and lemon balm are especially calming. Consult your local herbalist for more tips on herbs!
- Do some gardening, soil and contact with the earth works on multiple levels to help us relax, it doubles as physical activity and we also know that nature therapy via time spent outdoors has excellent stress reducing benefits. Go ahead, plant a flower or tree, not only with you enjoy its beauty but you will get a relaxing dose of wellness while you are at it.
- Lower your heart, literally. I know we aren’t including exercise but a low impact yoga stretch called child’s pose can be achieved by getting onto your knees, then bending forward from your waist to lay your head and shoulders on the ground. Your heart gets a welcome rest when you are inverted this way and your heart rate automatically goes down!
- Phone a friend, this is especially helpful for women who are experiencing anxiety, women get a stress reducing benefit from talking to supports about their stresses. Feeling overwhelmed, talk it out!
Stephanie Wijkstrom, MS, LPC, NCC Stephanie Wijkstrom, MS, LPC, NCC
Nature Therapy Reduces Stress
by Counseling and Wellness Center of PittsburghApril 5, 2018 anxiety, anxiety therapy pittsburgh, counseling, counseling for anxiety, counseling pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, meditation, nature therapy, stress managment0 comments
Green & Serene; Nature Therapy Reduces Stress
Mindfulness, mantras, fitness and new age therapy are all devoted to finding ways to enhance wellbeing, joy, and alternately to decrease stress levels. Combating the effects of stress are increasingly important for all of us as we manage demanding lives. One of the best ways natural ways to enhance feelings of wellbeing is by practicing fitness or some form of exercise therapy. In many studies, cardio vascular exercise is explored and compared with placebos and even pharmacology and it is verified to significantly impact and reduce the symptoms associate with anxiety and depression. Yet, there seems to be new evidence that we can even further enhance the benefits of exercise.
Increasingly, we learn that the great outdoors may have many secrets to enhancing our wellness potential. In fact in a 2013 study published by the National Institute of Health, cortisol levels were measured in people who had taken a long walk indoors and others who had done the same walk outdoors in a green serene setting. Those who had gotten their cardio amidst the trees had significantly less cortisol in their saliva than those who were indoors. Peaceful outdoorsy people have long felt the call of the wild and reported the great benefit of getting their fitness fix by hiking, biking, and other outdoor activities. We know that we can boost endorphins and decrease cortisol levels from the experience of being outdoors. Keep in mind the Cortisol is a hormone produced in the body by the adrenal glands, its activating presence leads to the physical responses involved in “fight or flight.” When cortisol is contained in overabundance in our bodies it can lead to many forms of disease, weight gain, and chronic stress to name a few. So in short, discovering ways to reduce cortisol’s overabundance in our bodies is vital, the mental health community is ready to explore many ways to expound upon the health benefits of spending more time outdoors.
Here are a few of our therapists top 12 to be well, ways to enjoy the outdoors:
Learn to forage for wild edible plants and berries with an expert guide.
Take your lunch break outdoors, even a ten minute walk helps.
Learn how to do a walking meditation.
Create an outdoor space at your home.
Pack a picnic with your dog or your partner.
Try to go camping.
Do some star gazing.
Take a flower sniffing tour.
Plant a garden and make some farm to table meals of your own.
Pick up litter, we can even be altruistic with our wellness.
Ask your therapist to do an outdoor walking session.
Take an outdoor fitness or yoga
We love western Pennsylvania and finding ways to enhance wellness with our abundant green outdoor spaces.
This short wellness moment is brought to you by our licensed professional counselors and wellness providers at The Counseling and Wellness Center of Pittsburgh.
Be Well Pittsburgh, Monroeville, and Western Pennsylvania!
830 Western Avenue Pittsburgh PA 15233
2539 Monroeville BLVD Monroeville PA 15146Learn More
by Counseling and Wellness Center of PittsburghApril 3, 2018 agoraphobia, anxiety, anxiety therapy pittsburgh, counseling for anxiety, counseling pittsburgh, help for anxiety, panic attack, therapist, therapists, therapy, Therapy and Counseling For Anxiety0 comments
Agoraphobia is a type of anxiety disorder that can sometimes co-occur with panic disorder. Its prevalence rate in the population is low, occurring in only about 1.1% of the population. Agoraphobia is hallmarked by a fear of leaving the house or other safe place. This often cooccurs with panic attack or panic disorder because a person has experienced a panic attack and then fears that they may have one again or that they will experience some other feared situation such as traveling on a bridge, going through a tunnel, or being stuck in a crowd of people. In some situations, the person may be able to encounter the feared situation, but they do so with such dread that the activity and many other parts of life lose their joy and peacefulness, which can even lead to depression and other psychiatric disorders. In some instances agoraphobia can be diagnosed without a history of panic disorder.
The criteria for Agoraphobia are as follows:
- A fear or anxiety about being in places or situations where escape may be challenging. This fear is often surrounding being unable to quickly escape if the sufferer has a panic attack and could become trapped or unable to leave.
- The fear of being unable to leave leads to an avoidance of said situations which can result in restriction of travel or in some instances the situations are endured but only with a certain safe person or friend.
- This specific phobic avoidance is not accounted for by another disorder such as social anxiety or post traumatic stress disorder.
A person who has experienced a panic disorder may state “ Before I sought treatment and recovered from agoraphobia, I rarely left my apartment for 2 years. It all started when I was walking down a crowded street in downtown Pittsburgh and suddenly I had hot flashes, I was sweating and couldn’t breathe, the pain in my chest became so bad that I ran for help and reached for the lady next to me and told her to ‘Help, call 911!’ When I was diagnosed as having a panic attack the hospital I couldn’t believe it, everything changed for me then. I wanted to avoid having another episode and the only place I felt better was at home. I avoided everyone and even did my grocery shopping online. It became so bad that I started to feel anxious when I thought about leaving home for anything.”
A person with agoraphobia suffers greatly, their ability to function in life is limited including socially, emotionally, and psychologically. Treating panic disorders can be extremely difficult because the person may not want to leave their home even to seek help, fortunately treatment using distance or online counseling is now an option. The best treatment for Agoraphobia is psychotherapy, a counseling or therapy approach which uses exposure therapy and cognitive behavioral therapy. Medication or Pharmacological therapy including anxiolytic medications and SSRI’s are often used effectively to treat Agoraphobia too, medication is often used in conjunction with counseling or psychotherapy.Learn More
Acute Stress Disorder
by Counseling and Wellness Center of PittsburghApril 2, 2018 anxiety, anxiety therapy pittsburgh0 comments
Acute Stress Disorder
Acute stress disorder is a form of anxiety disorder which develops shortly or immediately after exposure to a traumatic event in which real or threatened harm or injury was experienced or threatened to the self or other. Acute Stress Disorder differs from Post-Traumatic Stress disorder in the time from in which the associated symptoms are exhibited. To reach the diagnosis of Acute Stress disorder symptoms should be exhibited less than one month after exposure to a traumatic event. Similarly to PTSD, symptoms involve flash backs, re-imagining, dreams, distress or anxiety at exposure to visual stimuli related to the traumatic situation or event, including hyper-vigilance, and anxiety about the possibility of the event or danger happening again. The duration of the traumatic event and time of exposure or repetitiveness of the exposure effect the likelihood that the person will experience Acute Stress disorder as there are certain internal risk factors which may affect resilience to the development of the trauma. Treatment for Acute Stress Disorder often involves trauma focused therapy, EMDR, short term psychotherapy, mindfulness based therapy approaches even including meditation, acupuncture, all therapy and counseling services should be performed with a licensed professional counselor or mental health specialist.Learn More
Social Anxiety Therapy
by Counseling and Wellness Center of PittsburghApril 2, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, social anxiety, social anxiety therapy, therapist0 comments
Social Anxiety or Social Phobia
Social and anxiety or social phobia is a kind of anxiety disorder in which the person experiencing the anxiety is fearful of experiencing embarrassment in social situations. According to epidemiological statistics this disorder has a lifetime prevalence rate of as much as 3-13%. Researchers have also noticed a strong family component to this disorder meaning that social anxiety or social phobia occurs with more frequency in first degree relatives. The onset of this particular kind of anxiety disorder is often in the teen years and can sometimes result after having experienced humiliation an embarrassing social situation.
According to the Diagnostic and Statistical Manual IV, this fear is very marked and when a person thinks about performing, speaking, or interacting in a social situation they may notice the fear response and or anxiety onset immediately in the form of sweating, heightened heart rate, increased respiration as well as cognitive responses such as worry and fearful thoughts. The symptoms of social phobia are marked and the person experiencing them recognize that they are excessive fears. An example of social phobia or anxiety is that person is terrified that if they speak up in class that they may blush and others will then see it and laugh at them. As you can imagine this can cause impairment in academic functioning and in many instances the person will avoid the possibility of enduring such a response and could skip class or even drop out of school. Some individuals with a social anxiety may be able to face the feared situation with distress.
Treatment for Social Phobia often involves therapy with a licensed professional counselor or licensed therapist. Counseling has many clinically verified treatment methods which are scientifically validated to reduce the anxiety related to this disorder and help individuals experiencing social anxiety to live normal healthy lives. Mindfulness based stress and anxiety reduction techniques including integrative medicine, medication therapy, meditation, acupuncture, diet, and exercise may also be helpful in treating this anxiety disorder. Please talk to your medical or licensed mental health professional to see which of these would be the best option for you.Learn More
Generalized Anxiety Therapy
by Counseling and Wellness Center of PittsburghApril 1, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, psychotherapy, searching for a therapist in monroeville, searching for a therapist pittsburgh, Therapy and Counseling For Anxiety, therapy for anxiety, therapy pittsburgh, wellness0 comments
Generalized anxiety disorder is a mental health concern which brings many people into therapy each year. As many as 1/4th of people who seek treatment in counseling centers each year do so as a result of wanting to manage symptoms related to Generalized Anxiety Disorder or (GAD). Signs and symptoms of Generalized Anxiety Disorder are free floating thoughts and worries that are not related to a real imminent danger. Those who experience generalized anxiety disorder may find it difficult to distinguish between thoughts and fears which are related to a real possible danger or threat and one that is not. The thoughts, fears, and worries of Generalized Anxiety Disorder co-occur with physical somatic responses such as elevated heart rate, fatigue and restlessness, and or difficulty falling and staying asleep. Individuals who are experiencing this anxiety disorder may also be prone to irritability and may too have a higher incidence rate of other mood and mental health disorders including other anxiety disorders, or depression and substance abuse disorders.
A woman suffering from GAD may say something like “I was always on edge, it was difficult to pin point when the worrying started but it felt like it was one thing after the next. I was worried about getting into college, then how I would manage student and work life after, each test and paper caused me endless worry. It wasn’t just with school either, everything from traffic, to my parent’s health, I wasn’t even able to see the way it was effecting me until things became so bad that I wasn’t sleeping well and started to really feel down. Then I found a therapist and started working on treating my anxiety and along with that I was able to identify how much it had taken over my life.”
Some of the diagnostic criteria for GAD according to the Diagnostic and Statistical Manual, are as follows; Excessive worry for at least 6 months.
The person experiencing the anxiety is not able to control the worries or change the focus of their thoughts. Additionally these worries are accompanied by physical sensations or somatic responses including at least 3 of the following; Restlessness, Fatigue, Concentration difficulties, Irritation of Mood, Tightness in the Muscles, Sleep Cycle Disruptions including Difficulty staying or falling asleep. Remember these symptoms cause significant distress in social, family, or work life and are not caused by another disorder or use of substances. Only a licensed professional counselor, psychologist, or psychiatrist can help you to discern whether you are exhibiting or experiencing the full range or concerns which may mean you qualify for a diagnosis which will then help to guide the treatment for the anxiety disorder.
Treatment for generalized anxiety disorder often involves many therapy and counseling options. Many forms of psychotherapy including, cognitive behavioral therapy, psycho-dynamic therapy, brief solution focused therapy, acceptance therapy, gestalt therapy, rational emotive behavior therapy, are all valid methods to treat anxiety disorders and manage the symptoms associated with it. In other instances, counseling may be used alongside medication therapy, integrative medicine, including mindfulness and meditiation, to achieve a significant and long lasting reduction in the symptoms of anxiety.
Counseling and Wellness Center of Pittsburgh and Monroeville
830 Western Avenue
Pittsburgh Pa 15233
2539 Monroeville Blvd
Monroeville PA 15146
Post Traumatic Stress Disorder Therapy and Counseling
by Counseling and Wellness Center of PittsburghApril 1, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, help for anxiety, licensed therapist monroeville, licensed therapist pittsburgh, post traumatic stress disorder, ptsd, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapy, Therapy and Counseling For Anxiety0 comments
Post-Traumatic Stress Disorder
Post-Traumatic Stress Disorder is a form of anxiety disorder which stems from exposure to a traumatic event or situation which caused real or threatened injury to and this can also be caused by the witnessing of an event or situation which injured or threatened injury to another person. According to the DSM IV, there is a lifetime prevalence rate of about 8% for the development of PTSD. Muggings, rape, terror, hostage attacks, natural disasters, car accidents, are situations that can increase the likelihood that a person may develop PTSD.
As a therapy practice which also specializes in marriage and family counseling, we support the research which suggests that individuals who have experienced an infidelity in their relationship may also go on to develop symptoms of PTSD or Acute Stress Disorder.
There are certain occupations which put people at risk for developing Post Traumatic Stress Disorder by exposing them to frightening and dangerous situations. Those who work as military/armed forces, policeman, fireman, and detectives may be particularly vulnerable for developing PTSD. Finally, there is a second form of PTSD, Vicarious or Secondary trauma, this form of trauma is caused by exposure to information related to traumatic events and is commonly seen in therapists, social workers, attorneys, judges and persons who offer support and services to those who have had trauma.
The Diagnostic Criteria for PTSD are;
- The person has witnessed, was confronted with or in some way threatened with death or serious injury to the self or others.
- The response to this event or threat was intense fear, horror, anxiety, and or helplessness.
- The events is then continually and persistently re-experienced in the form of imagery, thoughts, perceptions, the person may also experience frightening and recurrent dreams related to the traumatic event. The person will then attempt to avoid any associated triggers of the event and have an over all numbing and or a hyper-vigilance meaning they become hyper-aroused when exposed to triggers for the trauma. They also may have difficulty falling asleep, concentrating, regulating mood, and have an increased startle response. Individuals exposed to trauma may too are also at increased risk to develop mood disorders such as depression and are also at increased risk for developing substance abuse.
Treatment for Post-Traumatic Stress Disorder often involves Trauma Focused therapy with a licensed professional counselor or therapist as well as medication therapy in certain instances. Another form of therapy which has proven effective in clinical models is EMDR.
Obsessive Compulsive Disorder OCD, Therapy and Counseling
by Counseling and Wellness Center of PittsburghMarch 16, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, Help for obsessive compulsive disorder, licensed therapist monroeville, licensed therapist pittsburgh, obsessive compulsive disorder, OCD, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapist in murrysville, therapists, therapy, Therapy and Counseling For Anxiety, therapy for anxiety, therapy pittsburgh0 comments
Obsessive Compulsive Disorder
Obsessive compulsive disorder is a type of anxiety disorder which afflicts .5-2.5% of the population. The disorder greatly effects the quality of life for the sufferer and becomes a consuming pattern of anxieties and rituals which are centered around both obsessional worries and compulsive behaviors. Most of the individuals who have this disorder at one time or another acknowledge or have insight that their worry is excessive or disproportionate to the actual fear or anxiety. An example of someone who may be experiencing Obsessive Compulsive disorder is that “It started when I was in my mid 20’s, I was always worried that I would get something wrong, I made lists so I could try to manage my daily living tasks. Soon lists became my life, I would write a list of everything that I needed to do while I was in the shower, then I would check the list 3 times after writing it, to be sure that I did get everything right. Then I would reread my list again 2 times before entering the shower and read it out loud, If I didn’t perform this task I was simply unable to take my shower for the day because I would lapse into such overwhelming anxiety.”
Some examples of symptoms and behaviors association with this disorder are as follows
according to the Diagnostic and Statistical Manual;
That the individual has either obsessions or compulsions and which the definition of these are;
- Thoughts which are recurring and persistent including images or impulses, these impulses are distressing and cause impairment including anxiety.
- These impulses, thoughts and images are not related to a threat or worry about a real life problem.
- There is an attempt to repress and ignore the distressing images, impulses and thoughts.
- The person who is suffering from this disorder is in recognition that these fears are in fact a product of his or her own thought process.
Compulsions are defined as
- Repetitive behaviors (e.g., checking, cleaning, cleaning,) and also cognitive acts such as (ie, ritualized prayer, tracing in the mind, taking count of objects or steps) the person feels compelled to enact the behavior in response to the obsession in a system of self created rules.
Obsessive compulsive disorder is a treatable anxiety disorder, the best form of therapy often involves both pharmacology including SSRI’s delivered in conjunction with long-term psychotherapy. Cognitive behavioral therapy has proven effective in managing the symptoms associated with this diagnosis as well as Behavioral Therapy such as Exposure therapy are all effective treatment or counseling models to progress beyond this disorder and take back control over life.Learn More