How to Manage Holiday Expectations

The holidays are coming! Here in the United States, Thanksgiving is right around the corner and all the other winter celebrations are soon to follow. I’ve come to love the holiday season because it means spending time with family, eating good food and enjoying social gatherings—but it wasn’t always that way.

I can remember as a child having HUGE expectations for what I felt the holiday “should be.” Most of the time life didn’t meet my expectations. Things were usually pretty good, but I wanted things to be perfect. In my fantasy, I’d get all the gifts I asked for, my siblings wouldn’t tease me, we’d bake pies and cookies and no one would get yelled at or get in trouble. We’d be the perfect family celebrating the perfect Christmas. As you might expect, I was often left feeling disappointed.

Perfectionism and Expectations

Perfectionism and having high expectations are a couple of ways we try to manage our anxiety about things we can’t control. We tell ourselves that if nothing goes wrong, then we won’t feel bad, things won’t be uncomfortable, nothing will derail the holiday spirit.

The unspoken expectations are especially hard for us and our relationships. We want others to know what we need, but we might not know how to ask. Then, when our expectations aren’t acknowledged or met, we feel hurt, unseen, underappreciated…. But how can others meet our expectations if they know nothing about them?

If we hope that the people in our lives who care about us will be able to intuit—just know—what we need, we’re giving them a lot of credit for mind reading or picking up on subtle or passive clues. Most people aren’t that attuned or gifted!

How to get your expectations met

I’ve found that for holidays and celebrations to feel enjoyable and less stressful, it’s up to me to know what I want and need, and to share that with others. I’m working to be in the moment so I can experience what’s happening right now (managing my expectations) and asking for help when I need it (asking for what I need).

Here are five suggestions to help you feel more at ease and enjoy this holiday season and beyond:

1. Take some time to listen to You. What expectations do you have? What are your hopes?

2. Ask yourself in the moment, are my expectations realistic? Am I sharing my expectations with others?

3. When you’re feeling resentful, underappreciated, frustrated or unseen, ask yourself, “What do I need right now?” Maybe you need help setting the table, or shopping for your partner’s mother’s gift. Who can you ask for help?

4. When you’re tired, overwhelmed or stressed, ask yourself, “What can I give to Me right now?” Maybe it’s rest, or a drink of water or hot tea. Maybe it’s pausing and taking a deep breath. Maybe you need a hug. Can you find a way to give yourself what you need in this moment?

5. Take some time to savor the good. Can you see colorful leaves on the trees or ground? Or snow sparkling in the sunlight? Did your child or pet snuggle up next to you just as when you were about to go do more—and did that allow you to pause and connect for a moment? Or maybe you noticed you were tired and went to bed early instead of scrolling social media. Try to be present with that good feeling for a few minutes.

You may feel holiday stress, because the holidays are stressful and we’re all carrying a lot more additional stress coming into the holidays this year. Still, when we manage our expectations and we voice our needs to ourselves and others, we can reduce the stress and enjoy the moments that are happening all the time, right now.

Using Meditation and Mindfulness to Manage Anxiety

If you’ve listened to the Woman Worriers podcast, or read some of my blogs, you know that I credit my mindfulness and meditation practice for helping me manage my anxiety, stress and feelings of overwhelm.

Before I started meditating, I was sure I’d never be able to clear my mind of worry and thoughts. Although I’d heard others talk about the benefits of meditation, I was skeptical that it would do anything for me.

I wasn’t sure I could sit quietly for very long. And then to try to clear my mind of any thoughts or worries? Forget it! But I’ve learned there’s so much more to a mindful meditation practice.

What meditation is and isn’t

Meditation and mindfulness are not a magic pills that take the anxiety away; rather they’re  practices that help you become more aware of your anxious feelings. Meditation and mindfulness can help you get to know your inner self—your more genuine self—with more clarity, and they can bring more ease into your daily life.

As I read more and listened to mindfulness and meditation teachers’ presentations, I got curious. A therapist I was seeing at the time loaned me the book Wherever You Go, There You Are by John Kabat-Zinn, and I was intrigued. I began exploring other resources and talking to more people about how I could get started.

Listening and learning about mindfulness

My regular practice began when I purchased Self-compassion Step by Step by Kristen Neff and Meditation and Psychotherapy by Tara Brach, from Sounds True. These CDs of educational talks include meditations that you can follow along with during the teachings.

With those purchases I also received a free CD of guided meditations. It was a sample of seven or eight meditations with different teachers. I copied the CD into my iTunes and used it regularly. 

By listening to the CDs, I learned that mindful meditation isn’t about clearing your mind of worries and thoughts, it’s about being aware of where your mind goes—all the time. It’s normal for our mind to wander, and we can learn how to bring our attention and focus back to an anchor, like our breath or sounds or a mantra. I like to think of it this way:  Each time I bring my mind back from wherever it went, I’m teaching my brain what it feels like to live in the present moment, instead of being stuck in the worry and stress.

The courses I purchased through Sounds True taught me how to use meditation in sessions with clients because they taught me how tolerate my own difficult feelings by using self-compassion practices. I can say wholeheartedly that the work of Tara Brach and Kristen Neff have impacted my client’s lives just as their teachings have changed my relationship with myself in very meaningful ways.

Continuing the meditation journey

At the beginning of my journey with mindfulness, I moved in and out of meditation, sometimes practicing regularly, and at other times not practicing at all. When you’re learning on your own, without a group, it can be hard. It’s so easy to get caught up in something else.

Although I don’t use the free meditations that I got from Sounds True anymore, I do practice regularly. And I notice it when I don’t.  I feel as if something is missing, and y body yearns to get back to the practice. I’ve taken some amazing courses, joined meditation groups, interviewed meditation teachers and bought lots of books to help me sustain the work. 

I was honored to talk with Tami Simon, the founder of Sounds True, on the Woman Worriers podcast. We explored what inspired her to create the platform, how her journey has helped her to find a sense of belonging in the world and the universe, and how she sees the company moving forward.

I respect and value the resources that Sounds True offers and decided recently to team up with them, so the Woman Worriers podcast is now an affiliate partner. If you use my link, a portion of the proceeds from anything you purchase will go to fund the podcast.

I love podcasting and it takes time, energy and money to continue to do it well, and to offer you a meaningful experience, with good sound and careful editing. With support from other resources, like Sounds True and Audible, I can continue to do the work I love and share it with the world!

Here’s the link to use to check out what Sounds True has to offer and to support the Woman Worriers podcast: https://www.soundstrue.com/store/#ecush

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety contact me!

How To Recognize Stress When You're Stuck At Home

I experience anxiety, I’m an introvert and I recognized later in life that I’m also a highly sensitive person (HSP), so it’s not surprising that I usually spend a good amount of time alone. With the current physical distancing and stay-at-home restrictions here in my home state of Maryland, the pace of my days is a little slower and I’m spending even more time at home.

I’m not a big fan of exercising in a gym with a lot of other sweaty people. Stadium music events stress me out, and shopping at a crowded mall or store isn’t my idea of fun. So, although this time of enforced quarantine is really hard, being at home is not a problem for me.

Make no mistake—I miss traveling, seeing my kids, my family and my friends and being able to go out without worrying about the virus. But I recognize that some time spent alone is actually good for my emotional state.

Stress and anxiety as background noise

Unfortunately, I’m not spending more time at home by choice. Although I’m not dying to go to the gym, I’d like to be able to go to a store without worrying about coming home contaminated. That feeling of powerlessness can add an underlying level of stress to my life.

I’ve taken up journaling each night before bed. Lately I’ve noticed a low level of anxiety that’s with me at the end of each day. It’s as if my body is saying, “There’s another day/week/weekend ahead where you have to be alert and careful. Stay on guard.”

It’s not surprising that some nights that I feel like I dream all night long and others where I toss and turn or wake up in the middle of the night. Fortunately I sleep soundly some nights, but I’m always tired when I wake, so I know my body is holding on to stress all the time.

Tips For Managing Stress In Troubling Times

If you can relate to my experience, or even if you’re feeling pretty good, you can incorporate a few things into your life to help you better manage the constant underlying stress of living in a time of crisis.

Be kind to yourself.  I’ve seen people posting on social media that this as a period of increased creativity and productivity—but if you’re not feeling productive or creative right now, know that you’re not alone. Stress and anxiety make it very hard to find the mental energy and mindset for anything other than survival. So, be kind to yourself. Remind yourself that you are where you are, and that you’re doing the best that you can right now.

Be kind to yourself 2.0. You might also find that you’re falling back into old roles, habits or behaviors you thought you’d changed or modified. Know that it’s not unusual for this to happen. We can easily revert back to old ways of coping with our stress because those old ways of being and doing worked in the past to help us feels better.

I’ve been comfort eating—consuming more carbs than usual—and it is comforting! You might be drinking, using other substances or eating more or less than usual. Or maybe you’re on your phone or other screen more than you’d like to be, or ignoring your kids, or playing more video games than usual to help you relax. Try being kind to yourself in this time, no matter what. We’re in a state of crisis, and adding harsh self-criticism to the mix will only make you feel worse.

Get some fresh air. Being inside might feel safer or less scary, but your body craves nature to help it balance and reset. Find a place where you can feel the ground under your feet, wiggle your toes and stand barefoot if possible, so you can really feel connected to the earth. Imagine you are rooted to the ground, like a tree. Take a few slow deep breaths and notice the air as it enters and leaves your body. Allow yourself to be here for a few minutes before moving on to whatever is next.

Set aside five minutes each day to journal. Taking pen to paper can calm your nervous system without you having to do anything else other than write or draw. Here are a few prompts to get you started:

• What’s happening in my body right now? Get curious and use words or images to describe how your body feels right now.

• What did I do today? It doesn’t have to be profound. Write as much or as little detail as you like.

• How am I feeling right now? Tired? Anxious? Relaxed? Write how you’re feeling and try not to judge a feeling as “good” or “bad.” If you find you’re judging your feelings, journal a reminder that everyone has all the feelings all the time.

• Let it flow. Write about whatever comes to mind.

• Make note of three things you’re grateful for that day. They can be big things or small ones, like seeing the sun shining through the window. Research shows that gratitude practices can reduce depression and anxious feelings.

Laugh out loud. Watch a TV show, YouTube video or Instagram post that gets you laughing out loud. Laughter relieves the stress response, massages your internal organs and can stimulate your circulation and relax your muscles. So get those laughter juices flowing!

We will move through this. Taking care of yourself while we do is good for your body and mind.

Are you doing some fun, outside the box, creative things to de-stress? I’d love to hear about them and include them in a podcast episode!

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress, contact me!

5 Tips For Managing Your Anxiety About Coronavirus

The coronavirus, or COVID-19, is all over the news. Everywhere, we see evidence of people’s fears about the virus. Hand sanitizer is hard to find. Organizers are cancelling conferences and events. When I traveled to the west coast last weekend, I saw many people at the airport wearing masks over their nose and mouth.

According to the Centers for Disease Control and Prevention (CDC), the reported cases have ranged from mild symptoms to severe illness and, in some instances, death. Symptoms may appear from two days to two weeks after a person is exposed to the virus. Symptoms include fever, cough and shortness of breath.

COVID-19 is a lot like the flu except it’s a new virus—one that got transmitted from animals to humans—and we don’t have a vaccine yet. So that is a little frightening.

But, it’s hard to know how concerned we should be. Some news reports leave me worried and scared, and some leave me reassured and wondering why we’re all in a panic.

The hardest part of getting sick is that we have very little control over whether we get sick. Our lack of control can make the worry, stress and anxiety much worse. So, how do we manage our stress when we can’t control an outcome?

There’s no tool that can take the COVID-19 worries away. The virus is out there. But you can do a few things to help you feel more grounded and present, and hopefully reduce your stress in the moment.

1. Wash Your Hands

The CDC recommends washing your hands as one of the best means of prevention—much better than wearing a mask. On the other hand, if you’re sick, wear a mask and keep your germs to yourself.

And you can make washing your hands a mindful moment. Experts recommend that you should wash your hands for at least 20 seconds to rid them of germs. As you’re counting down the time, listen to the water as is flows out of the faucet, smell the soap’s fragrance, watch it lather and notice the feeling of the lather in your hands. As you rinse your hands, watch the lather flow down the drain. When your minds goes to worries or stress about the coronavirus, bring your attention back to the sensations of washing your hands.

2. Stop Touching Your Face

The CDC also recommends keeping your hands away your face. Let me tell you, this is really hard. I’ve caught myself picking something out of my teeth with my finger (I know, TMI) and rubbing my eyes without any thought to all to the germs that might be on my hands. Try not to judge yourself too harshly if you forget, too. We’re human and we have a lot of habits that aren’t easy to break.

3. Avoid Information Overload

A lot of information is flying around out there, so managing your information intake is important. I try not to check the news about the virus more than once a day, but someone or something can bring me news even when I’m not looking for it. 

If you do hear disturbing facts or updates about the virus, remind yourself that there are some things that you can’t control and that you’re doing the best you can to control the things that are within your power to control.

4. Breathe Deeply

A few deep breaths can calm your nervous system and boost your immune system. A few times a day—especially if you feel stressed—take three slow, deep breaths. Fill your lungs, back and belly when you inhale. As you exhale, let your breath out slowly, making a sighing noise—haaaaaahh.

5. Take Care of Yourself

From news reports, most hospitals and doctors’ offices want you to stay home if you’re sick, UNLESS you’re having difficulty breathing and/or your fever is very high.

If you do get sick, don’t panic. Most people who get the virus don’t die. Take care of yourself and do all the things you’d do if you got the flu. Drink a lot of fluids. Keep your fever down and get lots of rest so your body can heal.

If you have a compromised immune system or existing lung issues and you think you have COVID-19, communicate with your doctor so you can get the help you need.

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress, contact me!

How to Survive Seasonal Stress

Whether you’re celebrating a holiday or not, this time of year can feel really stressful. You usually see signs of Christmas everywhere you go. The music, the ads, the decorations can all feel like a little too much—or maybe a lot too much!

You might not be feeling much of the holiday spirit. This time of year can bring up painful memories and feelings of loss, loneliness and sorrow. If the holidays are difficult for you, know that you’re not alone. Although it might feel like the whole world is having a great time and you’re the only one not filled with holiday joy, know that others are struggling, too.

How mindfulness can help

“We can only be said to be alive in those moments when our hearts are conscious of our treasures.”

— Thornton Wilder, from The Woman of Andros

Mindfulness can help you get out of your head where the planning and scheduling, the sadness, the worry, and the distress all live.  Mindfulness creates more space and awareness for what’s going on right here, right now. I wrote the blog post Staying Mindful Through the Holidays a couple of years ago because I know how hard it can be when the holidays feel overwhelming.

If the holidays are hard for you, or even if you absolutely love them, take some time to feel whatever it is you’re feeling without judgment. Take some time to be kind and compassionate with yourself.

My wish is that, over the next couple of weeks, you can also find some time to relax, take care of yourself, enjoy the people you love, and find small (and big) moments of gratitude and joy. Here’s another link to the post:
https://www.progressioncounseling.com/blog/staying-mindful-through-the-holidays

My recent podcast episode, How to be Mindful this Holiday Season offers even more tips.

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979.

The Best Gift You Can Give Yourself This Holiday Season

Between working, preparing for the holidays, maybe taking care of family or friends and doing the everyday things that need to get done, chances are you haven’t been doing a great job of taking care of yourself.

Sometimes we’re so used to caring for others that we’re not fully aware that we’re neglecting ourselves. How do we know we’re not taking good care of ourselves? Here are a few signs that it’s time to give yourself the gift of some self-care—and some suggestions for how to do it.

1. You’re exhausted all the time.
It’s normal to feel more tired than usual during the holidays, when we’re extra busy—but if you’re having a hard time getting out of bed or staying awake throughout the day, you might be over-stressing your system.

Our body and brain need rest to reset each day. If you’re not sleeping well, try taking some time to rest. Lying down for 10-15 minutes without doing anything—even if you don’t sleep—can help your body recharge.
 

2. You hate the holiday season.
For some of us, the holiday season isn’t filled with joy and laughter. Maybe your memories of past holidays weren’t great, or maybe the idea of seeing some family members leaves you feeling stressed. Whatever the reason, it’s okay not to love this time of year, but it’s all the more reason to do things that you do enjoy! Take some time to watch a movie, listen to music, prepare a good meal, travel, hang with friends or take a walk in nature. Do things that nourish you.

If you do have to spend time with people who leave you feeling less than joyful, set some limits on how much time you need to be there. Maybe have separate transportation so you can leave when you’re ready. Maybe you stay for one day instead of a whole week. Think ahead and remind yourself that setting limits can be very healthy and good for us!

3. You frequently feel resentment, anger or frustration this time of year.
If you’re the kind of person who always puts other people’s needs ahead of your own, if you’re a people pleaser or  a constant caregiver, the holidays can bring up a lot of stuff! We can get overwhelmed easily and feel resentful and underappreciated. Life is busy enough without the holidays, so adding more to the to-do list can feel like a burden.

People pleasers and people who gravitate toward caregiving for others often have a hard time asking for help, taking time for themselves and saying “no.” But when there’s so much to do this time of year, the best way you can care for yourself is to set some realistic limits on your time and energy. Take some time to consider how you can support yourself. Don’t say “yes” right away. Pause and ask yourself if this next thing will over-stress you. Could family or friends help with whatever needs doing? 

What’s are your clues that tell you it’s time to tune in to yourself? You can give yourself so many gifts:

• Paying attention to your needs

• Taking time to rest

• Nourishing your body

• Doing the things you love

• Setting boundaries

• Asking for help when possible

You also can check out more ways to manage holiday stress on episode 83 of the podcast.

Here’s hoping your holiday is filled with whatever self-care you need!

Making Friends With Your Inner Critic Can Ease Your Anxiety

When you make a mistake, are you overly critical? Do you blame yourself for even the smallest mistakes? That’s your Inner Critic talking. It’s the part of you that wants to point out your faults, to warn you about your potential mistakes in the future and remind you of all your mistakes in the past. It’s the part that expects perfection and won’t accept anything less. It’s the part that believes it can read other people’s minds to know what they’re thinking and feeling about you. Focusing all your attention on your Inner Critic can make you feel really terrible.

Why Do We Believe Our Inner Critic?

On this week’s Woman Worriers podcast, I spoke with Michelle Richardson about Internal Family Systems (IFS), or “parts,” model of therapy. She explained that IFS is based on the idea that each of us has many different parts inside us and they all serve a purpose, although sometimes it’s difficult to figure out just what that purpose is. 

Why do we bully ourselves?

So, why are some parts of us so mean and unforgiving? We all have an Inner Critic, but for some of us that critical part is much louder and meaner than it is for others. A loud Inner Critic can make you feel anxious or depressed by telling you that you aren’t living up to others’ expectations. I doubt you would ever be that hard on a friend or family member—or anyone other than yourself. 

Many people believe that without their Inner Critic, they’d never get anything done. It’s the part that always reminds them of the things they didn’t do. The reality is, bullying doesn’t make you more productive. In fact, research shows that bullying in the workplace lowers productivity and increases depressive symptoms. Research has also shown that self-criticism goes hand in hand with social phobias and depression. Self-criticism also seems to increase the severity of combat-related post traumatic stress disorder  (PTSD), eating disorders and body image issues.

What’s The Purpose Of Our Inner Critic?

So, if our Inner Critic leaves us feeling bad about ourselves and increases the risk of some mental health disorders, can we learn anything from listening to that part of ourselves? Is it possible that the critical part of you come from a place of good intent?

If you approach the Inner Critic from the IFS model, you begin to understand that your critical part is working really hard to protect you from harm. It says all those mean things with the best intentions. It truly believes that it’s helping you.

So how do we get the Inner Critic to quiet down? To be less critical?

Tune In, Get Curious, And Be Compassionate

Tune in. The first step is to really tune into the Inner Critic. Try to draw a mental image of, or actually draw, that part of you. How old does it feel? What does it look like? Does it sound familiar—like a person from your past, a parent or an ex-partner—or like someone currently in your life?

Get curious. As you begin to have a clearer picture of that critical part, the next step is to start noticing, without judgment, how often it shows up. Does it chime in when you make mistakes or when it worries about being judged? Does it tell you to avoid new places and situations? How often is it present? Does it show up once in awhile, or is it a constant stream of negativity?

Ask some questions. You might notice that the critical part hangs around a lot, especially if you’re feeling anxious or depressed. The next time you hear your Inner Critic, here are some questions you can ask to help find out more about it:

• “What does my Inner Critic need me to know?”

• “What is my Inner Critic afraid might happen?”

• “Is there another part that’s showing up?”

You can also explore your parts with creativity too. In episode 55 of the Woman Worriers podcast I talked with Jennifer Wolfe-Hagstrom about using SoulCollage® to explore all of your parts.

Love all your parts

Use compassion and curiosity. As you take time to listen, see if you can be compassionate, present and curious. Would you like to ask that part some other questions? Each time your critical part answers a question, let your Inner Critic know that you heard what it said.

You’ll probably learn that your critical part is reacting from deep-seated fears. It’s trying to protect you from future harm. It wants to keep you safe. It wants to protect other parts of you from getting hurt. When you learn that the critical part wants to protect you and your wounded parts, you may feel less likely to tell it to shut up and leave you alone. You might even begin to feel some compassion for the critical part because it’s always responding from fear, and it works really hard.

Listen and respond. As you become more familiar with when and how your critical parts show up, you can start responding differently. You can take a deep breath and say something like, “I hear you. I know you’re worried that I’ll make a mistake or get hurt by others. Thank you for worrying about me. Can you step aside while I decide what I’m going to do?” You’re telling that part that you hear it. With compassion, your more grounded self is asking your critical part to trust you to take care of it and all your other parts.

Talking to your Inner Critic takes a lot of practice. I bet that part has had your ear for a long, long time. With practice, you’ll find it’s easier to notice when it shows up and easier to get it to calm down as you try new things and maybe even have fun doing them!

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger, creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979.

Medical Anxiety: When We Worry About What's Going On Wtih Our Bodies

Anxiety comes from many sources: old physical and emotional wounds, trauma and childhood emotional neglect, just to name a few. The feelings from these issues are often buried below the surface, and anxiety bubbles up when we feel distressed.

Other times, our anxiety stems from things that are much more tangible, like infertility, miscarriages or medical conditions that we have little control over. On the Woman Worriers podcast these last two weeks, we explored how polycystic ovary syndrome (PCOS) and infertility can impact women’s anxiety, their health and their sense of self. These and other medical conditions can leave us feeling anxious and depressed and can cause strain in our relationships. 

We end up feeling like our bodies are the enemy because they’re not conforming to societal and biological norms. Our sense of control and well-being is disrupted when medical conditions impact how we feel about our bodies. These concerns can shake our sense of self and leave us feeling like we no longer “fit-in” or that there’s something “wrong” with us.

Suffering In Silence

Dealing with very personal medical problems is especially hard because talking about them can make us feel uncomfortable and vulnerable. We’re not sure how others will react. We’re not sure if we even want to share what’s happening. We end up feeling isolated and alone. This can be especially the case if, when we seek medical help, the healthcare provider isn’t able to diagnose and treat your condition right away or dismisses your symptoms. That can leave us feeling as though maybe we’re imaging the problem.

 I’ve heard stories from women whose physicians told them that their fatigue, their physical pain, or their menstrual cycles wouldn’t be a problem if they’d just loose weight, gain weight, take better care of themselves, not worry so much…. And while all of those things might cause other medical issues, these women had diagnosable conditions that were ignored or the women were blamed for the symptoms by doctors who didn’t take time to listen and look for a cause.

We’re left feeling like it’s all in our head, or our body is the problem. If it would just stop feeling so _______ (you fill in the blank) we’d be fine.

Don’t Assume It’s Your Imagination

But women are prone to get certain medical conditions that are often overlooked. Many women’s-health issues are under-researched and physicians receive little education about them. If our physician isn’t willing to dig a little deeper, we’re left to figure it out for ourselves.

Reach out for support

I can remember when my peri-menopausal symptoms began. I was convinced I had early-onset dementia. I was so forgetful and clumsy. It was hard to focus my attention on anything. I was scared, and scared to talk about it. In my worried mind, I would go over and over whether it was better to know if I had dementia and live accordingly or better to move forward in ignorance and just live my life.

I finally talked to my sister, who is older than I am, and she shared some of her friends’ experiences with menopausal symptoms. I realized the forgetfulness and clumsiness were frustrating but temporary. I was relatively young to be starting menopause, so I didn’t have friends who had gone through it. I had no idea how impactful hormonal changes could be on my mental health. If I hadn’t talked about it, I would have struggled through that time being more anxious and worried than I needed to be.

Reach Out To Resources

If you feel that your symptoms aren’t being taken seriously and there are medical issues you’re concerned about, keep pushing for better answers. Ask for help if you feel the process is causing you to feel anxious or depressed. Explore online forums, ask friends, search out non-profit organizations and mental health clinicians that can work with you.

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress, contact me!

5 Paths To Discovering Your Body’s Wisdom

Connect with your body’s wisdom

Our bodies hold so much wisdom, intuition and awareness of how we’re feeling—yet we’ve become unaccustomed to listening or paying attention to what it’s telling us. Round-the-clock access to social media, news and entertainment can keep our attention and energy focused outward, increasing our lack of connection with our body and our desire to tune out instead of tune in.

Building a connection with the internal world of your body can help you heal from trauma, childhood emotional neglect and difficult life experiences. It also helps you feel more at peace and builds compassionate acceptance of self. 

Practicing mindfulness can help ground you.  As you start paying attention and become more aware of your body’s sensations, you grow more used to them—and more comfortable with the feelings that bubble up.

You might begin to recognize that some of those feelings are from long ago—that you’re not actually experiencing the pain right now, you’re just remembering. The growing awareness reinforces your understanding that the sensations and feelings in your body come and go all the time. Knowing that helps us feels less stuck.

Here are five ways to help you tune in to your body:

Yoga and meditation can help you connect with your body

1. Yoga: Yoga is a mindful body-based exercise. Throughout the practice you’re checking in with your body, feeling the movement, paying attention to your breath and tuning into where your body is at that moment. Yoga helps you bring attention to the different parts of your body with compassion as you move. There are lots of different types of yoga—Hatha, Iyengar, Bikram, Kundalini, Ashtanga, just to name a few—so if you try one style and don’t like it, try a different one!

2. Body scan: The body scan is a meditation that gradually brings your attention from your head to your toes. This particular mediation has been shown to help people who struggle with chronic pain, but you don’t have to be suffering to enjoy the benefits of allowing your body to be where it is at any given moment, whether it’s relaxed, numb, tense or in pain. You can find a guided body scan here.

3. Meditation: Mindful meditations bring your awareness to your breath or another anchor. Each time your mind wanders, you bring it back to the anchor. As you meditate regularly, you begin to notice that your body reacts when you get caught up in thoughts, worries or plans. Practicing meditation helps you bring your awareness back again and again to a place of non-judgment, of non-reactivity and a place of calm.

4. Mindful walking: When you walk mindfully, you tune in to your body’s movements as you travel. You can do it indoors or out. Your body becomes your focus. You might sense how the earth feels under your feet, how the breeze feels on your skin or the sun on your face. You might notice the temperature of the air, or how your arms move and your hips sway as you walk. Maybe you can even feel some gratitude for the body that carries you throughout your day without you paying much attention to it. Here’s a guided mindful walking exercise to try.

5. Somatic interventions in therapy: If you’ve experienced trauma, you might not feel safe bringing more awareness to your body. Certain forms of therapy can help you get in touch with your body in the safe space of the therapist’s office. The therapist works with you to help you feel more grounded and present in your body. You work at your own pace and explore strategies to help you soothe yourself when you feel overwhelmed.

As with all new things, take your time, explore the different options and be compassionate for where you are on this journey. You’ll begin to open a path to a better understanding of what you’re feeling at any given moment.

In this week’s episode of the Woman Worriers podcast I talk about why body awareness is so vital to creating a better connection with yourself, and I share a guided exercise to help you tune in to your body.

Next week, we dive deeper into finding connection with the body on the podcast with my guest Lynn Fraser.

For readers who live in the Baltimore/Annapolis area, mindfulness groups are now forming for March. If you’re interested, you can find out more about the groups here.

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress, contact me!

A Story of Survival and Healing: A Therapists Journey Into Seeing and Being

*This post was originally published on The Practice of Being Seen blog.

Healing begins when you’re seen. Healing deepens when you see yourself.

Throughout most of my life, anxiety has been a constant companion. As a young child, anxiety was part of my emotional landscape, and it also inflected my physical world. I needed to feel that my body was safe and secure. I’d get my mom to tie the ribbons at the waist of my dresses so tightly that I could feel them cutting into my skin. I couldn’t fall asleep at night unless the covers were tucked so tightly that I felt the pressure of the blankets pushing me into the bed.

As a teenager I often disconnected from my difficult feelings. I wasn’t fully present and it was as if I was in a fog. At other times, it was as if all the wires in my system fired at the same time. When I was stressed and anxious I became hyper aware of my clothes touching my skin. Irritable and angry much of the time, I struggled with depression. All of this confused me. I wasn’t making the connection between the physical sensory discomfort and my emotional discomfort.

I felt like I didn’t fit in. I believed that there was something wrong deep within me and that I was the problem. When I’d try to “fix” that, I’d mold myself to other people’s needs and agree to things I wasn’t sure I wanted. My body would try to get my attention: a heavy tightness would press down on my chest. To this day, that pressure continues to remind me when I’m holding back and not speaking up for my wants and needs.

Surviving Abuse

It’s not easy for me to open up and it takes a lot for me to let down my guard - to be vulnerable, to trust, to be me. So much of that comes back to my childhood. The physical and emotional symptoms that I described didn’t just crop up one day. When we were very young, my sister and I were abused by a powerful man in my family. The abuse was allowed to continue even after my sister and I came forward and told my parents and they consulted with the other adults in the family. It took a huge leap of faith to tell our story, but the adults we relied upon rationalized the abuse. My sister and I were told to figure it out on our own.

We were 4 and 6 years old.

I can picture my younger self in a starchy, smocked calico printed dress. Chubby legs, a smile on my face, wanting to be loved, cared for... I just wanted to be seen, heard, and protected. Instead the message I received was, “Don’t make a fuss! Please, go figure out how to protect yourself.” As we grew older the abuse stopped, but the emotional scars are still present and they show themselves when I’m feeling most vulnerable.

Seeing the Unseen and Hearing the Unheard

I know what it means to feel like no one sees you and no one hears you.  I know the fear of showing my real self. And this is why I became a therapist, because I care so deeply about those who feel unseen and unheard.

As a therapist, I hold sacred space as I see my clients in their most vulnerable moments. I work with women who have trouble showing up as who they really are. They feel inauthentic in their lives and they struggle with anxiety and depression. As we work together, they experience what it’s like when their voices, their needs, their wants, and their pain are finally seen and heard.

Truly Seeing Myself

My own deep dive into therapy has helped me understand my shame and self-blame. It’s helped me to re-integrate the parts of me that I pushed away. I’m able to feel the power of those voices inside me that long to be heard. I’m able to acknowledge the parts of myself that need to have their stories told, shared, and embraced with compassion. I’ve begun the process of listening, loving, trusting, and seeing all of me.

I’m not sure I’ll ever rid myself of the need to protect myself, or the worry that I’ll show myself and there won’t be anyone to see me, but I’ve learned that I can be there for me. I am the one who will be able to see me, to hear me, to support me, and love me.

The abuse I experienced used to feel like a liability, but now I see it as my strength. I am a better therapist because of my story and I appreciate how it’s shaped me both personally and professionally. My clients feel that I truly understand their pain and trust that I can see their true selves in ways that might be hidden from them. I receive their stories with empathy and I support them with encouragement and compassion. As they reach out, as they explore their experiences and move forward on their journey, I continue to grow and heal right there beside them.

**You can hear me read this story aloud on the Woman Worriers podcast, episode 40.

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Elizabeth Cush, LCPC is a therapist, blogger, creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979.  

You can follow me and the Woman Worriers podcast on these social media platforms — Facebook, Instagram, Twitter, Facebook and Twitter

11 Subtle Signs That You Might Be Anxious

Insomnia can be a sign of underlying anxiety

Anxiety doesn’t look the same for everyone. It’s not always obvious. Anxiety can have subtle influences on your thoughts, behaviors and feelings. It shows up in different ways for different people.

The way you were raised, the experiences you’ve had in your lifetime, and your biology/genetics can all affect how you experience anxiety. Those factors can determine when you are likely to feel anxious, what you feel like when you’re anxious and how you respond to situations and things that make you feel anxious. That’s because anxiety is often triggered by an emotional memory that is stored both in the brain and in the body.

Here are a few traits and behaviors that might mean you’re anxious:

1. Procrastination. If you constantly put things off because it feels uncomfortable to move forward, or you worry that you won’t be able to do something “right,” you might be anxious. If you find that you procrastinate a lot, putting things off might be a sign that you have anxiety about your abilities or about being judged by others.

2. Perfectionism. Perfectionism and procrastination sometimes go hand in hand. You want things done perfectly. If you don’t think that will happen, you procrastinate. In reality, sometimes perfectionism leads to over-doing and over-thinking. Giving 110 percent to everything in your life might really be a sign of your anxiety working overtime. Part of you believes that avoiding mistakes, being perfect, going above and beyond in all areas of your life will keep you from feeling uncomfortable. Unfortunately, it often leads to exhaustion and burn-out. 

3. Phobias of any kind. You might be afraid to cross bridges in a car, afraid of spiders or flying insects, or afraid of flying. No matter what you’re fearful of, if it gets in the way of daily activities, it’s probably due to your anxiety about the unexpected the unknown and the unpredictable.

4. Fear of new situations. Do you avoid going places you’ve never been or being with people you’ve never met? It might be that your anxiety is making it hard to be in new situations because there are so many unknowns and things you can’t control.

5. Indecision. Is it hard for you to make seemingly small choices? Do I exercise or not? Should I have the chicken or fish? Do I walk or drive? Sometimes small things can be very difficult to decide when you’re anxious. You feel stuck in the middle, unable to move toward either choice.

6. Irritability. When anxiety starts to bubble up, it can leave you feeling uncomfortable. That discomfort can make you very irritable, especially if you’re trying to control uncontrollable situations. You might snap at your partner, friends or children for no reason at all, except that you’re anxious.

7. Extreme distress when things don’t go as planned. Trying to control people, places and things is a hallmark behavior of an anxious person. You might think, “If I can keep everything under control, then I’ll feel calm.” But life is uncontrollable, so it’s a losing battle. The fight for control usually leads to more anxiety, because so little is really within your control.

8. Insomnia. If you find that on many nights you lie tossing and turning, or just lie in bed awake, it might be due to anxiety. Anxiety can make it hard to turn off your mind and relax your body enough to fall asleep.

9. Worrying all the time. We all worry sometimes, but if you find you worry all the time — and maybe worry about how much you’re worrying — you probably have some underlying anxiety.

10. Assuming the worst. Worrying and assuming the worst are often partners in crime. If you find that you’re always thinking about all of the worst possible outcomes, and you tell yourself you just want to be prepared for what might happen, there’s usually some anxiety there below the surface. The problem is, we can’t control what might or might not happen. All that worrying about bad things just makes you more anxious.

11. Frequent stomachaches or headaches. Anxiety has both emotional and physical symptoms. Frequent stomachaches, headaches, chest tightening, difficulty swallowing, feeling flushed and increased heart rate are a few of the physical symptoms of anxiety. If you’re experiencing one or more of these symptoms pretty regularly, and you’ve seen your doctor to rule out any health issues, you might be experiencing some anxiety.

Anxiety can take a toll on our daily life and our physical and emotional health. You don’t have to struggle with this alone. Know that others struggle, too, and that you can get help. Therapy, mindfulness practices, meditation and medication can help you better manage the anxiety so you can live your life with more ease and contentment.

On the Woman Worriers podcast this week:

If you’re anxious, does that mean you’re an introvert? Does being an introvert means you’re shy? In this episode of Woman Worriers, I talk with Nicole Burgess—a marriage and family therapist and life coach, an empowerment mentor for introverted women, and an introvert herself— clear up many myths and misperceptions about introversion. They also talk about how introverted women can come to find and embrace their unique strengths and find the quiet groundedness they crave.

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If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress, contact me!

What Helps Manage Anxiety During The Holidays?

The holidays can be stressful. Even if Christmas, Chanukah, Boxing Day, Diwali or Kwanzaa is your favorite holiday, this season can add stress to your life. And stress can invite its more difficult cousin — anxiety — to the celebration.

Because anxiety often makes us feel uncomfortable, many of us avoid or fight the anxiety in an attempt to make it stop. Those strategies might work sometimes, but usually the anxiety returns with greater force and can lead to a panic attack.

Below are some strategies to help you manage the anxiety so that you can enjoy the holidays!

Remind yourself that you’re not alone. A lot of people struggle with anxiety during holiday season. Knowing that you share this experience with others can help you feel less isolated and alone.

Acknowledge your anxiety and allow to be there. Think of the anxiety as a message from your body telling you that there’s some kind of danger lurking. Your anxiety wants to keep you safe. When you ignore or avoid it, it just gets louder, because it wants you to pay attention. Practice saying, “I’m feeling very anxious right now.” Or you can greet your anxiety like an old friend: “Hello anxiety. It’s nice to see you again.” Or, “Here you are again.” Then ask it, “What is it that you want me to know?” You might not find an obvious answer right away, but as you get used to talking with your anxiety, it can make the feelings less intense.

Get curious about your anxiety. Notice where you feel the stress in your body and tune into the physical feelings. Can you breathe into that body part? Does is shift or change? Is it hot or cold? If you could assign it a color and/or shape, what would it look like?

Practice self-care. I’m not talking about facials or mani-pedis here — although they sound like great ideas, too. I’m talking basic needs like eating, hydrating, sleeping, exercising and going to the bathroom regularly. When we get stressed, anxious and overwhelmed, it’s easy to let go of or put off the moment-to-moment needs. So, take time throughout your day to pause. Take a deep breath. Ask yourself, “What do I need right now?” Notice how easy it is to tell yourself you don’t have time to pause or to take care of your needs, and then do it anyway.

Practice mindfulness. When the anxiety gets activated, we can get stuck ruminating over past and future events. When you notice you’re stuck in your head—re-thinking, planning, worrying — slow down and bring your attention to your immediate surroundings. It doesn’t matter where you are. You can pay attention when you’re driving, walking, shopping, laying in bed or at work. Tune into your five senses:

• What can you see? Colors? Shapes? Lights? Shadows?

• What can you hear? Horns? Cars? Music? Voices? Wind? Rain?

• What can you touch or feel? Your feet on the ground? The chair under your butt? Your hands holding your keys or a drink?

• What can you smell? Food cooking? Exhaust from cars or busses? Scented candles or perfume?

• What can you taste? Sweet, salty, bitter, sour?

When you allow your anxiety to serve as a reminder that you might need to take care of yourself, it can help you feel less intimidated and overwhelmed when it shows up. I’ve also recorded two podcast episodes to help you manage holiday stress using gratitude, self-compassion and mindfulness techniques.

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979.  

Nine Helpful Tips For Stressful Holidays

Handling The Holidays When You Don’t Feel Like Celebrating  

Holidays can overwhelm

The holidays are here in full force with all the associated decorations, music, advertisements and crowds. For some, the season is a joyful, happy time; for others it can be difficult, stressful, even painful. Lots of articles focus on how to manage holiday stress — how to fit it all in without feeling overwhelmed. This  isn’t one of them. This post is for anyone who is struggling this holiday season.

Maybe your memories of holidays aren’t happy ones. Maybe you’ve lost someone, and celebrating seems impossible. Maybe you feel disconnected and lonely, or you’re living far from family and can’t get back to be with them. Maybe just the thought of spending time with family makes you anxious, depressed or stressed. Regardless of what you’re struggling with, if the holidays don’t seem like a time to celebrate, the constant seasonal reminders can make you feel pretty terrible. Below are nine tips to help you manage your anxiety or depression through the holiday season.

 9 Tips For Holiday Stress

1. Take care of yourself. When we feel down or anxious, self-care is usually the first thing we drop. Taking care of yourself can be as easy as taking a bath, a walk or a drink of water. Whatever you do, it’s important to be kind to yourself when you’re struggling. If you need tips for practicing self-compassion, you can find some here.

2. Manage expectations. Whether you’re spending time with family or friends, or you’re alone for the holidays, it can be helpful to manage your expectations. If your family or your friends are dysfunctional, combative, unsupportive or hard to be around, don’t expect them to be different or the holidays to be amazing. If you have friends who don’t connect unless you reach out first, don’t expect them to reach out just because you’re feeling down. Knowing that the holidays won’t provide a happy elixir to make all your troubles disappear can help you let go of the media’s portrayal of what the holidays “should” be.

3. Create things to do. Whether you’re with family and friends or alone, having things to do can give you a sense of purpose and offer a distraction from holiday “stuff.” Planning a long walk, going to the movies, volunteering or traveling can provide some relief from holiday overload.

4. Limit your exposure. Take your own car or have a separate mode of transportation, so you escape from a holiday celebration early if needed. Knowing you’re in control of when you leave can be very liberating.

5. Find support. Reach out to those in your life who provide positive support if you’re feeling depressed and anxious. Connecting with others can be hard to do if you’re struggling, but it can provide a sense of belonging and meaning.

6. Take time to be mindful. When we’re anxious, it’s often because we’re thinking about past or future events that make us uncomfortable. If you find that you’re rehashing the argument you had during last year’s holidays or worrying about what might happen this year, take a moment to pay attention to where you are. What do you see, smell or hear? What can you touch or taste? Being present in the moment can help get you out of your head and can ground and calm you.

7. Feel what you feel. Allow yourself to feel your emotions. If you’re mourning a loss, feeling lonely, sad, angry, whatever… try not to push those uncomfortable feelings away. Instead, sit quietly for a moment and try to get in touch with them. Acknowledge and allow the pain, sorrow, loss or anger, and offer yourself, as you would a good friend, some compassion and kindness in this difficult time.

8. Pause.  Things can get very busy around the holidays. Taking time to slow down, pause and reflect on your environment and your needs can be very nourishing. A great place to do this is in the bathroom. Take a moment to breathe deeply, look at yourself in the mirror, smile and take another deep breath.

9. Get a good night’s sleep. Your body and mind need sleep to reset. If you’re burning the candle at both ends you probably go to bed stressed and wake up stressed. Make your bedtime routine a priority and try to get seven to eight hours of sleep every night. Your body and brain will thank you! You can find out more about sleep and stress here.

If you feel that managing the holidays seems too hard to do alone, counseling can help. Therapy can give you support, connection and a non-judgmental space to talk about what’s happening for you.

If you’d like help this holiday and aren’t sure if counseling is right for you, email or call (410) 339-1979 to set up a 15-minute free consultation.

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Johannes Hofmann on Unsplash

A Minute of Mindfulness

It Only Takes a Minute

Take time to pause

I created this quick video below to demonstrate how easy it is to be mindful. Wherever you are, take a moment to slow down and tune into the sights, sounds, tastes, smells and touch the things that are there with you in the present moment.

No matter where you are — on the street, in the city or country, forest or ocean side, at home or at work — you can take a minute and pause.

If you’d like to do more meditating and don’t know where to begin I have a FREE guide to get you started! Fill out this form and I’ll send it along to you with a free meditation too!

If you’d like a longer meditation that also incorporates your senses this week on the Woman Worriers podcast I offer a guided imagery meditation using your sensory information to create a calm, safe space.

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo and video by Elizabeth Cush

Does My Sleep Affect My Anxiety?

Anxiety can make a good night’s sleep very difficult. Maybe your mind is on overtime and you can’t fall asleep right away, or you wake up at night full or worry. Or maybe you struggle with insomnia and you’re awake most of the night. No matter what the issue, the lack of a good night’s sleep affects your health and your mental health.

Sleep gives your body and mind the chance to reboot, and just like a computer if there are glitches in the system and you don’t reboot the glitches continue. Maybe your stress carries into the next day. Maybe you’re not thinking as clearly as you would like, and maybe you’re just exhausted.

I can remember having trouble falling asleep as a child being terrified when I was the only person awake at night and I still struggle with sleep from time-to-time, but I’ve learned some ways to help me manage.

In my post for Good Therapy this month, Can Better Sleep Help You Manage Anxiety? I share some well-researched and some common sense tips to help you sleep better, and maybe feel less stressed when you’re not sleeping.

In other news, this week on the Woman Worriers podcast I’m talking to Rebecca Wong, LCSW about relationships, anxiety, boundaries and intimacy. You can find the interview here.

“This is the work of living relationally: To really show up in relationship with our partners and ourselves.”

— Rebecca Wong, LCSW

Also, the Woman Worriers Mindfulness groups begin in this month! Early bird pricing is still available and there are only two  spots left! The group is for you if:

·  You’re always in your head — thinking, planning, reassessing….

·  You believe that your stress and anxiety impact your relationships.

·  Your anxiety holds you back from living your life fully.

·  Your worries wake you up at night or make it hard to fall asleep.

·  You’re tired of your anxiety taking control.

You can reach out if you’d like more information on any of the information above. Please feel free to share this information with anyone who might benefit!

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 Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Zohre Nemati

Manage Anxiety With Mindfulness & Meditation

Meditation and mindfulness can ease anxiety

If you’ve read my blogs or listened to my podcast, you know that I’ve struggled with anxiety throughout my life. I also share that my mindfulness practice, including meditation, has made a huge difference in how I feel and how I view my anxiety. I went from hating my anxiety and avoiding it to learning to appreciate it as my body’s signal that something doesn’t feel right.

Turning toward, instead of away from, the anxiety opens up space to allow the feelings to come and go. Feeling the feelings without judgment allows your body to understand that the situation you’re worrying over isn’t life or death — that it’s not going to last forever. It’s just a worry you’re struggling with right now. That non-judgmental awareness gives you the space to be more present in the moment for whatever is happening right here, right now.

“In the end, just three things matter:
How well we have lived
How well we have loved
How well we have learned to let go”

— Jack Kornfield

Mindfulness can help you learn to live with and allow difficult uncomfortable feelings. It brings a greater awareness of self, and that helps you feel connected to yourself and to others.

3 Mindful Activities For Managing Anxiety

So how do we bring more mindfulness into our daily lives? Here are three tips to get you started:

1. Practice mindful meditation every day.

If you’ve never meditated before, this can be a challenge so start small — five minutes a day. If you’d like help getting started, you can request FREE Get Started Meditating Guide and find some guided meditations here .

The goal of mindful meditation isn’t to clear your mind of all thoughts. The goal is to notice each time your mind wanders and bring your attention back to an anchor of your choosing — your breath, a sound, a sensation or something else.

““If you want to conquer the anxiety of life, live in the moment, live in the breath.””

— Amit Ray, Om Chanting and Meditation

2. Pick one activity a day and single-task.

What is single-tasking? It’s the opposite of multi-tasking! Pay attention to your five senses while performing a single task. You can choose any daily activity you usually do without thinking — like brushing your teeth, washing dishes, driving your car, walking your dog…. You get the idea.

Instead of tuning out or being inside your head or on your phone, bring a mindful attention to the activity. What do you see? What colors, shapes, objects? What can you feel? Do you feel water running on your hands, the ground under your feet, the toothbrush on your gums? What are the smells? Does the soap have a scent, or do you smell flowers blooming? What noises and sounds do you hear? What do you taste? Each time your mind wanders, gently bring your attention back to your senses and the task you chose.

“People usually consider walking on water or in thin air a miracle. But I think the real miracle is not to walk either on water or in thin air, but to walk on earth. Every day we are engaged in a miracle which we don’t even recognize: a blue sky, white clouds, green leaves, the black, curious eyes of a child—our own two eyes. All is a miracle.”

— Thich Nhat Hanh

3. Tune into and name your feelings.

As you begin meditating and being more mindful, you might begin to notice that feelings arise, sometimes without warning. When we’re more in tune with our bodies and ourselves, our feelings become more present. As you notice discomfort or joy, take some time to pause. Feel what you’re feeling. See if you can name what the feeling is, without judgment. Say the name of feeling aloud or to yourself, and see if the word resonates with you. If not, try to pick a different word that might describe what you’re feeling. If you find yourself judging yourself about how you feel, remind yourself, “All feelings are welcome.”

“One is a great deal less anxious if one feels perfectly free to be anxious, and the same may be said of guilt.”

— Alan W. Watts

If you’ve been meaning to start a mindfulness practice but keep putting it off, consider participating in a mindfulness group. Groups forming now will start in the fall. I will be holding Facebook Live events in August with weekly mindfulness tips to help you get you started. You can follow me on Facebook for more information on the live events.

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Antonika Chanel on Unsplash

Perfectionism and Anxiety

Striving For Perfection And Anxiety

Being perfect, never making mistakes or failing, would relieve a lot of stress! You could enter every task or challenge with the knowledge that you would succeed every time. How amazing would it be to be able to let go of all those insecurities, worries and anxieties when new, difficult life events happen? You could live your life with ease.

Unfortunately, if everyone were perfect, life would be pretty boring. We would’t learn or grow, because we’d already know how to do everything. As cliché as it sounds, imperfections make us human and make life more interesting.

Imperfections Can Create Anxieties #youareyourownworstenemy

When we believe that our mistakes reflect poorly on us, and when we feel that other people are constantly judging us for those mistakes or difficulties, it can create a lot of anxiety. You are your own worst enemy, because the perception that we need to be perfect all the time or people will criticize us often sets off a firestorm of critical self-talk:

• I’m so stupid!

• I can’t believe I just made a mistake!

• What is wrong with me? I can’t get this right!

• Now everyone will know I don’t know what I’m doing!

• I shouldn’t have even tried!

• I’ll never do that again!

• I’m an idiot!

I’m pretty sure that you’d never say to others the hurtful things you say to yourself.  But when we feel vulnerable, the parts of us that want to protect us and keep us safe from harm jump in and start yelling. They criticize. They ridicule. Those parts of you believe that if they can get your attention, they’ll save you from making another mistake in the future.

Those self-protective parts think that the self-criticism will keep you on your toes for next time, but they can also encourage you to stop putting yourself out there, to stop you before you make the next mistake. Sadly, instead of making you feel better, fixing what went wrong or helping you learn from your mistakes, the negative self-talk leaves you feeling worthless, less-than and sometimes hopeless.

Soothing Our Critical Parts

So how do we break the cycle of beating ourselves up when we make mistakes? We do it through the practice of self-compassion.

If we can hold ourselves with the same compassion that we show to others, it can reduce stress and anxiety. When we allow ourselves to be imperfect, to embrace our imperfections, we’re able to approach life with more openness and ease.

Here are four steps to help bring more self-compassion into your life:

1. Start paying attention to your negative self-talk. When that negative voice pipes up, ask yourself, with curiosity, what prompted it? Try to identify what that part of you is afraid of or what you are worried about. Sometimes journaling when you’re most critical of yourself can help you identify the things in life that make you feel less-than. We call those things your triggers.

2. Make a note of the negative things you tell yourself and ask, “Would I say these things to a close friend?” If not, then say out loud or write down what you might tell a friend who was struggling with the same thing.

3. As you begin to recognize when you get triggered, and you become more aware of your negative self-talk, pay attention to those moments. When they arise, I want you to try to say to yourself with compassion, “Wow! I just said some really mean things to myself. I was ready to put myself down for not being perfect, and my critical parts jumped in without my noticing! I can be so hard on myself.”

4. Now, bring to mind the things you’d say to a close friend who was struggling and try to say them to yourself. If you’ve been hard on yourself for a long time, this takes a lot of practice. You might start by imagining what your good friend might say to you if they knew you were having a hard time.

When times are tough, it can help to remember that everyone struggles from time to time. It’s a part of the human experience. When you’re feeling overwhelmed or when that critical voice wants to berate and minimize your difficulties, try saying to yourself, “I’m struggling right now. We all struggle once in a while.” You can also place your hand on your heart and recite these phrases: “May I be peaceful. May I be safe. May I be healthy and may I live my life with ease.”

I hope these steps help you quiet your inner critic and bring more self-compassion into your life.

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by SHINE TANG & by Joshua Rawson-Harris on Unsplash

What's Your Body Telling You About Anxiety?

When you struggle with anxiety, sometimes you might wonder why you even get anxious in the first place. What purpose does it serve? And why does it make you feel so bad?

Over the years, while struggling to manage my own anxiety, I’ve learned that signs that I’m uncomfortable often show up before the anxiety is running full tilt. It might be a feeling of pressure in my chest. Sometimes my throat feels like it’s full of sand, or my belly feels hollow (like I have a pit in my stomach), depending on what’s making me uncomfortable and anxious.

My mindfulness practice has allowed me to be more aware of my body’s sensations in the moment when stressful things are happening (or I’m interpreting that the events are stressful). My body signals me long before I’m fully aware that the situation is overwhelming or triggering.

Where Do You Feel Anxiety?

I ask clients to tune into their physical reactions when they’re talking about something stressful or difficult. When I ask, “Where do you feel that in your body?” they can often point or place their hand right where they feel it. Or is I ask, “What physical feelings do you have when your anxiety shows up?” Some clients can identify exactly where anxiety lives in them. For others, it’s a little harder to figure out, but usually clients at least have a general sense of some internal sensations.

Many times the body signals come before the anxiety is fully recognizable. Basically your body is telling you that you’re feeling something, usually something uncomfortable. It’s alerting you, wanting your attention and letting you know it’s time to tune in, it’s time to listen, it’s time to take care of yourself.

Tune Into Your Anxiety Through Your Body

So how do we learn to tune into our body so we can hear what it wants us to know?

Start a mindfulness practice. Mindfulness helps you become more aware of yourself — your reactions, your thoughts, your feelings and what’s happening inside your body. If you haven’t already recognized the patterns, you might begin to notice that when certain thoughts or feelings enter your consciousness, your body reacts to those thoughts and feelings in particular ways.

Practice yoga, tai chi or another form of movement. They help you learn to focus on the different parts of your body.

Start a meditation practice. Body scan meditations guide you from head to toe (or toe to head), gradually moving your non-judgmental awareness from one body part to another. It helps fine-tune your focus as you practice the meditation. It also brings an awareness of how your body holds stress and how the stress might change as you bring a conscious awareness to it.

Take a moment to pause. When you’re anticipating a stressful event or encounter, take a minute to pause. Take a few slow, deep breaths. Check in with yourself and ask “Where am I feeling this in my body right now?” If tuning into your body is something new, you might need to do it a few times before you’re able to pinpoint where you feel the stress. That’s okay. Be patient and keep tuning in.

Work with a therapist. The right therapist — one who’s been trained in somatic, movement or body awareness therapies — can help you work toward a greater understanding of your body and help you learn why it reacts the way it does.

As with all new habits and skills, getting in touch with your physical reactions can take some time and practice. Be gentle and compassionate with yourself on this journey!

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Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Tanja Heffner and by Caique Silva on  Unsplash

Strategies For Dealing With Anxiety And Worry

Worrying and feeling anxious is normal; it’s how you assess and respond to potentially dangerous situations. But sometimes worry can take over your life. When that happens, you might need some strategies to help you let go of the worry and manage the anxiety.

5 Ways To Recognize That Worry And Anxiety Could Be Ruling Your Life

1. Worrying keeps you from falling asleep or staying asleep most nights.

2. It feels like your mind is always “on.”

3. You rehash your conversations, actions or behaviors over and over again, wondering how you might have done things differently.

4. When things don’t go as planned, you get frustrated, angry or scared.

5. You’re irritable a lot of the time.

All the worrying can make it hard to sleep well, and anxiety can cause headaches and stomachaches. Sometimes stress can be so intense that it can make it hard to swallow or eat because of the tightness in your throat or feelings of nausea.

If left unattended, all the stress and worrying can lead to an anxiety or panic attack. You might feel light headed. Your chest might feel constricted, and your breathing becomes shallow and fast. You might begin to sweat, see stars and feel like you’re going to faint. You might even worry that you’re having a heart attack.

Counseling For Anxiety

Often the worries and anxiety stem from things beyond our control, and the desire to control the uncontrollable fuels the stress.

Through counseling you begin to understand that your need for control might be rooted in a childhood that was filled with uncertainty or upheaval. Maybe you were left in charge of your siblings at a young age, or you were the moderator in your parent’s arguments. Counseling can help you understand how your childhood could have affected you as an adult.

Counseling can also help you understand that the constant worrying is a form of anxiety, and that all the worrying can have an impact on your mental and physical health. Through therapy, you can explore strategies to help you more easily accept the natural ups and downs of life, allowing you to let go of the need to control everything.

5 Strategies To Help You Let Go

1. Practice daily mindfulness. Mindfulness means paying closer attention to what is happening right now, with openness and compassion. It keeps you attuned to the here-and-now instead of worrying about past and future events. You can read more about practicing mindfulness and self-compassion here.

2. Exercise regularly. Exercise releases the body’s natural “happiness” chemicals and hormones. It can also help you sleep better.

3. Practice healthy sleep habits. A good night’s sleep can take the edge off, make you less irritable and activate your body’s immune system. The Sleep Foundation has some great tips on how to promote good sleep habits here.

4. Do yoga, get acupuncture or meditate. These alternative practices can help you relax your body and calm your mind.

5. Get support. Talk to friends, family or a counselor. People often feel alone in their struggles. Sharing your experience can help you feel more connected and supported.

If you'd like more strategies on managing anxiety in the moment you can check out my podcast episode dedicated to anxiety here.

Achieving Emotional Balance

Through counseling and some lifestyle changes, you can live a more emotionally balanced life. If you would like to live your life with more balance, please email me or call me at Progression Counseling in Annapolis at 310-339-1979, for a free 15-minute consultation.

This week on the Woman Worriers I interview Dr. Jonice Webb where we explore why feelings of anxiety, emptiness and disconnect often have roots deep in seemingly happy childhoods. 

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Elizabeth Cush, LCPC is a therapist, blogger,  host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Kinga Cichewicz & Nine Köpfer on Unsplash