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!

Easing Your Anxiety When You’re Worried About A Loved One

I guest posted for Sharon Martin's blog Happily Imperfect on Psych Central. Here's her introduction followed by my post:
 

Have you spent a sleepless night worrying about a loved one? Perhaps it was your teenager who was out past curfew or your spouse who didn’t manage her diabetes. Feeling anxious in such a  situation is understandable. It’s scary to feel like things are out of your control and possibly heading for disaster.

When you have a loved one who is making “bad” decisions, worry can take over your life if you don’t know how to keep it in check. My colleague, Elizabeth Cush, an expert in treating anxiety, wrote this week’s blog post to support those of you who are experiencing worry and anxiety about a loved one.

Easing Your Anxiety When You’re Worried About A Loved One

by Elizabeth Cush, LCPC

It’s really hard to watch someone make bad or harmful choices or to see a loved one make decisions you wouldn’t have made given the same circumstances. Maybe you worry because:

• They drink or smoke too much

• They can’t control their anger

• They quit their job

• They hang out with “the wrong” people

• They gamble

• They don’t pay their bills

I know that as a mother, wife, and friend, I have had times when one or more of the people in my life did things that made me feel worried, angry, or hurt (and sometimes all three). It was hard not to get consumed by the worry. So, how do you stop worrying and quiet your mind when you’re concerned about a loved one but powerless to get him or her to change or make better decisions?

Anxiety shows up when we can’t control things

Relationships can create the perfect storm of emotional ups and downs, bringing with them waves of anxiety. We want the people in our lives to be happy. We don’t want them to struggle, to feel pain, or to cause pain and suffering, but we really can’t control a lot of what others do. That can bring on a lot of anxious feelings.

If you experience anxiety, this lack of control can make your anxiety worse. You might believe that if you could just control this thing — whether it’s someone else’s behaviors, life events, or future outcomes — then you would feel better. You stay awake worrying about what needs to be different, what needs to change, and how to make that happen. You get stuck in the “what ifs,” or “if onlys.” But the reality is that you can’t control many of the things going on around you. I might even venture to say you can’t control MOST things!

The need for control increases anxiety

My clients sometimes say, “if only my loved one wouldn’t __________ (you fill in the blanks). It’s ruining everything. I’ve told them time and again that they need to stop. I can’t sleep at night because I worry about what will happen.”

Worrying increases stress and it doesn’t create change or stop bad things from happening; it only makes you more stressed. I’m not saying that you shouldn’t worry about the people you love. I am saying is that the worry won’t make it better, and sometimes it makes you so stressed that it becomes hard to do anything else.

How to ease your anxiety when worries take over

So how do you ease the anxiety that arises when the people in your life aren’t cooperating? Here are seven steps to get you started:

1. Take three slow deep breaths.

2. Be curious about the part of you that wants to be able to control the behaviors of others. Maybe you say to yourself, “There’s a part of me that wants to keep things under control. I wonder what that part is afraid of?”

3. Remind yourself that your anxiety is prompted by your fears about the future and of not being in control.

4. Gently remind yourself that you can voice your concerns or opinions, but it’s up to others to make changes. A gentle reminder to yourself might be, “I can’t control what others choose to do or not do. I can only tell them how their behavior affects me and how I feel.”

5. If the people in your life don’t change, be mindful that this might cause you distress. You might feel anxious or scared. You might say out loud, “I’m so afraid because __________ isn’t changing. It makes me feel powerless and I worry about what might happen if they don’t change.”

6. If someone’s behavior hurts you or puts you at risk, it’s important to create healthy boundaries or choose to spend time away from that person. If you’re not comfortable doing this, you might need to practice or get some support.

7. Offer yourself some compassion. You might still feel worried about the people in your life. Saying to yourself, “This is really hard for me right now. I care about them, and I care about how they’re affecting me” creates a space where you can feel compassionate toward them and toward yourself.

Wanting the best for others is human. We want the people we love to make healthy choices, but that doesn’t always happen. If you need support and someone to help you work through the difficulty, seeing a therapist can provide a safe, non-judgmental space where you can share your feelings.

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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 Kinga Cichewicz on Unsplash

How To Get A Handle On Holiday Stress

The holidays can be a stressful for even the most relaxed person. And even though taking care of ourselves is not always on our radar, it’s important to do so when you’re under added stress. Although I try to pay attention to my own needs at this time of year, they end up at the bottom of my to-do list when I have a lot on my mind or I’m super busy. I’ve put together a few ways to bring more self-care and into your life while managing the holiday craziness.

Practice mindfulness.

Pay mindful attention to your senses

Paying attention to the sights, sounds, smells, tastes and sensations of the season and the holidays can be soothing. So, take a deep breath and pay full attention to your senses. Try to relax your body and find something to appreciate in all of the craziness.

Allow feelings, even the icky ones.

Let yourself feel your feelings. Try not to label your feelings as “good” or “bad.” When you take the time to notice how you feel, and name the feeling either aloud or to yourself, it can help defuse even the most intense emotions.

Take time to enjoy yourself.

No matter which holiday you celebrate, when you get caught up in all that needs to get done, you might forget to have a little fun.

Get a good night’s sleep.

A good night's sleep recharges you

If you take one thing away from this post, I would encourage you to make it this point! A good night’s sleep allows your mind and body to recharge, so instead of starting the day stuck in stressful feelings from yesterday, you can start refreshed.  Sleep reduces stress, is good for your body and does wonders for your outlook on the day.

Eat a healthy diet.

Your body will thank you. Pay attention to what food you eat and, if possible, eat less junk. Your body will appreciate it!

Find time to pause.

Setting aside one to three minutes to take a few deep breaths a couple times throughout your day will calm your mind and body, so you’re ready for the next task or challenge.

Check in with yourself.

Check in with you throughout the day.

I like to suggest to my clients to take a moment when you go to the bathroom to look at yourself in the mirror and ask, “What do I need in this moment?” Pay attention to those needs. If your body is screaming at you to take a break and relax, then do it!

Sometimes, no matter how much you try to take care of yourself, you still end up feeling overwhelmed, stressed, depressed or anxious. If you’re struggling this holiday season, know that you’re not alone. The holidays can be a very difficult time and therapy can help you talk about what’s bothering you, grieve those you’ve lost or help you to process the difficult life experiences that keep you from moving forward. 

If you’re thinking about counseling or you’d like to give yourself the gift of mindfulness in the New Year, please reach out.

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Elizabeth Cush, LCPC is a therapist 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 Aliis Sinisalu,  Chris Benson, Kinga Cichewicz, Septian simon on Unsplash

Coming Together When We’re Coming Apart

It feels like our society has lost its sense of unity. All we do is take sides: Are you on the right or the left, Democrat or Republican, white or are you black, Christian or Muslim, male or female…? You get the point.

In order to take sides, or to figure out who isn’t on your side, you make a judgment about them. We can form opinions based on analysis or careful consideration, but when we make judgments, they are usually quick, in the moment decisions. Judgments are based upon visual clues, emotional cues, and the way we process, categorize and make sense of things. We can then fit whatever we’re judging into our mental picture of how we see world.

Judging Others

Judging others can cause us stress and anxiety.

For instance, I was in a bookstore recently. The man ahead of me in the checkout line was white, and had a long ponytail, lots of tattoos, a leather jacket and boots, and a chain wallet. I hate to admit that my immediate thoughts were, He seems tough. He’s a biker. His motorcycle is parked out front. What is a guy like him doing in a bookstore? As soon as I started this process I chastised myself, for I had no way of knowing who he was, or why he was there. After we struck up a conversation, I found out that he had a lifelong meditation practice, and was buying a Jon Kabat-Zinn book for his girlfriend. When I made the effort to see him outside my narrow vision of him, and talked to him, I found out we weren’t so different.

Stressing Out

Constantly judging others who seem different from us takes mental energy and can cause stress and anxiety. When we feel threatened by people who are different from us, our nervous system gets activated, because our bodies think we are in real danger. If we see the world as a threatening or unsafe place because it includes people whose skin is a different color than ours, who are from a different culture or who practice a different religion, then we are living with added stress.

Each time we hear messages that reinforce our fears, our stress response activates, making us feel uncomfortable, and increasing our feelings of fear and distrust. All of that stress can overwhelm us.

An article in PsychologyBenefits.org noted that when we don’t take the time to learn about each other, and we respond from fear or anxiety, instead of empathy and compassion, we are more likely to:

• Smile less
• Maintain less eye contact
• Use a less friendly verbal tone
• Keep greater physical distance
• Avoid interactions with people of other races altogether

Being Empathetic

The good news is that we can change, and all it takes is getting to know the people who might seem different from us. Studies have shown that when we approach others with empathy, curiosity and compassion, the racial and cultural anxieties lessen and positive interracial relations increase.

How To Stop Judging Others

Here are five steps to help you reframe your thoughts if you find you are quick to judge others:

1. Be mindful or pay attention to your thoughts when you see someone who looks different from you.
2. If you find you are making a judgment about the person ask yourself, “How do I know this is true? Have I met him or spoken to her?”
3. Create a different story about him that doesn’t feel threatening.
4. Be curious. If it feels right, talk to her and ask questions.
5. Be empathetic. Try seeing the world from his eyes, and work to understand her experiences.

How To Stop Judging Yourself

Empathy and compassion not only affects how we see others, but also how we see ourselves. If we can see suffering and struggle as a common human experience, instead of being hard on ourselves when times are tough, or when we make mistakes, we can learn to be compassionate towards ourselves. You can find more about self-compassion here and here.

If you're feeling overly anxious or stressed and think that counseling might help you please reach out.

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Elizabeth Cush, MA, LGPC is an Annapolis therapist who helps people manage their stress and anxiety. She owns and operates Progression Counseling in Annapolis. For a free 15-minute consultation call me 410-340-8469.