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!

Mindful Self-Compassion: How To Be Your Own Best Friend

I’ve been practicing mindful self-compassion for about five years and I recently gave a presentation on the topic.  Being an introvert, I found it extremely hard to stand up in front of 500 people and share some of myself! I was nervous and a bit anxious, but I practiced a lot of self-compassion and I did it! You can see the video below.

Intensive Practice

The following week, I attended an intensive self-compassion retreat. Going into the retreat, I figured it would be a bit of a refresher for me. I’d been practicing for years. I write about self-compassion in my blog pretty often. I advocate for clients to adopt a self-compassion practice, explaining what it is and how to incorporate into their lives. In the women’s group that I facilitate, we talk about it a lot because women tend to be pretty hard on themselves. How much more could I learn?

You might wonder why I decided to spend a week away from home if the material wasn’t new to me. The presenters were Kristin Neff and Chris Germer— pretty big name in my world. They’ve pioneered the training, writing and research on self-compassion. When I learned that Kristin Neff would be stepping away from presenting for a while, I didn’t want to miss a chance to meet her, so I signed up for the retreat with two friends/colleagues.

The six-day intensive was designed for therapists and laypeople. It was filled with meditations, experiential activities, education, movement, laughter, tears, bonding with friends and lots of sharing with the other participants. I came away with a much wider perspective on self-compassion and how much more difficult it can be than I ever expected.

Self-compassion encourages us to be our own best friends with kindness and compassion when we’re suffering. And through the practice, we gain greater compassion for others’ suffering.

What Is Self-Compassion?

The practice of self-compassion has three main tenets, or principles—mindfulness, common humanity and self-kindness.

Mindfulness allows us to be aware of the present moment and how we treat ourselves at any given moment. Recognition of our common humanity helps us recognize that we don’t suffer alone. Everyone has struggles because we’re human, and being a human involves experiencing emotional and physical pain from time to time. Self-kindness encourages us to be gentle with ourselves when we’re struggling— to treat ourselves with the same kindness that we would offer a friend.

I learned a lot at the retreat. Some points were new and some reinforced my ongoing self-compassion practice. What I didn’t expect was how hard it was for me to feel truly compassionate towards myself at moments throughout the week.  I found myself up against some pretty strong resistance.

Looking back, I get it! Mindful self-compassion can make us more aware of how often we haven’t been kind to ourselves. It also brings in to our awareness the times when others didn’t show us compassion when we were struggling.  

Training Highlights

Our last day together at the intensive mindful self-compassion retreat

Although I don’t have space to give a full synopsis on the training, here are the highlights that stuck with me:

• Compassion feels more deserved when I’m offering it to others than when I’m offering it to myself.

• Finding the right compassionate phrases to offer yourself is incredibly important for self-compassion to feel true.

• There are two types of compassion: the Yin, which offers more caretaking and comforting support, and the Yang, which is more fierce and protective support and motivated towards change. We need both comfort and protection when we’re suffering. Both together are a fierce, caring force!

• Using tender, compassionate touch, such as a hand on your heart or cheek, and a soothing voice helps to reinforce and internalize the compassionate messages we offer ourselves.

• Tuning in to our physical response to stress and distress helps identify where to offer ourselves soothing touch.

• The number-one block for people around the idea of self-compassion is that it will undermine motivation. But the research shows that a self-compassion practice is a better motivator than self-criticism!

• There can be a back-draft effect from self-compassion. As we offer ourselves love and compassion, we might become aware of the times when we weren’t received with compassion. We can meet that pain with a mindful compassion for what we didn’t get.

• It’s really important to have grounding skills in place and to be aware of self-care routines that help us feel nourished so we can manage when back-draft, resistance or traumatic memories show up.

• Offering ourselves loving-kindness isn’t focused on fixing the problem or trying to make us feel better but because we feel bad.

• Our critical voice often stems from the need for protection and safety. It wants to keep us from making mistakes, to keep us safe from others’ judgment, and to protect us from emotional harm.

• Our compassionate voice can actually create emotional safety.

• When we can embrace who we are with all of our imperfections and our human suffering, we are creating space for a radical acceptance.

• Difficult emotions are a part of daily life. As we practice being mindful of our emotional and physical state, we can choose how to respond to those feelings. No choice is better or worse. It just depends on where you are in that moment. We can:

  • Resist them

  • Be curious about them

  • Tolerate them

  • Allow them

  • Befriend them

• Self-compassion takes practice. The goal is not to be perfect at compassion but to be a compassionate mess!

It’s also important to know that mindful self-compassion can trigger traumas that we might not be aware of. If you decide to practice self-compassion and it feels more distressing than helpful, take some time to ground yourself, provide self-care in ways that are meaningful to you and seek professional help with a therapist for support and to explore alternative ways to keep you grounded in your practice if needed.

You can find out more here:

Elizabeth Cush on Self-Compassion

Ignite Annapolis

Self-compassion.org

Center for Mindful Self-Compassion

Kristin Neff, Ph.D.

Christopher Germer, PhD.

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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!

Understanding Attachment And Finding Genuine Connection

Therapy is like peeling away the layers of an onion

Therapy is often like peeling an onion. As we peel away each layer, we’re offered new insights and understanding. Often my clients seek help initially for anxiety and stress, but as therapy progresses, it becomes evident that they’re not just stressed about what’s going on in their lives today. What triggers their anxiety is a feeling that they’re not living their lives as fully or consciously as they’d like. They describe feeling as though they don’t feel connected to themselves or the people in their lives.  

Feeling as if you don’t know yourself, or not being connected to your feelings, are usually the result of very early childhood experiences. From the moment we’re born, our relationship with our parents or caregivers affects our ability to feel at ease in the world as adults.

Feeling unconditionally loved and accepted gets reinforced as our parents respond to our cries and hold us when we’re distressed, feed us when we’re hungry and keep us warm and dry. When parents consistently provide us with unconditional love and caring, we learn as infants that our parents will always be there when we need comfort. We call this “secure attachment.”

Disrupted Attachment

Sometimes parents aren’t able to attend consistently to a child’s needs. This week on the Woman Worriers podcast, Marie Celeste shared her adoption story and her experience working with adoptive families and adoptees. She said that when children are adopted, they often feel an unconscious sense of loss and disconnection because they weren’t able to build that bond and connection with their birth mother.

Some other circumstances that can cause disruption in attachment are:

• The parents must focus much of their attention on a sibling with physical or emotional disabilities.

• The parent has mental health issues that limit their ability to be emotionally connected to the child.

• The parent is overwhelmed by the child’s needs and isn’t able to respond with love and affection.

• The parent wasn’t given what they needed growing up so they don’t have the internal resources to attach to the child.

• One or both parents struggle with addiction.

• Physical or sexual abuse by a parent or caregiver.

The list could go on, but the point is that even when a parent’s intentions are good—they want to have and build an emotionally secure environment for their child—they might be unable to provide it because they aren’t emotionally grounded themselves.

Why Secure Attachment Matters

Does attachment really matter? If the child was raised in a safe secure home and given food to eat, a home for shelter, clothes to wear and parents who loved them, isn’t that enough?

Unconditional love and acceptance is important for emotionally healthy kids

The answer is, it’s not just material needs that matter. If you didn’t feel loved, cared for, and accepted unconditionally, then that impacts how you feel about yourself. It’s more about what you didn’t receive.

When children don’t feel unconditionally loved and accepted—for whatever reason—they internalize the pain and blame themselves. When you’ve been raised in an environment where your emotional needs were neglected, ignored, criticized or shamed it can lead to feelings of disconnection, anxiety and depression in adulthood.

Here are some things I’ve heard clients say about the affect of being emotionally neglected and insecurely attached to parents or caregivers:

• I am not enough.

• I don’t know what I need most of the time.

• I don’t know how to ask for what I need.

• I want to have a close relationship but maybe I’m just not able to.

• There’s something about me that’s different from other people.

• I feel like no one knows the real me.

• There is this feeling that I’ll never be able to feel at ease in deeper connection. It’s something about me.

• When I see other people so at ease socially I wonder what is it about me that’s different.

• I know that if they knew the real me, they wouldn’t like me.

Healing Attachment Wounds

So how do we move forward and find true connection, love and acceptance? To feel grounded, safe and secure in the world?

We need to build, nurture and grow feelings of connection within ourselves. We need to re-parent ourselves, to learn to love and accept ourselves with compassion and understanding. We need to heal the wounded parts of us that weren’t given what they needed when we were children.

Recognizing that our childhood emotional needs weren’t met can open the door for healing. As we learn to love ourselves unconditionally and embrace our imperfectness we can start the process of healing our disrupted attachment and begin to identify, understand and express our emotional needs.

When we can fully connect with our self with love and compassion, it makes genuine connection with others so much easier. It eases feelings of anxiety and depression to help you feel more grounded and present in the world.

If you yearn to feel more grounded, at ease and present in your life, come join our exploration of mindfulness. Mindfulness groups are forming now in Annapolis. If you’re interested you can find out more here.

Here are some additional resources on Childhood Emotional Neglect:

Dr. Jonice Webb on Childhood Emotional Neglect (CEN)™

Agnes Wainman, PhD, on Expectations & Anxiety

How to Take Control of Your Fatal Flaw

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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!

Addressing Perfectionism With Compassion

When I think about a perfectionist, I see the woman who not only looks great — the right clothes, hair, car — she also has the perfect life. Nice house, lovely partner, well-behaved kids. She’s together and she does it with ease. She might work 80 hours a week but she’s happy doing it and gets it all done.

Perfectionism can be messy

But perfectionism doesn’t always show up in obvious ways. In fact, perfectionism can even look a little messy! On this week’s Woman Worriers podcast, I spoke with Sharon Martin about her book, The CBT Workbook for Perfectionism: Evidence-Based Skills to Help You Let Go of Self-Criticism, Build Self-Esteem, and Find Balance, and she shared that sometimes perfectionism looks more like avoidance or procrastination.

Perfectionism could be stopping you from truly engaging in your life. You might struggle to send emails because you feel the need to check and re-check the wording to be sure you don’t offend or make a mistake. You put off doing work because you feel like you can’t — but should be able to — do it flawlessly. Or maybe you decide not to go to an event because you’re sure you don’t have the right outfit, the right job, or live in the right place. 

Perfectionism Can Make Us Feel Less Than Perfect

Believing that our mistakes reflect poorly on us, or feeling that other people are constantly judging us, can create a lot of anxiety. We think that need to be perfect all the time and if that’s not possible it’s not worth trying.

Being a perfectionist can make you pretty hard on yourself. You might make matters worse by allowing your inner critic to comment on how you’re failing. You might call yourself lazy, stupid or worthless. You might even tell yourself that you’re going to get fired or won’t get hired because you don’t have what it takes.

If you find that you’re holding yourself back or withdrawing most of the time, you might be stuck in a perfectionism loop. That’s when you don’t feel you can do the “thing” perfectly so you put it off. Putting off the task increases your anxiety, so you continue to avoid the task. Then you start to criticize yourself and make assumptions about your abilities. That makes you feel even worse, so you avoid or distract yourself some more.

You might believe that self-criticism will keep you on your toes and stop you from making mistakes, but more often it’s just encouraging you to stop putting yourself out there. Sadly, instead of making you feel better, fixing what went wrong or helping you learn from your mistakes, negative self-talk leaves you feeling worthless, less-than and sometimes hopeless.

Soothing Our Critical Parts

Self-compassion can ease distress

Self-compassion — treating yourself as you would treat others who are struggling — can help ease the burden of trying to be perfect and reframe your perfectionist thoughts into more compassionate ones. Martin’s book has some great exercises to help you cultivate more self-compassion and help ease the discomfort around being an imperfect human. You can find the book here.

Here are four tips I encourage my clients to use to help bring more self-compassion and mindfulness into their lives when the perfectionist parts want to take charge:

1. Be mindful and start paying attention to your negative self-talk. When that negative voice pipes up, ask yourself, with curiosity, “What prompted that?” 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. Try saying those things to yourself.

3. Notice your triggers. As you begin to recognize when you get triggered and 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 would never say that to a friend. I was ready to put myself down for not being perfect, and my critical parts jumped in without my noticing! I’ll try not to be so hard on myself.”

4. When times are tough, 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 repeat 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 techniques help you quiet your inner critic, ease your perfectionist urges and bring more self-compassion into your life.

For those who live in the Annapolis area, I’ll be leading mindfulness groups for women that help cultivate self-compassion. You can find out more 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

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

Sleepless On Sunday Nights

Sunday Scaries

Occasionally I struggle with falling or staying asleep. I hate those nights! I can often tell early in the day when I’m going to have a night like that, but I usually ignore the feeling until it’s too late. That’s how I wind up lying in bed on Sunday night, a full week of work ahead, and I’m bug eyed. I’m tired, but my body can’t relax enough to drift off.

If you’re sleepless on Sunday night —or any other night of the week — you’re not alone. According to the National Sleep Foundation, women are more likely to report insomnia than men. The Foundation also notes that, “Surprisingly, 24 percent of women say they have woken up feeling well-rested zero of the past seven days, compared to 16 percent of men, despite reporting similar sleep times.” Well-rested ZERO of the past seven days!

Sunday nights, in particular, seem to be a big problem for sleeplessness for many people. I Googled “Sleepless on Sundays” and got a full page of results on the topic. So let’s look at why it’s so hard for us to fall asleep on Sunday nights.

Why Does Anxiety Make It Hard To Sleep?

We’ve gotten very good as busying ourselves to manage anxiety. If we’re always “doing,” we don’t have time to feel the anxiety, the difficult emotions and the stress that build up over the week. Many people work Monday through Friday jobs, so maybe they’re slowing down on Sundays. Slowing down opens the door to feel feelings, to notice anxiety and stress.

Anxiety can make it hard to sleep

If your workweek is stressful or you’ve put off doing things at work that are now looming, the idea of going back to work on Monday might leave you full of stress.

Or maybe you’re stressed because time is moving forward and you don’t feel as if you’ve done enough over the last week, or you hate your job and it’s already time to go back. Then you to lie awake dreading the week ahead.

Another possibility is that you sleep so little during the week that on weekends you sleep more than usual and come Sunday night your body might not be ready to rest.

Get Curious About Your Stress

If you’re not sleeping on Sundays, it’s time to get curious. Set aside some time to sit with the worry about sleep. It’s best if you can do this sometime before bed, during the day. You might ask some questions to prompt your curiousness, like: 

Journaling can help

• Where do I hold the stress in my body? Is it a tightness in your chest? Increased heart rate? An empty or painful feeling in your belly? Tension in your neck? Once you’ve identified the body’s sensations, just notice them without trying to change them.

• What am I telling myself about the insomnia? Do you tell yourself not to think about it and to push the anxious feelings down? Do you tell yourself that your sleeplessness is your own fault? Maybe you’re telling yourself to ignore the feelings, because they will only make the insomnia inevitable.

• What am I worried about? Draw or journal about your worries. Getting the words or pictures on paper can help ease the distress. It gets them out of your head and onto the paper.

• Am I being too hard on myself? Try offering yourself some compassion about how hard it is to be sleepless. If you were talking to a friend or a child who struggled with insomnia, what might you say to them? Maybe you’d say, “I’m sorry this is so hard for you. I know how hard it is to lie awake on Sundays not sleeping.” If what you’d say to others is kind and compassionate, try offering the same phrases to yourself.

If it feels like you’re never sleeping, or that the idea of trying to sleep causes you distress, therapy could be a resource for you. Talking about the stressors, learning relaxation skills and understanding that you’re not alone in the struggle can help. 

It’s also important to keep regular sleep routines. If you’d like to improve your sleep habits, check out my Good Therapy article, Can Better Sleep Help You Manage Anxiety for tips on things you can do to sleep better.

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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!

Megan te Boekhorst

Fernando @cferdo

Aaron Burden

How Trauma Imapcts the Mind and the Body

Traumatic Memories

Coping with a traumatic event isn’t only about managing what happened at the time, but it’s also a process of managing how it affects you throughout your life. Traumatic memories can be triggered years later or re-experienced through dreams, flashbacks, physical symptoms and emotional overwhelm.

For trauma survivors, traumatic memories can feel very scary. You’re left feeling as if you have no control over your body and mind. The good news is that you can bring some light and healing to the stored trauma by working with a trauma-informed therapist.

Storing Traumatic Experiences

Whenever a traumatic event happens, whether in childhood or adulthood, you store the experience two ways. You store visual memories and you store memories in your body. When these traumatic memories are triggered, some survivors report “seeing” the trauma as if it just happened. They can recall places, faces, smells, sounds and tastes.

Emotions can spring up without prompting, and you can feel as if you’re in a dangerous situation even when the present moment isn’t dangerous or scary. Traumatic memories can also leave you feeling anxious or depressed. It might seem like you’re feeling bad for no reason at all, but when memories that are stored in the subconscious get triggered, intense feelings seem to come out of nowhere.

I know about traumatic memories because I’m a trauma therapist and a trauma survivor. I see my clients struggle in sessions everyday. I also struggled with anxiety for many years without truly understanding the impact my trauma had on me or why I was such an anxious child, teen and young adult.

What I’ve learned as a counseling psychology grad-student, as a therapist and as a client in therapy has helped me understand that you can’t control when your memory is triggered by past events. What you can control is how you react or respond to the feelings and memories as they arise. 

Avoiding the feelings that arise when you’re feeling triggered — pushing feelings away, telling yourself to get over it, using substances, disconnecting from your feelings — might help for a short time, but the feelings are still there, and they want to be heard.  In my interview with Kristen Ulmer, we discuss how to tune into our fear (which is usually the root of anxiety and depression) so it can be heard and honored. Brain research suggests that naming your feelings can diminish the intensity of these feelings.

Trauma, Difficult Feelings And Therapy

The hard part about naming feelings if you’re trauma survivor is that initially you might not know what you’re feeling. Because the traumatic feelings were stored in the unconscious memory and that helped you survive. You might also be worried that your feelings will overwhelm you if you tune in and pay attention. In fact, trying to resist or avoid your feelings can actually increase the intensity of your emotions.

Working with a counselor who specializes in trauma-informed therapy can help. You learn how to soothe yourself when you’re feeling emotionally overwhelmed. You learn to regulate your emotions as they arise and you learn to honor you story of healing.

Trauma therapy used to mean you had to retell your trauma story in order to heal, but that’s no longer a given. In trauma-focused therapy, you may share the story when you’re ready, but not before you have the skills create a space where your body and mind are ready.

If you’d like to know more about trauma, traumatic memories and healing here are some resources:

I spoke with Laura Reagan and Robert Cox about trauma, the brain and healing. You can find those interviews at WomanWorriers.com.

Dr. Bessel van der Kolk has done some groundbreaking work on the subject of traumatic memories. You can learn about his research in his book , The Body Keeps The Score. Additionally, the Sidran Institute’s article What Arte Traumatic Memories, explains traumatic memories and how they’re stored. 

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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!

Photos by whoislimos and Anita Jankovic and Michael Browning on Unsplash

Maybe It's Time For A Little Self-Compassion

*This blog was originally published in the Severna Park Voice.

Everyone makes mistakes, but some of us continue to think about what we could have done better after the event. We beat ourselves up about small things. If you find that you are your own worst critic—harder on yourself than others—maybe it’s time to show a little self-compassion.

What Is Self-Compassion And Why Is It So Hard?

We seem to be able to offer others, even strangers, compassion when times are tough. Why is it so hard to be kind to ourselves when we are struggling? Some people think, “If I’m not hard on myself, I will never get things done.” Others might say, “Self-compassion is self-indulgence, or selfishness.”

Many people think self-compassion means we give ourselves a pass for everything we do. That’s not it. Self-compassion means that we offer ourselves the same message of comfort and understanding that we might offer a friend who was going through the same thing.

Dr. Kristin Neff has done a lot of research and writing about self-compassion. She identified that self-compassion has three components: self-kindness, common humanity and mindfulness. You can read more about her findings here.

The Argument For Self-Compassion

I’d argue that if we don’t take care of our own emotional well-being, we’ll have a hard time helping others when things get tough. If we are struggling emotionally, frustrated with ourselves, or constantly self-critical, it is very hard to give balanced support to someone else.

When we're overly critical of ourselves it can also increase our anxiety. Imagine a friend that always pointed out your faults, and told you you weren't enough, or worse that you were a failure. Imagine that friend was with you 24/7, constantly reminding you of things you could have done better, and that this was for your own good.

It might stress you out, or you might try to ignore them, or push them away but the bad feelings about yourself remain, because maybe a small part of you begins to believe what the constant criticism and that can make you feel very anxious.

Self-Kindness

Self-kindness means that if we are feeling fearful, or sad, or we are questioning our behavior, we offer ourselves words of kindness, instead of criticism. When we imagine what we might say to a good friend who was suffering and then offer those same words to ourselves, we can acknowledge our discomfort and recognize that no one is perfect. This can help challenge our inner-critic, which can cause us to feel bad about ourselves, create anxiety, and keep us from taking chances or trying out new things.

Common Humanity

When times are tough—maybe you’re feeling anxious, depressed, or just having a bad day—if you can remind yourself that everyone has bad days, that everyone struggles, it can ease the intensity in that moment. When we ease the intensity, we can reduce the feelings of anxiety and depression.

Mindfulness

“Mindfulness is a non-judgmental, receptive mind state in which one observes thoughts and feelings as they are, without trying to suppress or deny them”

— Kristin Neff, PhD.

When rethinking a mistake, we can get stuck in the “what ifs,” or if onlys.” Learning to come back to the present moment, through mindful breathing and grounding techniques, we begin to understand that thoughts, feelings and behaviors all come and go. Instead of the constant worry about the past or future, we become accustomed to allowing what is. This can help reduce negative thinking, ruminating, self-blame and shame, because we learn not to over-identify with our feelings or thoughts.

How To Move Forward With Self-Compassion

Through self-compassion practice, we can begin to accept our imperfections, and to feel more connected with those around us, because we are all human, and humans struggle from time-to-time. We learn to accept the ups and downs in life as a part of our experience, instead of a reflection of who we are.

If you want to bring more self-compassion into your daily life I host mindfulness each Spring and Fall. You can find out about the groups here.

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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 gabrielle cole & Philipe Cavalcante on Unsplash

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

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

Your Inner Critic and Expectations Can Create Anxiety

The Inner Critic

The inner critical part is something I write about and talk a lot about  a lot. That’s because it’s usually easy to identify and it can make us feel pretty terrible. This month my post, Does Your Inner Critic Fuel Anxiety? What Can You Learn Instead? for Good Therapy explores how our inner critic can often make us feel bad about our mistakes. But I also share that it's trying to protect us—and with a little practice, we can get it to be less critical. You can find it here.

Managing Expectations

In this week's Woman Worriers podcast I interview Agnes Wainman, PhD, of London Psychological Services. We talk about woman worriers and how the expectations that we learn from our culture and our own families can stand in the way of living a life that feels right. You can find it here.

You can tune in and subscribe to auto-download new podcast episodes to your Apple or Android device on IHeartRadio Spotify and on Stitcher. After you listen to a few episodes, please consider leaving an honest rating and review in iTunes  and let me know how you think this podcast might benefit women.

You can also follow the podcast on Twitter, Facebook and the Woman Worriers homepage.

Have a wonderful week!

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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

Anxiety and Anger: Manage Them Mindfully

When you don't express your anger it can turn inwards

When you’re very anxious and you’ve spent a lifetime pleasing others in order to manage your anxiety, it can be very hard to express anger in ways that feel safe or comfortable. Telling someone you’re angry with him or her can feel too much like an all-out conflict. But if you don’t tell the people you care about when you’re unhappy or angry, your anger can turn inward. Then, that at critical part of yourself might be mad because you always let others have their way. You might say things to yourself like:

• “I’m a pushover.”

• “I’m a wimp.”

• “I have no spine.”

The inner critic will remind you each time you choose to stay quiet. Your critical voice will tell you over and over how you might have done things differently. Or it might wonder, in not so nice terms, why you can’t stand up for yourself.

Anger’s Impact On Relationships

Anger can build inside you if you don't say what you need

Sometimes you might hold onto your anger and resentment because you believe that the people in your life should know how you feel, even if you don’t tell them. The anger builds inside you with each event where you don’t say what you need. People you care about might hurt your feelings,; when you don’t speak up for yourself, the resentment grows. You store away each wound, and occasionally you take it out to re-examine it and refresh the hurt feelings.

As the anger builds up inside, it leaves you feeling on edge until maybe something small happens and you explode! You wind up reeling off the list of all of the hurts that led up to this moment. This can be difficult for the person you’re angry with. Chances are that he or she wasn’t aware of how their behavior was impacting you. Now they’re wondering why you didn’t bring it up when it happened.

If blowing up isn’t comfortable for you, you might swallow your anger once again, withdrawing from the people you care about most. This can be overwhelming for you. It’s also difficult for the person you’re angry with because he or she had no idea that you were upset.

5 Mindful Ways Top Manage Your Anger

So how can you do things differently? How can you begin to say what you need, or express your anger in more healthy ways, so that you feel heard and not hurt?

Pause and pay attention when angry feelings show up

Here are a few tips to help you get started:

1. When your irritation starts to grow, begin to notice how you’re feeling. Where do you feel the irritation in your body? If you could describe it, what color and shape would it be? What are the thoughts that go with the feeling?

2. Pay attention when you start to go over all the times this person has irritated you before. If you’re scrolling through a list of all the times you’ve been angry or hurt by this person, notice how those thoughts change how you’re feeling in the moment. Does the irritation grow into full-blown anger or does it lessen?

3. Take a few slow, deep breaths, breathing deeply into your belly. Belly breathing can calm and relax you in the moment, but it’s also good to practice it when you’re feeling calm. It can stimulate your parasympathetic nervous system, and that helps you feel more at ease.

4. Try writing down what’s bothering you, or try drawing a picture of the irritation that you’ve come up with from #1, or both!

5. Ask yourself how old the angry, irritated part feels. Does this part feel like an adult or like a child? Are the angry thoughts and feelings familiar? Do they feel similar to a time in your past when you felt the same way? Is there something your angry part wants you to know? Journaling can help here, too.

Anger and irritation can also be a symptom of anxiety. If you think that you need help managing your anger in healthier ways, seek out a therapist who can help you work through and better understand the root of your anger. Counseling can help you find strategies for expressing your anger and irritation in healthier, more meaningful ways when it surfaces.

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In his week's episode of the Woman Worriers podcast we're talking about trauma, attachment trauma and anxiety with Laura Reagan. You can check it out here.

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. 

Photos by Gabriel Matula & Stanley Dai & Nik MacMillan on Unsplash

Stress-busting ABCs: Anxiety, Boundaries And Clarity

Owning your own business can be a challenge because you don’t have set working hours. You could work all the time if you let yourself. Being your own boss is particularly hard if you struggle with setting or keeping boundaries. It’s easy to talk yourself into working past a certain time or to schedule a work appointment when you’ve set aside the time for personal, leisure or self-care. Who’s going to stop you?

Setting Boundaries Sparks Anxiety

The other thing about fuzzy boundaries is that the people in your life come to expect that you will meet their needs when they ask. They might not intend to take advantage of you, but if you’re always willing to do what others ask of you and never say “no,” then the people in your life will become used to having their needs met first and foremost.

Saying "no" can be hard

Creating and maintaining boundaries isn’t just hard when you own your business. Saying “no” can be extremely hard for a lot of people. But problems arise when you don’t say “no” enough. Not meeting your own needs can breed resentment, feeling taken advantage of and feeling underappreciated.

When you start setting boundaries, it can be hard on relationships, too. Listening for and meeting your needs can change relationship dynamics. If the people in your life are used to you always doing for them, it will be an adjustment when you begin to speak up for what you want and need. It might even lead to some hurt and angry feelings, because they don’t understand why you’re not doing what they want. And that’s really hard! Not too many people like conflict, but people who have trouble with maintaining strong, healthy boundaries usually hate conflict. They avoid it by putting their needs last.

Learning To Listen To What You Need

Listen to what You need

It takes time and practice to really hear what it is that you want and need. You can start by being aware of your resentment, anger, anxious or hurt feelings bubbling up when you agree to do something. Then you can ask yourself these three questions:

1. “I’m feeling some resentment right now. Did I agree to do this to because I wanted to or because someone else wanted me to?”
2. “What was it that made me agree to this? Did I want to make others happy? Was I trying to avoid conflict? What was my motivation for agreeing?”
3. “What does my anger, hurt, anxiety or resentment want me to know?”

Try to be curious without judging yourself. Having some self-compassion can include reminding yourself that the part of you that wants to please others or avoid conflict is trying to protect you. It believes that by always meeting other’s needs you will avoid feeling uncomfortable.

Clarity Helps Avoid Conflict

So how can you meet your own needs and not create a world of conflict?

The answer is, you can’t avoid conflict! It will take some time for the people in your life to get used to you doing things differently. Until they do, they might be confused or angry. But, if you keep doing things the same way, all of the conflict will be alive inside you. You’ll be frustrating the parts of you that want you to see and hear that you have needs, too. Holding the conflict inside can make you feel anxious or depressed.

You can help the people in your life better understand the changes in your behavior. It takes being open and honest about doing things differently and communicating your needs without judging others for wanting you to stay the way you were.

If you’re struggling to know what you need, or want help with creating and maintaining boundaries, therapy can help by providing a safe space to explore and get support.

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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 Isaiah Rustad &   Dawid Sobolewski on Unsplash

Why Do We Get Anxiety?

Many of the clients I see in my Annapolis, Md., counseling office suffer from anxiety, stress and feelings of being overwhelmed. Anxiety often slips slowly into lives, and it’s not always easy to recognize. I like working with clients who have anxiety because I know what it’s like to experience anxiety, and I realize the impact that it has on me. I also know that there’s hope. You can learn ways to manage anxiety that allow you to feel more in control.

When Anxiety Shows Up

Anxiety shows up in different ways. The most common form is called “generalized anxiety”—that is, you feel anxious about lots of things throughout your day. You might even have an anxiety attack occasionally, where you feel extremely anxious and experience intense physical symptoms.

Anxiety is a response to a perceived threat

Anxiety is a response to a perceived threat. When you’re anxious, it’s because a situation or event makes you feel uncomfortable, out of control or unsafe. Sometimes these uncomfortable feelings are unconscious and below the surface. Then, the anxiety bubbles up and you don’t have a clear understanding of why. That’s scary and leaves you feeling like you have very little control.

When you feel unsafe—and this might be an unconscious feeling—your body automatically responds as if there’s danger. We are hard-wired to ready ourselves for a fight, to flee or to freeze when we perceive that we’re in a dangerous, potentially lethal situation. This hard-wired response stems from our primal beginnings, when we had to fight off dangerous animals for survival. Today, the danger may be real, or it could just be that something triggered a memory of a previously dangerous time, but our body doesn’t know the difference!

Physical Symptoms Of Anxiety

When you perceive danger, your body jumps right in all on its own. Your brain releases chemical messengers that signal your body to be afraid and ready it to fight or flee. But that’s not all; they affect your heart, lungs, skin and internal bodily functions, too.

• Your heart rate can increase.

• You might breathe faster and shallower.

• Your might skin get hot or tingle.

• Your mouth and throat get dry.

• You might have trouble swallowing.

• You could get a stomachache, or feel nauseous.

You can find out more about your body’s stress and anxiety responses in this New York Times article on Stress and Anxiety, The Body’s Response.

When Anxious Feelings Stick Around

For many people, anxiety comes and goes. But if you’ve had a lot of very stressful, very difficult experiences in your life, and you weren’t given the opportunity to process them, which can help relieve the stress, then you’re probably carrying anxiety with you all the time.

Anxiety’s Impact On Your Life

When anxiety is a constant companion, your body is living under stress most of the time. You might become used to living this way, but it takes a toll on your physical health, your mental health, your relationships and your interactions with your environment.

Some signs that anxiety might be ruling your life:

• You’re easily startled.

• Your startle response is out of proportion to the trigger. For example, you scream when someone touches you unexpectedly.

• You often avoid people or situations because of uncomfortable feelings.

• Stepping outside your comfort zone leaves you feeling overwhelmed and exhausted.

• You experience anxiety attacks.

• You worry all the time.

• Your worries keep you up at night.

I know what it’s like to live with anxiety when it takes control of your life. It affected my sleep, my digestion and my relationships with friends and family. If I hadn’t gotten the help I needed, it might still be ruling my life.

How Anxiety Affects Relationships

You might isolate yourself when anxiety shows up

As I mentioned above, anxiety can affect the quality of your relationships. It can make you irritable, and you might snap at your partner, children or friends for reasons that are not apparent to them, or even to you. You might isolate yourself because of your worries about stepping outside your comfort zone. You might be depressed with little motivation for new activities, because that little voice inside your head is whispering negative comments to you about your worth or abilities. Or you might think that there’s something wrong with you or that you’re damaged and can never be “normal.”

Whatever the impact, you can do things to move anxiety to the passenger’s seat!

5 Steps That Help You Manage Anxiety

1. Recognize that anxiety often stems from fear. Try to go a little deeper to figure out what triggered your fear. If the fear seems unreasonable, as if it came from nowhere, or it stems from you feeling a lack of control, gently remind yourself that your body thinks this is a life-threatening situation, but you’re safe right here, right now.

2. Learn and practice relaxation and grounding skills. Meditation, mindful awareness, deep breathing, taking a bath, hugging someone close to you, mindfully patting your dog or cat, or taking a walk in nature al all great options. Find what works for you, or try a combination of things. Sometimes just changing it up makes all of the difference.

3. Exercise regularly. I can’t say enough about exercising regularly to help manage anxiety. Exercise releases the body’s “make-you-feel-good” chemicals. According to the Anxiety And Depression Association (ADAA), “Scientists have found that regular participation in aerobic exercise has been shown to decrease overall levels of tension, elevate and stabilize mood, improve sleep, and improve self-esteem. About five minutes of aerobic exercise can begin to stimulate anti-anxiety effects.” Sounds pretty good, doesn’t it? You can find out more about exercise and anxiety here on the ADAA website. If you can’t do vigorous exercise, then take a 20-minute walk and try to be present with the environment.

4. Create regular sleep habits. Getting a good night’s sleep is another great way to combat anxiety. If you aren’t sleeping well, your body doesn’t have a chance to reset and relax. So, you wake up already stressed from the day or night before. The, if you add the additional stressors of the new day, you can get very anxious very quickly.

5. Eat a healthy diet. A healthy body works better and more efficiently, and the proper nutrition can help stimulate the body’s natural stress responses.

Individual and group counseling can also help because it gives you a safe place to process and difficult life events. It’s a space where you’re heard and seen without judgment, and it can give you hope when it might feel like there’s none. If you are struggling and you think counseling might help you manage your anxiety, call or email me and we can talk about it.

Want to know more? I have a few articles about anxiety, its causes and things you can do to help yourself on my blog and on my podcast Woman Worriers.

New support groups for women with anxiety are forming now and begin at the end of March! You can learn more here.

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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 Els Fattah on  Photo by Els Fattah on Unsplash

What Have You Done For You Lately?

If you’re the kind of person who is always thinking about other people’s needs, it leaves little time to think about your own. It can also leave you feeling resentful, underappreciated and maybe even taken advantage of.

When the realization finally hits that you want more for yourself, it can come as a surprise. Giving to others seemed like it was enough, or maybe it just took up so much of your time that you forgot you had needs of your own. Or maybe you understood that you had needs, too, but it felt selfish to put your needs first.

Growing Up In A Stressful Home

So, how did you get to be a person who puts your own needs last? You see other people who say, “No.” Why is it so hard for you to set boundaries?

Childhood stress impacts adulthood

Children who grow up with caregivers who set unreasonably high expectations, who are extremely volatile, or who need their children to take care of them are at risk of becoming adult children who put their own needs last or who suppress their needs altogether.

Children learn at a very early age how they’re expected to be in the world. So, if the message you received in childhood is that your needs don’t matter, or that it’s selfish or even dangerous to ask to have your needs met, you’re likely become an adult who has difficulty seeing yourself as a priority or in need of self-care. It’s hard to undo those patterns of behavior.

It’s All In The Past — Or Is It?

Below are some of the responses I’ve heard from friends and clients when they talk about how their past experiences are affecting their adulthood.

Past experiences can impact adulthood

• “I’m over it.”

• “I’ve moved on.”

• “I don’t even think about my childhood.”

• “What’s the point of rehashing old wounds?”

• “I barely remember my childhood.”

But the past does affect the present! What you experienced in childhood determines how you learned how to maneuver in the world. It’s how you learned how to survive. But sometimes the survival or coping skills you learned as a child to get by and to please your caregivers stop working for you. They might even hurt you in adulthood.

Anxiety From Childhood Stressors

If you feel a lot of anxiety but you aren’t sure what’s causing it, you might be experiencing a flashback or an unconscious past memory that was triggered by a present experience. Or maybe your anxiety stems from your ignoring or putting your own needs last. If you’re constantly giving to others with little consideration for yourself, it can bring up some difficult feelings like anger, resentment and frustration. Those difficult feelings can be hard to tolerate if you’re unfamiliar with expressing them, and that can bring on feelings of anxiety.

Tuning Into Anxiety To Help Heal

Tune into anxiety with compassion

Anxiety is something we like to avoid, ignore or push through. I get it, I’ve been there. But by tuning into your anxiety, you can hear your body telling you that it’s afraid or feels threatened. When you’re a person who always gives to others with little consideration for what you need, your body is probably telling you that it’s feeling threatened because no one is listening. You’re invisible to yourself and others. That feels scary and maybe a little too much like childhood, where you learned that it was safer and easier to take care of others.

When we learn to listen with compassion and love to the fear that lies below the anxiety, it can lead to a deep healing of old wounds. Meditation, mindful awareness and individual therapy can all help in the healing process.

Self-Care Doesn’t Mean Selfish

Learning new behaviors takes time and patience. Self-care isn’t something many of us learned at a young age. Self-care isn’t selfish; it’s a basic need. If we don’t know what we need, then it’s really hard to take care of ourselves. It takes practice — lots of it — to create a lifelong self-care routine. So be compassionate, loving and kind to yourself in this journey!

If you’d like support on your journey of mindful self-awareness and anxiety management, Woman Worriers Groups are forming now. You can find out more about the groups here.

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Elizabeth Cush, LCPC is a therapist, blogger,  host of the podcast Woman Worriers 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 Katherine Chase & Morgan Basham & Tanja Heffner on Unsplash

Have A Mindful Valentine's Day!

Be mindful of your feelings this Valentine's Day

Today is Valentine’s Day and whether or not you celebrate, or consider a “valid” holiday it’s hard to miss all the hoopla. I went to the drugstore to buy a condolence card yesterday and I overwhelmed by all of the Valentine’s Day merchandise­ — and I like to celebrate!

If you’re like me and enjoy the holiday, Happy Valentine’s Day to you!

If today makes you sad or depressed, or angry because it’s a made up “Hallmark” holiday then be mindful of taking care of yourself today.

• Acknowledge your feelings and allow them to be there.

• Offer yourself some compassion and love, and remember that others are struggling too.

• Ask what you need to take care you yourself. Maybe you buy yourself some flowers, or maybe you choose to ignore the holiday altogether.

With that I wish you a happy, mindful, wonderful Wednesday!

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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 Anna Kolosyuk on Unsplash

How You Can Manage Your Anxiety

My specialty is working with women who have anxiety. But anxiety isn’t just a woman’s issue. Men and women both experience anxiety. The good news is that most anxiety management strategies are gender neutral, meaning anyone can use them! Managing anxiety often starts with good self-care, because if you’re not taking care of your most basic needs, your anxiety isn’t going anywhere.

The First 3 Steps Toward Managing Anxiety

Regular exercise can help with anxiety

• Exercise: Exercise is different for everyone. Some of my clients have physical limitations that prevent them from doing strenuous exercise, and some are able to work out intensely every day. I encourage you to do what you can, and do it regularly. That means at least three times a week. Why? Because our bodies want to be used physically. They are hardwired that way. When you exercise regularly, your body releases endorphins, the chemicals that make you feel good naturally.

• Nutrition: Our bodies need nutrition, so it’s important to pay attention to what you eat. A balanced diet also balances your body and your mind.

• Sleep: Get a good night’s sleep. I can’t say enough about how important sleep is for overall good health, and mental health especially. Research suggests that seven to nine hours of sleep a night is a basic requirement for most adults. Without enough sleep, your body and mind don’t have a chance to “reset.” So if you’re extremely stressed when you fall asleep and you only sleep for a few hours, it’s likely you’re waking up stressed. A good night’s sleep gives your body a chance to recharge and relax. If you need some tips on improving your quality of sleep, check out the National Sleep Foundation.

Daily Anxiety Management Ideas

Day to day, you can do several things to help you keep your stress and anxiety at manageable levels. Here a just a few to get you started:

Constantly searching the Internet can increase anxiety

• Stop Googling. If you’re a worrier, chances are you check Google (or another search engine) a lot. Maybe you check out a disease symptoms, or plane accident statistics, or mental health issues. Unfortunately, searching for and finding answers that might confirm your worst suspicions only reinforces your anxiety. It tells your anxious brain that you were right to worry. It might even give you things to worry about that you weren’t aware of before your search. So when you get the urge to Google, put the phone down, walk away from the computer, take a walk, or take some slow deep breaths and allow that maybe it’s OK not to know this time.

• Meditate. Your breath is a cheap, easy way to help you manage stress and anxiety. You can use your breath as an anchor in meditation, or use structured deep breathing methods. Either way, your breath is helpful in easing anxiety. Some other great benefits of meditating, according to this article in Healthline, include: stress reduction, promotion of emotional health, enhanced self-awareness, pain management, blood pressure regulation, increased focus, increased positive feelings toward self and others, controlling addictive behaviors.

• Move. Anxiety often makes you feels stuck. That’s because when anxiety shows up, you can get caught in the freeze response. You feel powerless or frozen, which adds to your anxiety. I encourage physical movement when you’re feeling stuck. Walking mindfully, moving your arms across your body or swaying can help to activate the part of your brain that helps you feel unstuck.

Calling A Truce With Anxiety

I hope these strategies were helpful for you! I've launched a podcast soon called “Woman Worriers,” where I share more strategies on managing anxiety, but I'm also diving deep into why women are twice as likely as men to experience anxiety. I explore the psychological, biological, social and cultural issues that contribute to women's anxiety. I also share many strategies for anxiety management, like mindfulness, grounding techniques, meditation and other interventions that you can use to help stop fighting against your anxiety and call a truce in the battle.

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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 Justyn Warner & Photo by Annie Spratt on Unsplash