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Archive for the ‘depression/anxiety’ Category

Are We Done With Grief Yet?

Posted on: February 22nd, 2022 by TouchStone Health

By Julie Robertson, Registered Social Worker, CCLS, MSW, RSW

Grief. We have heard that word a lot in the last two years. We have lost a lot, in many different ways, and we are all feeling it in some form or another. But what is grief exactly? What does it feel like and why keep bringing it up? Many people associate the word grief with death, and in essence it is a feeling that comes with the death of something, but not always with the death of a living being. Grief is our “responses to loss” whereas bereavement is more specific to the reaction to a death of a person (or pet), and both deserve recognition. Any type of loss is a significant event and our reactions to those losses are important to process and find support for. 

Right now, many of us have become used to what we are experiencing, we have learned to live with the ‘new normal’ that was talked about a lot in the beginning of the pandemic. That new normal though, has felt very uncertain at times. We have become used to the feeling of uncertainty, while at the same time longing for a return to something more stable. We miss the feeling of knowing what to expect each day, some miss jobs, some miss friends, activities, and some miss people that are no longer here. We mourn for those losses and even experience intense longing to have things back to how they were before. 

Mourning is also a term we hear with grief and can be explained as “the outward expression of our grief’”. For some, that is out loud and in the open, talking to people, sharing feelings, even weeping openly about how we are feeling. For others, mourning is done quietly and in private, with little for others to see about how we are feeling inside. And for many, the mourning comes out in hidden ways, angry or in denial that the feelings of discontent with how things have been are due to grief. The thing about grief and mourning, is that however it is coming up for you and however you do your grieving, it is all ok. There is no right or wrong way to grieve or to express your grief. It is ok to do the messy crying in your car, the single tear in line at the store, the nonstop talking about your loss, or the journaling poems in secret. Whatever you need to do to help cope with the feelings in healthy ways is how it needs to come out, but when we ignore or deny the grief it can come out in more destructive ways. 

But that brings up what are the healthy ways to cope? The first question I would recommend asking is what is it that I’m feeling? What do I need to do (or not do) to support whatever I’m feeling? Next, is it possible for me to do it? If not, what are my other options? For some, flying away on a week’s beach vacation may feel like the best thing to do, but not be possible. What is the next best thing? Maybe a short retreat closer to home, or a day off to turn up the furnace, put on some shorts and listen to beach music with a fresh fruit smoothy, and throw on some sunscreen for the full experience of the beach smell. For others it may be continuing with regular daily activity, nice and structured with everything certain and in its place to feel more comforting. Everyone has different needs when grieving and taking the time to recognize how you are feeling and what you need to do to support your needs can go a long way to manage the experience. I say manage and not fix, because the other thing about grief, is that you can’t fix it or make it go away no matter how hard you try. It has a way of sticking around until it is felt and processed. You can push it away, delay it until you have more time or feel safer to let it surface, but it doesn’t go away until it’s sure it’s moved through you. This is very often the most difficult part, to let the feelings come and have their place, be recognized, and be allowed to do what they need to do. Grief is painful. It can feel overwhelming. It can feel like waves are coming to swallow you and that they will never leave you alone. 

I am here to tell you that they will, the waves will get smaller, further apart, and eventually reduce back to a calmer surface. But also, to point out that grief often has a way of hiding itself away until we feel safe enough to feel it. As we move towards opening up again and regain more and more of “the normal” we were missing, those feelings may just pop up out of nowhere and surprise you. This is also normal and ok but can be shocking if you’re not expecting it. Finding support to get through those big waves, learning about the grief process and having someone to talk with to help find ways to cope, or even to just sit with you while the waves crash around can be very helpful to getting through the process. Whether your grief is related to a death or any other feelings of loss, or you are looking for help in supporting a child, family member or friend through grief, you are welcome to connect for a free consult about how I can help support you through your experience. https://touchstonehealth.ca/clinicians/julie-robertson-rsw/

Feeling Burnt Out? You’re Not Alone!

Posted on: January 5th, 2022 by TouchStone Health

By Julie Robertson, CCLS, MSW, RSW

How Are We Feeling?

Is anyone tired yet? Feel like crying, yelling, or stomping your feet with the latest provincial restrictions? As we continue into this 4th wave of the pandemic and kids return for another round of online schooling, many are feeling pushed past the point of being able to hold it all together. So go ahead, cry, stomp or yell (maybe into your pillow) and let everything you feel have its place. The more people I talk to these days, the more I realize that so many are experiencing burnout from the challenges of the last two years. Yes, we’re coming up to two years living through the ups and downs of the pandemic, and that is a long time to be under this much stress. 

What is Burnout?

Feeling burnt out is a concept we threw around maybe a bit lightly in previous times to describe big stressors such as crunch time during exams, busy streaks at work, or shuttling kids to activities on top of working and caring for family members. Those things all have potential for burnout but add a pandemic on top of that and it seems almost inevitable that most people would be fizzling and fading out this far into it. One difference is that before, we often caught a break. Exams finished, workloads ebbed and flowed, and kids activity sessions ended with each season. Now, there has not been the same balance, no end to the stress of the pandemic, and so much unknown with all of it that we are left is stress mode for way too long with no way to rest and recover. Even if we are eating healthy balanced foods, drinking water, going for walks and getting fresh air, for many people it doesn’t seem to be feeling any better. This is beyond the tired of before and recognizing it for what it is can help switch from swimming in circles to energy conservation mode, allowing the chance to heal when we have space. Burnout can be described as the imbalance between too much stress and the lack of resources to cope with it, or “feelings of depleted energy or exhaustion because of continual stress”. 

Some symptoms of burnout could be:

  • Feeling exhausted, despite efforts to relax and replenish
  • Irritability or hostility
  • Difficulty concentrating
  • Change in sleep habits
  • Feeling distanced from others, friends, family, kids
  • Lack of fulfillment in work, parenting etc
  • Feeling trapped

My Coping Tools Aren’t Working!!

So, hands up if you’re feeling depleted from continual stress? How many are feeling the lack of resources to cope with that stress? Are the tools you usually pull out to help cope just not working under the current circumstances? I don’t think you’re alone with that one! The things that normally help us cope like taking time off with friends, some alone time with a cup of tea, going to the gym, connecting socially with co-workers to vent, or even accessing affordable healthy foods have all been interrupted. Health care workers, teachers, other front-line staff especially are struggling with the heaviness of working in helping professions and holding other people’s emotions. Those working in services jobs also have the stress of face-to-face contact, and grumpy grumps complaining about not getting enough ketchup packets with their order is adding layers to an already stressful industry to work in. 

Is Parental Burnout a Thing?

And then there are the parents of school age kids and youth, who are now facing another few weeks (at least) of doing it all and having no space to take a breath and regroup. Parental burnout is noticeable on the whispers, sometimes loud whispers, of many parents who feel like they are hating being parents right now. On top of feeling the burnout symptoms, many parents then add on shame and guilt for not enjoying their kids as much as they ‘should’, or for not being able to provide as much support as their kids need right now. 

Now What?

So, after recognizing we’re feeling burnt out, what do we do if our usual coping strategies aren’t working anymore, or we can’t implement them because of the circumstances we’re in?

1. First, breathe. That’s all, if nothing else just breathe. Pretend to smell freshly baked cookies with a deep breath, then blow out to cool them off. 

2. Let yourself feel. Everything that is coming up, even the hate, anger or frustration has a place and can be honoured. Just because you have those feelings doesn’t mean they are permanent, but they are valid and can be allowed to be recognized and named for what they are. And scream into a pillow if you need to, just maybe warn people nearby first. 

3. Go back to basics of survival. Eat, sleep, create ways to feel safe and prioritize the most important things to get through each day. Oh, and water, don’t forget to drink water!

4. Move. If your body is already stressed to the point of being in fight or flight mode, don’t push it further into stress by pressuring yourself to fit in workouts you would normally do when feeling good. Be gentle, move your body, get some fresh air, or just stretch when you have a few minutes throughout the day. 

5. Reframe your thoughts in helpful ways. After letting all the feels do their feeling, look at picking out a few mental statements that have room for a shift in perspective and try them on. Things like “I can’t stand a messy house, I am failing at keeping it together if I can’t keep things organized” could shift to “I can’t stand a messy house, but it won’t be like this forever (even if it feels like it right now). I can leave the toys where they are and focus on doing one load of laundry for today”. 

6. If help is offered, take it, or not. If having your mother-in-law in your house for the day to ‘help’ doesn’t feel very helpful, then saying a polite no thank you might be the less stressful choice, and that’s ok. 

7. Talk to someone. A friend, a counsellor, a neighbour, a sympathetic pet. Journaling or making voice notes to vent can also be helpful. If you’re really feeling down, call a helpline or head to your Emergency Department. 

And that is all I’m going to say because a bigger list is not always better. In times of crisis, illness, burnout, we can let go of all of the extras we have padded onto our lives, the frills, bows and expectations that aren’t essential to what we need, and just focus on taking care of the things that get us through. The frills and bows and be added back on later, if we still want them that is!

If you feel you need more support finding ways to cope that can fit with your circumstances, consider booking a free 15-minute consultation, or go straight to booking a 50-minute session with Julie. All sessions are virtual, Social Work fees are covered by most insurance plans. 

By Julie Robertson, CCLS, MSW, RSW

Welcome Julie Robertson, Registered Social Worker to TouchStone Health!

Posted on: December 8th, 2021 by TouchStone Health

Starting in January 2022, Julie will be offering counselling and support to help clients cope with issues such as stress, anxiety, depression, grief, birth and fertility issues including NICU parenting, and parent coaching for those who are struggling with parenting higher needs children. Julie works from a trauma informed perspective and draws from a mix of counselling theories to create a unique treatment path based on individual experiences and goals. She is currently accepting adult clients for virtual sessions and is able to support parents and caregivers with issues related to children and youth.

To book an appointment or for a free 15 minute consultation go to: online booking

A Naturopathic Perspective on Postpartum/Perinatal Mood and Anxiety Disorders

Posted on: June 4th, 2021 by TouchStone Health

by Dr. Melanie Reidl, N.D.

The postpartum period can be a transformative, beautiful experience for new parents, however, it is not without a dark side for many. I personally experienced both the euphoric stage of new motherhood, as well as the anxious and depressed state that many women experience. 

Perinatal/postpartum mood and anxiety disorders (PMAD) affect approximately 15 to 20% of new mothers. This may underestimate the prevalence of PMAD; the signs and symptoms may be missed and attributed to being a ‘normal’ part of motherhood, or, mothers may resist acknowledging the signs because of stigma or societal pressures. 

If prolonged and untreated, PMAD’s can be detrimental to maternal health and the child’s development. As such, is important that we work to improve our screening/identification and treatment approaches for this group of women. 

Naturopathic Medicine, with its emphasis on treating root causes and viewing health more holistically, is well suited to support women with PMAD’s. There are many factors or root causes that may be involved in the development of a PMAD, including but not limited to the following: personal history, family history, social support, birth experiences/trauma, stressors, nutritional status, and thyroid/hormonal factors. 

In my experience, the most overlooked factors are nutritional status, stress levels, and thyroid/hormonal imbalances. First, is not uncommon for women to be undernourished during their pregnancy and when a new baby enters the picture. She may have forgotten to take her prenatal multivitamin, have pre-existing nutrient deficiencies, or feel like she doesn’t have the time or energy to nourish herself properly.  

Elevated stress hormones are also common in this group of women. The stress hormone, cortisol, may high be due a variety of factors, including but not limited to: birth trauma, lack of support, financial challenges, relationship stress, and lack of sleep. 

Further, the risk for developing hypothyroidism (an under active thyroid) is greater in the postpartum period. Hypothyroidism may develop due to nutrient deficiencies, prolonged elevation in cortisol levels, and hormonal and immune system changes associated with pregnancy and postpartum. Hypothyroidism is a common cause of depression, anxiety, and fatigue, and must be ruled out in all cases of PMAD.

In my opinion, the treatment approach to PMAD should be collaborative in most cases. Involvement of the woman’s G.P., a Psychologist or Social Worker, and an N.D. would address several facets of the PMAD. In moderate to severe cases medication may be necessary for a period of time. Counselling or CBT is also important to develop healthy coping strategies and to re-frame negative thought patterns. 

My approach as a Naturopathic Doctor would begin with a comprehensive screening of thyroid tests and nutrient levels (ie. Vitamin B12, Iron status, Vitamin D3) in these women in order to better identify and treat any possible physiological underpinnings. Following a careful assessment of patient history and blood work, I work with women to optimize their nutritional status and provide dietary counselling, I encourage healthy lifestyle factors such as exercise, self-care, and mindfulness practices, and provide individualized nutritional or herbal supplement recommendations. 

As an ND who has seen many women with PMAD, in addition to my personal experience, I have developed a deep understanding and empathy for this group of women. They deserve a thorough assessment of their physical, mental, and emotional health, as well as an individualized treatment plan to help them cope, overcome their PMAD’s, and improve their well-being so that they can be more present mothers for their babies and be their best selves.

We Can do Hard Things and Everything is Figureoutable

Posted on: September 14th, 2020 by TouchStone Health

by: Dr. Amanda Cressman, N.D.

I’m always so grateful when the right book comes along at the right time. I’ve had this happen recently when I read Untamed by Glennon Doyle and Everything is Figureoutable by Marie Forleo.

For many people, this year, at this time, in this season is bringing about very hard things where perspective can be lost. These words have helped restore that for me.

In my house, I have a few select quotes that are hung up in rooms as I try to instil these thoughts into my children but also into myself. In my children’s playroom I have this framed quote, “Everything is Figureoutable”. This quote comes from Marie Forleo and her book named just that. Marie is a life coach, an enterpreneur and many other things. She is an example and a reminder that we can define who we are and how we experience things with our attitude and perspective.

A week into having this quote up and framed in our house, I was doing some computer work where I was needing to learn a new system which is one of my least favourite things to do. My youngest daughter saw me sigh, looking defeated and stressed and said, “mommy, you know everything is figureoutable…you can figure this out.” I had put up this quote in their playroom that very week and shared the concept with them, bringing it up when they were frustrated, teaching them that they have the ability to figure things out. When my daughter said this, it made me smile large, seeing that a 5 year old had locked these words in as a belief in a few short days where I obviously had more work to do. I repeated it in my mind

I love this phrase because it’s playful, it’s positive and it’s powerful.

And it’s been very helpful in this peculiar year, in this precarious season as we all have no idea what the next bit of time will be for us all.

But Marie reminds us that everything is figureoutable. I just need to get my mind out of the way to make room for solutions and ideas. If you like this phrase and feel as though it could benefit you, please feel free to download this image.

The second book that has been helpful is Glennon Doyle’s, Untamed. It is a powerful piece of work. It’s raw, it’s real, it’s courageous and it’s important. Glennon shows up authentically on each page and if you have the audio version of her work, she’s as good of an orator as a writer, which is saying something.

Out of many of the highlighted quotes from her book, this one has landed the strongest for me….“We can do hard things.” We are all continuing to experience changes with uncertainty of the coming months, but her words, “We can do hard things” is inspiring and instills in me, “yes, I can do hard things, I’ve done a lot of hard things before and life brings about hard things….I can do this, my kids can do this…we all can do this.”

It’s why I love Naturopathic Medicine, because my job is to help people figure out why they are experiencing what they are experiencing and how to get back to who they wish to be. And sometimes that work is hard. Asking people to look at their lifestyle, to change patterns or behaviours that are blocking them from health is hard stuff.

For me as a person, as a parent and as a Naturopathic Doctor, resilience is what I strive for. Resilient people can weather the season changes of life with grace and and with perspective.

This coming season of life is a big one for us all. It is asking us to be flexible, to be conscientious, to be considerate and to be patient.

For whatever is going on in your life, I hope these words from these two extraordinary women will be helpful…knowing you can figure things out and you can do hard things.

If you like this phrase and feel as though it could benefit you, please feel free to download this image.

Showing Up Authentically

Posted on: May 22nd, 2020 by TouchStone Health

by: Dr. Amanda Cressman, N.D.

This post is looooong overdue.  It has been 10 weeks from today that I had been seeing patients in clinic when COVID-19 had changed our lives.

It’s been such an interesting time and for anyone who knows me, you know I love the word interesting as it is a great umbrella word for a variety of experiences.  What’s so bizarre and difficult to wrap my head around is the variance of experiences in the past 2.5 months.  How this virus can be life threatening to some and not to others, how the isolation has been horrendous for some and absolutely welcomed and enjoyable for others and the financial implications for so many people and businesses.  The only thread of consistency is that we are all connected in this, that this experience has affected us all and that among the variances, we are in it together.  We all know that life will never be quite the same hereafter- how businesses will run, how we interact with each other and ultimately how we perceive others.

With so much disruption, it is jarring, especially for those who are wired similarly to myself.

The reason I called this post Showing Up Authentically is that I ask people in my practice to do this.  I value authenticity and to ask it of others, which means I need to always ask it of myself….especially when it’s hard to do so.

When stress happens we often do one of three things.  We fight, we flee or we freeze.  My response when all this began was to fight.  My nervous system was spun.  Sleep was altered with the dreaded 3 am wakeup where my mind racing, the wired but tired feeling throughout the day was present, causing great levels of anxiety, the change in appetite and cravings were not great, to put it politely and the overall heaviness of this new and very unwelcome reality was felt.  But with time, the fight died off and the freeze took over, a feeling very new to me – numbness, fatigue, lack of motivation and deep sadness.  Collective grief was spoken about a lot in that time and was a great analysis of what we were all experiencing.

But like all things, there is a season, thank goodness there are seasons in nature and in life…as that fight and freeze response had passed to the present reality of acceptance and even finding joy with the changes that have come from all of this.

The point of this article is to remind you that you are not alone and that whatever season you are presently in – whether that be fear, joy, uncertainty, anger or ambivalence…you are not alone.  It’s been an honour to connect with people over the last few weeks and months, hearing their experiences, sharing in their story and supporting them…as it’s been really hard for many.  There is so much information out there, that many of us are in mental overdrive.  It’s hard to digest it all, knowing what to trust, wondering when things will change and how it will all look.  With all the mental chatter, it takes work and effort to connect with ourselves on an emotional level, really listening to what we need and giving space to feel it.  For me, as a health care practitioner, I’ve struggled with feeling some of these not so pleasant feelings and grateful to have given room for them to be felt.

Everything has a season and this has been one of the most bizarre seasons of my life.  I think many can relate to that.  The more we share, the more we open up about what is honestly going on in our lives, the more we remind others that we are in this together.  Showing up authentically is easy when things are great but not when things are tricky.  I hope however you are feeling, wherever you are at, that you are remembering your goodness, your worth and that you are not alone.

 

Helpful Resource

Posted on: April 10th, 2020 by TouchStone Health

by: Amanda Cressman, N.D.

Loving Kindness Meditation is one of the of the more popular meditations that has been studied to understand its role on creating calm and well being for the individual practicing it as well as promoting compassion and kindness for others.  In this time of uncertainty where stress is high within ourselves but also in relation to others, these are things we could use more of.
This meditation can be incredibly helpful and one that is worth a consideration.

Here are some articles explaining it.  See what you think.

https://positivepsychology.com/loving-kindness-meditation/

https://www.mindful.org/this-loving-kindness-meditation-is-a-radical-act-of-love/

 

Helpful Resource

Posted on: April 9th, 2020 by TouchStone Health

by: Dr. Jocelyn Hayes, D.C.

A breathing exercise for stress reduction

  • Find a position that is comfortable to you (sitting, lying, etc) in a space that is quiet and free of distractions (for a few minutes at least).
  • Start to let your body settle into that position and become heavy on the chair you sit in, or bed you lay in, or wherever you find yourself at the moment.
  • Let go of any tension you’re holding in your body or face. Without changing your breath just start to pay attention to it.
  • After a few breaths, start to let your breath get deeper into your chest and belly.
  • You may want to put a hand on your chest and one on your belly so you can feel where your breath is going.
  • If your hand on your belly is not feeling any movement, deepen your breath into the belly until you feel some movement there.
  • For the next few breaths, start to lengthen each inhale and exhale slightly to slow the breath down.
  • Now we start a 5-10 breath, meaning you inhale for a count of 5 and exhale for a count of 10. If this feels like too much then try a 4 count inhale and 8 count exhale – the key is that the exhale is twice as long as the inhale. This switches our brain and body out of a stress state and into a relaxed state.
  • Keep doing your 5-10 or 4-8 breath for several minutes. I recommend at least 5 to 10 min, but you can do this for shorter lengths during the day to reduce stress when you notice it rising. You can also do it for much longer if you would like an even more peaceful and relaxing result.

The benefits of a 5-10 breathing exercise are many. As I mentioned, it moves your nervous system out of the stress cycle and into a more restful and calm state. This has the effect of reducing mental stress, anxiety, physical pain and muscle tension – things many of us are experiencing a lot of recently. Breath work also increases your oxygen levels, improves posture, massages your internal organs and can even help to improve circulation and digestion.

Stress management is essential to our overall health and wellbeing.  Breath work is an excellent tool that can have incredible benefits on your mental, emotional, and physical wellbeing. I encourage you to carve out time in your schedule to take a few deep breaths, and hope it brings you a few moments of calm.

Helpful Resource

Posted on: April 8th, 2020 by TouchStone Health

by: Amanda Cressman, N.D.

Self Compassion is something that is spoken about but rarely practiced.  In so many of the individuals that I speak with, negative self talk or a negative inner critic is often apart of anxiety, depressed mood and contributes to an overall stressed out individual.

Especially in this time, where so much change and stress are felt, compassion for self is of vital importance.  It helps us cope in difficult times, bridging over to a greater understanding of ourselves which can lead to helpful solutions.

I have loved Kristin Neff’s work on self compassion.  Her website has various resources and support.  https://self-compassion.org/. If you check it out, I hope it brings something helpful to you.

Helpful Resource

Posted on: April 6th, 2020 by TouchStone Health

by: Dr. Melanie Reidl, N.D. Naturopathic Doctor

I can’t recommend the ‘Calm’ App enough. With nearly every patient that I see, I write the name of this App on their prescription with the hope that it supports their individual mindfulness meditation practices. Also, I often play a guided meditation from Calm during acupuncture sessions so that my patients can practice mindfulness meditation and learn about mindfulness during their appointments.

Why do I recommend this App so frequently? Research continues to show that mindfulness-based therapies can benefit general psychological health, stress management, pain disorders, and as an adjunctive treatment in depression. When practiced consistently, mindfulness-based interventions can reduce stress, anxiety and depression symptom severity, as well as protect against recurrence of some mental illnesses.  Pretty amazing, right?

I hope Calm helps you, wherever you’re at with your mental health, as much as it’s helped me.

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