rebecca stanwyck
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and mailing address:

21700 Redwood Rd, #B
Castro Valley, CA 94546

Pleasanton office:
5674 Stoneridge Dr, #218
Pleasanton, CA 94588

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Articles - Stress & Trauma

Are You Maxed Out?

Coping with Change

Ten Steps to Stress Relief


Dealing with Trauma

Grief and Recovery

Handling Holiday Stress



ARE YOU MAXED OUT? (April 2008)

“Maxed Out” is the title of a documentary (now available on DVD) that explores the impact of credit-card debt and predatory lending practices on average Americans. Filmmaker James Scurlock, in the companion book, explains: “Over the past generation, incomes have basically stagnated while the costs of some pretty important items – e.g. healthcare, housing and education – have skyrocketed. At the same time, the financial industry discovered it could make a lot more money getting us to spend than to save.”

As a result, while more of us are having trouble making ends meet, we’re encouraged to use credit cards and high-interest loans to bridge the gap. We’re using the Visa card to buy groceries, making minimum payments, and receiving offers from the same company to borrow more (“Need new patio furniture? Just use the enclosed checks.”)

The average American’s credit card debt is about $9,300, according to the National Foundation for Credit Counseling. And the personal savings rate in 2006 was at its lowest point in 73 years: negative one percent! In other words, people are borrowing just to pay their regular monthly bills, not setting aside any money for the proverbial “rainy day”, and many of them won’t ever be able to catch up and pay off their mounting debt.

So it’s no surprise that personal bankruptcy filings have increased, by 70% from 2006 to 2007, returning to levels seen before October 2005, when stricter bankruptcy laws took effect. Experts attribute the current upswing to the skyrocketing rate of home foreclosures and ever dwindling refinance options, but certainly credit card debt is also a factor.

What does all this have to do with mental health? Well, in my practice I’ve seen families torn apart and relationships destroyed as the result of overwhelming debt. Scurlock’s film tells the stories of two college students who committed suicide after running up thousands of dollars of credit-card debt. There’s no question that financial woes have a major impact on emotional and mental well-being, as well as on relationships.

 

 

Yet this is a topic that rarely is talked about, because there’s often a sense of embarrassment or shame. People seem to have an easier time talking about their sexual problems than their financial problems! (And they even have trouble telling their psychotherapist.)

So while I encourage anyone in financial distress to come clean and start talking about it, I’ve also compiled some information and resources for those who prefer to remain anonymous:

There is a self-help group, patterned after AA, called Debtor’s Anonymous. You can learn more, and find out about local meetings, on their website: http://debtorsanonymous.org . The National Foundation for Credit Counseling, a non-profit, has a website, http://www.debtadvice.org , with helpful tips. They will refer you to an affiliated local credit counselor if you call (800) 388-2227. And finally there may be help available through the Debt Relief Hotline (800-291-1042), the Tax Relief Hotline (877-283-8580) or the Mortgage Payment Assistance line (800-750-8956).


COPING WITH CHANGE (September 2006)

Recently I’ve had several clients who are dealing with major changes in their lives: losing a job, starting a new career, ending a long-term relationship, re-locating here from another part of the country. September is also when many students, and their parents, are facing the changes that come with starting a new school year - so this seems like an excellent time to review what I’ve learned about change and how to cope with it.

Change, like death and taxes, is unavoidable. Heraclitis, a Greek philosopher who lived 2500 years ago, said it best: “There is nothing permanent in the world except change.” You’d think by now we’d have accepted that fact! And yet, everyone seems to hate change. We try hard to avoid it, run and hide when we see it coming, and complain bitterly when it finds us anyway.

Change can be a major source of stress, because all change involves loss. This is true even when the change is a positive one, like marriage, a new baby, or a new home. Think about it: we always have to give up something in order to get something new.

We are creatures of habit, and change requires adjustments to our routines. Sometimes we put off making necessary changes, like those involving diet or exercise, because it just seems too hard to learn new habits. Change can be stressful because it threatens our “comfort zone”, and sometimes we may even perceive that it threatens our very existence.

When people feel threatened by change, or just don’t know how to handle it, they may develop unhealthy ways of coping, like drinking or overeating, getting angry or depressed, or becoming a “workaholic”. Sometimes they just refuse to change! None of these are effective solutions, but it is possible to learn to cope well with change.

An excellent book about change is “Transitions”, by William Bridges. He describes three characteristic stages of change: the ending, the new beginning, and in between, which he calls “the neutral zone.” The neutral zone is like being in limbo, a time when you may feel unsettled, disoriented and confused. You’ve left the old routines behind, but haven’t yet settled into new ones. It’s an uncomfortable place to be, so it’s tempting to rush through it or skip right over it, as some people do when they go from relationship to relationship with hardly a pause in between.


But as Bridges points out, the neutral zone is where the lessons of life are learned. It’s a time when you have an opportunity to reflect, review, and consider where you’ve been and where you’re headed next. It’s a time to measure your progress in achieving your goals, and revise those goals if necessary. It’s a time to try a different approach, explore options, or just catch your breath before jumping into the next phase of your life.

The neutral zone is also a good time to find someone you can talk to – a trusted friend, spiritual advisor, or a counselor - someone who can help you sort out your thoughts and feelings about the changes you’re going through, and take an objective look at your situation.


TEN STEPS TO STRESS RELIEF

  1. Learn to identify “early warning signs” of your stress response:
    • Physical (tense muscles, shallow breathing, racing pulse)
    • Thoughts or feelings (nervous, angry, preoccupied)
    • Behavior (do you withdraw, or lash out?)
  2. Identify stressors: What are your triggers?
    • Lack of control over conditions of work?
    • Angry or difficult customers or co-workers?
    • Too much to do, not enough time?
  3. How do you respond to chronic stress?
    • Feelings (anxiety, anger, hopelessness, depression)
    • Thoughts (“It’s not fair”, “Don’t talk to me that way”, “I can’t handle this”)
    • Behavior (irritable, can’t concentrate, fatigue, insomnia)
  4. Set goals to manage stress more effectively
    • Focus on what you can control
    • Motivate yourself with specific rewards for every goal
  5. Take care of your basic health
    • Get enough sleep (most adults need 7 to 8 hours a night)
    • Eat regular meals which include whole grains, fruits and vegetables
    • Avoid caffeine, nicotine, junk food and skipping meals
    • Consume alcohol in moderation (no more than 1 - 2 drinks a day)
  6. Take control of your thoughts and emotions
    • Adopt a positive attitude and let go of resentments
    • Put things in perspective (will this really matter 5 years from now?)
  7. Get stress out of your system!
    • Learn simple relaxation techniques that you can use at work
    • Get fresh air and physical exercise daily (take a walk at lunch)
  8. Learn conflict resolution skills
    • Respond calmly and patiently (avoid catching other people’s stress)
    • Take time to listen (we all need to be heard and understood)
    • Look for the common ground (aim for a “win-win” solution)
  9. Practice, practice, practice! It takes time to develop new habits.
  10. Know when to ask for help: An experienced mental health professional can assist you to analyze the stressors in your life, recognize the warning signs of stress overload, and develop more effective coping skills.

DEALING WITH TRAUMA (September 2005)

The news from New Orleans and the Gulf Coast following the impact of Hurricane Katrina couldn’t be worse. Thousands of people have lost their homes, their possessions, and their loved ones. As a nation, we are stunned, but clearly those who were in the path of the storm have suffered the most severe kind of trauma.

What is trauma? It is the experience of something terrible happening, something that threatens your personal safety or even your life, or the safety or lives of your loved ones. Traumatic events include large-scale natural disasters, like hurricanes, floods, and earthquakes, as well as man-made disasters, like war, plane crashes and industrial accidents.

Trauma can also occur from one-time, individual acts of violence, like bank robbery, assault, and rape; as well as chronic situations like being molested, having cancer or living with AIDS. People can also be traumatized by simply watching a traumatic event, even if their own safety was not threatened.

Reacting to trauma: There are three basic stages in a normal reaction to a traumatic event or situation. First, there is the initial shock or disbelief – you feel numb, and experience a sense of unreality, like being in a really bad movie. This stage may last a few minutes to a few days.

Next, there is disruption in normal routines and behavior, as you struggle to cope. Life is topsy turvy, nothing makes sense anymore. You may experience many physical as well as emotional symptoms (see below). This stage can last for awhile.

Finally, when the threat is gone and/or you develop sufficent coping mechanisms, you reach a place where you can put the traumatic event or situation into perspective and return to “normal” life. Depending on the severity and duration of the trauma, people may reach this stage within a week or two, or it may take years.

Common symptoms of trauma: Symptoms may include crying, feeling anxiety or anger, feeling detached or in a daze, having a headache or stomachache, restlessness, inability to concentrate, extreme fatigue or exhaustion, fear of being alone, being easily startled, intrusive thoughts or images of the traumatic event, appetite and sleep disturbance.

Typically these reactions are strongest in the first few days following the trauma, and lessen over time. More severe reactions may lead to a diagnosis of Post Traumatic Stress Disorder (PTSD), which I’ll write about next month.

Coping strategies: The most important thing to remember is that these are all NORMAL reactions to an ABNORMAL event. Think “this too shall pass”, and concentrate on taking care of yourself. Do what you can to increase your sense of personal safety. Talk about what you’ve experienced with others who understand. Get plenty of rest, spend time with loved ones or favorite activities, and avoid relying on alcohol, drugs or overeating to help you cope. And don’t hesitate to seek professional help if you are concerned about your reactions.


GRIEF AND RECOVERY (November 2004)

Grief is a normal and natural response to loss. Recovery is feeling better—being able to enjoy fond memories without triggering painful feelings of sorrow, guilt, or remorse.

Grief may result from any loss, large or small: the death of a loved one, the loss of a job, divorce, disability, retirement, the death of a pet, and even a change in residence are all events that can cause feelings of grief.

Phases of Grief:

While everyone experiences, and expresses, grief differently, there seem to be three fairly typical phases in the grieving process: shock, acute grief, and recovery.

PHASE ONE:  Shock seems to be nature’s way of protecting us from the full force of an event involving loss. There is disbelief because the full meaning of the loss has not yet sunk in (“There’s been a mistake; this is not happening; I’m having a bad dream.”) You may feel numb while carrying out the necessary tasks (e.g. going to the hospital, contacting relatives, making funeral arrangements, taking over work assignments). Others may mistakenly think you’re OK (“She’s taking it so well!”) This phase may last for hours, days, or even weeks.

PHASE TWO:  Acute grief is the most difficult phase. As the disbelief and numbness wear off, you begin to experience the full extent of the painful feelings. Anger is often the first emotion to be felt—anger at God, for allowing this to happen; or at anyone who you feel may have contributed to, or failed to prevent, this loss. It’s even normal to feel angry at the person who died! You may also experience feelings of guilt or remorse related to things you wish had been different (“If only I’d told him how much I cared,” or “Maybe if I’d been here—or hadn’t gone there—this never would have happened.”)

This phase may last for months or years, and can include these symptoms:

  • Insomnia—or increased desire to sleep
  • Loss of appetite—or compulsive overeating
  • Increased use of drugs or alcohol
  • Memory loss—can’t remember where you’re going
  • Trouble with concentration
  • Periods of confusion, and difficulty making even simple decisions
  • Frequent and/or rapid mood swings
  • Lack of energy or motivation
  • Loss of desire for sex
  • More frequent headaches, or other aches and pains
  • Desire to isolate from friends and regular social activities
  • Fears about your own health and safety, or fear of losses yet to come

PHASE THREE:  Recovery may take years, and is a gradual process in which the pain softens and recedes, memories become nostalgic, and there is a renewed interest in the outside world. You will likely never forget your loss, but you may learn to make a place for your memories in your heart, and feel ready to go on with life again.

Social Expectations: “Acting Recovered”

Our society does not prepare us very well to deal with loss. We are taught the importance of acquiring things and relationships, but not how to let go of them. For example, if your dog died when you were a child, your parents may have said, “Don’t worry, we’ll get you a new dog.”

In other words, we are taught to bury our feelings and replace the loss as soon as possible. That might work if we’re talking about getting a new dog, or even a new job; but what do you do when the loss is a parent, a child, a spouse, close relative or friend? Because we are so uncomfortable with the grieving process, there can sometimes be a great deal of pressure put upon the grieving person to “get closure and move on”.

WHAT DOESN'T HELP:  Although they mean well, your friends, family members and co-workers may say or do things that keep you from working through your grief.


HANDLING HOLIDAY STRESS

Does the holiday red and green leave you feeling blue? Overwhelmed by the demands of seasonal celebrations? Dreading the temptation to over-indulge in alcohol, food, and spending sprees?

This time of year is often stressful for many people, whether or not they celebrate Christmas. At work we face end-of-year deadlines, as the winter storm season rolls in. Shorter daylight hours lead to heavier commute traffic as well as fewer opportunities for outdoor exercise, and may trigger feelings of fatigue or depression.

Mass media and retailers exhort us to “get into the spirit” by buying things we don’t need, and spending money we don’t have. We may feel pressured to spend time with relatives whose company we don’t enjoy; we might miss being with loved ones who are far away or who have died. Or we can simply stress ourselves out by trying to make the holiday experience “perfect” for everyone!

Here are some Tips to Prevent the “Holiday Blues”:

  1. Be realistic. Don’t expect people to change, or problems to go away, just because the holidays are here.
  2. Think about what the holiday season means to you. If possible, have a family discussion to find out what gives the holidays meaning, and what’s important, for each person.
  3. Find a balance between those things which will make you feel good, and those which you may still feel obligated to do.
  4. Prioritize and plan ahead to insure that the essential things get done. Break down big projects into smaller steps that can be done 15 minutes at a time.
  5. Be creative, and have fun! Your best holiday memories probably involve things that didn’t cost a lot of money, and may have happened spontaneously.
  6. Focus on what you can control, and allow others to take responsibility for getting their own needs met.
  7. Ask for what you want, whether it’s a special gift, or help in getting tasks done. Don’t expect others to read your mind or anticipate your needs.
  8. Don’t overspend. Set a realistic budget for gifts as well as holiday decorations and entertaining; and stick to it.
  9. Shop early – lines are shorter, the selection is greater, and there is less pressure for last minute spending.
  10. Take care of your emotions: allow yourself to feel your feelings. If you’re missing someone or something that was present at previous holidays, you may need to take time to mourn your loss.
  11. Take care of yourself physically: make sure you get enough rest, fresh air and exercise; consume alcohol and sweets in moderation.
  12. And above all: Keep a sense of humor!

If you’ve tried these steps and find that you’re still unable to shake the holiday blues, there may be a medical or psychological cause. You should consult your physician, and consider seeking help from a mental health professional as well.



 
© 2005 – 2008, Rebecca A. Stanwyck, LCSW. All rights reserved.