I'm Blogging for Mental Health.
One of my anxiety triggers is health. It’s safe to say my biggest fear in life is poor health–my own as well as that of someone I love. Good health is not something I take for granted for even a single day.

Since my earliest memories, my anxiety has been set off by thoughts of impending doom related to someone I love becoming ill or injured. I’ve had to deal with intrusive thoughts, with scenes playing out in my head that I’ve been unable to stop. As a child, I worried endlessly about something happening to my mom. As a new mother, I worried about something happening to Jax. Thoughts like these don’t occur often now, thank goodness.

The positive side of health anxiety is that it makes me proactive. I’ve initiated difficult conversations with my physician and my therapist just to relieve myself of worry and for reassurance. I eat well, I rarely drink more than one alcoholic beverage in a day, I take walks almost daily, I talk about how to alleviate my stress with a therapist regularly, and I take vitamins and supplements that are good for my body.

Most importantly, I try to never consult Dr. Google for a diagnosis if there is something perceived to be wrong!

Knowing your anxiety triggers is crucial for overcoming it. So is knowing how to handle the anxiety when you can’t stop it from happening. Here are the techniques I rely on to nip anxiety in the bud when it happens.

If you have any anxiety-busting tips, please share!

 

It’s Monday, and it’s raining. I think this calls for measures of extreme self-care.

I scheduled a routine physical examination months ago–just because–and this afternoon, I have to go to the appointment for the bloodwork results and remainder of the exam. Blah. I’m keeping anxiety at bay by avoiding caffeine this morning, which is painfully difficult given that I’ve slept poorly for a week now, and have I mentioned it’s a rainy Monday? I’m also listening to my favorite music while I work, and that’s helping to keep me focused and calm.

Some people think that having a routine physical and accompanying bloodwork is like asking for trouble–why look for any problems if you’re feeling fine?! But I think having this done every year or two is part of my responsibility to my family. I want to ensure I remain in optimal health as long as possible and figure out any problems before they really become problems. I know there is only so much you can do to protect your health, I do. And yes, maybe all my anxiety about the bloodwork and then waiting for results is doing more harm than good (assuming the results are fine), but I can’t shake the feeling that having a physical is not only an act of self-care but also the right thing to do for my family. I do not take good health for granted whatsoever. It is what I am most grateful for in life (besides Jax, of course).

So, to treat myself for my good behavior and to help alleviate some of my anxiety about my appointment later, I’m using my 2.5 hours of free time between work and the appointment to indulge in a few things that make me happy. Like blogging. Calling a friend to catch up on my drive home. A slow lunch in front of the tv. A bubble bath.

When was the last time you had a routine physical exam? Consider this your reminder to take care of yourself!

 

Every week, I see tweets and Facebook posts, and I overhear or am part of conversations about how challenging it is to drink enough water throughout the day. I admit this has boggled my mind. It has seemed fairly easy to me to reach my daily goal of “8 by 8.” That’s 8 glasses, 8 ounces each (for a total of 64 ounces).

But then I remember that it wasn’t always this effortless for me. It wasn’t until I was pregnant with Jax and constantly thirsty that I paid any attention at all to how much water I was drinking each day. And then after he was born and breastfeeding seemed like it would work out for us, I became fanatical about ensuring I drank 100 oz per day (I have no idea how or why I came up with that number).

Over nearly 3 years of breastfeeding, drinking tons of water each day became a habit. I typically don’t aim for 100 ounces daily anymore–at least not in the winter, but maybe on active summer days–but I am good at reaching 8 by 8 and I sometimes surprise myself by hitting 100 without even thinking about it.

Here’s how I do it:

Drink more water

I went to my favorite store (Target, duh!) and bought a cup with a lid and a straw in my favorite color (this one, if you’re curious). I fill up my green cup, which holds 20 ounces, once when I arrive at work each morning (or on weekends, I fill up with breakfast). I challenge myself to drink it by lunch at noon. After lunch, I fill up the green cup once more and challenge myself to drink it before I leave work at the end of the day. Then I merely have to drink another cup full of water between 5 and bedtime.

That brings my daily water intake up to 60 ounces. According to the Institute of Medicine, women should aim for approximately 9 cups of “total beverages” per day. That’s 72 ounces. Am I falling short by 12 ounces daily? Nope, because coffee counts toward that total. And goodness knows I drink at least 12 ounces of coffee (usually decaf, sometimes half caff) every morning. I often have an afternoon cup of herbal tea, as well.

Note: Food counts toward total water intake, but that’s factored into the amount recommended by the Institute of Medicine. (They suggest 2.7 L of fluid per day for women–2.2 L of which, or roughly 72 ounces, should be from beverages.)

If you’re not into the lack of flavor, try adding herbs and/or fruit to your water. There are so many awesome “recipes” for making your water more interesting over on Pinterest. I love to add a chunk of lemon to my water occasionally, and I fully intend to try out some more interesting flavor combinations this summer.

So there you have it. My advice, if you’re struggling to consume enough water, is to buy yourself a cup you love–consider it a fashion accessory! Then schedule fill-ups and treat them as self-care challenges. I bet you’ll feel more energetic and have fewer headaches! Come back & let me know!

Do you have any other tips for reaching your daily water intake?

DBT and distractionDistraction is my go-to device when it comes to tolerating distress. When I am sad especially, historically I’ve relied on watching television to distract me from the thoughts making me feel worse. But television isn’t the most convenient device, even with all the apps I’ve loaded onto my phone. For example, if I’m in the office (where I spend most of my waking hours per week), I can’t exactly discreetly open up my Netflix app, as much as I’d love to do that! When I’m driving, I can’t safely check out what’s on HBOGo.

Given that anxiety can pop up at any inconvenient moment, regardless of my location, I’ve had to rely on other forms of distraction.

In dialectical behavioral therapy (DBT), cognitive and behavioral therapies are combined with a dash of mindfulness. In my experience with it (as a client), the terms “emotional mind,” “reasonable mind,” and “wise mind” have come up often to refer to the states of mind, and my goal has been to tap into wise mind as often as possible. (For a description of each, check out this website.)

I admit I dwell in emotional mind more than I should. And I sometimes experience anxiety as a result.

Enter crisis survival strategies like distraction, which is only one of the crisis survival strategies I’ve learned in therapy. “Crisis” sounds intense, doesn’t it? Let’s tone that down a bit to mean any level of anxiety experienced, or even negative thinking. These strategies help guide me out of emotional mind and into reasonable or, even better, wise mind.

I have a handout from the Skills Training Manual… by Marsha Linehan, who is the founder of DBT. The top of the handout says:

A useful way to remember these skills is the phrase Wise Mind ACCEPTS.

ACCEPTS is an acronym for Activities, Contributing, Comparisons, opposite Emotions, Pushing away, other Thoughts, and intense other Sensations.

My favorite example of a way to distract with activities is cleaning–typically my bathroom–which is a great way to distract yourself from anger (at least for me it is)! More examples include taking a walk, soaking in a bubble bath, making a cup of tea, journaling (such as in a Positivity Notebook), having a photo shoot with your kids, or playing a game. Sometimes I do these things on autopilot, without noticing I’m distracting myself.

Distracting with contributing includes volunteer work or performing a random act of kindness. Focusing on others can help get us out of our own heads.

Distracting with comparisons can mean reading a news item about a disaster and comparing yourself with those suffering more than you. It can be helpful to realize there’s always someone worse off than you. Even more helpful might be to compare your present self with yourself a few years ago–are you doing better now than you were then?

Distracting with opposite emotions means doing something that creates a different emotion than what you’re feeling. For instance, watching a scary movie (or other emotional movie) or enjoying a stand-up comedy performance can change your mood.

Distracting with pushing away means leaving the situation mentally for a while, putting a wall between it and yourself. A technique that has helped me is to schedule worry time for later in the day. Sometimes I find that I’ve missed my window for worrying (and that I don’t care, at that point)!

Distracting with other thoughts is actually kind of fun. It can mean counting to 10 or 100 (or any other number that intrigues you), reading something engrossing, or–my favorite–watching TV.

Distracting with intense other sensations sounds pretty cool. It means using physical stimulation like holding ice in your palm, squeezing a stress ball, listening to music very loudly, taking a cold (or hot) shower, or snapping a rubber band on your wrist.

I love the handout because it is full of ideas, which I’ve summarized above, for distracting yourself right out of a bad mood, anxiety, or pretty much anything else. Distraction isn’t always bad!

Do you ever use distraction to change your mood?

 

photo by: broo_am

I can hear my therapist’s voice in my head, saying “Opposite action!” That’s a dialectical behavioral therapy (DBT) skill she taught me a few months ago, and apparently one I use often without realizing I’m using it. What is the opposite action DBT skill? Marsha Linehan, who is the founder of DBT, said, “Every emotion has an action.” She also said that “You can actually change the emotion by changing the action.”

Here is an example: You’re depressed. All your depression wants you to do is lay in bed and watch mindless television shows all day long in your pajamas. That’s what feels good to depression. Instead, you do the opposite and get in the shower, get dressed, and go out. Presto, you feel better–even if just an iota better–than you’d feel if you had stayed in bed.

Linehan said:

One of the ways that you can change your emotion is to just reverse the circle. We just start with action that is opposite and that circle starts going in the other way. And the emotion starts going down.

That’s opposite action in a nutshell. It’s like removing some of the power from the negative emotion, don’t you think?

And it’s also like a big “eff you” to your depression (or other emotion you’re trying to shake).

I do not like running, but I’m doing it anyway–because reaching a goal feels good. I’m continuing this weekly blog hop even though I don’t feel much like patting myself on the back these days–because it is good for me to treat myself with kindness, especially when I’m feeling low (which I am, thanks to this awful, cold, gray, rainy/icy stretch of weather we’ve been having). Those are the first two things that come to mind when I ask myself what I’m doing right this week.

So, for now, the blog hop must go on…because I don’t feel like doing it. But your comments and links are like…dare I say itsunshine on a cloudy day!




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