Managing Workplace Anxiety

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herrick lipton - anxiety

 

There’s no denying work can be stressful. For those of us who suffer from an anxiety disorder, each day can be a struggle to get out of bed, get dressed, and get to work on time. Those who are unsure of their talents and abilities may voluntarily miss out on opportunities that would put them ahead in their companies because they don’t know if they’d be able to fulfill the needs of the position. Public speaking and traveling can be difficult for most people to adjust to, but missing opportunities willingly can also exacerbate symptoms of anxiety disorders.

 

In order to mitigate the symptoms of anxiety disorders and manage anxiety in the workplace, it’s a good idea to be proactive every day so you can live a happy and healthy work life. It’s also important to realize that feeling anxious is a perfectly normal response to stress, but if it becomes overwhelming, that’s when you need to actively take steps to make positive changes for your overall wellbeing.

 

Be Self-Aware

Being self-aware means checking in on your own physical and emotional responses when feelings of anxiety arise. Be mindful of what exactly is causing your stress and try to see how you can make changes. Are you overwhelmed by unrealistic deadlines? Do you dread everyday responsibilities? Figure out whether or not you need to reorganize or if you’re procrastinating on projects. Don’t try and disregard your feelings because they won’t go away, in fact, they’ll probably intensify. Instead, try to pinpoint exactly what is causing the excessive stress.

 

Make time for yourself

When our plates are full and we feel like we have no time for ourselves, that’s when we especially need to carve out our day and make extra time. When we’re feeling anxious and overwhelmed, we’re less likely to exercise, but our bodies need it most at that time. Try hard to care for your mind and body by eating the right foods, getting enough sleep each night, and squeezing in some workout time.

 

Reach out to friends and family

Loved ones can be a source of guidance, wisdom, and support. More than likely, you have someone in your circle who is experiencing feelings of anxiety and a loss of control. If not, someone is going to have gone through it at some point in their past. Even if you don’t want to discuss this with friends and family, just knowing they are there for you can be a positive re-enforcement.

 

Seek help from a professional

There is no shame in asking for help if you aren’t managing your anxiety alone. If you’re struggling with an anxiety disorder and don’t feel like you’re getting anywhere, it’s best to seek out help in order to manage it effectively. A clinical psychologist will help you figure out not only where your stress is coming from, but how to deal with it so you can live a life that is not controlled by anxiety, but by yourself.

Spread the Positivity Virus

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herrick lipton - positivity

 

Peer pressure is something adults tell children to watch out for. They are afraid because children are thought to be impressionable. Little do they know, the attitudes of their friends can affect them in similar ways. Your colleagues may not try to get you to engage in illegal behavior, but surrounding yourself with negative people may lead to negative feelings, and the same can be said with positivity. But why does this happen?

The culprit may be social cues. Most humans have the ability to sense a mood shift, based off of nonverbal cues. These can include posture, facial expression, and movement. Someone who is frowning is sad. Someone who can’t stop tapping their fingers is jittery. Someone with their arms crossed is closed off. There are hundreds of social cues humans subconsciously recognize.

Social cues are said to make up 55% of all communication. Before we learn our first words, we observe our family’s behavior and categorize behaviors by their intended effect. This means we can recognize the mood in any given situation without directly asking about it even before we begin school.

Obviously, social cues are a key to this puzzle, but how exactly do they fit in?

When someone does not adhere to social norms, they stick out like a sore thumb. Sometimes, there is an event which calls for celebration or one that calls for grief. However, sometimes a group’s mood can be a byproduct of one or two people’s attitude.

Daniel Goleman says that leaders influence their teams’ moods. A manager who angrily points out all of your mistakes can make you feel angry in return. A respectful boss will inspire respect from their employees. In your social group, there is almost always one particularly vocal friend (whether they are happy, sad, or any other emotion), who acts as the leader of the group. Everyone else tends to model their behavior around this centralized person.

There are circumstances where it is appropriate to experience negative emotions, but living a happy life is important to your mental health. Spending all of your time with negative people will ultimately lead you to feel more negative. Experiencing the world with positive people will allow you to enjoy more in life and lead to a deeper appreciation of all life has to offer.

Positivity can be spread as easily as a disease. Every positive word or action transfers this positivity to the next person. Surrounding yourself with positive people is the best and easiest way to live a fulfilling life.

So what are you waiting for? Go out into the world and find new people to share your positivity with. After all, your positivity is just as contagious and can make ripples in the world.

Learning to Live With Chronic Pain

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chronic pain - herrick liptonDisorders that force the sufferer to live with chronic pain rarely receive the attention they deserve from the media. This past month, Lady Gaga had to postpone some of her tour dates due to her fibromyalgia. It seems that the illnesses that we are unable to explain, such as fibromyalgia and chronic fatigue syndrome, often receive little media attention. Fortunately, some celebrities like Lady Gaga will unabashedly shine a light on these disorders, forcing us to take a closer look at what these problems are and how to help those afflicted.

 

In the case of fibromyalgia, the pain is a result of overactive nerves, but the cause is largely unknown. It has been known to come about as a result of a traumatic event, stressful life events, or car accident, but it can also arise seemingly out of nowhere. What we do know is that an overwhelming amount of women are subjected to the disorder statistically, and there’s no cure that will solve the disorder.

 

Be honest with what you can and can’t handle

 

Having chronic pain will inevitably take a serious toll on your overall mental health, but it will also inadvertently pose a threat to your relationships. It can be difficult to not take your pain out on other people, so it’s best, to be honest with yourself and your loved ones about what you can and cannot put up with while dealing with the pain. If you have a friend or family member that constantly complains about their life, you may need to explain that that type of negativity is not something that you can handle in addition to your disorder. If they understand, they’ll be mindful of what they are willing to do for you. If they don’t understand, it might be time to distance yourself from them.

 

Find a way to relax

 

Chronic pain can make relaxation seem incredibly difficult, but it’s not impossible. Figure out a way to allow your mind and body to relax and stick to it. Try out yoga and practice deep breathing. The important thing is to remember to try and calm your muscles. Be mindful of how you feel before, during, and after the relaxation exercise, and if it works, keep it up!

 

Make sleep a priority by avoiding alcohol

 

Sleep issues and chronic pain pretty much go hand in hand, oddly enough, sleep issues and alcohol use also typically go together. Sleep is essential for everyone, but it’s especially crucial for those living with chronic pain. If you find yourself to be tired all the time and don’t get enough sleep, limit the amount of alcohol you drink to gain more control of your sleep schedule.

 

Get support

 

To deal with your disorder, you’re going to need a strong support system. Talk to your friends and family about what you’re going through and ask them for help when you need it. Another way to expand your support system is by attending support meetings for those living with chronic pain. It may seem awkward at first, but these meetings will help you gain connections with those who know exactly what you’re going through.

Virtual Reality and Mental Health

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Virtual RealityWith the recent rise of augmented reality, it is only a matter of time before virtual reality becomes a regular part of daily life. It is already, for example, becoming common in behavioral health. Virtual reality is currently being utilized for treatment of several different phobias. This type of treatment is called VReality Therapy, and it is already making strides in helping people get over once-crippling fears.

The premise of VReality Therapy is exposure. Clients put on virtual reality goggles that are manipulated by a trained therapist. They are slowly exposed to their phobias in the midst of performing relaxation techniques. Meanwhile, the therapist is also recording physiological responses of the patients so patients can keep a log of their progress. This is an ongoing therapy process, meaning that several sessions are necessary, however it has been proven to reduce fear of phobias, and even to remove it entirely.

Virtual reality is effective, as writes one patient who was treated for his phobia of blood with VReality Therapy. His phobia was a real issue due to the fact that he has diabetes, and therefore must take regular blood tests. His experience was with using a Samsung Gear VR Headset in the office of a trusted therapist. The program put him a virtual doctor’s office waiting room, then, after a while, into a virtual doctor’s office, where he was prepped by a nurse. His therapist talked him through relaxation techniques as his anxiety levels rose closer to the drawing of blood. When the blood was drawn in the virtual world, the author reports being able to feel it. The experience was jarring, but the author was able to get through ten minutes of having his blood virtually drawn, thanks to the guidance from his therapist.

A fear of blood is not the only thing being treated by these virtual reality goggles and therapists, however. There are also simulations to combat fears such as that of flying, heights, needles, animals, small spaces, driving, and public speaking. VReality Therapy can also be used as a resource to help treat generalized anxiety disorder. Patients can be eased into triggering situations in an environment they know is controlled by a trusted professional. This makes them more willing to work on facing their fears, and does not put them in harm’s way in the process.

Virtual reality has broad implications for for the world of behavioral health. Not only can it be used to treat things like phobias and anxiety, it may also be a great resource for those with depression and other mental illnesses. I cannot wait to see where VReality Therapy will lead!

For more information and behavioral health news, visit the New Horizon Counseling Center website.

Startups that Transform Behavioral Health

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StartupHealth technology has become an exceedingly lucrative niche as of late. More and more technology companies are inventing ways to make healthcare easier and more accessible. This influx of startup companies focused on health technology, however, has recently shifted focus. Instead of starting businesses based on general physical health, there is now a large number of companies making technology focused on behavioral health. Unfortunately, Behavioral Healthcare in the United States has suffered as of late. It faces several internal and external issues that prevent behavioral health from becoming a medical priority. New startup companies are hoping to help. Below are two that look quite promising.

Quartet Health

A persistent issue in behavioral health today is the low level of access that behavioral health patients have to trained professionals. Quarter Health has created a comprehensive platform that includes patients, doctors, and insurers. Primary Care Physicians are able to refer patients to behavioral health professionals that work with the patient’s insurance through this platform, as well as to be updated on the progress of each patient. Behavioral Health professionals are able to communicate with the PCPs of their patients, as well as to accept or deny patient referrals with no risk. Additionally, they can use the platform’s billing and scheduling tools for their practice.

This platform is also used by insurers and employers in a number of ways. For one, it has tools that help determine whether or not someone is suffering from an undiagnosed behavioral health disorder. It also can help spread understanding of such disorders and the effects they have on behavior and performance. Patients are also given perks in this platform. They can take part in online treatment programs, communicate with health providers on a secure connection, and even talk to others suffering from the same conditions.

Akili Interactive

Akili is a different type of digital health company in that it works to build quality platforms with video-game-like qualities that can be remotely used by patients and physicians alike. These platforms will be used in a variety of ways, including to assess neural functioning in patients, as well as provide an interactive situation in which interventions can be put in place.

The platforms that Akili is developing fall into certain categories. The first is the group meant to improve neural functioning and cognitive systems. Another is cognitive measurement, which includes products that frequently assess the neural functioning of each patient.

For more information and behavioral health news, visit the New Horizon Counseling Center website.

Pokemon Go and Mental Health

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PokemonThe newest craze to hit the digital sphere panders to the nostalgia of many. Pokemon Go is an augmented reality game that exists on an application on your phone. Its premise is ingenious – those with the app can walk around to ‘catch’ Pokemon in real-life places. All they have to do is point their phone camera at where the Pokemon is supposed to be, and it shows up on their screen, surrounded by the real world. Players use their touchscreens to throw Pokeballs and collect these critters. One of the great many features of the game is that it is built on a premise of walking. In order to run into Pokemon, hatch eggs, and find Pokemon gyms, players must get outside and wander around different neighborhoods. Soon after the game was released, many of those who downloaded it began to report an improvement in their mental health, catalyzed by Pokemon Go.

People have taken to platforms such as Twitter and Tumblr to express how the game has made strides in easing symptoms of depression and anxiety. They have reported that it has given them the motivation to get outside on days during which they feel like doing nothing at all. Additionally, Pokemon Go has been proven to be a great way to interact with strangers. Those with mental health issues find themselves not only walking around outside, but also socializing, which is important when dealing with mental illness.

Experts say that the game is also beneficial for mental health in that it allows people to take a break without indulging in common negative forms of escape. For example, many people, after a long workday, tend to go home or to a bar and have a drink to relax. This can lead to a reliance on alcohol when encountering everyday stressors. Pokemon Go has given its players a way to get their mind off of stressors that simply involves getting some exercise. Instead of having a drink, users are prowling the streets for rare Pokemon and getting a much-needed dose of sunshine.

Success stories are still pouring in on social platforms. One user reported that the game gave her a reason to spend the week outside interacting with friends, which, to her, was ‘unreal.’  Another stated that the game worked better for him than any therapy or medication that had been prescribed. A third tweeted that Pokemon Go actually made him want to go outside and interact with people, after having not had that urge for years. These are only a few example of the hundreds, maybe thousands, of accounts of the game helping a player ease their psychological struggle, even if only for a little bit.

Pokemon Go has unintentionally become a therapeutic app for so many people, and it is just getting started. This really speaks to the power of technology in helping people deal with the negative symptoms of mental illness. I am excited to see what other augmented reality games appear in the future, and the effect they will have on mental health.  

Discussing Mental Health at Work

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WorkWhile the United States is slowly becoming more open about discussing mental health, there is still an underlying stigma that deters many with mental illnesses from talking openly about their experiences. This is doubly true in the workplace. Employers give their staff a select number of sick days in case of physical health problems such as the flu or a bad cold. Unfortunately, employees suffering from mental illness are hesitant to take sick days for their mental well-being. This is a real issue, especially since a recent study showed 18% of employees surveyed had experienced a mental health issue in the past month leading up to the study. Unlike a temporary physical illness, a mental health disorder can require time to go to therapy appointments, a need for a quieter workspace, or even alterations to a work schedule. It is important that people who suffer from mental illness know how to approach their employers with information about their condition and their needs.

Before speaking to anyone at work, it would be wise to speak about the decision with a mental health professional, like a therapist. This person can help you come up with talking points and direction, so you can go to work knowing exactly what you need. When addressing your direct manager, keep in mind the relationship you two have. If it is a close, more friendly relationship, feel free to be slightly more open about details. If, however, you do not feel comfortable revealing certain aspects of your mental illness, do not feel pressured to jeopardize your own privacy; you can be more vague with the details.

Also, it is important to be very clear about what you are hoping to get out of the conversation with your manager. If you need time in the middle of the day for a therapist appointment, for example, ask for a long lunch. It is important in this asking process to also inform your manager of how you will make up the work you miss when going to said appointment. Perhaps you can stay a bit later at work, or not take a lunch break the day following the appointment to catch up. Reassuring your manager that you will not fall behind will make them more willing to let you do what you need for your mental health.

It is important that you take advantage of company resources as well. If your company has, for example, an employee assistance program, you can get confidential help free of charge. Also, if you do not feel comfortable discussing issues with your direct manager, perhaps try asking HR for advice.

Most importantly of all, do not be afraid to take sick days for your mental health. Taking care of yourself mentally is as important as taking care of yourself physically. If you need to, take a sick day to relax and care for yourself so you can return to work rejuvenated.     

Value-Based Payment Systems

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DoctorThe term ‘value-based payments’ is being thrown around a great deal in the behavioral health industry. It describes a new method of paying for healthcare that encourages providers to give each patient the best care possible. Currently, healthcare providers are paid for their services based on the number of patients they bring in the door, as opposed to the quality of care they provide. With value-based payments, providers are assessed on the care they give and are given incentives to improve their metrics. This system is currently being tested by a number of payers and providers, but it has not yet fully expanded to behavioral health.

Of course, the transition from fee-for-service payments to value-based payments has not been easy, and there are still many undetermined factors at play. The healthcare system has relied on a volume-based payment program for so long that the rough transition surprises no one. There was, initially, the issue of tracking performance. Metrics with which to measure the quality of a provider’s care had to be agreed upon. Currently, it looks as if many of the value-based programs are using inpatient quality reporting data. Part of the issue with expanding value-based payment programs to behavioral health is that quality may be more difficult to track in behavioral programs. Unfortunately, the measurement of metrics for value-based programs that are now present do not apply to behavioral health.

Another difficult transition is the shift in provider tracking. Instead of accounting for insurance companies and patients as if they are all the same, the care of all patients must be scrutinized individually. Providers have to compile evidence that they are meeting or exceeding standards for quality care at the lowest cost possible in order to get rewards for their hospital.

Despite the difficult transition from the old way of payment, it is speculated that a shift to value-based payment has the potential to improve the behavioral health industry as a whole. It will, for one, encourage behavioral health providers to give their patients quality, low cost care. Insurance companies typically do not offer reimbursement for mental health services, as they treat it as being separate from physical health services. Switching to a value-based program would change that. It would give insurance companies an incentive to cover more mental health services, a phenomenon that is woefully lacking today.

Overall, value-based payment systems are being heralded as the future of this country. They are looking to completely change the healthcare industry by focusing more on patient care that saves money in the long run by making sure there is less hospital readmission and costly care. While this is beneficial for medicine as a whole, it will have the biggest impact on behavioral health.

For more information, visit New Horizon Counseling Center.

 

Mental Health, Worldwide

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HandsWhile mental health is an issue being pushed to the forefront of American culture, it is still not recognized everywhere in the world. Many societies refuse to believe in mental illness, and therefore shun anyone who exhibits signs of a disorder. Other places tend towards things like demonizing the suffering individual and hiding them away from their peers. It is an unfortunate practice, as those who need help are not getting it. This is especially true in underserved countries and for people like refugees. It is no wonder in such places that mental health professionals are hard to find, but it is in dire situations that such professionals are necessary. This is why the World Health Organization and the World Bank have decided to move mental health on to their global agenda.

The two groups recently met in Washington to discuss the state of mental health in the world, and realized that it was an untreated epidemic in many places. Refugee communities especially are suffering. People in such communities are forced to leave their homes, and tend to suffer from psychological distress as a result. Many refugees suffer from post-traumatic stress disorder, depression, and anxiety. Mental health counseling would improve the quality of life immensely for individuals in such situations, yet nobody has thought to act on the fact until now.

Apparently, this recent decision by the World Health Organization and the World Bank came at the same time as a release of research on investment opportunities for depression and anxiety treatment programs. The research showed that investing in these programs could have a sizable return, making it a high gain investment without much risk involved. This conclusion is based on other worldwide treatments that have been successful in the past. A tool called OneHealth was used to estimate the cost and return.

Mental health has not been entirely absent from the developing world, however. In the past, individual groups have attempted to raise awareness of mental health to underserved populations. Mental health workers have traveled to countries ravaged by disease or natural disaster in an attempt to help the people in the midst of crisis. Individual aid groups have also developed treatment programs for women and men who have suffered some kind of sexual abuse. However, mental healthcare in developing countries has never been taken on by well-known health organizations. This could be a giant step forward for the mental health community worldwide.

While it is unclear how much this focus on mental health was spurred by a potential return on investments, spreading mental health care to refugee communities and developing countries is important. It will improve the quality of life all over the globe, and signifies another step toward eradicating the stigma surrounding mental illness for good.

Study Shows Mental Health not a Priority Amongst General Practitioners

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The_Doctor_Luke_Fildes_cropAlmost one in five Americans suffer from mental health conditions. According to studies reported by News Week, approximately 42.5 million Americans, or 18.5 percent of the American population lives with some form of mental illness such as depression, bi-polar disorder, and schizophrenia. The same report accounts that 9.3 million of those adults – ages 18 and upward – suffer from “serious mental illness”, disrupting their ability to carry out day-to-day tasks. Problematically, the American mental health care system is ill-equipped to treat many, if not most of these individuals.

Rising scrutiny over the American mental health system has brought to light many inadequacies among general mental health care. For example, many individuals displaying mental illness symptoms seek the help of general practitioners. However general practitioners – although qualified – fail to either properly diagnose or treat mental health. Other conditions that affect physical health are often prioritized and even valued more than those affecting mental health. The Huffington Post reports that doctors often neglect to follow-up with patients displaying symptoms of mental illness. Contrary to that, doctors are much more likely to engage with patients suffering from chronic physical illness. What does this mean? The report found that doctors are actively partaking in treatments for patients suffering from diabetes, heart failure, and asthma, but not for those suffering from mental issues like depression.

Part of the reason for this failure is the general cost of health care. Most individuals suffering  from mental illnesses like depression or bipolar disorder are left out of proper treatment for financial reasons. Specialists are often expensive, and treatments and visitations are not covered by average health insurance packages. General practitioners who are largely unfamiliar or ill-equipped to treat mental conditions do not address the issue with the attention it requires. “Depression is a recurring illness. When it’s there, it’s often present for months. It needs a lot of active management and multiple treatments. Most people can recover from their depression, but they’re vulnerable to a second depression or a third depression,” said Sagar Parikh, associate director of the University of Michigan Comprehensive Depression Center.

The stigma surrounding mental health illness may also be a contributing factor to inadequate treatments. Doctors may just deem physical ailments as more deserving of treatment, rather than spending time and effort with mental conditions. This may lead to improper doses of possibly harmful medicine. If general practitioners and doctors saw mental health with the same urgency as physical health, many more cases would be properly treated. Mental illness like depression and bipolar disorder lead to other more harmful conditions, such as cardiovascular disease, gastrointestinal issues, and strokes.

Lindsey Holmes of the Huffington Post believes that changing cultural attitudes towards mental health disorders may lead to more adequate training for doctors and treatment for individuals. “These illnesses require effective treatment and proper care in order to live a fulfilling, healthy life,” ends Holmes.

If you found this post interesting and would like to read more on Mental Health news and info, check out my twitter @Herrick Lipton for more. Thanks for reading !