Category: Anxiety

How to make your surroundings more comfortable if you have Anxiety: by Daniel Tannenbaum

~ Eleanor Segall ~ 2 Comments

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(image: 123RF.com)

Your environment has a huge impact on your mood, and this is especially the case when it comes to anxiety.

For example, many believe that your surroundings can often be a direct reflection of your current state of mind – for example, lots of clutter may suggest you feel overwhelmed.

Alternatively, it can make existing feelings feel worse such as lots of mess being a key trigger for depression.

However, your surroundings can also make you feel better, if you do it right. Here are some tips to help you to make your surroundings more cozy and comfortable, to help reduce anxiousness and make you feel calmer.

 

Soft lighting

Using soft lighting, especially in the evenings, can help you to feel more relaxed than harsh, bright, white lighting. Aesthetically, things like fairy lights draped along a wall or from ceiling to ceiling or lanterns, can also be nice to look at, which can be a great way of boosting morale. After all, if you are happy in the environment you are in, this will also have a positive impact on your mood.

 

Hygiene

For those that panic over clutter and messiness, having a home or workplace built with the right surfaces in mind can help you alleviate this. With companies specializing in hygienic surfaces, you can optimize your home or workplace to have doors, walls and floors which are easier to clean and reduce the spread of germs.

Simple examples include the role having blank walls and cladding over individual tiles in the bathroom or kitchen which can get grimy and hard to clean.

 

Cushions

After a long day at work, you want to feel that when you come home you can completely unwind. For many, this might mean tuning into an hour of TV or watching a film to help alleviate the stresses and strains that may have accumulated during the day, causing anxiety. Make this cozier and an altogether far more pleasant experience by having lots of cushions in different textures.

 

Rearranging furniture

You don’t necessarily need to purchase anything to change your surroundings and make them more comfortable. It could be as simple as rearranging furniture. It can help change your perspective, and also increase the visual appeal of the space you are in, making you feel calmer.

 

Plants

A number of studies have shown the mood boosting impact of having plants in the home. This tends to be one of the most cost effective ways to make your surroundings better, whilst also adding a pop of colour too.

 

Turn off electronics in the evening

Never completely unwinding and mentally checking out of looking at emails and social media can have a harmful impact on your overall levels of anxiety. To make you feel more at ease in your surroundings, it is highly recommended that you allocate times where you completely switch off your electronic devices, especially at night. Instead, why not look at more relaxing activities to do such as reading or having a hot bath?

 

This article was written by freelance blogger Daniel Tannenbaum

Coronavirus Anxiety: Self Isolation by Eleanor

~ Eleanor Segall ~ 17 Comments

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(image by Eleanor using Canva.com)

 

Hi friends,

Those of you who follow me on social media will be aware that due to fatigue, a non persistent dry cough and feeling warm/sweaty (but no full blown fever thank God), I am self isolating at home for 2 weeks as a precaution.

I am doing alright today, slept a lot as had little energy and had chicken soup and Paracetemol. It is very unlikely I have Covid 19, probably just another virus but due to the current climate, I am taking precautions. I also have a surgical face mask which I am wearing to protect my husband, mum and step dad, in case it is anything more sinister. I have friends who are also self isolating and who are NHS front life staff that I am worried about.

In truth, this kind of isolation is something I am used to as with my anxiety I work from home. However, this is an unprecedented situation and one that we have never seen before in our life time. It is scary and the news feeds can cause anxiety.

I have decided that :

1)I will limit how often I check the news about coronavirus and will try not to listen to LBC overnight- I love LBC but I think this is best as there is rolling news coverage.

2) I will increase self care, rest and relaxation time- in order to stay sane, this may mean getting fresh air in our garden.

3) I will take each day as it comes and do as much as I can while in isolation.

4) Get enough sleep and eat healthily

5) Stay in touch with friends

 

What are you doing to manage your anxiety around coronavirus?    

Love,

Eleanor x

Why People are using Weighted Blankets to cope with Anxiety: by Calming Blanket

~ Eleanor Segall ~ 2 Comments

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(image: Calming Blanket)

Weighted blankets have been found to have a number of key benefits to those that use them. One of the biggest advantages of using weighted blankets has been its ability to reduce stress and anxiety in users. But how do weighted blankets work, and how does it impact on people’s levels of anxiety? We decided to take a closer look.

How do weighted blankets work against anxiety?

It works in a few different ways, but the main factor it all comes down to is these blankets’ ability to stimulate the body’s proprioceptive input. This input in our body is important, as it helps the body recognise and establish environment awareness.

The awareness trigger is key, as this can help the brain get access to the body’s environment at a much quicker rate than without this type of blanket. This can help the brain to feel more relaxed, having a domino relaxation effect on the rest of the body.

In short, this entire process stimulated by the proprioceptive input, helps to reduce feelings of anxiety, because of the light pressure that is applied to the body.

In addition, for many people suffering from anxiety, lack of sleep unfortunately also goes hand in hand, and weighted blankets also tackle this too. This is because this light blanket pressure helps to release the hormones serotonin and melatonin. The former is known for having a huge impact on mood, while the latter helps with falling to sleep.

Interestingly, it is also believed that the feeling of a weighted blanket has similar emotional benefits to that of a hug or a baby that is swaddled tightly. The main reason for this is the release of the hormone oxytocin, known for helping to make people feel calmer and more relaxed.

Where can I find a weighted blanket?

The best weighted blankets on the market are by the Australian company Calming Blanket – and are recently available to buy in the UK.

Available for adults and children, they provide a range of super comfy weighted blanket options (2.2kg, 4.5kg, 6.8 kg and 9kg) that only use super soft fabric, as well as providing inner ties which do an important job of making sure weight is distributed evenly across the blanket.

 

This blog was written by Calming Blanket, a weighted blanket company that helps people with anxiety.

5 Ways Therapy Can Heal your Family: Guest blog by Samantha Higgins

~ Eleanor Segall ~ 2 Comments

5 Ways Therapy Can Heal Your Family (1)

Therapy can be very helpful for families, and your family could benefit from therapy, too. Professional counselling is a proven method to help with all kinds of issues impacting families, and any issues plaguing your family could also be addressed.

To help you pinpoint just how therapy could help your family, you should look into the various situations where therapy might be useful. In particular, you should consider these five ways therapy can heal your family.

1. When Having Marital Issues

You can get assistance with all types of marriage issues when you get help from a therapist. If you have entered a new marriage, you can learn how to adjust to the roles that come along with that. If your marriage is on the rocks, you can get assistance, too.

If cheating has become an issue and you need an infidelity therapist, professional help is without a doubt a good idea. Therapy can help you deal with all of the emotions, assist you with any grieving, and provide guidance on how to move forward.

2. Dealing with the Loss of Loved Ones

The loss of loved ones can impact your family to the point where professional help is needed. If your family has lost someone, you can have short-term effects and long-term effects. When your family loses a loved one, you always run the risk of issues developing further. This is especially the case if it was your family member who died.

You will not be the only one to benefit from help. Children can learn to grieve and deal with the new family structure. Parents can learn how to better take on leading a home by themselves, and other family members can sound off and get feedback, too. Often a loss of a loved one requires people to take on new roles and responsibilities. Therapy can help your family if dealing with those situations.

3. Help with Children with Behavioural difficulties

If you have a child or children that are struggling with poor behaviour, you should consider therapy. Not only can bad behaviors be stopped and corrected, but they can also be prevented from impacting your family in the future.

Your children will be assessed by a therapist and reasons for their behaviour can be identified. Then, your family can heal. You all will be able to prevent more poor decisions from taking place, and you will have all kinds of resources to make sure this happens.

4. New Family Dynamics

If you have introduced a new dynamic to your family eg a blended or step family or new sibling or spouse, you might need some professional help. Failure to make sure there is a smooth transition could have horrible consequences for you. You run the risk of family members feeling lost in the new dynamic. 

Whether you have a new spouse or a new child, these changes could cause issues for your family. Seek out professional services through therapy to mitigate issues from harming those you love. Your family can morph into the new family you know it is capable of becoming. You all deserve this.

5. Substance Abuse and Mental Health

Substance abuse and mental health are issues that definitely warrant therapy at times. Both of these issues can ruin your family’s well-being. If you are dealing with substance abuse or mental health matters impacting your family, you do have options for help. Therapy will help you unlock those options.

Did you know that around 20 million Americans deal with addiction issues? And did you know that almost 44 million Americans deal with mental health issues? If you and your family are dealing with either or both of these problems, you are not alone whether you live in the USA or not. You should consider turning to therapy to help your family overcome these issues.

Your Family Can Indeed Heal

If any of the five issues above touch close to home for you, you have a way out. You do not have to let these issues tear apart your family that you love. Your family does not have to hurt so much anymore.

Each of the aforementioned five areas can be assessed, addressed, and improved when problems are there for your family. There is hope for your family with therapy, and your family absolutely can heal.

 

This blog was written by freelance writer Samantha Higgins.

 

Wednesday Wisdom: NEW: Inspirational Life Quotes by Eleanor

~ Eleanor Segall ~ 1 Comment

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(image: freepik.com)

I do love a good inspirational quote, don’t you? If you follow me on my Eleanor Segall page on Instagram, you will often find my days marked with a life motto, positive affirmation or idea, to get me in a great mindset for the week.

So today I thought, let’s break the mould.. and do it on my blog.

Each Wednesday (or another dedicated day of the week) I will be sharing my inspirational quote of the week, to inspire you, share some wisdom that I am enjoying and hopefully help make you feel less alone with your struggles.

This week, I have been realising again that when life gets stressful, we need to take a step back, get out in nature and be with people we love. As we move towards Spring and Summer, I can’t wait for more sunshine.

I hope that your week is filled with good things,

Eleanor 

X

 

How to deal with a Breakup when you have OCD: Guest blog by Brooke Chaplan

~ Eleanor Segall ~ 3 Comments

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(Image: )

Your OCD symptoms may be triggered by situations that feel out of your control, and breakups can easily throw your life into a tailspin. On top of dealing with the hurt that comes with ending a relationship, you may also be dealing with serious anxiety about what your future holds. This is especially true if you find yourself blaming yourself for your flaws and inadequacies and holding yourself solely responsible for the breakup. These tips will help you begin to heal by dealing with your breakup in healthy ways that allow you to see this as an opportunity for growth.

Stick to Your Wellness Plan

The first thing that you need to do is practice self-care. Although your heart may be too broken to want to get out of bed, it is important to follow your normal daily routine. Exercise helps to release endorphins that make your symptoms more manageable. Eating a healthy diet also helps to reduce the symptoms of anxiety and OCD. Following your wellness plan sends signals to your brain that you will overcome this temporary life event. It’s important to know that while exercise and self-care will not cure either your mental illness or your broken heart, it will strengthen your body and give you the tools you need to handle the strain.

Seek Advice About the Future

When you have OCD, the realization that you have no idea of what will happen next can make your symptoms worse. Seeking relationship advice that addresses your current circumstances along with how they influence your future gives you a sense of control. Talk to a therapist, counselor, spiritual guide, religious leader, or family member. This advice can then be used to begin putting together a new life plan that helps you feel confident and mentally strong.

Find Healthy Distractions

Once you know that the future is bright, you can begin finding ways to overcome your pain in the present moment. Explore new hobbies and set goals that help you build for your better future while also avoiding the tendency to obsess over the past. Try taking a class or doing an activity that you’ve always wanted to explore. You’ll feel stronger and more excited about what the future has in store.

Take Note of Your Progress

During your breakup, you can expect to experience some high and low moments. When you feel down, try to recognize how much progress you’ve made. For instance, you might have made a new friend who helps you get through this rough patch. You might have managed to avoid checking your ex’s social media pages. These little signs of progress mean that you are moving forward, and recognizing them helps you see that the breakup truly is a chance to grow. Remember to not beat yourself up over slipping up. It is likely that an emotional moment like this could bring up past compulsions and obsessions you thought you had gotten over. This does not mean you have failed or somehow destroyed your past progress, because progress is not linear.

Your relationship might be over, but you can use this moment as an opportunity for personal growth. When you feel like your OCD symptoms are taking over, reach out to people who care. Soon, you’ll have this whole painful event behind you and be looking at the future with a positive perspective.

If you need further support, speak to your therapist doctor or psychiatrist.

 

Brooke Chaplan is a freelance writer and blogger. She lives and works out of her home in Los Lunas, New Mexico. She loves the outdoors and spends most of her time hiking, biking, and gardening. For more information, contact Brooke via Facebook at facebook.com/brooke.chaplan or Twitter @BrookeChaplan

We are 4! On Be Ur Own Light’s Fourth Blog Anniversary by Eleanor

~ Eleanor Segall ~ 9 Comments

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Its Today- 1st March 2020 and Be Ur Own Light is 4 years old! (cue the streamers!)

I still remember starting this blog as an outlet for my fears, thoughts and emotions dealing with my bipolar and anxiety. The blog started as a way to tell my friends and family how I was feeling and has evolved into working with guest bloggers and now brands/ partners on sponsored wellness posts too! Writing the blog and sharing thoughts has been so therapeutic and it has taken me on  a journey that I could not have imagined.

In November 2019, I published my first book ‘Bring me to Light‘ with Trigger Publishing which is the book of my life story with bipolar disorder, anxiety and my life in general (travelling, going to drama school, starting a career as a writer). The blog has also grown so much this year and is currently nominated in the Mental Health Blog Awards for Blogger of the Year, thank you to our nominee!

Additionally, Vuelio awarded us as a Top 10 UK Mental Health Blog for the second year running and interviewed me (Eleanor) about working as a blogger!  Thanks also to Feedspot.com and My Therapy App for listing us in their mental health blog lists too for social anxiety and bipolar!

This year, I have written about World Bipolar Day for the Centre of Mental Health, about my search for EMDR therapy on the NHS, living with depression in winter, about writing my book and new life changes (getting married) and 2020 new year round up with hopes for the future. We also promoted mental health campaigns such as Shout UK text line (founded by the Duke and Duchess of Cambridge and Prince Harry and Meghan),  Christmas 4 CAMHS, Time to Talk Day and Mental Health Awareness Week. Additionally, I spoke in Essex with my Dad about our joint story with bipolar for the Jami Mental Health Awareness Shabbat and we also spoke at Limmud Conference in Birmingham!

This winter I did some interviews for the book which can be seen on the Book tab above and also received some lovely reviews. It was amazing to appear in Happiful Magazine’s bonus wellness Mag this January (edited by campaigner Natasha Devon) and to write for Glamour and Bipolar UK. I also enjoyed being interviewed for the Jewish News and Jewish Chronicle! Hopefully at some point I will do podcasts about it too and more interviews.

From March 2019-2020, the blog has attracted wonderful and talented guest bloggers wanting to spread their messages about mental health and wellness.

We have also worked with the following brands on sponsored and gifted posts and hope to work with many more this next year :  YuLife, Nutra Tea, Essential Olie, Loveitcoverit on mental health apps, I-sopod floatation tanks, Core Wellness Maryland, Wellbeing Escapes Holidays.

My guest bloggers have written about their recovery and living with mental illnesses, as well as advice on how to improve your mental health. There a posts for whether you are going through a divorce, a bereavement, are stressed or have anxiety. We also had posts with people’s first hand experiences of mental illness including a brave post about being a sibling of someone with mental illness and one of living with an eating disorder. Furthermore, Be Ur Own Light has also covered World Mental Health Day and Time to Talk Day this year, featuring personal mental health stories as a way to raise awareness and fight misconceptions.

We have also covered new books coming out, a mental health fashion brand and a song about social anxiety, as well as posts about different therapies to help you.

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Thank you to my amazing guest bloggers (non sponsored) March 2019-2020 for your fantastic content:   

Ashley Smith- How Massage Therapy helps Anxiety Disorders

Emily Bartels- 5 tips for a mental health emergency plan

Dale Vernor- Understanding PTSD by Gender 

Tan at Booknerd Tan- How audio books and walking has helped anxiety

Emma Sturgis- Loving yourself, tips for a body positive life

EM Training Solutions- How to maintain mental health at work

David Morin- On social anxiety and talking to others

Lyle Murphy- How equine therapy can help those with mental health issues

Charlie Waller Memorial Trust- Best of Musicals event

A Time to Change Hypnotherapy-  Hypnotherapy for self esteem

Nu View Treatment Center- The connection between anxiety and substance abuse

Shout UK- Royal family launches mental health text line

Mental Health Foundation – Mental Health Awareness Week  May 2019 Body Image

Emerson Blake- Coping with the stress of becoming a single parent

The Worsley Centre- A guide to therapies and finding the right one for you

Byron Donovan at Grey Matter – How I recovered from depression to form a fashion brand 

Luci Larkin at Wooley and Co Law- How to reduce stress and maintain mental health during a divorce

Nat Juchems- How to keep your loved ones memory alive after bereavement

Emily Ilett- on her book ‘The Girl who Lost her Shadow’

Mark Simmonds- an interview about his book ‘Breakdown and Repair’ with Trigger Publishing

Curtis Dean- 5 facts about music for stress relief

Robert Tropp- How quitting illegal drugs helps anxiety in the long term

Aaron James- the difference between psychotherapy and counselling

Dr Justine Curry- 4 ways to help a friend with bipolar disorder

Christmas 4 CAMHS campaign for children in childrens mental health wards

Ani O- 4 ways to ease the fear of doctors appointments

Katherine Myers- Ways that spending time outdoors can improve your mental health

Anita- 5 ways to lift you out the slump of seasonal depression

Chloe Walker- taking care of your child’s mental health

CBT Toronto- how to deal with social anxiety and depression

Katy- a true story with anorexia and OCD

Vanessa Hill- Life changing habits to bring into the new year

Rachel Leycroft- Expressing social anxiety through songwriting

Shira- Living with a sibling with mental illness: the meaning of normal

Capillus- 10 signs you may have an anxiety disorder

Brooke Chaplan- When therapy isn’t enough 

Jami Mental Health Awareness Shabbat 2020 

Mike Segall- Time to Talk Day- 9 years undiagnosed, my story with bipolar disorder

Jasveer Atwal- Living with PCOS and managing mental health

Leigh Adley at Set Your Mind Free- How CBT helps children with anxiety

Lizzie Weakley- How to heal and move forward when you have an eating disorder

Sofie- Living with an eating disorder

Thank you so much to all of you and I am excited to see what 2020-21 brings for the blog!

Be Ur Own Light continues to be read globally and I love receiving your messages about the blogs and finding new writers too.

Heres to a 2020 of positive mental health, of fighting the stigma against mental illness and creating a positive and supportive community here. 

Happy 4th birthday Be Ur Own Light!  ❤ May this be an enlightening year of growth for us.

 

Love and Light always,

Eleanor    

xxx

Looking to the Future and Life Dreams: by Eleanor

~ Eleanor Segall ~ 7 Comments

Hi friends,

It has been a while since I have written a personal blog as there has been so much going on here that I was just focusing on getting through it all. Robs dad had surgery to remove a second brain tumour and is thankfully recovering well, the surgeon amazingly got all the cancer. Success.

Alongside this, I have been in therapy since November with a wonderful therapist and we are doing EMDR (Eye Movement Desensitisation and Reprocessing therapy). This therapy helps to process trauma that can get ‘stuck’ in the brain if not processed. That trauma can stem from childhood upwards- I was an anxious child from an early age even though I had a good childhood! I have also been through a lot due to my bipolar episodes and hospitalisations. So, I am working with my therapist to process memories and we are doing it slowly.

My therapist will either ‘tap’ on the side of my legs while I recall the memory to help process it or my eyes will follow a light or her finger as we process. Understandably, there has to be a lot of trust in this type of relationship as well as me being protected and not triggered by the therapy. For this, we have developed a ‘safe place’ memory that I go to when we bring up anything too distressing. We have just started to go deeper with this and I will update you with our progress. I am far less anxious than I was and it has been really helpful to build a positive, working relationship with my therapist.

The reason I started therapy was because I was having intense panic attacks and finding it difficult to manage my life due to it. I hope that by working on these triggers that I can react differently and live a healthier and better life. Stay tuned!

A month or so ago, I also went to see my psychiatrist for the first time in 2 years, mainly as I had worries about my weight and physical health. My medications means I have put on a substantial amount of weight and this is worrying me health wise more than anything. I have been advised to diet and exercise and maybe work with a nutritionist. So, this will also be a new journey and I will try my best with this, not easy as the meds may stop me losing weight due to slowing metabolism or encouraging cravings. We considered reducing my Quetaipine, a mood stabiliser and anti psychotic to help but because I have been more mentally stable, I have decided to keep it at the same dose for now.

Rob and I have also started to look at new homes, which has been good. There is a lot happening right now and important that I rest, look after myself and keep calm.

Life with bipolar disorder can be uncertain. I have some fears about the future, which I will talk about in another more detailed post. My medicines thankfully keep me mentally well, but coming off them for future life changes eg pregnancy could be a big risk for me and one I am not sure I should take due to being bipolar 1 (risk of mania and psychosis). This is not currently imminent, but is still a future fear, especially as I love children. A decision for a later date.

Overall though I am hopeful and excited about life and will keep you all updated with my therapy and health journey and news.

Thanks for reading and following Be Ur Own Light as we come up to our 4th anniversary,

With love,

Eleanor x

 

 

Living with an Eating Disorder: Guest blog by Sofie

~ Eleanor Segall ~ Leave a comment

This is a first person, brave and honest account by Sofie of her feelings about her eating disorder, which are her personal views. Trigger warning: please be careful as this discusses eating disorders and real emotions around them. We promote healing and recovery, where possible. So here’s Sofie….

    

I miss it every day! My first thought as I wake up in the morning and my last before I drift off for the night. It is a visceral longing. That’s the burden of an eating disorder. It’s an imposter that invites itself into your life and fulfills a need. It seemingly bestows upon you new abilities and strips you of weaknesses. However, with every freedom that it grants, there is a toll to pay.

My story doesn’t begin with a girl unhappy with her body, not many eating disorder stories do. My story starts with a girl lost within her own life. A girl who longed to feel she had a purpose and a direction — a child who yearned to feel an ounce of control. Anorexia gave me that control.

It gave me the power to defy human nature. It gave me a harsh look that proved I was oozing with discipline. Each bone like a spear warding off feelings and disappointments. I was never clueless as to why I starved myself. I never thought I was on a diet gone wrong. I wept many tears over the fact that my death-defying mission for control had made me so susceptible to vanity and left me a slave to the numbers on a scale, but how else was I to measure my discipline?

I miss it every day! I forget the aches, the pains, the fights, the hopelessness. I long for the feeling of achievement and forget the complete and utter sense of THIS IS NOT ENOUGH. STILL, I AM NOT ENOUGH. I long to go back almost every moment. To flee the life I have, to rewind and go back. For me, disappointment is much harder to face without the false comfort of the hunger, without the excuse of the failing body and protective blanket of a hazy mind.

So am I in recovery? I don’t know. I feel a sense of helplessness in my recovery like I have been dragged here by circumstance, and for now, my situation doesn’t sit comfortably with me. However, I know what I have to tell myself when it stings that my body no longer hurts: I can’t be a nice person while starving. I replay in my mind countless occasions where I behaved more like an animal than a human. I so desired to be successful, but I never wished to be a monster.

So, for now, this realisation is the guard I wear against the intrusive longing. It isn’t a bulletproof armour. The thoughts still wound, but for now, I am still standing, and I don’t need to judge the situation further than that.

And so, the greatest gift any therapy has given me is the clarity to place my love of others above my hatred of myself.

I can live a healthier life as a gift to those I love, who don’t deserve to be tortured by my demons. I must try and look after myself for my family and friends.

 

This blog was written by guest blogger Sofie, to discuss the truth around living with an eating disorder. If you are worried someone you love has an eating disorder, you can contact charities including Beat and speak to a GP or psychiatrist.

How CBT helps Children deal with Anxiety: Guest blog by Leigh Adley, therapist at Set Your Mind Free

~ Eleanor Segall ~ Leave a comment

As we know, children are also vulnerable to anxiety. Unfortunately, many parents believe that this type of mental health problem will only be temporary in nature. For example, they may think that their child’s shyness will disappear as they grow older. However, if this shyness is increasingly interfering with the child’s life as well as their family’s, then obtaining help is of paramount importance. If left untreated, a child’s severe anxiety will in all likelihood deteriorate as they will choose to avoid situations that make them anxious.   

People suffering from anxiety, including children, are often treated with medication, particularly antidepressants. However, there are alternatives available, such as cognitive behavioral therapy (CBT), which can help children deal with stress.  

Two decades of research has shown that CBT has been successful in reducing the symptoms of severe anxiety. This therapy also provides children with the tools to identify situations that trigger their anxiety. It also helps them manage the symptoms themselves.

What is CBT?

Cognitive behavioural therapy is used to help people manage their way of thinking and feeling. For example, it can help change distorted thoughts and dysfunctional behavior in order to alter an individual’s emotions. For children, therapists will often focus on getting them to unlearn their undesirable behaviour.     

 

Exposure and response prevention

This is the technique most therapists use for children with anxiety. It is a basic idea whereby a child is exposed to the situations that make them anxious. However, this exposure is structured and incremental and takes place in a safe environment. The goal is to make them accustomed to the triggers so their anxiety response is reduced. 

Exposure therapy has little in common with traditional talking therapy. CBT sessions generally involve talking to the patient to explore the root causes of their anxiety, and they then use this knowledge to alter their behaviour. Once they modify or change their response, the fear also disappears.

Exposure therapy is used for various types of anxiety, such as:

 

Treating anxiety as a person

It is helpful to go to a cognitive behavioral therapist as they will enable a child and their parents to think of the anxiety as an entity that is separate from their identity. The child may consider his or her anxiety to be a bully. To treat the anxiety as a person, the patient may give this bully a name, such as ‘Bossy’. Once the anxiety has been given a form, the CBT therapist can then teach the child how to control this ‘bully’. 

Children are also taught to recognize that anxiety can negatively affect their lives. By letting their fears control them, they miss important events such as:    

  • Sleeping in their own bed
  • Visiting their friends’ homes or going to a restaurant
  • Sharing meals with family or friends

It is also essential that the therapist gains the child’s trust so they can encourage them to face their fears.

 

Steps involved in exposure therapy 

The CBT therapist will firstly identify the triggers. The child will then confront a “pyramid of fears”, namely a sequence of incremental challenges. Every test that the child successfully accomplishes will help build their tolerance to the anxiety.

Before taking the challenges, the child will be asked to consider the degree of difficulty when encountering an uncomfortable situation. For example, a child who is afraid of touching dirt will be asked how difficult it would be (on a scale of 1–10) to write the word ‘dirt’. If they say ‘3’, then saying ‘I will touch dirt today’ could be a ‘5’, seeing a cartoon where a character picks up dirt may merit a ‘7’ and seeing an actual person touch dirt may go up to a ‘9’ on their difficulty scale.

By letting the child rate the scale of difficulty for their various fears, they can distinguish between the easy and extreme levels.

The first exposure trigger should come in its mildest form until the child’s anxiousness subsides. Fear is similar to any sensation; it decreases over time and the child will soon gain some control as the anxiety they feel goes away.

Depending on the severity of the child’s anxiety, a CBT session can take place several times a week, lasting several hours. The exposure often takes place in the CBT office, and then once the child feels comfortable, in an outside environment. For example, children with social anxiety may go outside wearing a funny hat. If they are afraid of germs, the exposure may involve:

  • Riding a bus or train
  • Shaking hands with strangers
  • Eating food without washing their hands

Once they have undergone several vulnerable situations and are feeling more confident, they can try some of the exposure sessions on their own. Parents have a vital role to play in this process. They should encourage their child to tolerate their anxious feelings rather than shielding them.

 

Duration of CBT sessions

It can take 8 to 12 sessions for a child to handle mild to moderate levels of anxiety. In addition, medication can help them reduce their stress while enabling them to engage in the CBT sessions.

 

Conclusion

CBT is a good way of helping children deal with their anxiety. CBT utilises various methods to overcome anxiety, and the exposure and response prevention techniques are particularly suitable for children. The child will confront their fears in increments until they can handle the stress on their own.

However, both the child and their parents need to understand that exposure therapy can be difficult. Nevertheless, once their fears diminish, the family can participate in activities that they previously found difficult.  

 

Author’s bio:

This blog was written by Leigh Adley, Hypnotherapist/Psychotherapist at Set Your Mind Free, based in the UK.