Bipolar Disorder Types, Symptoms, and Treatment Options

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Bipolar disorder is often referred to as experiencing emotional “ups” and “downs,” however this broad description doesn’t accurately reflect or encompass the depth of this disorder.  Most people can admit to having some level of mood swings, so how can someone differentiate between fluctuating emotions and bipolar disorder?

Bipolar Disorder Causes Disruption to Daily Life

A break up happens and the wounded one finds herself feeling pretty down. Eventually, time passes, the mood improves and life goes on. For people living with bipolar disorder, they cycle through intense elevated periods called mania and severe low periods called depression. These uncontrollable, unpredictable mood shifts normally disrupt the daily life of those with bipolar disorder. Newport Beach Christian Counseling can offer support to help manage these mood swings and provide coping strategies for a more balanced life.

Imagine feeling euphoria. You are on top of the world. But those feelings can’t be truly embraced because you know at some point the crash will occur. Your life plummets into a depressive state. The elation you once experienced is extinguished and replaced with suicidal thoughts, feelings of fatigue and apathy toward life.  It can feel like the world is coming to an end. Living with bipolar disorder can be similar to this.

Getting Familiar With Bipolar Disorder

It’s common to hear someone say,  “You are acting bipolar!” This assessment is often made incorrectly and is a contributing factor to why true bipolar disorder can be so difficult to identify.  Constantly changing your mind does not make you bipolar, nor does instant mood switching.

Three Bipolar Disorder Types

In general, this condition can be separated into three distinct bipolar disorder types: Bipolar I, Bipolar II, and cyclothymia. Bipolar I is the classic, high-highs and low-lows. Bipolar II is an experience of hypomania (an elevated mood but not complete mania) and deep depression. Cyclothymia is a long-term cycling between periods of elevated and depressed mood, but never full mania or full depressive episodes over the course of years.

Everyone who suffers from bipolar disorder experiences it in a unique way. It’s possible that no two experiences are alike since the different stages of bipolar disorder create signs and symptoms that vary from person to person. If you recognize any of these signs or symptoms, or a loved one points them out to you, seeing a professional therapist is the best action to take to discuss how to manage the disorder and live a healthy life.

Signs of Bipolar Disorder

What are the signs and symptoms of bipolar disorder? Here are a few signs that what you’re experiencing could be categorized as bipolar disorder.  Remember, bipolar disorder can be challenging to pinpoint. Discussing your concerns with a therapist is the best choice if any of these symptoms resonate with you.

Depression

A person who is in a depressive bipolar state will mirror a person with depression. This means the person could show signs of sorrow, lack of energy, decreased appetite, and loss of focus. Either a depressed state or a loss of interest in pleasure must be present in order to make a diagnosis.

You don’t have to cry copious amounts of tears to fit the depressed category. Depression tends to bring a general detachment from life and its events. You may see a few other changes like feeling exhausted all the time, feelings of inappropriate guilt, anxiety, and an unhealthy fixation on death.

Mania

What separates bipolar disorder from major depressive disorder is the presence of a “manic episode.” The DSM-IV summarizes a manic episode as “ a distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least one week (or any duration if hospitalization is necessary).”

1. Inflated ego

During a manic phase, the person might appear overconfident or borderline narcissistic.

2. No need for sleep

You feel rested after two hours of sleep or have no physical desire to sleep.

3. Excessive talking

Bipolar disorder causes rapid talking that’s almost impossible to interrupt. The person will incessantly talk over others.

4. Racing thoughts

A person with bipolar disorder will jump from idea to idea or topic to topic. It appears their mind is going in a million different directions simultaneously and can become easily distracted. It seems impossible to slow down the racing thoughts.

5. Impulse activities

A manic episode will bring impulses from going out on a shopping spree to engaging in a sexual activity that’s not consistent with who the person is.

These behaviors often seem great in the moment, but quickly take over and become unmanageable.

The Subtypes of Bipolar Disorder

Bipolar I experiences the maximum highs, but Bipolar II experiences only a “hypomania.” The moods aren’t as elevated, and the minimum length of an episode to qualify is four days rather than a week.

People experiencing hypomania can usually stick to their normal routines but with more of an emphasis on focused energy. With Bipolar I you may have only experienced the highs, but with Bipolar II it’s implied that you have experienced a major depressive state.

Cyclothymia is a more mild combination of hypomania with some depression. Your elevated mood might be more enjoyable because it’s not turning into destructive behaviors and your depression still allows you to function in day-to-day activities. It’s normally less intense than bipolar disorder but can still cause emotional distress over time.

What Are the Treatment Options For Bipolar Disorder?

Usually, treatment involves a combination of therapy and medication to target the problematic experiences. Some medications, such as antidepressants, can make mania worse. An antidepressant coupled with a mood stabilizer can help create stability and even out emotions.

Therapy complements the prescribed medication. Bipolar disorder doesn’t go away completely, but talking through bipolar disorder with a therapist can help to sharpen coping skills and teach you the tools to use when you sense an episode coming.  Family-focused therapy can be helpful to allow those closest to you learn about bipolar disorder and how to best support you. Incorporating your family in your journey can empower those around you to help you cope with the bipolar episode.

Don’t self-diagnose over the internet. If you found yourself nodding along to any of these signs, please make an appointment with a Christian Counselor at Newport Beach Christian Counseling to discuss your symptoms with a therapist who is qualified to diagnose disorders. Living with bipolar disorder can be confusing and frightening, but by following a tailored treatment plan you can move forward, feeling more confident in your ability to manage the disorder.

Photos
“Upset,” courtesy of Ben White, unsplash.com, CC0 License; “Concerned,” courtesy of Rahul Anil, unsplash.com, CC0 License; “Feeling Down,” courtesy of Patrick Denker, Flickr CreativeCommons (CC BY 2.0); “Beach Run,” courtesy of Jacob Miller, unsplash.com, CC0 License

9 Signs of Sexual Abuse in Children to Watch Out For

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It’s been a watershed season of exposing men and women who committed sexual assault and harassment. Businesses are taking legal actions to terminate employees or pull contracts indefinitely.  If the #Metoo movement teaches us anything, it’s that sexual assault and abuse is often silenced and that there’s strength in numbers.

Parents never want to hear these heartbreaking words uttered from their child’s mouth, “I’ve been sexually abused.” Children are often under the care of other adults at school, church, a friend’s sleepover, and even under their own roof. In these seemingly harmless settings, horrendous acts are carried out. Newport Beach Christian Counseling offers support for parents and children in the aftermath of such trauma, helping families navigate the healing process and find hope in the midst of deep pain.

9 Signs of Sexual Abuse in Children to Watch Out For

Parents must be vigilant to monitor who their children interact with on a daily basis. Because sexual abuse is often a confusing and paralyzing experience, children may not verbally express what’s happening to them. But if a child is being abused, it’s likely you will see the following signs.

1. Increased Fear and Anxiety

Fear is one of the biggest hallmarks of a child who has suffered abuse. Children can become hypervigilant, constantly on the alert.  You may see mounting fear and anxiety as the specific time of day approaches when the abuse normally occurs or if you mention inviting the abuser over.

2. PTSD Symptoms

Post-Traumatic Stress Disorder is not only reserved for military veterans returning from combat overseas. The same symptoms are present in children who have suffered abuse. Panic attacks occur when certain “triggers” bring feelings of immediate stress.

Triggers could be a certain smell like the cologne the abuser wears, people who sound like the abuser, or certain sights that bring flashbacks. Another form of PTSD in children is having disturbing dreams or problems getting a good night’s sleep. Nightmares become prevalent and memories of the trauma can disrupt their concentration at school.

3. Mood Changes

Unreasonable crying or sudden excessive crying that wasn’t present before are expressions of children suffering from abuse.  On the other end of the spectrum, children can have angry outbursts and get frustrated easily spouting out hurtful words to those around them. They might withdraw from adults in the belief that every person wants to harm them or they may become hostile toward those in authority who neglected to protect them.

Because these times of abuse were often out of their control, they will grow up wanting to control everything in their lives. Eventually, children numb their feelings and become detached and emotionally absent. They self-protect by creating an impenetrable wall around their hearts.

A point can even be reached where they disassociate from the abuse altogether by either diminishing the effects of the abuse in their lives or never admitting that the abuse happened to them. Children who experienced sexual abuse are more likely to grow up into teenagers who contemplate suicide, have self-inflicted wounds, and show signs of depression.

4. Guilt and Shame

Children find ways to blame themselves for the abuse. Guilty thoughts invade their minds like, “I should have said something to someone else,” or, “I was aroused so does that mean I wasn’t abused?”

The abuser often reinforces this message telling the child that somehow the child made the abuser touch them. It’s a tug-of-war in the mind for children in this situation. They know something feels wrong, but the mixed messages, instilled fear, and false responsibility can create turmoil in their minds.

5. Fear of Intimacy and Closeness

Intimate relationships can be a challenge after enduring abuse. Although children may still embody an outgoing personality, they learn how to keep people at arm’s length to prevent further harm. Physical contact, which is often terrifying, may cause them to lash out at someone who innocently tries to give a hug.

Other children become overly clingy needing constant physical and verbal affection. Children that have experienced abuse find it hard to know the difference between appropriate displays of physical affection and inappropriate sexual touch.

6. Sexuality

Sexually abused children usually grow up not wanting to have sex at all or view having sex with multiple people as the only way to receive touch and attention. This ends up creating a bigger web of pain in their lives.

Children who have been hypersexualized from assault may make sexual comments to other students or have an advanced knowledge about sex. Of course, in today’s world children are often exposed to movies that are not age-appropriate and they pick up the terminology.  But if a five-year-old girl can describe certain adult acts in detail, this should set off alarms.

Some children who have been abused by someone of the same gender end up confused about their sexual orientation. Due to confusing (maybe even somewhat pleasurable) physiological responses related to their abuse, they may silently wonder whether or not they are actually gay.

Some people may try to reduce their distinctive gender features by cutting their hair, hiding their breasts, eating more food to gain weight and becoming unattractive, or neglecting basic hygiene routines in order to repel people.

7. Alarming Forms of Creative Expression

Children love to play. It’s a normal part of childhood. However, if the dolls are not just playing mommy and daddy, but participating in strictly mommy and daddy activities it is a glaring red flag.

Often creative expression becomes a safe outlet for children to be honest without verbally admitting to the pain forced upon them. Journal writing, social media posts, poems, and pictures can all tell a story that’s been silenced inside. Today, teenagers swarm to social media to share their fight with depression or struggle with suicidal thoughts.

8. Not Behaving Appropriately for Their Age

Of course, some little girls want to imitate their moms by dabbing on some lipstick or painting their cheeks with blush when they see their moms getting ready for the day. Wearing more revealing clothing or always wanting to put on perfume, makeup and doing their hair could possibly point to past abuse.

Some older children will revert to their younger behaviors like wetting the bed or sucking their thumb. These aren’t always signs of trauma, but these signs merging with some of the others mentioned here are good indicators of abuse.

If you hear of older friends being mentioned frequently begin to investigate. Yes, there are good mentors and influences out there, but someone showing an unhealthy amount of attention toward your underage child requires some additional attention from you. Normally, children form friendships with kids around their same age.

9. Turning to Alcohol and Drugs

Alcohol can be used to not only numb pain from the past but make someone feel alive at the same time. Drugs and alcohol are a way to cope with the suppressed feelings and distressing thoughts. Drug and alcohol use can be a common coping mechanism for those who have experienced trauma in order to deal with disturbing thoughts.

If you are seeing unusual signs like these in the children around you, don’t ignore it – report it. Call your local CPS Office or the National Child Abuse Hotline at 1-800-4-A-CHILD.

Finding a Place of Healing

Christian counseling Newport Beach is just one way to begin a journey of healing and freedom. The Lord comes to heal the brokenhearted and to bind up our wounds (Psalm 147:3). If child abuse is a part of your story, Newport Beach Christian Counseling offers a safe place to experience wholeness. Freedom is found by bringing things in the darkness into the light. Will you let someone help you today?

Photos
“Child of Light,” courtesy of Matheus Bertelli, pexels.com, CC0 License; “Silent,” courtesy of Kat Smith, pexels.com, CC0 License; “Wounded,” courtesy of Min An, pexels.com, CC0 License; “Play time,” courtesy of pixabay.com, pixels.com, CC0 License 

What is Chemical Dependency, Anyway? A Closer Look

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Among lower income and homeless populations, easy access to drugs fuels the addiction crisis. For some, addiction to prescription pain relievers eventually leads to heroin use once the habit is no longer financially sustainable. Every day increasing numbers of addicts die from an overdose, but the chemical dependency epidemic cannot be blamed exclusively on easy access. Newport Beach Christian Counseling can provide support and guidance for those dealing with addiction, offering a compassionate approach to overcoming substance abuse.

Alcohol abuse has often been seen as a separate, distinct problem from chemical dependency. While different chemicals do indeed affect the body uniquely, substance abuse of any kind – alcohol, narcotics or opiates – results from a psychosocial dynamic that is no respecter of substance. Because of this common framework, alcoholism cannot be segregated from other chemical addictions.

Drug and alcohol abuse typically stem from a person’s desire to cope with pain when healthy and adaptive coping skills are insufficient. The difference between alcohol and other chemical dependencies is not so much about what prompts the dependency but about how easily accessible the substance of choice is. Because alcohol is legal to purchase, it is not only readily available but is also more socially acceptable as well. Addiction to street drugs, on the other hand, requires a person to circumvent the law, which makes the addiction more costly and recovery more problematic.

Defining Chemical Dependency

What exactly is chemical dependency? It is difficult to define without acknowledging the many opinions that have informed our discussion of addictions over the years. An organic definition of dependency, for example, looks at the chemical composition of a substance (i.e. the “hook”) that makes addiction highly probable.

A moral definition of addiction considers one’s spiritual disposition (i.e. – lack of faith) as a leading contributor. A biological definition provides yet another vantage point in which a person’s brain is implicated as having an addictive bent (i.e. – an addictive personality). With all these differing perspectives, how does one arrive at the truth? There are a few things that we do know about chemical dependency.

Scientists and researchers inform us that addictions are hereditary. Does heredity point to a genetic predisposition toward chemical dependency, or does it imply that a family’s environment cultivates addictive tendencies through a culture of addiction that passes down to the next generation?

It is known that substances have a withdrawal component which strengthens the organic or biological argument. From a moral standpoint, the Bible forbids drunkenness and encourages Christians to be empowered by the Holy Spirit rather than intoxicated by wine. The theory that substances contain a “chemical hook”, however, proves rather outdated.

Johann Hari exposes this outdated theory in a powerful TED Talk entitled, “Everything You Think You Know about Addiction is Wrong”. I strongly recommend that you watch his presentation, or at least watch the condensed, animated version entitled “Addiction,” created by Kurzgesagt (translated, means “in a nutshell”).

The chemical hook theory arose from a study involving rats that were offered both water and heroin-laced water. The experiment showed that the rats overwhelmingly chose the heroin water over the regular water and showed signs of addiction. This finding was then generalized to human populations, despite later experiments that yielded very different results.

In one such subsequent experiment, the rats were still offered both water and heroin-laced water, but the conditions of their confinement were altered. Instead of a sparse cage, the rats were enclosed in a stimulating environment with other rats. This time, the rats did not show a preference for the heroin water.

It would be unethical to replicate this experiment with human subjects, but a look at the Vietnam War offers some insight into how humans might respond in kind. During the war, heroin use was prolific among soldiers with few other options for recreation or diversion. There was a fear that, when they returned home, their recreational drug use would have become a full-fledged addiction. On the contrary, most soldiers were able to give up heroin upon return to their families and civilian life.

Hari points out the discrepancy in the hook theory given the results of both the rat experiments and the Vietnam War example. When one’s environment is taken into account, addiction is seen in a different light. Difficult and hopeless surroundings (i.e. the sparse cage or the battlefield) provide the context within which drugs become a viable escape. In fulfilling and hopeful environments, however, drug abuse makes little sense.

The implications seem clear, but how can they be integrated into our thinking about and treatment of substance abuse disorders? While addiction cannot be oversimplified, one of the often overlooked components in treatment is an individual’s social context.

Professionals must consider a client’s environment when treating chemical dependency. Advocacy becomes a vital role for the clinician in helping identify support systems for their clients as well as encouraging vocational, volunteer, and recreational interests. When recovering addicts can find fulfillment and purpose in their lives, the draw toward substance use weakens.

One former addict stated that he “wanted to have a life worth being sober for.” When it’s all said and done, having a life full of meaning and purpose provides the best alternative to substance abuse as well as other non-substance related escapes. Whether an individual is battling a substance abuse issue or addiction to pornography or food, therapy aims to explore the pain that is being numbed and examine the context in which the coping mechanism became an addiction.

Newport Beach Christian Counseling desire is to come alongside those who are struggling with chemical dependency and work with them to achieve sobriety and to create a life worth staying sober for. These goals can be achieved one small step at a time with the strength that God gives and the encouragement of your support system.

Photos
“Walking Home,” courtesy of Jesus Rodriguez, unsplash.com, CC0 License; “City girl,” courtesy of George Gvasalia, unsplash.com, CC0 License; “Take a sip,” courtesy of Tanja Heffner, unsplash.com, CC0 License; “Field,” courtesy of Karl Fredrickson, unsplash.com, CC0 License 

Rediscovering God’s View of Marriage

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In society today, we’re bombarded by various opinions, agendas, and worldviews. We’re constantly fed messages by social media, politics, the news, and the neighbors next door. Sometimes in the midst of the many voices, we lose sight of truth. Let’s take a few moments to get back to the basics, particularly pertaining to God’s view of marriage. If you’re looking for guidance on this topic, Newport Beach Christian Counseling can offer support and help you gain a clearer understanding of God’s plan for relationships.

What Does the Bible Say About God’s View of Marriage?

In Mark 10:8, we read that a marriage means that two people have become united as one flesh. So in a Christian marriage, does this mean the spouses do not retain individual identities? Does the Creator of the universe ask us to sacrifice our individuality when we take our marriage vows?

The short answer is “no.” Marriages do not flourish when spouses become so enmeshed that their individual personalities are lost. Each one of us is a unique person with our own goals and desires and that doesn’t change we get married.

A healthy marriage requires two partners who experience personal growth along their growth as a couple in intimacy and love. This is a difficult task and requires a careful balance. There has to be individual development along with an increasing bond with one’s spouse.

Do we see this tension in Scripture? Let’s look at Paul’s metaphor of the body and apply it to the unity of a Christian marriage. In 1 Corinthians, Paul describes the fellowship of believers functioning together as one body made up of many individuals. A body made up of only one member, like a foot, wouldn’t function effectively.

Rather, the entire body must work in sync and each part has to have its own purpose and identity (1 Cor. 12:12-31). The body of Christ is made up of all of these different parts working together towards the same goal.

Differentiation and Christian Marriage

We can apply this principle not only to a church community but also to a married couple. This will help us understand Jesus’ teaching that “two become one” in the covenant of marriage. I believe this means that by cultivating intimacy with our spouse, we became more fully united to them, as opposed to being “blended” with them. The most fruitful, godly marriages are made up of two people who are committed to personal growth and growth as a couple.

In his marital help book Passionate Marriage, Dr. David Schnarch describes this process as differentiation. Differentiation is the process of becoming yourself more fully as you engage in relationships with others, and particularly with your spouse.

Differentiation is the balance between the drive for personal growth and the desire to fellowship with others (55). This process should not make anyone into a loner. Instead, it makes our emotional bonds deeper and helps us develop holistically and healthily as individuals. It gives us an integrated “self-in-relation” that is unaffected by our circumstances.

Ultimately, differentiation allows us to grind off our “rough edges” and be ourselves more fully while we learn to love our spouse more (51).

Schnarch also describes the background of the word differentiation. It’s rooted in biology and refers to the process by which cells develop. All living cells originate from the same matter. As time passes, the cells differentiate—meaning, they take on their own individual properties. At this point, each cell “performs separate but related functions.”

Does this remind you of how Paul describes the body in 1 Corinthians? Schnarch adds: “The greater the differentiation, the more sophisticated and adaptive the life form” (62)—in other words, the more well-differentiated a life form is, the more it can adjust to challenging circumstances.

In the same way, people who are well-differentiated are secure in their personal identity, instead of relying on others to define them. When they are in a relationship, well-differentiated people can navigate conflict effectively because they have a grounded sense of self (55).

On the other hand, people who lack differentiation draw their sense of identity from those around them. They require validation from others in order to feel at peace with themselves. This is called developing a “contingent identity” (59).

People who have formed a contingent attachment lose their sense of self apart from their relationships. This causes them to have a great fear of changes in their relationship or in their partner’s emotions or moods.

How Christian Marriage Counseling Can Help You Differentiate

Differentiation is not a destination that can be reached overnight. Instead, it’s a journey toward a healthy sense of self, both individually and in relation to others. It’s a difficult process that requires a lot of work, including some decisions that may be uncomfortable.

This isn’t the easiest way to work on your marriage, but it is incredibly fruitful and will enable you to enjoy a much more fulfilling relationship with your spouse.

Becoming well-differentiated is a nuanced process, which means that it involves subtle complexities that can be confusing. How can you grow as a person and bond with your spouse at the same time? How can you develop a more grounded sense of self while still being “one flesh” in your marriage?

These questions are complicated, and there are no one-size-fits-all answers. If you think you need to work on this process in your marriage, a Christian counselor Newport Beach can help you wade through some of the complexities.

Whether you are just starting out or have been married for years, a qualified Christian counselor at Newport Beach Christian Counseling can provide you with the guidance and support you are seeking. Please do not hesitate to contact us for more information about setting up an appointment with one of our marriage specialists.

Photos
“Out for a Walk,” courtesy of Vladimir Kudinov, Unsplash.com, CC0 License; “Reconciled,” courtesy of Priscilla du Preez, unsplash.com, CC0 License; “Committed,” courtesy of freestocks.org, unsplash.com, CC0 License; “Field gazing,” courtesy of unsplash.com, pexels.com, CC0 License 

What are the Symptoms of Depression? Find Out Here

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“Am I depressed?”

This question comes up a lot in conversation nowadays, even when speaking casually. It’s part of our cultural language.

“That’s really depressing!” “Wow, I’m so depressed about this.” Being in a state of depression seems almost normal. The word is used in everyday conversations and is in some ways an expected part of life. On television, depression is shown as an expected occurrence after a breakup, trauma, or even as a joke or on cartoons.

As an example, consider one of your favorite TV show characters who you think of as being depressed. What about their behavior points to depression? Are they truly experiencing depression, or is it just sadness inherent to being human? Is their emotional state caused by circumstances or who they are on the inside?

The answer completely depends on the individual. Some people suffer from depression that was passed down genetically with a strong biological component, while for other people a specific situation or a crisis experience in their lives can suddenly bring on depressive symptoms.

The common experience of sadness may resemble depression without meeting clinical criteria for the mental illness. Sadness can also stem from other kinds of disorders. For this reason, it’s best not to jump to the conclusion that your condition is depression; it could have any number of causes.

Even though the word depression is often thrown around, many are still wondering, “What are the symptoms of depression?” Sometimes the condition is obvious, and other times it’s not. True depression is an overwhelming sense of sadness, but not every depressed person will manifest identical symptoms.

It has been estimated 6.7% of adults suffer from depression (National Institute of Mental Health [NIMH], 2015). The most common groups affected are women and young adults between 18 and 25 years old (NIMH, 2015). Although depression is found in all ethnicities, its prevalence varies by race. Onset is typically found in the early thirties (Anxiety and Depression Association of America [ADAA], 2016).

Again, depression will manifest differently based on the individual, and its presentation can be very nuanced. It does not discriminate based on age, socioeconomic status, or level of education, and it can even change based on what season of the year it is.

Demographics don’t limit the prevalence of depression.  It is a widespread issue that affects the mental health of millions of people; and at the same time, it can be hard to diagnose properly. If you believe you might have depression, you should seek the advice of a doctor to rule out any physical causes that may need medical care. Once other causes have been ruled out, many physicians will give you a referral to a mental health professional so you can seek a diagnosis and treatment plan.

Getting a specific diagnosis requires that you be assessed by a professional. But here are some of the most common indicators of depression; these can help you assess your current state.

What are the Symptoms of Depression?

Emotional Changes

Emotions are one of the first factors to be affected by depression. You may experience sudden and unexpected mood swings, or your typical emotional fluctuations may become more intense and frequent. These can include feelings of irritability, anger, restlessness, or tension. If you’re struggling with these emotional challenges, seeking support through Newport Beach Christian Counseling could provide helpful guidance and strategies for managing your feelings.

Guilt is another common emotion connected to depression; you may think about past events or current issues and feel overcome with shame. You may feel suddenly consumed by thoughts about death, and you might feel overwhelmed by hopelessness or a sense of personal worthlessness.

Crying more than usual is another symptom, even when things appear outwardly fine. Taken together, symptoms like these can be very alarming and upsetting, and you might feel out of control and overwhelmed. Anxiety is often closely connected to depression.

These are common thoughts you might have:

“My family would be better off without me.”

“Things will never improve.”

“It’s all my fault.”

Apathy

People suffering from depression often experience a lack of interest in things they usually enjoy. This can show itself either through lessened enthusiasm or a complete absence of motivation to engage in things that typically interest you. A project you’ve wanted to start for months suddenly feels like it takes too much energy. The Friday night plans you looked forward to all week just don’t sound very enticing. You know there are changes you need to make in your life, but the motivation just isn’t there.

As for setting goals and reaching new milestones, it’s not even on your radar right now. Everyday life itself seems like too much work. It’s hard to concentrate on getting the necessities accomplished, much less on enjoying exciting activities. You might end up staying home a lot, lacking the desire or capacity to even go grocery shopping.

You might feel stressed by the thought of new experiences you would usually enjoy. Many people lose interest in their romantic relationships and experience a loss of libido. Guilt can wrap itself around your thoughts until you feel like a waste of time for your partner, or perhaps you just feel too exhausted and despondent to make an effort in your relationship. Everyday life seems excruciatingly difficult, and you just don’t want to try anymore.

Things you might notice yourself saying:

“I realize that Thursday night is basketball night, but I just can’t manage it this week.”

“Can we go out to dinner another night? I’m just not in the mood right now.”

“I’m usually so good at keeping up with my work, but right now I just can’t and what’s worse, I don’t even think I care.”

Weight Changes

Sudden changes in weight are another red flag for depression. Stress often causes a change in appetite, whether that means eating more or less. Some people feel like they have to force themselves to eat. Depression causes a similar physical response in that it may either dramatically increase or decrease your appetite, ultimately leading to changes in your weight. Ongoing depression often makes it difficult to maintain a healthy weight.

Things you might notice yourself saying:

“I just haven’t been hungry this week.”

“Crying makes me hungry and when I eat I feel better.”

“My weight is sitting next to my emotions on a rollercoaster.”

Sleep Changes

Sleep is integrally connected to our wellbeing and is usually affected in some way by depression. Insomnia can haunt your nights, making it difficult to fall and stay asleep. Your mind may feel blank or it may feel overwhelmed with thoughts that don’t stop. Your sleep might be restless and interrupted by frequent wakings. This can cause intense frustration and the need for daytime naps, creating a vicious cycle where falling asleep at night becomes even more difficult.

A general lack of energy and motivation can also lead to a constant sense of sleepiness. You may feel exhausted all the time, even if you’re plagued by insomnia. On the other hand, you may sink into a state of such drowsiness that you sleep far too much. This is called hypersomnolence and leads to feeling tired all day.

Depressed individuals may experience a variety of abnormal sleep patterns while they suffer from this condition.

Things you might notice yourself saying:

“It has been the weirdest thing. I’ve been sleeping 10-12 hours a night and I still wake up sleepy!”

“I’m up all night. I don’t know what’s waking me up, but I keep finding myself awake for random hours during the night.”

“I just can’t fall asleep. I feel numb. I’m exhausted, but I can’t seem to fall asleep.”

Physical Changes

Since our minds and bodies are inextricably interconnected, signs of mental illness will often display themselves physically. Health changes may occur. The way you perceive yourself and your physical health may change. Your cognitive abilities may suffer. People with depression often experience headaches, stomach pain, and digestive problems. Jaw clenching and hand-wringing can cause chronic pain.

Some individuals with depression suffer from chronic health conditions or pain, which makes their mental state worse. On the flip side, depression can contribute to a physical environment that makes chronic illness more likely. People with depression often feel that they just process things more slowly, whether that’s in movement, speech, or thinking. Memory can be affected as well.

Things you might notice yourself saying:

“I just feel like staying in all the time. These headaches seem constant in the last month or so.”

“I feel like I just can’t pick up speed lately. I’m just not my usual self.”

“I keep needing to stay home from work with stomach cramps. I just can’t make myself go in like this.”

Christian Counseling Can Help Depression Sufferers

Depression is a pervasive mental illness, and it’s being diagnosed more frequently each year, but many people with depressive symptoms are never diagnosed, and many never seek treatment of any kind.

There is hope. If you feel that you’re exhibiting some or all of these signs of depression, it’s vital to seek treatment and discover the underlying cause. There are a variety of issues that can cause these symptoms, and it’s important to explore what’s going on.

Our counselors at Newport Beach Christian Counseling often work with clients who are experiencing depression. We look forward to meeting with you to help you work on regaining your everyday functioning and enjoying your life again.

References

Anxiety and Depression Association of America (2016). Facts and statistics. Retrieved from https://www.adaa.org/about-adaa/press-room/facts-statistics

National Institute of Mental Health (2015). Major depression among adults. Retrieved from https://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml

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OCD Definition: Signs of Obsessive-Compulsive Disorder

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Are you plagued by fear? Do you engage in rituals motivated by superstition? How do you know if these are normal or are symptoms of a clinical disorder?

The general public is grossly uneducated when it comes to understanding obsessive-compulsive disorder. The acronym OCD is tossed about flippantly today, being used to describe behaviors as innocent as eating only blue M&M’s to more stereotypical rituals such as excessive hand-washing. This article provides some much-needed clarification.

OCD Definition

Individuals with obsessive-compulsive disorder may exhibit just one symptom (i.e. they experience obsessive, intrusive thoughts but do not engage in any compulsive behavior), but many sufferers exhibit both. Examples of single-symptom sufferers might include individuals characterized as workaholics or those with anal-retentive personalities.

Those who fall under the more common dual-symptom category experience obsessive thoughts and attempt to resolve their discomfort by performing the compulsive behavior. These people are usually cognizant of the fact that their thoughts and behaviors are not rational; the impulse to act on the thought is just too strong to resist. Newport Beach Christian Counseling offers support to help individuals manage these challenges effectively.

OCD Examples

Obsession

Descriptions of those experiencing obsessive thoughts might surprise you. According to Michael Maccoby, “[Obsessives] are self-reliant and conscientious….They look constantly for ways to help people, listen better, resolve conflict, and find win-win opportunities. They buy self-improvement books…and they like to focus on continuous improvement at work because it fits in with their sense of moral improvement.”

For those who are deep thinkers (e.g. philosophy professors, poets), obsessions are not always answered with compulsive behaviors. The nature of these obsessive thoughts, however, is quite unlike ordinary daydreaming. These individuals spend a considerable amount of time mentally running through scenarios, arguments, and ideas.

The philosophers of the ancient world are a classic example of thinkers who spent hour upon hour pouring over moral debates and ruminating over unanswerable questions. Not what many would call “normal” behavior.

In her book Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process, Nancy McWilliams illuminates the personality differences that delineate the obsessive individual from the compulsive. The former feels no compulsion to act upon their continual, intrusive thoughts (p. 290).

Individuals with this obsessive personality structure are characterized as stubborn, tidy, prompt, thorough, thrifty, rigid, cerebral, persistent, and prone to arguing over semantics. McWilliams adds that “[t]hey are generally dependable and reliable and have high standards and ethical values” (p. 291). Their internal standard of excellence, while admirable, is often unachievable.

Unable to measure up to their own ideals, individuals with obsessive-only OCD battle shame and attempt to cope with it by rationalizing, moralizing, intellectualizing or compartmentalizing their intrusive thoughts. In tandem with shame, anger plagues these individuals who interpret negative emotion as inadequacy.

Rather than deal with this anger toward self for what it is, people with obsessions direct the anger toward “legitimate” targets to protect themselves from further shame (p. 293). This tendency to self-protect from negative emotions prohibits these individuals from expressing their emotions effectively.

Those who struggle with obsessive-type OCD not only have difficulty expressing emotion, but they also have difficulty making decisions as well. The thought of making a wrong choice often paralyzes them from making any choice, leading these individuals to vacillate between options until they eventually refuse to choose.

McWilliams gives a poignant example of this trait by illustrating how it would impact an expecting mother. In this illustration, the pregnant patient selects two obstetricians with different treatment philosophies from which she would choose one to deliver her baby. She deliberates so long, wavering between the two options, that she eventually goes into labor and has no other option but to have her baby delivered by the resident on duty at the nearest hospital.

Compulsion

Individuals with compulsions also self-protect against the shame of making a wrong decision, but instead of vacillating between options, these individuals impulsively choose one without any deliberation. Becoming sexually active with any individual with whom one has sexual chemistry is an example of this type of impulsivity.

What characterizes the behaviors as compulsive has little to do with whether the activity is beneficial or even logical; what makes the action compulsive is its irresistible nature. Interestingly, people with compulsions prefer manual tasks (i.e. woodwork, needlework) that do not involve much thinking.

Compulsive individuals do not hold a monopoly on ritualistic behaviors that have little bearing on outcomes. It would be difficult to find a person who has not acted compulsively at one time or another. Athletes perform rituals before or during their competitions, people “knock on wood” when a friend forecasts favorable results, and gamblers slide one more quarter into the slot machine for good measure (p. 301).

The ritual is motivated by a desire to prevent an unwanted event, such as a man with a compulsive personality who buckles and re-buckles his seatbelt four times to avoid a car accident. What makes these thoughts and behaviors a clinical issue is the amount of distress experienced by the individual as a result.

Obsession and Compulsion Together

While it is possible to experience one symptom or the other, as discussed previously, it is common to experience both obsessions and compulsions together. Clinically speaking, the compulsive behaviors aim to resolve the anxiety produced by the intrusive or obsessive thoughts. Ultimately, the two battle with each other for control.

A&E airs a show called “Obsessed” (available instantly on Netflix) which chronicles the struggle of sufferers with OCD. One episode follows Karen, a woman battling a fear of death after spending years in an abusive relationship. The constant anxiety and fear for her life that she experienced during this relationship metastasized into a pervasive terror even after the termination of that relationship.

Her obsessions involve thoughts of strangers lurking behind corners waiting to kill her, other drivers swerving on the road to hit her head-on, and earthquakes opening the ground to swallow her. Her compulsions involve repeatedly checking under her bed and in her closets for fear that an intruder entered her apartment since her last check. While she knows how irrational these obsessive thoughts are, her fears and anxiety compel her to act.

Christian Counseling for OCD

Individuals with OCD do not have to be enslaved to their obsessions and compulsions. Your struggle is not a sign of weak faith or disobedience to God’s exhortation to “fear not.” Obsessive-compulsive disorder is a clinical condition that requires professional treatment. The hope of Matthew 6:27, 31 and Philippians 4:6 is that He offers us the antidote for fear!

If this article resonates with you or sounds like someone you know, there is help. No one has to struggle alone. Contact a professional Christian counselor at Newport Beach Christian Counseling who can come alongside those battling OCD and start the journey of recovery. Using research-based treatment techniques in a faith-based setting, these professionals can help you discover the roots of your thoughts and behaviors and help you learn to manage your symptoms. There is hope for you – freedom from fear awaits!

ReferenceMcWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). New York, NY: Guilford Press.

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How to Deal with Conflict in Marriage

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When quarreling with your spouse, it’s difficult to remember any rules or courtesies about how to argue reasonably. Your emotions are taking over, and there isn’t time to think rationally. Entering a disagreement level-headed is nice in theory, but much easier said than done. Newport Beach Christian Counseling can help guide you through these challenges and foster healthier communication in your marriage.

Dr. Susan Johnson says that telling couples they should follow certain rules during a fight will just set them up to fail. Instead, she offers the advice to try limiting the hurt caused during the argument, and lovingly make amends afterward.

Myths about Dealing with Conflict in Marriage

Below are three well-known myths about dealing with conflict in marriage, followed by more practical ways to handle issues.

Myth #1: Just Stay Calm

The whole reason you are fighting in the first place is because you aren’t feeling calm. Something is obviously upsetting you enough to bring it up and hash it out. During a disagreement, there are usually two levels of conflict going on. The first level is the topic you are actually fighting about (i.e., a broken promise, laundry that wasn’t done). The second level is how this disappointment makes you feel and what it means for your relationship. Something as simple as the trash not being taken out (after they said they would) brings up emotions of whether or not you can trust your partner’s word.

This contributes to the hurt emotions you are feeling, and why it is hard to remain calm during an argument with your spouse. The fight isn’t simply about chores left undone. It is also about how they have ruined your trust in them, and what that could mean for the future. If you can’t count on them with this menial task, what will happen when something more critical comes along?

Myth #2: Be Reasonable and Specific

“When the fear center of my brain is glowing red, my cortex, the seat of deliberate reasoning, is most often not online” (Johnson). More helpful advice would be to try refraining from saying something you might regret. When your feelings have been hurt, it is a natural reaction to want to hurt the other person in revenge. Do not give in to that temptation.

Johnson compares the act of making a threat to trying to rearrange your living room by throwing a grenade in there. Doing so may give you the advantage, and definitely changes the scenario. However, you have to consider if it is the best way to handle the problem. “As one of my clients told me, ‘When she uses the D word, divorce I mean, it’s like I have a pen knife and she has a nuclear weapon. I just freeze up. I can’t talk at all’” (Johnson).

Myth #3: Take a Time-Out

On the surface, it may seem like you are trying to push your spouse away when you argue with them. However, the real reason you are trying to communicate is to share your insecurities and concerns with them. This would be futile if they just walked away from you.

“I think in many of us this is just going to trigger higher levels of alarm and resentment. Aren’t we all just a little threatened by our loved one being able to turn and walk away, as if we didn’t matter at all? In my practice, the only people who can use ‘time-outs’ are those who have very mild fights and tons of love between them – that is, those who don’t really need it” (Johnson).

This doesn’t mean you should let the fight get carried away, but don’t try ending it by ignoring your partner. If things start to get out of control, say something. Tell them you value and want to hear what they have to say, but both of you are communicating unproductively.

What to Do After a Fight

Disagreements come up. Fights are going to happen. This is part of being human and the fact that we all make mistakes. Therefore, try not to avoid conflict altogether. Focus on limiting the damage and repairing it afterward.

When discussing your fight, Johnson suggests concentrating on how you feel instead of your spouse’s actions. What is it that upset you and caused the ensuing argument? How did you feel during the fight? Why did you feel that way?

“You can both assume, if it was a serious fight, that you scared each other. Our research shows that you can heal hurts and create a love that lasts by showing your partner that you care about their feelings and opening the door to what I call a Hold Me Tight conversation” (Johnson).

When Paul writes to the New Testament churches, he continually reminds them to share one another’s burdens. He also tells them to forgive those who have wronged them. The same thing is required in a marriage. “Be kind and compassionate to one another, forgiving each other, just as in Christ God forgave you” (Ephesians 4:32).

During arguments, you will do and say harmful things out of anger or fear. Concentrating on being kind and loving will help you be less hurtful toward your partner. It will also help you focus on where they are coming from and what they are trying to communicate.

How Christian Counseling Can Help You Deal with Conflict in Marriage

There is no way to avoid conflict in marriage. In fact, Johnson says that it is unhealthy even to try. She compares it to two people trying to dance, but are so nervous about stepping on each other’s toes that they don’t put their feet anywhere.

If you are worried about the magnitude of your quarrels, you may want to make an appointment with a Christian marriage counselor at Newport Beach Christian Counseling. They are there to provide a safe space for discussing your problems. They can help you pinpoint your fears and figure out what motivates your emotional outbursts.

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Getting Over an Affair: Can Christian Marriages Survive Infidelity?

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Possibly the worst betrayal you can experience is having your spouse choose to get his or her needs met outside of your marriage, whether those needs are physical or emotional. Is it possible for a Christian marriage to recover from an affair? What does forgiveness look like? Where is the hope in this situation?

The good news is that there is always hope. But this hope requires a willingness on the part of both spouses, the betrayer and the betrayed, to work through the situation with openness and honesty and a common goal of reconciliation.

Important Steps for Getting Over an Affair

This process of getting over an affair is extremely difficult to undertake, but if there is true repentance, the right form of counseling, and helpful strategies, a marriage can become even stronger than it was prior to the affair.

Ask For Forgiveness

It’s essential that the spouse who strayed asks their husband or wife to forgive them, but it’s also important to consider others who were affected by their sin. This might include one’s children or grandchildren, or other people like extended family, friends, and coworkers.

Humbling ourselves enough to admit wrongdoing is very difficult. It takes great effort and courage, but it’s so important to ask for forgiveness from those who were affected by our selfish, foolish, and sinful actions.

Seek Counseling

Everyone involved in and affected by an affair must walk through the difficult recovery process. This is a time when it’s vital to have someone else walk with us through a difficult season, so a pastor or trained Christian counselor at Newport Beach Christian Counseling should be involved.

In order to pursue the goal of getting over an affair and restoring the marriage, a mediator is helpful to facilitate conversations that are constructive and authentic. Having an outsider bring their perspective to the marriage can shed a lot of light on what contributed to the breach. This mediator can also provide accountability and guidelines for protecting the marriage going forward.

Share the Hurt Honestly

Getting over an affair requires peeling back many layers of hurt and betrayal in the betrayed spouse: in their emotions, spirit, mind, and body. All of their thoughts and hurts should be treated as important. Each layer needs to be examined so that the pain caused by the affair is evident.

It can be difficult to realize that sometimes the betraying spouse also has legitimate hurts from his or her marriage. This isn’t to justify adultery, but it’s possible that there are struggles that were taking place before the affair that should be addressed.

Listen and Admit to Personal Wrongs

It’s very hard to listen to our faults being described and be willing to admit our culpability. It’s even harder to listen to our wrongs and not respond by justifying our actions. There is a time for explanations, but this is not that time. It is very important to acknowledge that what you’ve done has caused deep pain for your spouse.

Identify Negative Patterns in the Relationship

There were probably negative patterns in the marriage before the affair started. To change these patterns and heal the marriage, the causes need to be identified. Like many marriages, yours may only have been surviving instead of thriving.

A pastor or counselor can help identify some of these negative patterns, such as lack of time spent together, lack of connection over hopes and dreams, preoccupation with daily life over developing intimacy, social media addiction, or prioritizing other relationships. Figuring out these unhealthy patterns is an important part of moving toward reconciliation.

Agree to Establish Healthy Patterns in the Relationship

Once these negative patterns have been identified, it’s time to put in place and work toward positive goals and then to ask what things need to be done in order to effect lasting change.

Establish Intentional Time Together (date night, face-time, and couch time)

For any marriage to thrive, and especially for one to heal from adultery, a couple has to intentionally set aside time to be together. This can be a weekly date night routine, having face-time twice a week in order to reconnect, or having daily “couch time” when the kids know it’s Mom and Dad’s time to spend talking.

Especially if kids are aware that an affair took place, it’s important that they see their parents spending time reconnecting and talking, and even eventually laughing together.

Establish Accountability

It’s crucial to ask a trusted friend or pastor to provide ongoing accountability. This isn’t just for the purpose of preventing another affair, but to ensure that the strategies put in place are carried out consistently. Questions such as “When are you going on a date?” or, “Did you have face-to-face time this week?” can help keep those habits in place.

Forgive, and be Willing to Move On

It’s not helpful to constantly refer to the affair going forward. Once the hurt has been shared and processed, and there’s been forgiveness and reconciliation, it’s crucial to focus on the positive to move forward.

New feelings will undoubtedly arise and can be shared and worked through, but the affair should not be used to shame or coerce the betraying spouse.

Understand that Grieving Takes a While

Even once the adultery has been forgiven, the grieving process is still happening, and each person has their own timeline for grief. Some may recover well within months, and for others, it may take years.

There needs to be an understanding that things are going to be hard and there will be some setbacks along the way, but there’s hope as long as things keep moving ahead and the marriage is being strengthened.

Abide by the Covenant of Marriage

And lastly, let’s remember that the only covenant on earth that we have, apart from God’s covenant with us, is our covenant with our spouse. This isn’t a contract you can cancel at any time; it’s a sacred vow. It’s not a relationship that’s a trap, but a context in which to thrive.

Don’t hesitate to invest time, energy, and even finances in your marriage (such as having a romantic getaway without children). Marriage isn’t an automatic success; rather, it is either invested in or it is not. Especially if you’re trying to help your marriage recover from an affair, you need to be willing to invest in it and make it a top priority.

When you are willing to seek Christian marriage counseling early on in the recovery process, you’ll prevent future heartache resulting from unresolved issues. Being married means living out the parable of Christ’s relationship with His church. So even when it’s difficult, it’s worth our time, effort, and desire. Newport Beach Christian Counseling can support you in this journey.

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3 Strategies for Gaining Control Over Anxiety Symptoms

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According to the Anxiety and Depression Association of America, at least 6.8 million adults (3.1% of America’s population) are affected by Generalized Anxiety Disorder (GAD).

When you are suffering from GAD, anything can get you worried. More often than not, you end up worried about things that do not even make sense. So much so that you end up feeling silly and embarrassed at acknowledging that such trivial things can nag you and keep you awake at night.

But these worries are anything but silly. Feelings of worry and dread are as real as can be, and apart from leading to insomnia, you could also end up depressed. Newport Beach Christian Counseling offers support to help you navigate these challenges.

Over time, people can get their anxiety symptoms under control more easily when they understand the neurological underpinnings behind their anxiety. Whenever anxious thoughts or feelings kick in, the natural response is to try to figure out the reason behind the anxiety.

In most cases, this is where we start thinking, “This is silly,” or “You have no justification for worrying about this.” In the process, we fail to realize that even though these things could be true, the brain is also searching for things to worry about.

An anxious mind automatically scans the surroundings for anything to worry about. As soon as a source of worry is located, the body reacts.

Granted, our bodies react differently, but worry usually makes your body experience the same signs and symptoms that you would experience if faced with a dangerous situation or threat.

Consider your reaction when watching an intense or scary movie. As your brain and senses take in the information, your body starts to respond to the chemicals being released as a result of the stimuli. You might feel your stomach tightening, your breath quickening, and your hands getting clammy. This is actually what happens to you when you are worried or anxious. If there is no relief to these symptoms, the tension becomes chronic.

Common Anxiety Symptoms

Symptoms of anxiety could be classified into three broad categories. These three categories also help define the three different ways of dealing with anxiety. The first category is the physical arousal which leads to panic. The second category is comprised of dread, tension, and stress. The last category is where ruminating and worry fall.

This article focuses on how you can use Body Management to deal with the first category of anxiety symptoms.

Use of Body Management to Deal with Panic and Physical Arousal

Anxiety symptoms refer to what you feel whenever anxiety hits. A panic attack can make your body to experience an accelerated pulse, shortness of breath, and dizziness. Anxiety and panic attacks can come out of the blue, and this can make them frustrating and terrifying in equal measure – especially if you do not understand them.

Other symptoms include tension build up in the shoulders, jaws, and neck, and stomach pains.

Taking care of your body

Getting your body under full control is the first step in dealing with the physical symptoms of anxiety. There are a number of ways to achieve this. First and foremost, you need to take good care of your body and health. This means exercising, proper diet, and lots of rest everyday.

Too much caffeine and alcohol also make your body more susceptible to anxious arousal. Sleep deprivation and lack of exercise can cause this. A healthy body is a powerful way to ensure you attain control of your body to avoid anxiety and panic attacks.

Breathing diaphragmatically

Using diaphragmatic breathing is a proven method of calming and resting the body. Practicing this type of breathing makes your body accustomed to being in this state. This comes in handy when living with anxiety because you can easily use it on a daily basis. However, it can be even more beneficial whenever you notice the symptoms of anxiety creeping in.

Diaphragmatic breathing helps by either shifting or even stopping the stress response. It is a good idea to practice diaphragmatic breathing daily because it will make it easier to use it whenever anxiety kicks in.

Mindful awareness

The practice of mindful awareness is another strategy you can use to put your body under control. Most times, the physical symptoms are so vivid that you can’t help but think about them – and this worsens the situation. Mindful awareness will help you to stop thinking about your body and instead focus your thoughts on your environment.

This strategy will help you regain control over your body. The first thing you do is to turn your attention from the symptoms of anxiety to the experiences of your body, e.g. the way breathing feels or your heart rate. After this, you should shift attention away from the body onto something that you can smell, hear, or feel, such as any sound in your immediate environment or how your clothes feel against your skin.

As you go through this back and forth, you get the experience of having control over your body. It reminds you that you can be present in the prevailing moment without becoming a slave to the feelings.

Christian Counseling for Anxiety

Gaining control over your anxiety symptoms is possible. If you would like help in overcoming your anxiety, feel free to give us a call. We would be happy to meet with you at Newport Beach Christian Counseling to help you experience the freedom and peace you desire.

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