
Online Newsletter Committed to Excellence in the Fields of Mental Health, Addiction, Counseling, Social Work, and Nursing
March 25, 2009
Aspira Continuing Education to Launch in June 2009

March 13, 2009
MANAGING FINANCIAL ANXIETY
Sarah is a self-employed hair stylist who’s watched her business decrease by 50 percent. She’s cut expenses, but is stuck in a costly lease she can’t afford. She’s also worried about losing her home, and says her anxiety is “through the roof.” Frank and Marilyn have well-paid jobs, and she believes that they will weather the economic downturn. However, Frank is so afraid that one of them will lose their job that he has stopped paying anything but basic bills and recently yelled at Marilyn for going to the dentist. If you have had to tighten your belt, like Sarah, it’s normal to experience anxiety. And when you read every day about failing businesses and people losing their jobs, you can understand that Frank would fear losing theirs. Money is connected with security, a basic need. And when our basic needs are threatened, we feel alarmed. Although uncomfortable, anxiety isn’t all bad. Mild anxiety can actually motivate us to take positive action. Indeed, that seems to be its role. We can’t let go of what’s bothering us until we face the situation, and then we often find that the anxiety has lessened or gone away. But severe anxiety is different. It’s debilitating. And when anxiety interferes in our lives it can be a disorder. If you have these symptoms of anxiety disorder, you might want to seek professional help:
- worry, panic or fear that is extreme
for the situation
- repeated thoughts or flashbacks of
traumatic experiences
- nightmares, night terrors and
insomnia
- cold or sweaty hands and/or feet
- shortness of breath
- heart palpitations

and Your Money or Your Life, by Joe Dominguez and Vicki Robin. Acknowledge your role. If you made a questionable financial choice, blaming others or beating yourself up won’t help. Understand why you made the choice. Do something about it, if you can, and then let it go. Forgive yourself. Be proactive. You can’t direct the economy, but you can gain a sense of control and reduce your anxiety by being more proactive around your finances. Face the reality of your situation and take appropriate steps, whether that’s negotiating with creditors or leaseholders, reducing expenses or seeking other sources of income. Don’t cut to the bone. Eliminating all treats from your budget reintroduces scarcity into the equation, which can breed more anxiety. Learn to live well within your means by seeking pleasures you can afford. Find the courage to face your anxieties and take the actions that present themselves. Sarah eventually negotiated with her leaseholder and moved to an affordable location he also owned. Frank is now exploring the root of his money issues, and he and Marilyn have added inexpensive pleasures to their lives**
January 12, 2009
HOW WELL DO YOU MAINTAIN BALANCE?

2. Nurturing myself enlarges my capacity to help others.
3. I eat healthfully and exercise regularly.
4. I get check-ups, go to the dentist, and take preventative precautions.
5. I set aside personal, quiet time for myself, whether I’m meditating or simply letting my thoughts drift.
6. I experience the gifts of each season: ice skating, sledding, bundled-up beach walks; gardening, hiking, more time outside; camping, swimming, barbeques; harvesting the bounty, gathering wood, spending more time inside.
7. Creativity nurtures me, too. I do what I love, whether that’s cooking, drawing, painting, writing, dancing, singing or another creative pursuit.
8. Reaching out to others enriches my life. I spend quality time with family and friends.
9. Contributing to the world provides connection and purpose, so I give my time, energy and experience where it is most useful.
10. I notice and heed the emotional signals that tell me I’m out of balance: irritability, overwhelm, resentment.
11. If I feel that I’m catching a cold, I realize I may have stressed my immune system with overactivity, so I stop and take care of myself.
12. When I need or want to, I say no to requests for my time.
13. I listen to and honor the requests my body makes for such things as a nap, a walk, green vegetables, hot soup.
14. If I have something planned for myself, I don’t just toss that aside when someone makes a request of me.
15. I’m busy, but I find time to do the things I want to do.
If you answered false more often than true, you may want to take a look at the questions to which you answered false and see if you can incorporate something of its message into your life**
December 11, 2008
Stop it! Learning to Deal with Verbal Abuse

• It’s hostile.
• It’s unpredictable and even bizarre; the attack comes out of the blue.
• It’s manipulative and controlling.
• It happens when no one else is around.
• The victim feels confused and surprised.
Other common aspects of verbal abuse are:
• The words are hurtful; they attack the person or his/her abilities.
• Verbal abuse may be overt, such as angry outbursts, or subtler, such as jokes that convey a general disdain for the other person or her/his interests.
• If confronted, abusers deny the abuse and try to convince the victims that they are too sensitive or are imagining things.
• It’s insidious. Over time, the victim’s self-confi- dence erodes. Victims stop trusting themselves or their perceptions. They become conditioned to the abuse and adapt. They may even think it’s normal, that all people treat their spouses that way. What Can You Do If You Are Being Verbally Abused? First and foremost, recognize that the abuse is not your fault, and that you can’t debate or reason or understand it away. What you can do is refuse to

• Respond to abuse with “Stop it!” or “Don’t talk to me like that”—twice if necessary.
• Resist the urge to explain or defend. Remember, the abuser not interested in understanding you; the abuser wants to control you.
• Listen to your feelings and believe them. Don’t believe it when an abuser tells you you’re crazy or wrong or that you can’t take a joke.
• If the abuser keeps trying to provoke you, assess the danger and, if necessary, remove yourself. Verbal abuse can be a doorway to physical abuse.
• Get support through a therapist and/or a support group. An abuser’s behavior is designed to keep you off track; you’ll need support to see it for what it is and develop the self-esteem to stand up for yourself consistently.
• Seek information. Read the books and articles written on the subject. You’re not alone. Other
people have paved the path for your freedom. Take advantage of what they offer.
When you calmly stand up for yourself and refuse to be goaded into defending or explaining, the abuser will give up. That’s because, as Suzette Haden Elgin, author of You Can’t Say That to Me!, explains, abusers need a victim; if you won’t play that role, he or she can’t abuse. Elgin also recommends ignoring the bait, but then responding to the underlying assumption that often hides in abuse. For example, Sarah could have responded to Erik, “How long have you thought I didn’t care about you?” Erik would have been flustered, thrown back on himself, this time staring at her in shock. Sure, he’d recover; he would use some of the common abuse strategies that the authors outline in their books. But it won’t matter, because no matter what he says, Sarah will not be provoked. Verbal abuse can’t function without a victim, and with a lot of support and information and self-care, Sarah has learned to refuse that role. **
October 30, 2008
THE JOURNEY FROM LOSS TO HEALING

• Do not expect too much of yourself, at
least not for awhile.
• Be gentle with yourself and let go of
ideas of the “right” thing to do or the
“right” way to behave.

• Seek support. Ask friends to help
you—with practical details, as well as
just by sitting and listening.
• Don’t be afraid to talk about your loss
and about the person who has died.
This is an important part of the
grieving process. When it comes to
death, silence is not always golden. If
a friend is uncomfortable with your
stories, find friends who can be there.
• Don’t be afraid to seek help if your pain
or depression becomes more than
you can bear. Sometimes our friends
can’t give us the help and support we
need.
• Remember that a person dies, but a
relationship doesn’t. Although the person
you loved is gone, he or she lives on
in you.
In his book, Awakening from Grief: Finding the Way Back to Joy, John Welshons calls death a great teacher for the living and a gift to help us live deeper lives. “Nothing inspires us to want to
find true happiness more effectively than thinking about our own mortality, and nothing else can communicate the urgency with which we need to pursue deeper levels of love and the
sense of being fully alive.” *
October 17, 2008
MAKE YOUR WORRYING WORK FOR YOU

Worrying may have a bad rep, but worrying, if it's done right, can actually be helpful. Effective worrying can anticipate and avoid problems, devise artful solutions, and expand creative possibilities. It leads to constructive action. On the other hand, ineffective worrying is what
keeps us awake at night, distracts us during the day and gives our physical systems a workout
they don't need. When you find yourself in bed at night, tossing and turning, plowing the same field again and again, you're in the midst of worry of the worst kind: self-perpetuating. The more you worry, the more stress chemicals feed back to the brain, telling it to worry more. If you find yourself mired in this worry bog, try some of these actions to put your worries to work for you:
- Get physical. Get up, move around. Action will temporarily relieve the worrying. When you come back to the problem, you may have a better perspective on it.
- Take a walk, work out, go for a bike ride or a run. Exercise increases blood flow, meaning more oxygen to the brain. Exercising regularly means you will probably worry less.
- Write down your worries in a journal. Simply writing your fears and concerns down takes some of the power out of them and gives you a sense of control. Writing your worries also gives you an opportunity to write possible solutions. Try this: write down the worry and, without thought to how workable or realistic the solutions are, write them down as fast as they come to mind. Don't stop to think, just write idea after idea. Given this creative outlet, the same brain that was nagging you with worries, can offer ingenious and often
elegant solutions. - Tell a friend. Ask for feedback, another perspective. Or someone to simply listen. Giving voice to your worries can take some of the wind out of their bedraggled sails.
- Make gratitude lists. Oprah Winfrey isn't the only one to recommend them. A gratitude list doesn't have to be long or well thought out. In your journal or on a sheet of paper, jot down several things you’re grateful for. They don't have to be big deals— the way the sun falls on the roses in the morning is just fine, if that's what you thought of. It certainly is not as simple as the song, "Don't Worry, Be Happy," makes it sound, but somewhere underneath
its whining, nagging voice, worry might have something important to tell you. *
October 14, 2008
COPING WITH CHANGE
As soon as something nudges us out of our regular routine, or challenges our understanding of how the world works and where we it into it, we’re likely to experience a deluge of feelings, including fear, anxiety, overwhelm, excitement, distraction or denial. In turn, those feelings can manifest
in behavior. You may, unconsciously, act out with aggressive or passive aggressive communication. You may push yourself to overwork or take the opposite approach and procrastinate, avoiding what’s on your plate. Your self-care may suffer. You may reach for unhealthy substances or behaviors, get less sleep, skip meals or overindulge. You might cut yourself off from friends and family and spend more time alone or with people who have unhealthy habits. The Impact Stress from both positive and negative change can have immediate and longterm effects. Stress inhibits digestion and absorption of nutrients, impairs your body’s ability to ward off germs, can cause insomnia and worsen preexisting health conditions. If you’re
also engaging in unhealthy behaviors and poor self-care, you’re at an even higher risk for illness or injury. Mental abilities can be affected, as well. When you’re preoccupied, worried and focused on the future instead of the present, it’s much harder to concentrate and/or apply your brainpower to what’s in front of you. Great leaders are admired for their serenity and confidence in the face of uncertainty. For many of us, though, when change is afoot, serenity is far from our reach. Instead, emotions are much closer to the surface and can flare up at inopportune times. Whether you lash out, cry or pound on your desk, it’s uncomfortable to feel out of control. How to Cope with Change Here are five strategies to help you face change:
- Take care of your body. Eat well, sleep
well, exercise to discharge stress and
refrain from harmful habits, such
as smoking, excessive drinking,
recreational drugs or other risky
behavior. - Take care of your mind. Stay in the
present moment by practicing
deep breathing and/or meditation.
Challenge your negative thinking and
keep things in perspective - Express your emotions in healthy ways.
Share them with your therapist and
people you trust. Vent your negative
feelings by pounding on a pillow or
banging on a drum. - Treat others well. Strengthen your
good relationships so you can draw
on their support, and work at your
challenging relationships so they
don’t add to your stress. - Take charge. Be proactive and prepare
the best you can for the changes
that might come, but then accept the
reality of the moment. Think back
to other challenges you’ve come
through and remind yourself that
everything will work out okay this
time, too.
Into every life change will come, but its lasting impact doesn’t have to be harmful. Change also has a way of opening new and rewarding doors. Bottom line, let change be the catalys for better self-care, which will feed you in all times, stable and uncertain. *