This Valentine’s Day, Write a Love Letter to Yourself

Valentine’s Day is best known for being a romantic holiday—but you don’t need a romantic partner to celebrate, because love comes in all forms! That’s why this Valentine’s Day, we’re putting the focus on self-love. What is self-love? It’s much more than a buzzword—in fact, self-love can lead to a better life and more fulfilling mental state. 

A blog post by PsychCentral puts it this way, “Self-love means that you accept yourself fully, treat yourself with kindness and respect, and nurture your growth and wellbeing.Self-love encompasses not only how you treat yourself but also your thoughts and feelings about yourself.”

One facet of self-love is saying positive things about yourself. Regardless of your relationship status, this Valentine’s Day we challenge you to exercise this important practice of self-love by expressing your gratitude for yourself by writing a love letter to yourself.

 

How to Write a Love Letter to Yourself

Start with the following prompt:

“Dear [insert your name here],

I’m wishing you a very happy Valentine’s Day! I’m a wonderful person, worth being grateful for. 

Here are 10 things I love about myself:

  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…
  • I love…

Love,

[insert your name here]”

Be sure to write 10 or more things you love about yourself. Take time to really think these through—especially if you’ve had a hard time feeling confident lately. These can be either things about your personality and strengths, or physical attributes, but we’ve personally found including a combination of the two helps for a holistic self-love fest. 

Sometimes we are much more judgemental about ourselves than we would ever be about a stranger or a friend. Think about writing this letter to yourself as if you were your best friend or your secret admirer. 

To make your love letter extra special, buy a pretty Valentine’s Day card to write it on or bust out a fancy piece of stationery paper. Although you can type up your letter if you prefer, we recommend handwriting it with your favorite pen to make it extra special. Don’t forget to seal it in an envelope and write your name on it! Then on Valentine’s Day, open up the envelope and soak up the self-love.

 

Other Ways to Practice Self-Love This Valentine’s Day

In addition to writing a love letter for yourself, there are plenty of other ways to celebrate you this Valentine’s Day.

Here are a few ideas:

  • Buy yourself a fresh bouquet of red roses or your favorite flowers
  • Munch on some Valentine’s Day candy—there’s something special about those heart shaped boxes of chocolate!
  • Take yourself out on a date—head to your favorite restaurant, cook yourself a nice meal, or head to the movie theater to watch that new film you’ve been wanting to see! 
  • Take a long bath with scented bath bombs and candles
  • Get a massage
  • Buy yourself a Valentine’s Day gift
  • Do whatever your favorite thing is—today is your day!

Check out our blog post all about the long-term benefits of self-care for more ideas. 

 

How Therapy Can Help You Practice Self-Love

Still struggling with self-love? Therapy can help us to better understand and appreciate ourselves. Cognitive Behavioral Therapy (CBT), for example, has been shown to be one of the most effective forms of therapy for improving low self-esteem. At Valera Health, our therapists are highly experienced in CBT as well as many other forms of therapy. To learn more, request a free consultation with a designated health connector or visit valerahealth.com.

 

How Grief Group Therapy Can Help You Heal

No matter what it is you’re going through, if you’re in need of support and guidance, group therapy can be a wonderful option in conjunction with individual therapy, or on its own. This is why the clinical team at Valera Health is excited to announce and expand our group therapy options, starting with a virtual Grief Support Group* in New York. If you’re interested in learning more or signing-up, fill out this form to get started. 

Read on to learn more about how group therapy works, its benefits and some warning signs you may be experiencing complicated grief.

What is Group Therapy?

Group therapy is a form of psychotherapy (a.k.a. “talk therapy”) in which multiple patients are treated at once by one or more mental healthcare providers. While it can be an effective treatment for a wide array of things, group therapy is most commonly used to treat conditions such as trauma/PTSD, anxiety, depression and substance use disorders. 

As opposed to more traditional psychotherapy with one provider seeing one patient at a time, group therapy can create a sense of community for patients. Other benefits of group therapy can include—but are not limited to—growing your support system, improving your self-expression skills (such as learning how to talk openly about your emotions), finding others going through similar issues to relate to, learning from others, and learning you are not alone in whatever you are going through.  

Grief Support Group

Valera Health is excited to now offer a Grief Support Group. By joining a group of peers who have also lost a significant person in their lives, you can receive and give support during the healing processes. 

Some of the several benefits of joining a grief support group include:

  • Hope

In a group setting, the experience of loss is shared. Meeting with and talking to others who have experienced a similar loss shows that it is possible to feel a sense of joy again. For those who are further along in their healing process, sharing reassurance and encouragement can provide affirmation to themselves and further convey group as a helpful resource.

  • Support

Experiencing grief can feel extremely isolating, especially when those around you seem to be ‘getting on with their lives.’ Hearing the affirming statements of ‘We’ve been there’ or ‘We understand you’ is extremely powerful.

  • Learning from Different Perspectives

Every single person grieves differently. By listening to others you may come to various different perspectives and different levels of understanding of your own healing process. 

  • Finding Your Sense of Purpose

Giving back to others can help people feel a sense of purpose and meaning. At times, it may be difficult to fully realize how far along you are in your grief journey until you are able to guide and support someone else.

  • Acceptance

As humans we have an innate need to belong. Research has shown that a sense of belonging can contribute to our overall happiness. With loss, we can sometimes feel alone or left out, and different from others. Finding a group that understands and accepts you can be critical to your healing process.

Signs & Symptoms of Complicated Grief

During the first few months after a loss, many signs and symptoms of normal grief can look the same as those of complicated grief. Complicated grief is defined by a prolonged heightened state of mourning that can keep you from healing. With time, normal grief symptoms start to fade while symptoms of complicated grief linger and can get worse. But with grief support group therapy, symptoms of complicated grief can improve significantly. 

Here are some warning signs of complicated grief:

  • Intense sorrow and rumination
  • Problems accepting the death
  • Bitterness about your loss
  • Lack of trust in others
  • Inability to enjoy life or think back on positive experiences with your loved one
  • Numbness or detachment
  • Having trouble carrying out normal routines
  • Isolation from others
  • Self-blame or guilt

To learn more about complicated grief, click here

(source: Generations Senior Living)

How To Sign-Up For Valera Health’s Grief Support Group

If you’re interested in signing up for Valera Health’s virtual Grief Support Group, or would like to learn more, please fill out this quick form to schedule a consultation with a designated Health Connector. Make sure to select “group therapy” under the “What brings you to therapy today?” section. Please note that at this current time, our virtual Grief Support Group* is only available to those in New York. Stay tuned for more group therapy offerings from Valera Health in the future. 

*VH’s Grief Support Group is only offered in New York at this time.

*HealthFirst patients are ineligible for insurance coverage at this time.

The Difference Between Therapy & Psychiatry

As mental health professionals, therapists and psychiatrists have the same goal—to treat and manage their patients mental health symptoms and struggles so they can live a happy, healthy and fulfilling life. However, they play different roles to treat mental health disorders and symptoms.

What is a Therapist?

Therapists are licensed mental health professionals who use talk therapy to treat their patients symptoms and help them develop useful skills such as healthy coping strategies, communications skills and more. Therapists specialize in treating mental, emotional and behavioral disorders. They also help those without a diagnosable mental illness with interpersonal conflict, internal conflict and more. 

Not all therapists use the same approach, since several forms of talk therapy have been developed to treat a wide array of mental health disorders and symptoms. Therapists can even offer specialized care depending on their training and experience—for example, some therapists are experienced in LGBTQIA+/gender affirmative therapy, while others may specialize in eye movement desensitization and reprocessing (EMDR), which is used to treat post traumatic stress disorder (PTSD). In addition to using talk therapy to help their patients manage symptoms, licensed therapists are also able to diagnose different mental health disorders. However, unlike psychiatrists, therapists are not able to prescribe medication. 

Examples of Different Types of Talk Therapy:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Psychodynamic Therapy
  • Humanistic Therapy
  • Eye Movement Desensitization & Reprocessing (EMDR)
  • Interpersonal Therapy (IBT)
  • Group Therapy
  • Couples Counseling
  • Family Therapy

 

 

What is a Psychiatrist?

Psychiatrists are mental health professionals who go to medical school to learn the field of psychiatry. As part of their professional training, they study how to treat mental health disorders as defined by the DSM-5. DSM-5 stands for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, which is the most up-to-date version of Diagnostic and Statistical Manual of Mental Disorders—a standard tool in psychology, psychotherapy and psychiatry used to diagnose and treat mental health disorders. 

Rather than treating mental health disorders through talk therapy, psychiatrists use medication to treat and manage their patients mental health conditions. While some psychiatrists also have the credentials to conduct psychotherapy (a.k.a “talk therapy”), therapist and psychiatrist are not interchangeable terms.

Services that Psychiatrists Provide:

  • Diagnosing mental, emotional and behavioral disorders
  • Prescribing medication to treat mental, emotional and behavioral disorders
  • Monitoring patient’s symptoms, success of prescribed medications, and monitoring side effects
  • Provide medication management such as medication changes or dosage adjustments through follow-up visits

 

Aside from using medication to treat mental health disorders, some psychiatrists are able to recommend and even provide alternative therapies for certain conditions when appropriate. 

This can include the following:

  • Electroconvulsive therapy (ECT)
  • Transcranial magnetic stimulation (TMS)
  • Light therapy for Seasonal Affective Disorder (SAD)
  • Ketamine infusions for treatment resistant psychological conditions, such as treatment resistant depression (depression that is unable to be managed through the use of antidepressants)
  • Vagus nerve stimulation (VNS)
  • Deep brain stimulation (DBS)

 

 

Getting Help

No matter what you are going through, seeing a therapist or a psychiatrist can help. 

In fact, studies have shown that seeing both a psychiatrist and therapist at the same time can result in a higher success rate when it comes to treating mental illness and mental illness symptoms. If you’re interested in therapy, psychiatry, or both, Valera Health can help. We offer virtual therapy, psychiatry and medication management services for our patients. To learn more about our services and to schedule a free consultation, visit www.valerahealth.com or click here.

How to Prepare for Your First Virtual Therapy Appointment

At Valera Health, we understand that getting started with virtual therapy can feel scary—especially if you’ve never done therapy before. But our therapists and dedicated telemental healthcare team are here to help you each step of the way. 

Making the most out of each therapy session plays a key role in your healing process, which is why we’ve put together this guide all about what you need to know and do to have a successful online therapy journey. Read on to learn more.

 

What To Do Before Your First Session

Before you meet with your therapist for your first scheduled session, there’s a few things you’ll want to take care of. First, you’ll want to submit all required paperwork, which will likely include consent forms and submitting your insurance information. 

To make the most of your first session, we also recommend providing information to your therapist about your medical history. This may include sharing any previous mental health diagnoses, as well as any psychiatric medications you are currently taking. 

To prevent technical difficulties during your first session, make sure you have reliable internet as well as test your camera and microphone in advance. Whether you’ll be meeting with your therapist on your phone, computer or tablet, make sure to sit down and fire up your device at least five to ten minutes before your session. 

Being in a comfortable, quiet environment for your therapy appointment will help you have a successful and rewarding session with your therapist. This means meeting with your therapist at home, not in public. Have a notepad and pen within arms reach during the session so you can jot down notes or questions for your therapist. 

To avoid interruptions, let your roommates/household members know what time and day you have your appointment in advance. If you have thin walls, consider investing in a white noise sound machine so others can’t overhear you during your session.

 

Questions to Ask Your Therapist

If this is your first time in therapy, you might be unsure what to expect. That’s why it’s a great idea to come up with a list of questions for your therapist before your first appointment. This will not only help you get to know your therapist better, but also help you understand the therapeutic process better.

Here are some ideas of questions to ask to get you started:

  1. How would you describe your approach as a therapist?
  2. What is your experience with treating my condition?
  3. What type of therapy do you recommend for my condition? Can you tell me more about how this type of therapy works?
  4. How long will therapy last?
  5. Will you take a more directive, or less directive role in our sessions?
  6. What is your availability like if I need to talk to you or ask questions outside of scheduled therapy sessions?
  7. How do you prefer to be communicated with outside of therapy sessions?
  8. How do you handle emergencies? What’s the best way for me to reach out to you if I have an emergency?

 

Treatment Goals

Your first therapy session will be centered around the intake process, which is the foundation to developing a treatment plan with your therapist. However, it may take you a couple of sessions to develop a full treatment plan with your therapist.

While your therapist will work with you to come up with a solid treatment plan, it can be helpful to think about your treatment goals before your first session. Ask yourself “What is driving me to therapy in the first place?” Reflect on any distressing thoughts or feelings, or other symptoms you’ve been experiencing lately, such as feelings of sadness, increased anxiety, trouble sleeping, trouble concentrating, etc. Think about what areas of your life you want to improve.  Write down the answers in a journal so you can have notes ready to discuss with your provider. Be as thorough as possible when discussing this with your therapist. From there, they will help you come up with actionable steps you can take inside and outside of therapy to achieve your goals. 

 

Additional Tips

  • Relax before therapy and take time for self-care
    • While the thought of starting therapy can be nerve racking, your therapist is there to help you. Carve out time to unwind and tend to your needs before and after each therapy session.
  • Ask clarifying questions if you’re confused about anything your therapist says.
    • Therapy is a learning process and your therapist is here to help you learn.
  • Therapy is an ongoing process, inside and outside of each session. 
    • It’s important for your growth and healing to practice what you learn in therapy outside of your regular therapy sessions. 
    • To make the most of your experience, do any recommended exercises your therapist gives you in between sessions.
    • Take note of how you’re feeling each day by journaling.
      • Write down stressors and things that come up between each session to discuss with your therapist. 

Ready to get started? Our diverse team of compassionate therapists are highly trained in providing virtual therapy services to treat a wide-array of symptoms and mental illnesses, including depression, anxiety and Serious Mental Illnesses (SMI) such as bipolar I & II, personality disorders, schizophrenia and more. 

To learn more, request a free consultation with a designated health connector or visit valerahealth.com. 

More than Just the Holiday Blues: Winter Depression, Stress & SAD

 

Holidays are known for being a joyful time of celebration and winter cheer. But for some, this isn’t the case. If you’re feeling extra stressed or sad during the holidays, you aren’t the only one. In fact, late fall and winter have some of the highest rates of depression—thanks to stress, loneliness and Seasonal Affective Disorder (SAD).

 

What is SAD?

While feeling down due to shorter days and less daylight in the fall and winter can be common, Seasonal Affective Disorder occurs in cases where “…these mood changes are more serious and can affect how a person feels, thinks and handles daily activities,” according to the National Institute of Mental Health. 

SAD is considered to be a type of depression characterized by a recurring seasonal pattern, with depression symptoms lasting four to five months out of the year. People with major depression disorder, bipolar disorder type I and bipolar disorder type II are more likely to experience SAD.

Most of the symptoms of SAD are the same symptoms that occur in major depression, including:

  • Feeling depressed most days
  • Loss of interest in activities and hobbies you once enjoyed
  • Appetite or weight changes
  • Low energy levels or fatigue
  • Sleep issues
  • Feeling hopeless
  • Feeling worthless
  • Difficulty concentrating
  • Suicidal thoughts or behaviors

 

Additional seasonal specific symptoms of SAD include:

  • Oversleeping (a.k.a. hypersomnia)
  • An increased craving for carbohydrates
  • Overeating
  • Weight gain
  • Social withdrawal

 

For more information about SAD, as well as tips for treating SAD, click here.

 

 

What causes the “Holiday Blues”?

Other causes of the “holiday blues” a.k.a. increased stress and/or sadness during the holidays may include:

  • Increased financial stress
  • Family trauma
  • Social isolation
  • Grief
  • Unrealistic expectations
  • Not being able to be with loved ones (family or friends) over the holidays
  • Over-commercialization of the holidays

 

Coping with the “Holiday Blues”

Check out this infographic from the National Alliance on Mental Illness (NAMI) is full of great tips for combating the holiday blues.

If you’re experiencing symptoms of Seasonal Affective Disorder, or in need of some extra support this holiday season, consider therapy. Valera Health offers convenient telemental health services including therapy and psychiatry services. Visit www.valerahealth.com or click here to learn more and schedule your free initial consultation with a designated Health Connector. 

5 Types of Bipolar Disorder: Why the Distinction Matters

You have probably heard of the term “bipolar disorder.” Perhaps you know someone who has been diagnosed with bipolar disorder, or you think you may experience symptoms of bipolar disorder yourself. Bipolar disorder is a mental health condition that was previously referred to as “manic depressive disorder.”

Types and Prevalence of Bipolar Disorder

The Diagnostic and Statistical Manual of Mental Health Disorders, fifth edition (DSM-5) has classified five types of bipolar disorder, and 2.8% of adults in the United States have been diagnosed with some type of bipolar disorder. The five types of bipolar disorders listed in the DSM-5 are:

  • Bipolar I
  • Bipolar II
  • Cyclothymic disorder
  • Bipolar disorder “other specified”
  • Bipolar disorder “unspecified”

It is important to note that the DSM-5 lists bipolar disorder other specified and bipolar disorder unspecified as two separate diagnoses. However, both conditions represent a diagnosis of bipolar disorder when a person does not meet the criteria for bipolar I, bipolar II, or cyclothymic disorder. You can learn more information about the differences between bipolar I and bipolar II here.

Differences and Commonalities

What makes bipolar disorder distinct from other mental health disorders is its unique symptoms, particularly changes in energy levels, activity levels, and mood. The mood changes can range significantly from periods of intense energy to periods of very low mood. Periods of high energy are referred to as “manic episodes,” and periods of low mood are referred to as “depressive episodes.” Each form of bipolar disorder encompasses these symptoms to some degree; however, distinct differences exist.

Symptoms of mania include:

  • Lessened need for sleep.
  • Feelings of high energy, jumpiness, and irritability.
  • Hyperverbal (i.e., talking very rapidly).
  • Racing thoughts.
  • Trying to do many things at one time.
  • Feelings of grandiosity (i.e., powerful, important).
  • Risky behaviors (e.g., eating too much, using substances excessively, and risky driving).
  • Hallucinations and delusions (e.g, seeing things that don’t exist or believing a reality that doesn’t exist).

Symptoms of hypomania are less severe than mania or manic episodes. They do not include psychosis (e.g., hallucinations and delusions), but they do include:

  • Talkativeness.
  • Lessened need for sleep.
  • Racing thoughts.
  • Increase in goal-directed behaviors.
  • An exaggerated sense of self-esteem.

Symptoms of depression or low mood include:

  • Feelings of hopelessness, sadness, and low mood.
  • Low energy.
  • Weight gain and increased appetite.
  • Slowing down of thoughts.
  • Little interest in once pleasurable activities.
  • Sleep problems (e.g., oversleeping and not sleeping enough).

Distinctions Among the Types of Bipolar Disorders

Bipolar I symptoms include:

  • Manic episodes that last for at least a week or require hospitalization due to the severity of symptoms.
  • Depressive episodes lasting at least two weeks.

Bipolar II symptoms include:

  • Presence of both hypomanic and depressive episodes, but not manic episodes.

Cyclothymic symptoms include:

  • Presence of hypomanic and depressive symptoms lasting at least two years.
  • Symptoms present do not meet the criteria for hypomania and depressive episodes.

Bipolar disorder “other specific” and “unspecified” are used when the individual:

  • Doesn’t meet the criteria for bipolar I, bipolar II, or cyclothymic disorder.
  • Experiences periods of clinically substantial mood disruption and mood elevation.

Treatment Options

Understanding the differences among the types of bipolar diagnosis can help you and your doctor develop an effective treatment plan based on your symptoms and needs. Treatment is tailored to your goals and symptoms. It’s important to remember that everyone responds to treatment differently, so one method may work for one person but not another.

Common treatment options include:

  • Medication such as anti-psychotics, anti-depressants, and mood stabilizers.
  • Talk therapy.
  • Education.
  • Complementary therapies such as meditation, prayer, and exercise.

Conclusion

Bipolar disorder is treatable. If you experience symptoms of bipolar disorder, you are not alone. If you believe you may be experiencing bipolar disorder, talk to your primary care physician and discuss whether telehealth or in-person treatment is best for you. If you have thoughts of suicide, call the national suicide crisis number at 800-273-8255. If you are considering acting on your thoughts, please call 911 or go to your local emergency department to get the support you may need. Valera Health can help you on your personal journey to wellness. We offer psychiatric and therapeutic services through telemedicine for anxiety, depression, ADHD, and bipolar disorder.

Sources:

  1. https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Bipolar-Disorder
  2. https://www.nimh.nih.gov/health/topics/bipolar-disorder/
  3. https://www.uofmhealth.org/health-library/aa167947

4 Things to Consider When Undergoing Testing for Bipolar Disorder: What You Need to Know

Bipolar disorder is a clinical diagnosis for a person who experiences significant changes in energy levels, mood, activity levels, and thought processes. Bipolar disorder has historically been called manic-depressive disorder. Five types of bipolar disorder that mental health professionals can diagnose are:

  • Bipolar I
  • Bipolar II
  • Cyclothymic disorder
  • Bipolar disorder “other specific”
  • Bipolar disorder “unspecified.”

You can learn more about the differences between bipolar I and bipolar II disorder here.

Symptoms of Bipolar Disorder

While each type of bipolar disorder has a unique set of symptoms, some commonalities exist. Each type of bipolar disorder is marked by extremely energetic symptoms, also known as manic symptoms, and low symptoms, also known as depression.

Symptoms of mania can include:

  • Feeling on edge or restless.
  • Having a poor appetite.
  • Experiencing decreased need for sleep.
  • Dealing with racing thoughts.
  • Fast talking and rapid speech.
  • Spending a lot of money, driving fast, and overeating.
  • Seeing things that don’t exist (i.e., hallucinations).
  • Believing facts that don’t exist, such as believing you are going to be president of the United States (i.e., delusions).

Symptoms of a depressive episode can include:

  • Having sleep problems (e.g., sleeping too much, or difficulty falling and staying asleep).
  • Experiencing increased appetite.
  • Gaining weight.
  • Feeling sad and hopeless.
  • Having little to no energy.
  • Thinking of death, including thoughts of suicide.
  • Having difficulty concentrating.

Diagnosing Bipolar Disorder

Only a mental health or medical professional can diagnose bipolar disorder. It is also important to examine other factors that can contribute to the symptoms of bipolar disorder, such as medical complications and substance use.

Testing for Bipolar Disorder

Things to consider when testing for bipolar disorder include the following:

  1. Symptoms of bipolar disorder can reflect symptoms of other mental health disorders such as generalized anxiety disorder and major depressive disorder, so it’s important to rule out other possible mental health diagnoses.
  2. Drug and alcohol use can contribute to the development of some of the symptoms of bipolar disorder. For example, the use of hallucinogens such as methamphetamines can cause high energy, rapid speech, and delusions.
  3. Underlying medical problems can influence the presence and development of symptoms of bipolar disorder.
  4. Comprehensive testing for bipolar disorder includes a complete physical exam, medical tests to rule out any other illnesses, and a psychiatric evaluation by a mental health professional.

Bipolar disorder is treatable through interventions such as talk therapy, medication, and other complementary therapies. However, a proper diagnosis is needed to create an effective treatment plan.

Conclusion

If you think you may be experiencing symptoms of bipolar disorder, you are not alone. In fact, 2.3 million Americans have been diagnosed with bipolar disorder, and researchers believe the number of people affected is even higher. Bipolar disorder can be managed, and the symptoms can be treated through medical interventions such as therapy and medication. Proper diagnosis is important so an effective treatment plan can be created for you. If you think you may be experiencing symptoms of bipolar disorder, speak to your doctor about whether telehealth or in-person treatment is best for you. If you have thoughts of suicide, call the national suicide crisis number at 800-273-8255. If you are considering acting on your thoughts or have a plan for suicide, please call 911 or go to your local emergency department immediately.

Valera Health offers doctors and therapists through telemedicine that are available to help you navigate your personal journey to improved wellness.

Sources:

  1. https://www.nimh.nih.gov/health/topics/bipolar-disorder/
  2. https://www.nimh.nih.gov/health/publications/bipolar-disorder/
  3. https://www.nami.org/Press-Media/Press-Releases/2005/Surveys-Reveal-Gap-in-Understanding-of-Bipolar-Dis

5 Ways You Can Support Someone Who is Experiencing Bipolar Disorder

Bipolar disorder is a diagnosable mental health disorder that affects many people. In fact, bipolar disorder has been diagnosed in more than 2 million adults in the United States, and researchers believe the number of Americans who have bipolar disorder is even higher. However, there are things we can do to help support those who experience bipolar disorder.

What is Bipolar Disorder?

Bipolar disorder is a mental health disorder characterized by intense mood changes, thought processes, and behaviors. The changes in mood can be intense and severe and include patterns of mania and patterns of depression. The 5 types of bipolar disorder are bipolar I, bipolar II, cyclothymic disorder, bipolar disorder “unspecified” and bipolar disorder “otherwise specified”. While there are differences among the types of bipolar disorder, they all encompass symptoms of both mania and depression.

Symptoms of mania include:

  • Racing thoughts.
  • Fast talking.
  • Decreased need for sleep.
  • Thinking and trying to do many things at one time.
  • Excessive behaviors such as eating, sex, and drug and alcohol use.
  • Risky behaviors such as fast driving and overspending.
  • Feeling wired or jumpy.
  • Thoughts of grandiosity, such as thoughts about being the leader of a country and exaggerating your talents and achievements.
  • Psychosis such as hallucinations (seeing things that don’t exist) and delusions (thinking you can read other people’s minds).

Symptoms of depression include:

  • Low energy and lack of motivation.
  • Increased sleep.
  • Increased appetite and weight gain.
  • Difficulty performing normal day-to-day tasks such as showering, doing dishes, and going to work.
  • Feeling hopeless.
  • Thoughts of death and suicide.

5 Things We Can Do to Show Support

1. Remind Yourself that the Behaviors are Symptoms of a Disorder, Not A Personality Trait

Bipolar disorder can impact a person’s behavior and, oftentimes, the behaviors can present negatively. For example, excessive spending, drug and alcohol use, and difficulty adhering to work and personal responsibilities can all be symptoms of bipolar disorder. While difficult to experience and accept at times, these behaviors are not character flaws but are symptoms of a person’s mental health disorder. Work on recognizing that these behaviors are symptoms of an illness and not reflective of a person’s personality or intentions.

2. Take Care of Yourself

If you love someone or care for someone who has a mental illness such as bipolar disorder, be sure to take care of your own physical, mental, and spiritual needs. Engage in pleasurable activities, take breaks throughout your day, eat well, and get adequate rest. This can also include attending support groups and seeking therapy for yourself. You’ve heard the adage about taking care of yourself so that you can support and care for others; this is certainly true when helping someone experiencing mental illness.

3. Make a Plan for Manic Episodes

When your loved one is in a healthy emotional place (not experiencing an episode of mania or depression), discuss the plan for a manic episode. This can look like creating a schedule, identifying healthy creative outlets for energy, and helping with finances and spending. You can start the conversation by asking the person “what would be helpful to you when you notice yourself experiencing symptoms of mania” or “what can I do to help you effectively manage your symptoms when you experience a manic episode?”.

4. Discuss Bipolar Disorder

Having a non-judgmental, listening ear can help your loved one feel supported and safe to discuss any symptoms. It may also help your loved one feel more comfortable asking for help or coming to you when symptoms of a manic or depressive episode begin to occur. It can be helpful to ask the person “How have you managed your symptoms of bipolar disorder so well?” or “What can I do to help you when you are experiencing symptoms?”.

5. Validate Your Loved One’s Thoughts and Emotions

Try to remember that your loved one experiences thoughts and emotions that feel real, even if they aren’t based on facts and reality. For example, disputing the thoughts of people with bipolar disorder and telling them to calm down when they are experiencing intense emotions can escalate symptoms. Instead, try to remain calm during these situations and recognize that their reality is true to them. A validating statement can look like “I see you are experiencing strong emotions right now and that’s okay” or “it makes sense why you think or feel that way”. This normalizes and validates their internal experience (thoughts and emotions).

Conclusion

If you believe you may be experiencing bipolar disorder, talk to your primary care physician and discuss whether telehealth or in-person treatment is best for you. If you have thoughts of suicide, call the national suicide crisis number at 800-273-8255. If you are considering acting on your thoughts, please call 911 or go to your local emergency department to get the support you may need. Medical and mental health professionals can help you manage these symptoms. Getting help can be as easy as contacting Valera Health. We provide psychiatric and mental health telemedicine services to help you pursue your personal journey toward wellness.

Sources:

  1. https://www.nami.org/Press-Media/Press-Releases/2005/Surveys-Reveal-Gap-in-Understanding-of-Bipolar-Dis
  2. https://www.nimh.nih.gov/health/publications/bipolar-disorder/
  3. https://www.nami.org/personal-stories/living-with-someone-with-bipolar-disorder
  4. https://www.mind.org.uk/information-support/types-of-mental-health-problems/bipolar-disorder/for-friends-family/

5 Reasons Why Inclusivity in Mental Health is So Important

Within society, you have probably heard the terms inclusivity and diversity used more frequently, and for very good reason. Respecting the culture, ethnicity, values, ability, and religious beliefs of different groups of people benefits everyone as individuals and as members of society. This is particularly true when it comes to your physical health, mental health, and wellness.

What Do Diversity and Inclusivity Mean?

Diversity and inclusivity reference the same concept: acceptance and respect of everyone, regardless of age, skin color, physical ability, sexual orientation, religion, and gender identification. However, the terms are distinctly different. Diversity refers to a group of people with a wide range of demographic, political, philosophical, religious, and ethnic differences.

Diversity can be thought of as the “what.” Inclusion can be thought of as the action or the “how.” Inclusion refers to the action steps taken to intentionally include people of different backgrounds, ethnicities, demographics, abilities, and religious beliefs. You can think of it as including people regardless of where they come from, their physical abilities, how they identify, and what they believe while respecting and accepting them as human beings.

Why Inclusivity in Mental Health Care Is So Important?

  1. They allow you access to essential healthcare services like therapy and medication by having therapists and doctors available from various backgrounds and demographics.
  2. They encourage effective problem-solving efforts. This can mean more effective and efficient services for you and an overall better therapeutic experience.
  3. They provide you with options. Having options can help you feel empowered to make your own decisions about your healthcare.
  4. They improve employee morale. Feeling respected, accepted, and included can increase motivation and improve productivity at work. This can, in turn, improve motivation and morale, which can translate into effective therapy and patient care for you.
  5. They facilitate increased trust in the therapy room. When you feel respected, heard, and valued by your therapist, you are more willing to open up and be honest. Having a positive rapport with your therapist can help you reach your therapeutic goals.

What Do Diversity and Inclusivity Look Like in Therapy?

Talking to a professional counselor, psychologist, or therapist can be one of the most rewarding experiences of your life. Your mind and body connection is an important part of your overall health. Incorporating diversity and inclusivity in therapy is important for effective therapy. Honoring diversity and inclusivity, as a therapist, can look as follows:

  • A willingness to learn about cultures, ethnicities, religions, and demographics that are different from their own.
  • Eliminating judgments, stereotypes, and bias through education and professional development.
  • Attending continued learning courses about inequality and social injustices that groups of people experience.

This can have a direct impact on your experience as a patient. If a therapist is nonjudgmental, doesn’t support stereotypes, and has professional education in diversity, you benefit. You may feel accepted, included, and feel more comfortable expressing yourself genuinely in therapy.

As a patient, it is of the utmost importance that you feel accepted and empowered along your therapeutic journey. Being able to choose your therapist based on your specific needs and background is important. 

How Can You Tell if You Have a Therapist who is Committed to Inclusive Care?

Having a therapist who is committed to providing inclusive care can be the key element for an effective and successful therapeutic experience. An inclusive therapist will:

  • Ask about your background, ethnicity, religious beliefs, and values that are important to you.
  • Build upon your strengths and appreciate your beliefs.
  • Engage in healthy verbal and non-verbal communication with you such as making eye contact and asking follow-up questions to clarify something you have said.
  • Show openness to receiving feedback from you to help improve communication and develop trust. They will ask you if there is anything they can do differently to make you feel more comfortable.
  • Inquire and respect your pronouns.

Conclusion

The experience of bias, racism, and prejudice can negatively impact your mental health. In addition, fear of  experiencing bias, prejudice, and being misunderstood is a barrier to getting mental healthcare for a lot of people . If you are experiencing symptoms of depression and anxiety or perhaps your are searching  for support along your personal journey, Valera Health can help. At Valera Health, we provide comprehensive tele-mental health care that includes therapy and psychiatry services that are focused on you and your unique needs.

Sources:

https://www.qcc.cuny.edu/diversity/definition.html
https://diversity.gwu.edu/diversity-and-inclusion-defined

5 Ways the Mind and Body Are Connected and How to Use It to Your Advantage

The connection between your mind and body can’t be denied. The mind refers to the thoughts, feelings, beliefs, and images that we experience. These things have an impact on your body’s physical state and well-being. You are physically affected (through body sensations and functioning) by what goes on in your mind. For example, your heart rate may increase when you experience feelings of anxiety when you have to make a speech in front of other people or when you do something for the first time.

How Does It Work?

How you think can directly affect how you feel physically, and how you feel physically can directly affect how you think and feel mentally. For example, if you have chronic back pain, you may be more vulnerable to feelings of irritability or frustration. In this instance, your body’s physical issues are affecting your feelings and thoughts.

Conversely, your thoughts and feelings can affect how you feel physically. For example, if you are constantly worrying and stressing about finances, your body responds through muscle aches and pains. It is helpful to think about your mind and body as being in constant communication with one another.

5 Ways the Mind and Body Are Connected

When you experience emotions, your brain sends signals to your body, and your body responds accordingly. Your body’s response to the brain’s signal is referred to as action urges. These urges can be unconscious, so you don’t necessarily think about how your body is responding. Also, when you experience problems with your physical body, your thoughts, feelings, and beliefs are affected. Below are 5 ways your mind and body are connected.

  1. Stress and the fight or flight response: When you experience the emotion of stress, your body engages in the fight or flight response. This feels like your heart may beat right out of your chest, you are breathing so fast you can’t catch your breath, and it is difficult to move because of your muscle aches. This physical response helps us defend ourselves and avoid danger.
  2. Chronic pain and depression: Studies show that people who experience chronic pain are at risk for experiencing feelings of depression and sadness which can make it difficult to get out of bed, complete normal tasks, and feelings of hopelessness.
  3. Anxiety and eating (overeating and undereating): When you experience the emotion of anxiety, your urge may be to use food as a source of comfort to help reduce your feelings of anxiety, which can cause you to eat even when you are full. Conversely, anxiety can cause an upset stomach and other gastrointestinal issues that may contribute to a reduction in appetite, which can lead you to undereat.
  4. Anger and aggression: Anger is an emotion that exists to help protect you. Anger is part of your survival instincts, and it serves the purpose of protecting you when you are experiencing a threat to your safety. When you experience anger, the mind sends the body a message to prepare for fleeing or fighting by sending blood and other chemicals to your muscles. Clenching your fists and grinding your teeth are the body’s physical responses to the emotion of anger.
  5. Experiencing more positive emotions can improve physical health: Studies show that people who experience more happiness and joy have healthier blood sugar levels, healthier weight, have lower blood pressure, and have a reduced risk of heart disease compared to people who experience more negative emotions (anger, sadness, anxiety, fear).

How to Use It to Your Advantage

Having an awareness of your body’s physical response to your emotions can help you engage in the opposite action. Opposite action is when you act opposite of your physical urge. For example, when you experience anger and notice yourself clenching your fists, open your hands with your palms facing up. This interrupts the mind-body connection and can help reduce the intensity of your anger and prevent you from reacting to your anger. When you are experiencing depression, your urge may be to withdraw or isolate. In this case, the opposite action would be to gently approach the situation you are trying to withdraw from. For example, if your urge is to avoid going to the family get-together, the opposite action would be to go to the event, at least for a short time. Surrounding yourself with loved ones can help improve your mood and even reduce feelings of depression.

Talk to your doctor about any physical problems you may be experiencing. If you are experiencing mood or mental health issues, Valera Health can help on your personal journey with mind and body wellness. Valera Health offers psychiatric and therapeutic services through telemedicine.

Sources:

https://www.uofmhealth.org/health-library/mente
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494581/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879019/
https://www.betterhealth.vic.gov.au/health/healthyliving/anger-how-it-affects-people
https://newsinhealth.nih.gov/2015/08/positive-emotions-your-health
https://counseling.uoregon.edu/magic-opposite-action