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welcome to our Hope+Wellness blog where we feature
little snippets of advice for everyday challenges many people share

Communication, Relationships Dr. Victoria Ranade Communication, Relationships Dr. Victoria Ranade

7 Ways to Communicate More Effectively in Your Relationship

One of the hardest parts of being in a relationship with someone else is figuring out how to talk to them about serious stuff. Relationships can be complicated for many reasons, but sometimes a barrier between partners is that they don’t know how to effectively communicate with each other. Many of us didn’t grow up with positive models of relationships to look up to, so you may feel like you have no chance to catch up at this point. Luckily, that isn’t true! You can figure out ways to communicate with your partner that work in your relationship, even if healthy communication is completely new to you. 

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One of the hardest parts of being in a relationship with someone else is figuring out how to talk to them about serious stuff. Relationships can be complicated for many reasons, but sometimes a barrier between partners is that they don’t know how to effectively communicate with each other. Many of us didn’t grow up with positive models of relationships to look up to, so you may feel like you have no chance to catch up at this point. Luckily, that isn’t true! You can figure out ways to communicate with your partner that work in your relationship, even if healthy communication is completely new to you. 

Communication is an essential part of any relationship. It is intimidating to try to talk about vulnerable things with anyone, especially with someone you have strong feelings for. It might feel odd to try a different communication style with your partner, but keep an open mind, and remember you can always switch it up if it isn’t working for you both. 

Try these tips to communicate more effectively with your partner: 

Learn how you both prefer to communicate

The idea of love languages was developed by Dr. Gary Chapman to explain the differences in how people show love. There are five main love languages (words of affirmation, physical touch, receiving gifts, quality time, acts of service) in Dr. Chapman’s model, and the idea behind it is that everyone has a different way they prefer to show and receive love. If you and your partner have a difficult time showing each other love, it might just be that you have different approaches to how you like to be loved. Similarly, you can look at personality tests like the Myers-Briggs Type Indicator (MBTI) test, or the Enneagram to pick up on some themes in how you relate to other people. If you dig in and do a little research on the ways you communicate and behave differently, you can then focus on how to communicate together. 

Practice listening

Listening sounds like a fairly easy concept, right? However, the way you listen actually matters when talking to your partner. When you’re communicating with someone, it can be easy to get caught up in what you’re going to say next, or to respond to what they’re saying before they’re finished. This is called listening to respond. However, instead of listening to respond, try to listen to understand instead. Put aside any thoughts of how you will respond, or things you want to say, and focus on what your partner is actually saying. 

Don’t Interrupt

One way to shut down a conversation is to jump in and cut off your partner while they’re talking. Instead of listening to understand, interrupting shows that you aren’t interested in what they’re saying and that what you have to say is more important, which is probably not the impression you want to give. 

Stay Present

One way to shut down communication is to hide behind a screen instead of paying attention to your partner. If you’re having a face to face conversation, put your devices to the side and stay present in the discussion. This shows your partner that talking to them is important to you. In addition to screens and other kinds of tech, clear your area of any other distractions. Turn off the TV, take out your headphones, put aside your book, pause the music. 

Talk about positive things too

Make sure you talk to your partner about positive things along with the negative! Make sure to ask your partner about positive things from their day. Keep a list of things you love about your partner, and try to work them into your conversations naturally. Find ways to show you see them and care for them. 

Use “I” Statements

Instead of framing your discussion as something about them, focus on using “I” statements. Don’t start a statement with “You”, start with “I”, and then describe how you feel. For example, instead of saying “You never make time for me anymore,” say “I feel like we aren’t spending as much time together as we used to.” Framing the conversation this way can help your partner feel less defensive and more open to hearing what you actually say, instead of trying to stick up for themselves. 

Think about your body language

When you talk to your partner, what is your posture like? Are your arms crossed? Are you facing each other, or looking away? Do they seem tense in any way? Nonverbal cues, like body language, are a valuable part of communication. You can sense your partner’s mood through the way they are holding themselves. When you want to have an open discussion with your partner, make sure your body language is open. 

If you need some extra support in learning how to communicate with your partner, we can help. Contact us today!


therapist in falls church, mclean, tysons corner, merrifield, arlington and vienna, va

Hope+Wellness is a psychotherapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide individual therapy to children, teens, and adults with stress, anxiety, and depression. Our practice is in-network with BCBS and provides Cognitive Behavioral Therapy (CBT), mindfulness and acceptance based therapies, and other top, premier evidence-based treatments. Call, email, or schedule an appointment with us online today. We’re happy to help!

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Anxiety, Teens, Parenting Dr. Victoria Ranade Anxiety, Teens, Parenting Dr. Victoria Ranade

What parents of anxious children should know about anxiety

Feeling anxious is a completely normal part of life. When big events or school projects or new social experiences are coming up, it’s natural for your child to feel some degree of anxiety. However, just as in adult, anxiety in children can also become overwhelming. When this anxiety tips over from being a manageable emotion to being a major obstacle in their everyday life, that’s when your child may be struggling to manage an anxiety disorder. 

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What is anxiety?

Feeling anxious is a completely normal part of life. When big events or school projects or new social experiences are coming up, it’s natural for your child to feel some degree of anxiety. However, just as in adult, anxiety in children can also become overwhelming. When this anxiety tips over from being a manageable emotion to being a major obstacle in their everyday life, that’s when your child may be struggling to manage an anxiety disorder. 

In general, there are three types of anxiety that are the most common in children. These are: 

  1. Generalized Anxiety: when the child experiences pervasive anxiety or distress at everyday occurrences, most often regarding school or sports in children. Typically categorized by “undue distress about a variety of everyday things beyond the scope of more specific anxieties and phobias” (Child Mind Institute)

  2. Separation Anxiety: when the child is anxious at the prospect of being separated from someone of significance. (A parent, a sibling, a close friend, a pet, etc.) This type of anxiety is very common in toddlers, but can also appear in school age & adolescent children. 

  3. Social Anxiety: when the child is anxious, worried, nervous, etc. in any sort of social situation. This can include playdates, school activities, sports, clubs, etc. There is often an underlying self-consciousness, a fear of being judged, disliked, or embarrassed. 

  4. Specific, Severe Phobias: this is when the child has a severe fear of something irrational. They might be afraid of thunder, which could cause them to work themselves into nervousness or an anxiety attack if the sky turns dark or it starts to rain. 

How does it show up in kids?

If you believe your child is struggling with anxiety, there are some key physical, emotional & behavioral symptoms to look out for. Physical symptoms include: 

  • Frequent  physical aches: if your child is often getting headaches or stomach aches, it may be a physical manifestation of anxiety. Pay attention to any patterns you can identify when your child starts to complain of these aches. 

  • Trouble eating: does your child feel sick or nauseated when it comes time to eat somewhere unfamiliar? Being uncomfortable eating anywhere other than the home is a sign of anxiety that can often spiral into physical sickness when the time to eat at school (or a friend’s house, or a club, etc.) comes along. 

  •  Trouble using the bathroom: as with eating, if your child has difficulty using the bathroom anywhere new or outside of your home, that may be a symptom of anxiety. 

  • Difficulty sleeping: just as in adults, anxiety can impair a child’s ability to fall asleep, sleep restfully, or stay asleep. 

Emotional & Behavioral symptoms of anxiety in children include: 

  • Intense, heightened emotional reactivity: Anxiety is a difficult feeling to process and understand, especially as a child. Instead, they may be more inclined to react with other extreme emotions. If your child seems as though they are crying more than usual, is extremely sensitive, becomes irritable easily, etc. it is likely an emotional manifestation of their anxiety. 

  • Continued worry over everyday activities: does your child seem worried or panicked about things you or they do all the time? Are they worried about being dropped off at school? Do they fret about getting out of the car in the right spot, finding the right door to walk through, etc.? These fixated worries are probably a sign of anxiety. 

  • Isolation: does your child remove themselves from social situations, even ones you think they may enjoy? Do they participate in class or sports or clubs? Do they try anything to get out of going to school? Do they dread birthday parties, etc.?

  • Need for approval: while there is an inherent desire for approval in almost all of us, anxious kids struggle much more with this need. They find themselves looking for approval or permission for everything they do.

  • Look out for: the phrase “will you do it for me?” When kids are overwhelmed by anxiety, they can often want their parents to take over. Even if it something you know they are capable of doing on their own, if they are experiencing anxiety, this phrase is likely to crop up. 

What challenges will this create for them?

The ways in which anxiety manifests in children makes it difficult for them socially, academically & developmentally. At this age, learning to form new relationships is crucial, and the foundations of learning and personal development are taking place. 

When children are too anxious to take part in social or school activities, they miss out on critical experiences like: making friends, learning social rules, developing problem solving skills, etc.  

How can you help?

Hope isn’t lost though! There is plenty that can be done to help your child manage their anxiety and thrive, with healthy coping skills. Here are five ways you can help your child learn about & manage their anxiety: 

  1. Give it a name: when your child is feeling anxious, have them draw a picture of what that anxiety feels like. Have them give it a face, a body, a name. This can help you teach them that their anxiety is a separate thing from their own identity. Talk about their anxiety monster as if it is it’s own being. When they have anxious thoughts, ask them, “What is Bob (or whatever name they choose) saying to you?” Remind them that there is no judgment, no wrong answer. Be there to help them separate fact from fiction in what their anxiety is telling them. 

  2. Give them a chance to slow down: if you can, encourage your child to focus on their breathing. Show them how to breathe in and out slowly, counting breaths, until they are able to slow down. If they are in the midst of an emotional reaction (crying, a tantrum, etc.) give them a glass of water and have them drink the whole thing. In order to drink it, they will have to slow down and focus on breathing while they drink it, which can help calm them down. 

  3. Have regular “worry time”: Make space in your schedule to sit with them and discuss what they are worried about. This will help them feel listened to and validated, and allow you to brainstorm solutions to whatever is worrying them. When it’s worry time, sit down with them and tell them “Okay, it’s Worry Time, tell me what you’re worried about.” Let them say anything they need to without cutting them off. Don’t tell them their worries are silly, instead offer a solution. For example: if your child get anxious about speaking in front of others, but knows they have a school project coming up, they will probably feel anxious about it. Teach them to manage their problems in small chunks. First, they can write down what they want to say. Then they can practice it in front of you. Then add a sibling or a friend, but have them turn around and face the other way. Then have them say it while facing you, etc. 

  4. Help them find accommodations: if your child is frequently anxious in new social situations, try to expose them to new places + people in small, controlled doses. If there is a birthday party coming up, call the parents of the child and see if your children can get together at their house before the party, so it will be a more familiar environment. If your child is going to summer camp, see if you can visit and meet teachers or counselors or coaches beforehand. 

  5. Teach them that worry has a purpose: It isn’t wrong to be worried–in fact that feeling of worry often lets us know that something isn’t right. The problem comes when that worry takes control of their whole life. Remind them that they can always come to you with their worries, and you will help them find a solution. 

If you're looking for support for your anxious child, or if you're not sure where to begin, contact us today for help! 


therapist in falls church, mclean, tysons corner, merrifield, arlington and vienna, va

Hope+Wellness is a psychotherapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide individual therapy to children, teens, and adults with stress, anxiety, and depression. Our practice is in-network with BCBS and provides Cognitive Behavioral Therapy (CBT), mindfulness and acceptance based therapies, and other top, premier evidence-based treatments. Call, email, or schedule an appointment with us online today. We’re happy to help!

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CBT Dr. Victoria Ranade CBT Dr. Victoria Ranade

5 Signs CBT is Right for You

The decision to start therapy can be the beginning of a meaningful journey that leads to transformation and growth. However, searching for a therapist can be tricky sometimes, for a number of reasons (including insurance, finances, scheduling, and stigma, to name a few). It can also be the start of a confusing search to figure out what type of therapy is the best fit for you.

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The decision to start therapy can be the beginning of a meaningful journey that leads to transformation and growth. However, searching for a therapist can be tricky sometimes, for a number of reasons (including insurance, finances, scheduling, and stigma, to name a few). It can also be the start of a confusing search to figure out what type of therapy is the best fit for you. Is Cognitive Behavioral Therapy the right choice or should you choose something else, like Gestalt Therapy or Acceptance and Commitment Therapy? There are many valuable different therapy frameworks today, and it can be a little overwhelming to narrow down your choices while you search for a therapist.

One of the benefits of our increased understanding of the brain and of human behavior in the last hundred or so years is that there are a lot of different approaches to therapy. Even though there are many different frameworks that therapists use, in general, the goal remains the same: to help the person in therapy. The gold-standard of treatment is an evidence-based method of treatment, which means that the approaches to therapy are backed up by research and data.

Evidence-based therapy has been tested, using the scientific method, and shown to be effective. Some examples of evidence-based treatments include therapies like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Psychoanalytic/Psychodynamic Therapy, Person-Centered Therapy, Gestalt Therapy, Acceptance and Commitment Therapy, and Emotion-Focused Therapy. These are just a few examples of the frameworks out there for you to choose from.

At Hope + Wellness, we use a variety of approaches, including Cognitive Behavioral Therapy. The main idea of CBT is that anxiety, depression, and problems with mood are related to unhelpful behaviors and thought patterns. Therefore, CBT teaches us to learn new, healthy ways of thinking and coping to effectively relieve symptoms and improve our lives. The skills are taught in CBT include learning how to face fears, problem-solving difficult situations, recognizing unhelpful thought and behavior patterns, and ways to calm the mind and body. Since it is focused on teaching you specific coping skills, CBT tends to wrap up in a time-limited number of sessions, instead of lasting indefinitely.

So, how do you decide if CBT is right for you? Read on for some signs that Cognitive Behavioral Therapy can help you:

1. Your problems are related to your thoughts and behavior

Remember, CBT is focused on the way unhelpful thoughts and behaviors impact our lives. Since the main focus of treatment is reframing the way we think and behave, if your problems aren’t related to your thoughts and behaviors, CBT probably won’t be the modality for you. If your problems are more existential or relational in nature, or if you’re looking for a long term relationship with a therapist, a different modality might be a better fit for you.

2. You tend to expect the worst

One of the most important takeaways from CBT is that our patterns of thoughts and behaviors impact our mental health. CBT teaches us that while we can’t change what happens around us, we can change the way we react to it. If you tend to be the kind of person who expects the worst from every situation, then CBT might be a good match for you. As you learn the skills taught in CBT, you will see that changing your thoughts and beliefs to help you cope can also lead to better outcomes overall. Once you get used to the idea that the rug isn’t going to be pulled out from under you, you can start to manage your expectations in a more realistic light.

3. You are willing to commit to the process of Cognitive Behavioral Therapy

CBT can’t be taught in one session. This type of treatment is a process, and you have to be willing to put in the work to see the results. If you’re looking for a therapist to make your problems disappear without having to change the way you act or think, CBT probably won’t be helpful for you. If, however, you’re ready to commit to the work (and time commitment) of CBT, you can expect to see better results.

4. You learn in a number of different ways

CBT is one of the most frequently used therapy modalities, and that means that there are a ton of different ways to digest the information. If you decide to move forward with CBT, you can ask your therapist for recommendations for books, videos, podcasts, apps, groups, and worksheets to help you master the concepts. You can soak up the information from all of these sources and more, or you can just stick with the ones that complement the way you learn best.

5. You want the skills to help work through a relapse

CBT therapy does tend to be shorter term than traditional talk therapies because it is focused on teaching you practical coping skills to deal with your problems now and any that might come up in the future. Instead of lasting indefinitely, CBT tends to wrap up in a time-limited number of sessions. That means that you leave CBT therapy with the skills you need to manage a relapse, instead of having to learn further skills after a relapse. You can continually call on the CBT skills you learn in therapy to help you move throughout life, whatever it throws at you.

If this list has you feeling intimidated, don’t worry! You don’t have to have all of the answers. You can do your own research if you want, but you can also seek expert help. If you are able, talk to a trusted healthcare provider who knows you for a referral they think is appropriate.


therapist in falls church, mclean, tysons corner, merrifield, arlington and vienna, va

Hope+Wellness is a psychotherapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide individual therapy to children, teens, and adults with stress, anxiety, and depression. Our practice provides Cognitive Behavioral Therapy (CBT), mindfulness and acceptance based therapies, and other top, premier evidence-based treatments. Call, email, or schedule an appointment with us online today. We’re happy to help!

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Hope+Wellness is a mental health practice specializing in the treatment of depression, mood, stress, and anxiety in kids, teens, and adults. This is a blog about living well and finding meaning and purpose in the face of difficult challenges. This is a blog about finding hope.