5 Ways Chronic Illness can Affect Your Mental Health

Many of us take our physical health for granted until we are forced to do otherwise. For the six out of every ten adults in the US who live with a chronic illness, however, the fantasy of living in perfect health is one that’s hard to reach. According to the Centers for Disease Control and Prevention (CDC), chronic illness is defined as “conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both.”

Keep in mind: you cannot measure someone’s physical or mental health by looking at them. It’s also important to note that just no one owes anyone a certain level of health - people with chronic illness are just as much people as anyone else, and they deserve dignity and respect.  

The idea of living in perfect physical and mental health throughout your entire life is not realistic. At some point, you will probably have to deal with some sort of serious illness or condition, either for yourself or for someone you care about. Just because you don’t have to worry about chronic illness right now doesn’t mean that will always be the case. 

Physical health and mental health are linked

There is a connection between your physical health and your mental state. You might have experienced swings in mood or energy when you’re not feeling well, and that can be exponentially more intense in the case of chronic illness. In fact, people with chronic illnesses are two times more likely to experience anxiety and depression than people who don’t have a chronic illness. 

Living with a chronic illness is the reality for many folks in the United States (and all over the world, too). The way that physical health can take a toll on mental health is well documented. Looking at the whole picture, physical and mental, can help folks find better treatment options that will support them in all aspects of life. Here are 5 ways that chronic illness can affect mental health: 

Brain Chemicals

The chemicals in your brain play a large role in mental health, and some physical conditions can impact those chemicals. Changing levels of hormones and neurotransmitters in your system can lead to mental health side effects (like anxiety, depression, etc.). Inflammation in the brain may also play a role in mental health. In fact, it has even been suggested that depression is associated with inflammation in the brain, so increased inflammation in the body due to physical illness may directly play a role in depression.  

Chronic illness can be traumatic

Chronic illness can also lead to PTSD. Living in a body that is chronically ill can be incredibly stressful and scary. Trauma can come in many different forms, and chronic illness is one. In fact, there is a specific type of PTSD called Illness Induced Post Traumatic Stress Disorder, though it isn’t well understood by medical professionals. There does seem to be a distinction between this type of PTSD and traditional PTSD - chronic illnesses can last for an undetermined amount of time, which can prolong the trauma. 

Stress

Experiencing long term illness can lead to a major increase in stress - stress about your condition, about finances, about accessibility, about insurance, about anything, really. This extra stress can lead to mental health problems. Long term stress has long been known to be detrimental to mental health. That’s why self-care is so important right now - people are finally realizing that the best way to care for others is to care for yourself first.  Because chronic conditions by definition last a long time, folks who live with them often end up living with a lot of stress and uncertainty. 

Medications 

The medications folks take to manage their chronic conditions may also play a role in mental health. Medications can have complex side effects and interactions with each other, and sometimes that leads to a change in mental health. Depending on the condition, you may be able to try different medications to manage things to see if that makes a difference. It’s important for anyone involved in the care of chronically ill folks are aware of the way medication can influence mental health. 

Shame + Hopelessness

Shame is an aspect of chronic illness that many people don’t talk about (especially people who don’t live with a chronic condition). In the United States, there is a very high value placed on physical health. Because of this, anyone who falls short of perfect physical health is seen as failing (even though this couldn’t be further from the truth!). Some people will blame themselves for their condition, or be too embarrassed to talk about it with anyone but their medical team. Some people feel like they have to prove that they’re ‘sick enough’ to be considered chronically ill. This kind of ableism can be draining, especially over a long period of time.  

Suffering from a chronic condition without improvement can lead to feeling hopeless. You might feel that you’ll never be your old self again, or that you’ll never have another good day. You may need to grieve for the life you had before your diagnosis. Chronic illness can majorly change up your plans in life, and it’s perfectly normal to have a lot of complicated feelings about that. 

The majority of people in the United States will experience chronic illness at some point in their lives. Since chronic illness is so common, it’s important to understand the ways that physical illness and mental illness intersect and influence one another. Treating the whole person is an important way to improve a person’s quality of life overall. It’s critical to take into account mental health when discussing physical health and vice versa. If you are living with a chronic illness and you’re looking for support, we can help. 

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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!

How to stop social media from making you feel bad about yourself

When you think of self care practices, do you ever consider your social media? 

While social media is great for so many things (keeping up to date with friends who live far away, finding new music or movies or other cultural events, staying on top of local events, just to name a few) it’s not something we should use mindlessly. 

And for every positive aspect of social media, there’s an equal and opposite negative action. Yes you’re able to keep up with friends, but do you remember that their lives aren’t as perfectly curated or posed as they seem on social media? Do you forget to check in with loved ones because seeing a facebook update makes you feel like you’ve already caught up? Do you get stressed from the information overload that can come with mindless social media scrolling? 

Just as with all other social interactions, social media requires a bit of intentional effort. We have to find out what works for us and what doesn’t, and we have to learn to take a step back when things aren’t working. But because social media is so ingrained in our culture, it’s easy to forget that this effort needs to be put in. 

If you’re finding yourself feeling bad more often than you’re feeling good when you use social media, it might be time for some major social media self care. Below are our top 4 tips for how to practice self care with your social media:  

1. Curate Your Feed

Who are you following on twitter or instagram? When you scroll through your feeds do you feel at ease, or anxious? Because we are able to take in so much information and content in a short time with social media, it’s important to make sure we’re being careful with exactly what kind of content we’re consuming. If you find yourself constantly frustrated or upset at a certain account's posts, remind yourself there is no social obligation making you follow them. 

Have you heard of the tidying method from Marie Kondo? The basic idea is that you decide what sparks joy for you from your possessions, and get rid of those that don’t. You can do the same thing with your social media feeds! While you scroll through, think to yourself, is this account bringing joy? Is it adding something positive to my life? Unfollow or mute accounts that aren’t. It will help keep your social media as a positive space, and leave you less anxious or tense after scrolling. 

2. Be Intentional with Your Social Media Presence

There is this idea that if we stay plugged into social media all day long, we’ll be better informed. But really, all this does is feed into our own anxiety and create a compulsion to keep checking and checking and checking our feeds. And when we’re too busy checking our feeds, we’re not actually engaging with the life, culture & experiences around us! Social media, after all, is meant to be a platform where you share parts of your life, not the main way you live your life.

So, like curating your feeds, taking time to decide which platforms spark joy can be hugely beneficial. You don’t actually have to be on every social media platform. Decide which ones actually add joy to your life. Do you like instagram because you can keep up with local events, or see how friends far away are doing? Or does it stress you out to see pictures of what everyone else is doing because it makes you get caught up in the comparison game? Leave the platforms that leave you upset after visiting them. 

3. Use it After Leaving Social Events

There is often a compulsion to keep everyone updated with everything you’re doing as you’re doing it. And there is nothing wrong with wanting to share a picture of you and your friends! But try to keep your social media time to the times when you aren’t otherwise socially engaged. Do your best to be present when at a party or event, and wait until you’re back home to share a post about it. That way you’ll be able to focus on actually having a good time wherever you are instead of just making it look like you had a good time on facebook. 

4. Take a Break

Sometimes, what you need is a good old fashioned social media vacation. You don’t have to delete your accounts, but try deleting the apps off of your phone. See if you can stay off them for a week. When we’re so used to being “on” all of the time, it can be hard to imagine a total break like that, but it might be just what you need. It will help to remind you that the satisfaction you get from scrolling through your social media feeds isn’t the only way you get social satisfaction in your life. And when you do get back on the apps, you’ll be able to keep it in perspective and moderate your time a bit more than before. 

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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How to Tap Into and Listen to Your Intuition

What is Intuition?

Intuition sounds like a complex, magical thing. When we think about intuitive people there’s an air of fortune-telling or mysticism that comes along with the word, but all intuition really is is your feelings. Intuition is your gut instinct in any situation. 

You know that saying “you know more than you think you do”? That’s where intuition comes in. We have so much knowledge stored in our brains that we don’t access on a daily basis, so sometimes we forget it’s there. Your gut feelings, your intuition, is that knowledge coming back up. 

Past experiences are all stored in our brains, and while we may not be actively thinking about them, our brain can access them when it needs to. It uses those past experiences and cues from our environment and our sense of self and all comes together to give us those gut feelings we call intuition. 

Your body and your brain can interpret your environment faster than you can, so when you get a “bad feeling” it doesn’t mean you’re overreacting or being “crazy”–it means that there is something there, some element of your environment that triggered that knowledge in the back recesses of your brain before you could piece it together yourself. 

Our intuition doesn’t yell at us. It’s like a whisper in the back of our minds. Sometimes we can’t even explain what it’s trying to say–it’s just a feeling that something is off, that something needs closer attention, something drawing us in a particular direction. This is also why our intuition is so often ignored. If you aren’t intentional about listening to your intuition it can seem like a silly feeling, something you just need to shake off. 

Signs You Aren’t Listening to Your Intuition:

1. There’s constant discomfort in your stomach

   Yes! Turns out your gut feelings can actually have a physical effect on your actual gut. The mind-body connection is extremely powerful; our bodies know when something in our mind has been left unattended. And when we have ignored our feelings or anxieties, our body tries to force us to address them. These feelings manifest in physical symptoms, which in this case is most commonly stomach ache or distress. 

2. You feel like you’re lying

   When someone asks you how you are and you respond “Great!” because you can’t point to anything technically wrong in your life, does it actually feel great? If you’re looking for reasons why that “great” might be a lie, chances are you have missed something your intuition has been trying to tell you. Even if things are going well, there is a gut feeling there that you need to make a change, and when you ignore that feeling, what should feel great starts to feel off. 

3. You feel out of place socially

   Our intuition can play a huge role in our social lives if we let it. When we listen to our intuition socially, we’re able to find our place better, find the people we can really bond with. But often, we’re looking for the people who are right for us on paper, rather than in our guts. Maybe you spend time with your coworkers because you want to fit in at work, maybe you feel like you’re constantly adjusting yourself to fit into your social group, etc. Instead of making changes within yourself that aren’t true to who you are, listen to what your intuition is telling you about your social situation. Tap into that gut feeling when meeting new people. Do you click? Does it feel right? Or do you feel out of place?

How You Can Tap Into Your Intuition:

Learning to listen to our intuition can be an incredible turning point. It might be a big adjustment (especially if you’re a person who likes to make pro/con lists before making every decision) but tapping into the powerful knowledge we already have about ourselves can do wonders for our mental health. It helps us: 

• Feel more confident in our decisions

• Feel more confident in ourselves

• Feel more at ease in our social circles

• Feel more at peace in our day to day lives

• Improve health & sleep overall

So how can you start to tap into your intuition?

1. Practice Mindfulness

   when you make mindfulness a regular part of your routine, your intuition (and your ability to hear and heed your intuition) grows stronger. Find a few moments each day to commit to mindfulness. Whether it’s on your drive to work, while you’re brushing your teeth, just before you go to bed, etc. Whatever it is you decide to do mindfully, commit to that one activity entirely. Think about what you’re doing, what you’re feeling, the environment around you. When you actively practice noticing the present moment, it is easier to recognize your intuition when it tries to speak with you. 

2. Make low-risk gut decisions

   Not sure how reliable your intuition is? Test it out a bit while you grow comfortable with it. When low-pressure decisions come up (where are you going to eat, what should you wear, what book should you start next) make the decision based purely on whatever gut feeling you get. This can help you start to trust your own intuition, and allow you to rely on it when bigger decisions come along. 

3. Keep a dream journal

   Our dreams are often huge methods of communication for our intuition. Do you ever wake from a dream and feel like it was important? What were the feelings you got from the dream, what were the big things that stood out? Keep a paper journal or use the voice memo app to record what it was that stood out about those dreams. Then take some time to reflect on what these dreams could be trying to tell you. Not every dream is a secret message, but learning to pay attention to what our mind is trying to tell us as it processes the day’s events can help us hone our intuition! 

4. Pay attention to your energy

   When does your energy feel depleted? When does it feel recharged? Do you feel anxious in specific situations? Do certain people have the same effect on your energy every time you see them? This can be your intuitions way of telling you what is good for you to keep in your life and what needs to be reevaluated. 

Do you need some extra support in learning how to tap into and trust your intuition? We can help. Contact us today!

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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!