How to Motivate Yourself to Do Boring Life Tasks

Do you struggle to motivate yourself to do boring life tasks?

We know that self care is not the commercialized version we so often see. (That’s often actually a form of self soothing; providing ourselves with something nice to ease the discomfort or distress of a situation. We talk about the difference between the two a little bit here.)

But, essentially, self care is about developing a life and forming habits that take care of your physical, mental, and emotional needs. 

Which isn’t always as fun as the bubble bath, treat-yourself version of “self care” that we sometimes think of! 

In fact, many ways in which we care for ourselves are very boring chores, such as: 

• Making a grocery list of foods that fill you and make you feel good (physically and emotionally–emotionally nourishing foods are also important, there should be joy in the task of eating too!) 

• Refilling prescriptions

• Remembering to take medicine 

• Making doctors appointments when something is wrong

• Cleaning your home; making sure your space is tidy enough not to inhibit your daily life or get you sick 

• Prioritizing time with people who make you happy and leave you feeling rejuvenated 

• Finding a method/system for remembering appointments

Some of those are more fun than others–seeing our friends for example, isn’t a very hard one to motivate ourselves to do. Making doctors appointments and cleaning our house, however, isn’t really all that fun! Tasks like those, which are important to a healthy, happy, and well rested life, often go neglected because it really is just so hard to find the motivation to do those things–especially when we’re living in a world prone to burning us out already. 

And we’re now also facing the obstacles that come with the winter season. Many of us struggle even more this time of year due to the short, darker, colder days. We’re getting less sunlight and our brain is producing more melatonin because of that, which means we’re more likely to be tired all the time! 

So how can you motivate yourself to do boring self care tasks?

Stop all or nothing thinking: 

Is there a pile of dishes sitting in your sink? Maybe it’s been there for days and it just keeps getting bigger? And now, the bigger it is, the more daunting the task seems? Stop telling yourself you need to do it all at one time. Life is rarely all or nothing. 50% is pretty much always better than 0%! Tell yourself you’ll just start those annoying tasks (dishes, laundry, grocery prep, etc.) and after ten minutes or so, if you want to stop, you’re allowed to. 

Getting started is often the hardest part, especially when the task itself is so massive it feels like even if you start you’ll never finish.  When you tell yourself “I don’t have to finish the dishes, I just have to start them” you’re easing that pressure. Chances are? You’ll realize doing the dishes isn’t actually that bad and you’ll just finish them. And if not? Then some of your dishes are clean now when they weren’t before! 

Select part of the day to be “productive”

You’re not going to want to spend the whole day on boring tasks. If it’s hard to even get yourself started, you’ll never want to dedicate a whole day to it!  Instead, find ways to split the day into productive and non-productive chunks. Give yourself a starting time (“I’ll take a look at my to do list and decide what’s realistic to get done today at 1pm”) or a cut off time (“I’ll try to get what I can done before 3pm, but after that I’m going to rest.”)

Have a “life admin” buddy

Can you coordinate with a friend who might also struggle to get some boring self care done? Maybe the two of you can have cleaning dates where you help each other clean each other’s homes, or meal prep days where you cook or grocery shop together. You could start a monthly “tradition” of getting together to go through your calendars for the month and make sure all your appointments are in there with reminders and any info you’ll need for them. While the tasks themselves might not be fun, having a friend there can add in some joy (maybe even get you looking forward to it!) or just assure you that you’re not the only one who needs a little extra help with these “life admin” tasks sometimes. 

Give yourself a reward

There’s nothing wrong with making boring tasks more appealing with a treat! Maybe when you go grocery shopping, you could stop by the bakery section and pick yourself up a fresh baked treat as a reward for getting groceries. Another idea could be to make plans with friends after appointments you don’t enjoy (see a friend for lunch after a doctor’s appointment, etc) to make them more appealing! While you might not enjoy actually going to the doctor, making it a “rule” that you get something fun in return can help make it a more positive experience overall–and might help you to stop putting it off. 

If you're looking for more support, our therapists are trained in modalities like cognitive behavioral therapy (cbt) to help you move from feeling hopeless to feeling empowered.

3 Coping Skills for Managing Depression

Are you finding your depression hard to manage?

For many people with chronic depression, the severity of that depression waxes and wanes. While there may be consistent symptoms you need to manage day to day, when you hit a severe depressive episode those symptoms can worsen and be more difficult to manage. 

And while regular therapy and medication are an excellent treatment plan for chronic depression, it can be helpful to have a few coping skills of your own to use in times like these when you need some extra care. 

If you’re unsure if what you’re experiencing is depression, here are a few signs to look out for: 

• Depressed mood

• Feeling empty or numb

• Loss of interest or pleasure things you used to like

• Fluctuations in weight

• Problems with sleep (too much or too little)

• Feeling restless 

• Feeling irritable

• Loss of energy

• Feeling worthless

• Excessive or inappropriate guilt

• Trouble focusing on tasks

• Indecisiveness

• Thoughts of self-harm or suicide 

When you’re in a deep depressive episode it can be extremely difficult to get yourself to do things. That’s why things like regular therapy and medication can be so important to the treatment of depression. They act as the foundation, to help provide you with steady support as you manage a chronic condition. 

But there are small actions we can take to help ourselves when we find ourselves in a dark place. While none of these things are magic cure alls–none of them are going to magically cure your depression overnight–they are healthy coping tools you can use to make it easier to get through those times. By utilizing them, while you may not be “solving” your depression, you will be incorporating actions that can help your energy levels, your care for yourself, and help you to not feel so overwhelmed by whatever symptoms you’re experiencing. 

Incorporate Gentle Movement:

Exercise is one of the most frequent suggestions for depression coping tools. But you don’t need to have a gym membership or even do an arduous workout in order to get the benefits that exercise provides. Instead, focus on movement that is gentle and enjoyable–or if not enjoyable then at least bearable. It shouldn’t be an activity you dread or struggle to accomplish. Keep it simple: go for a walk, play with a pet, turn some music on and dance a bit, go outside and garden, etc. 

Socialize:

When you’re feeling depressed, it can be very easy to self isolate. And that is for a lot of reasons! You might not feel like you have enough energy to see people, you might be feeling worse about yourself than usual which can make being around friends less enjoyable, your normal activities might not hold as much excitement for you, you might be feeling embarrassment or shame at your current state (as depression often leads us to struggle caring for ourselves and our hygiene). All of these things (and others) make being social while you’re depressed feel impossible and pointless. We understand! However, while getting started is difficult, allowing yourself supportive socialization can be beneficial! 

Think about it like taking a shower: It seems like a chore, and for whatever reason, motivating yourself to get into the shower is always arduous. But once you’re in there you realize you actually do feel better, getting clean and fresh! The same sort of thing can happen when socializing during a difficult time. While working up the energy and the motivation to do it can seem just about impossible, actually being around people who love and support you does make a difference. 

Add Small Amounts of  Variety and Joy into Your Life: 

Getting stuck in a rut can exacerbate the feelings that come along with a particularly bad depressive episode. But as we discussed above, motivating yourself to do anything while depressed is difficult! So here, we recommend baby steps. Just try to do one thing each day that is different to the day before. Maybe change the room you eat a meal in from day to day, or walk around your neighborhood with a different route. Even small amounts of variety can help mitigate that feeling of “same day, forever” that so often comes with depression, adding small amounts of brightness to your day. 

If you're looking for more support managing depression, our therapists are trained in modalities like cognitive behavioral therapy (cbt) to help you move from feeling hopeless to feeling empowered.

4 Signs That Your Funk Could Be the Result of Depression

We all have times where we don’t feel like our normal selves. As humans, we’re capable of feeling many different emotions, and it’s perfectly normal to feel many of them regularly, including sadness. However, there is a difference between just having “the blues” and being clinically depressed. A lot of people are used to feeling like they’re in a funk, so they don’t think anything can be done to help. Depression is a very treatable illness, but it can only be treated if people seek help.

Here are some common signs of depression to keep an eye out for: 

• Depressed mood

• Feeling empty or numb

• Loss of interest or pleasure things you used to like

• Fluctuations in weight

• Problems with sleep (too much or too little)

• Feeling restless 

• Feeling irritable

• Loss of energy

• Feeling worthless

• Excessive or inappropriate guilt

• Trouble focusing on tasks

• Indecisiveness

• Thoughts of self-harm or suicide 

A lot of these can also be symptoms of other issues, so it can be tricky to suss out what’s a regular funk and what’s clinically concerning. Many of us have probably felt all of these at some point or another over the last year of the pandemic. If you’re in a funk after spending the last year away from your loved ones, you’re not alone! Many people are feeling a sort of covid-burnout at the moment. Here are some ways to tell if the funk you’re feeling is the result of depression:

It’s interfering with everyday functioning

The hallmark sign of something being a problem is when it gets in the way of your everyday functioning. After all, if you can’t do what you normally do in a day, that can be pretty frustrating. You’ve probably experienced times before when you had a hard time dealing with your day to day life - when you’re sick with the flu, for example, you know it’s time to lay low and get some medicine to feel better. Mental illness is just like that - it is an illness. You may need time and space to recover and feel like your old self again, but know that it’s possible. 

It’s lasting a long time

We all have ups and downs emotionally. We have hard times at work, tough situations with our families, and complicated relationships. It’s normal to feel sad, even to feel sad pretty often. However, if you’ve been feeling sad for a long time with no improvement, it may be a sign that you’re experiencing depression. Typically, our emotions come and go, good and bad. When you’re feeling something not so fun, you can hold on and tell yourself that better feelings are around the corner. If you’re not feeling any of those good feelings- like joy, contentment, happiness- and you haven’t been for a period longer than two weeks, it could be depression. 

It leaves you feeling numb or hopeless

Another sign that your funk is something more serious is if you regularly feel numb or hopeless. As we discussed above, part of being a person is experiencing feelings, all the time. Sometimes you might feel like you feel too many feelings! Depression is sneaky though, and it can often make you feel numb or hopeless. You might not feel much of anything at all, good or bad. You might feel like you’ll never feel anything other than this. Depression is wrong, though - you can feel things. You just may need more support to deal with your depression so you don’t feel so numb. 

People who love you have asked you if you're okay

A lot of us think we’re really good at hiding when we’re struggling, but the people who love us can usually tell. If you’ve had people who care about you ask if you’re doing alright, maybe they’re seeing something that you aren’t. You might think you’re hiding your struggle but when people know us really well they can pick up on when we’re having a hard time. Sometimes you might just be feeling a little blue and they catch you at a bad time. However, if multiple people who care about you have been concerned that you’re not yourself, they may be onto something. Know that it’s okay to ask for help! 

Dealing with depression can be a lot different than how we see it in the media. That’s why it’s important to know the signs of depression so you can tell if you’re just in a funk or depressed. If you’re not feeling like yourself and want to talk about it, our clinicians can be a source of support for you.    

Ways to Cope with Depression After Pregnancy Loss

For many women, pregnancy can be a really uncertain time - excitement, fear, anxiety, hope all come into play. Many pregnancies do lead to healthy babies, but unfortunately, that’s not the reality for everyone. Although it’s still considered culturally taboo to discuss pregnancy loss, the truth is that not all pregnancies end with a healthy infant. It’s hard to imagine an unsuccessful pregnancy, but roughly 10-20% of pregnancies end in miscarriage. 

Pregnancy loss can mean a couple of different things. Most commonly, it means a pregnancy that ended in miscarriage or stillbirth instead of a healthy, living infant. The difference between a miscarriage and a stillbirth is based on the number of weeks into the pregnancy. A miscarriage is defined as a pregnancy loss before 20 weeks of gestation. Stillbirth is defined as fetal death after 20 weeks of pregnancy. 

The reasons for pregnancy loss aren’t always understood, which can make the experience even more devastating. Some of the factors thought to be involved are genetic defects, viral or bacterial infections, hormone imbalances, and autoimmune disorders. However, much of the time there isn’t an easy answer as to why the pregnancy was lost. Losing a pregnancy is often a life-changing event for a person, and makes sense that after such a serious loss, depression may develop. 

In our culture, talking about pregnancy loss is seen as a no-no, which can make the experience even more lonely. The idea seems to be that since the pregnancy did not come to term, that there is not as much to be sad about, which is of course not true. Some common responses to hearing about a pregnancy loss are, ”It was meant to be,” “You can always try again,” “It’s better that it happened early,”. Most people who say these things don’t intend to be cruel, but these statements can minimize the grief and sorrow that the person is feeling. 

Because this type of loss is often minimized, many folks are left to get through it alone or only with their partner to lean on. People expect folks to bounce back after this type of loss faster than other types for some reason, and it can put a lot of pressure on the grieving parties. 

If you or someone you know has experienced pregnancy loss, here are some symptoms of depression to look out for: 

• Feeling hopeless all the time

• Sleep problems (sleeping too much or not enough)

• Changes in appetite

• Sudden irritability or outbursts of anger

• Constant anxiety

• Panic attacks 

• Feelings of guilt 

• Feelings of worthlessness

• Difficulty with making decisions

• Problems remembering things

• Suicidal thoughts

Women are not the only ones to feel depression after pregnancy loss. Research says that men also experience depression as a result of pregnancy loss, but on average, men recover from this depression more quickly than women. 

While there is no tried and true recipe for moving through grief, there are some ways to support yourself or a loved one after a pregnancy loss. 

Medication

Depression is a serious condition, and sometimes it can only be treated with medication. There is nothing shameful about taking medicine for your mental health, just as there is nothing shameful about taking allergy medicine when you have allergies. Medication can be an extra leg of support for you as you work through this loss. 

Therapy

Therapy is an opportunity to work through your feelings about this loss. If you want, you can search for a therapist you can see with your partner. If you’re not up for seeing someone in person yet, there are many opportunities for online therapy so you can get the help you need where you are. 

Be gentle with your body

You might feel out of touch with your body after this experience, and that’s okay. Do your best to look after your body with kindness during this time.  Nourish it with foods that appeal to you and make you feel good. Move your body if that feels good to you. Try to establish a sleep routine to make sure you get enough rest. 

Find a Community

Community can be invaluable after a loss. Knowing that others have gone through what you are experiencing can help you feel less lonely. You won't have to justify your feelings or your pain to anyone there, and you can lean on each other when you need to. 

If you or someone close to you is struggling with suicidal thoughts, please call the National Suicide Prevention Lifeline at 1-800-273-8255. For more support in recovering from pregnancy loss, the counselors at Hope+Wellness can help. Contact us today to get started. 

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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Accepting Yourself Unconditionally, As You Are

“You can only lose something that you have, but you cannot lose something that you are.”

— Eckhart Tolle

So many of us are able to love and to feel compassion for others, but what about ourselves? So often, we feel inadequate — we are all too familiar with our weaknesses and judge ourselves for our bodies, mistakes we’ve made, things we’ve said and done, feeling guilty and undisciplined for all the tasks we haven’t done, our level of productivity — the list goes on. We never feel quite good enough, never feel comfortable in our own skin. So we work on exercising and becoming thinner, smarter, more productive — working toward an end goal of who we ultimately want to be.

The problem is this day never seems to come. Somehow, it always feels as if it is beyond the horizon. It’s healthy to strive toward improvement, but when we are always striving for the next level or chasing an ideal, we end up on a treadmill which never seems to end. We are not able to appreciate the happiness that is available here and now. We are not able to awaken to the power that is currently within us.

What if you accepted and loved yourself unconditionally and radically? What if you directed the love that you feel so naturally for others toward yourself? And what if you did this today, here, now?

The truth is that you’re not perfect, but none of us are. Each of us longs to be seen and to be loved and valued. We each seek to find our place in the world. You’re human, and all the messy and imperfect and beautiful things that this means. Yes, you’ve made mistakes. Yes, you might be overweight. But you’re also awesome and wonderfully made as you are.

Love yourself today, and all the things you are seeking to change. Acceptance has a paradoxical quality to it. It’s funny how it works. Because once you accept, change is able to occur. Acceptance doesn’t mean that you’re happy with where you are currently at. Nor does it mean that you will stagnate. Instead, acceptance is the very soil through which you will blossom and grow. It’s the foundation of change.

So let go of criticism and judgment. It feels so much more natural and comfortable, but it is holding you back. Let your foundation in life be one of acceptance and love. Let it flow and guide you to your highest and greatest purpose and being.

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

Victoria Chialy Smith, PhD is a licensed clinical psychologist serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. She provides 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!

5 Things to Know if Your Teen is Dealing with Depression

It can be scary and overwhelming to learn that your teen is depressed. You want to support your child, but don’t quite know how. You watch them struggle to get up in the morning in order to make it on time to school. They aren’t getting much sleep and don’t seem to find much enjoyment in things anymore. You worry about their grades and how this will impact college admissions. Nothing you’ve tried seems to help. When they were younger, you were able to swoop in and help. But now that they are older, they don’t seem interested in it.

One of the first things to know is that you’re not alone. Many other parents are worried and experiencing similar struggles with their teen. The second thing to know is that depression is treatable and there are things that parents can do to best support their child. Below are 5 ways to help if your teen is dealing with depression.

1. Be Supportive

Listen to your teen. Let them know you are there for them to listen and support them. Try to understand things from their perspective. Empathize and try to validate their feelings without supporting any unhealthy behavior. For example, you could say, “it sounds like you’ve been feeling really low, and I know it must be difficult to get through each day. How can I support you?”

It may feel challenging to support your teen when you feel frustrated and afraid for the way their depression has been affecting them. However, your support is invaluable. Try not to be judgmental or critical, but to remain calm and compassionate.

2. Avoid Trying to Control or Fix Their Problems for Them

It may feel passive to listen and support. As a parent, you can see what they need to do and all you may want to do is problem solve and resolve their issues for them. It is natural to feel this way. However, increasing your control over their behavior and problem solving for them can come across as judgmental, controlling, or invalidating. Your teen will need to learn how to manage their feelings and problem solve on their own. Your guidance, relationship, and support are essential during this time.

3. Encourage Positive Behaviors and Coping

Depression can result from a lack of positive experience in the environment. With the pressures of high school and college admissions, this can particularly be the case. Try to notice when your teen is engaging in healthy, positive behaviors such as spending time with friends, or going on a walk to relax and unwind. Spend quality time with them and encourage them to engage in activities that will improve their activity and functioning, such as taking a run, walking the dog, spending time with friends, engaging in a hobby. Encourage these opportunities without criticism or judgment. It’s understandable that your teen may be doing less of these activities, as that is a sign of depression. Gently let them know you understand, validating their feelings, while encouraging them to continue engaging in life’s activities.

4. Learn about depression

Try to learn more about the signs and symptoms of depression. Speak with other parents and connect with resources available to you. This can help with understanding how best to support your teen, particularly if you have not experienced depression yourself. Some helpful resources include:

Child Mind Institute - Childhood and Teen Depression

Parent’s Guide to Teen Depression

Mayo Clinic - Teen Depression

5. Get Your Teen Treatment

Therapy can be a great source of support and treatment for depression. In therapy, your teen will have a safe place where they can work through their feelings and learn skills that have been found helpful and effective in managing depression. Many studies in particular, have found cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) for the treatment of depression.

Your teen may or may not be interested in therapy. This is normal. Try to involve them in your search for a therapist. Have them look through websites and meet with different therapists to get a sense of fit and connection. While the therapist will meet with teens for one on one sessions, its also important you feel comfortable with the therapist and will be able have time meeting one on one with the therapist as a parent for guidance on how best to support your child.

Overall, it can be overwhelming when your teen begins to experience symptoms of depression, but know that much can be done to help support them.

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

Victoria Chialy Smith, PhD is a licensed clinical psychologist serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. She provides 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!

4 Tips for Coping with Depression

Everything feels harder when living with depression. You drag yourself out of bed and force yourself to get through the day. Friends invite you to go out, but you find yourself preferring to stay in. You try to participate in your usual activities, but they no longer spark joy. Around you, everyone seems to know where their life is heading, and what it all means. You feel empty, as if life is meaningless.

Depression can be tough to live with, but the good news is that there are ways to manage symptoms and improve your life.

Get active

Emotions and behaviors are related. For example, when you’re feeling depressed (i.e., emotion), you may prefer to isolate from friends and family (i.e., behavior). In this way, emotions can lead to behaviors. However, the opposite is also true. This means that engaging in behaviors and positive activities such as spending time with friends, can lead to improvements in mood. Try it out — create a list of positive activities to do when you’re feeling depressed, and get active.

Improve Sleep

Research demonstrates strong associations between sleep and mood. For instance, depression is linked to insomnia and sleep disruption, and individuals with insomnia are at higher risk for depression. Improvements in sleep hygiene can thus help, including having a regular sleep routine, turning off electronics an hour before bed, and implementing regular sleep and wake times.

Increase Social Support

Depression can make you want to isolate from others, but the opposite — spending time with friends and family — is what can actually help. Spend time developing stronger connections with others and get help and support.

Challenge Negative Thinking

Negative thinking is a hallmark feature of depression. Oftentimes depression can cause you to believe these thoughts and over identify with them. It is thus important to begin identify negative thoughts, to challenge and replace them with more balanced or positive thoughts. This can be tough to do since depression can color your thoughts and mood. However, treatments such as Cognitive Behavioral Therapy (CBT) or Acceptance and Commitment Therapy (ACT) can help either manage negative thoughts or form new perspectives on them.

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Therapist in mclean, tysons corner, merrifield, falls church, arlington and vienna

Victoria Chialy Smith, PhD is a licensed clinical psychologist serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. She provides 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!

15 Inspirational Mental Health Quotes That Will Help You Feel Less Alone

15 Inspirational Mental Health Quotes That Will Help You Feel Less Alone

It’s hard to live with depression, anxiety, and stress and it can feel lonely at times, as if others cant or dont understand. But the truth is that there are people out there who do, who have been through their own journeys and struggles. Here are some quotes that will help you feel less alone.

“I fight for my health every day in ways most people don’t understand. I’m not lazy. I’m a warrior.”

“Gardens are not made by sitting in the shade.”

— Rudyard Kipling

“Failure is a great teacher and, if you are open to it, every mistake has a lesson to offer.”

— Oprah Winfrey

“If you stumble, make it part of the dance.”

“The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.”

— Elisabeth Kübler-Ross

“Your illness is not your identity. Your chemistry is not your character.”

— Pastor Rick Warren

“Even if we don’t have the power to choose where we come from, we can still choose where we go from there.”

— Charlie from “The Perks of Being a Wallflower”

“’I wish it need not have happened in my time,’ said Frodo.
‘So do I,’ said Gandalf, ‘and so do all who live to see such times. But that is not for them to decide. All we have to decide is what to do with the time that is given us.’”

— J.R.R. Tolkien from “The Fellowship of the Ring“

“You are valuable just because you exist. Not because of what you do or what you have done, but simply because you are.”

— Max Lucado

“In the middle of winter I at last discovered that there was in me an invincible summer.”

— Albert Camus

“It’s up to you today to start making healthy choices. Not choices that are just healthy for your body, but healthy for your mind.”

— Steve Maraboli

“One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you’re living with this illness and functioning at all, it’s something to be proud of, not ashamed of.
They should issue medals along with the steady stream of medication.”

— Carrie Fisher, Wishful Drinking

“There is hope, even when your brain tells you there isn’t.”

— John Green, Turtles All the Way Down

“There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.”

— Matt Haig, Reasons to Stay Alive

“But no matter how much evil I see, I think it’s important for everyone to understand that there is much more light than darkness.”

— Robert Uttaro

“Sometimes the people around you won’t understand your journey. They don’t need to, it’s not for them.”

— Joubert Botha

“I am not afraid of storms for I am learning how to sail my ship.”

— Amy March

Which of the quotes was your favorite? Did any of them resonate with you? Let us know in the comments below; we’d love to hear from you.

therapist serving mclean, tysons corner, merrifield, falls church, arlington and vienna

Victoria Chialy Smith, PhD is a licensed clinical psychologist providing individual therapy to children, teens, and adults with stress, anxiety, and depression. Our practice provides Cognitive Behavioral Therapy (CBT), mindfulness based therapies, and other top, premier evidence-based treatments, and serves the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. Call, email, or schedule an appointment with us online today. We’re happy to help develop the best treatment for you!

3 Tips for Parenting a Child with Chronic Pain

It can be challenging to parent a child with chronic pain. Not only is it difficult to see your child in pain, but parents often feel helpless, stuck, and unsure of what to do to help ease the pain and mitigate its impacts on their child’s life and daily functioning. For instance, children with chronic pain often begin to miss school, become socially isolated, and feel increasingly depressed and anxious over time. So how can parents help support their children get back to life and functioning even in the face of pain?

1. Interdisciplinary Assessment and Treatment of Pediatric Chronic Pain

   One of the things that makes parenting a child with chronic pain so challenging is that what seems most intuitive and most natural when treating acute, short-term pain, such as rest, time off from school, can often worsen chronic pain. So it’s important to get a proper comprehensive evaluation done prior to treatment. You can find an interdisciplinary clinic which specializes in pediatric pain. These clinics specialize in appropriately assessing and diagnosing pain and will help you determine appropriate treatment. Specialists there can help your child learn to manage and maintain normal age-appropriate functioning despite the chronic pain.

   Because chronic pain is so complex, treatment must also be multifaceted and interdisciplinary to appropriately tailor treatment and target critical domains involved. Interdisciplinary programs often involve evaluation by a physician, psychologist, physical or occupational therapists. There are a few of these programs across the country, including here in Washington DC, at the Pain Medicine Care Complex at Children’s National Health Systems. Below is a list of a few programs with interdisciplinary pediatric pain programs:

   • Cincinnati Children’s Pain Management Clinic

   • Nemours/Alfred I. duPont Hospital for Children Pediatric Pain Management

   • Kennedy Krieger Institute Chronic Pain Rehabilitation Program

   • Children’s Hospital of Pennsylvania (CHOP) Pain Management Program

   • Boston Children’s Pain Treatment Center

   • Stanford Children’s Health Pediatric Pain Management

   • Seattle Children’s Pain Medicine Clinic

   • Cleveland Clinic Pain Rehabilitation Program

2. Work with your child’s physician, psychologist, and physical therapist to understand what activities can be tolerated by your child.

   Parents play an incredibly important role in treatment and in their child’s outcomes. The treatment of chronic pain is highly complex, so it is important to work hand in hand with your child’s specialist providers.

   It might seem counterintuitive, but oftentimes, parents are recommended by specialists to encourage normal, age appropriate activity by their children. It’s important that children maintain functioning despite the pain. It makes sense when you consider that children who begin to lose functioning such as frequent school absences, fall behind, become stressed, increasingly depressed, anxious, and socially isolated, which are factors that can all contribute to worsening pain. Therefore, parents are often asked to provide positive reinforcement and praise for engaging in normal daily activities. Avoid questioning about the presence of pain. Consider whether the pain may have secondary functions such as avoidance or escape from undesirable activities. Work closely with your child’s treatment team to understand how you can best support your child emotionally and behaviorally. Because pain is so complex, all lifestyle factors must be considered and targeted.

3. Help your child get good sleep

   Sleep is often significantly affected in children with chronic pain. Pain and discomfort can make it very difficult to fall asleep and stay asleep. This can result in increased and worsening pain during the day. Therefore, it is important for parents to help promote healthy sleep behaviors and a regular sleep-wake schedule in their children. Healthy sleep hygiene includes:

   • Limiting use of the bed for sleep (and not homework, watching TV or other activities)

   • A consistent bedtime routine

   • Limiting use of electronics

   • Consistent bedtime and waketimes

   • Limiting intake of caffeine, tea, coffee

   It can help to work with a psychologist who specializes in working with children with chronic pain. Sleep is an important area to address as it impacts pain, mood, as well as energy and ability to function and attend school, all of which in turn are also related to pain.

In sum, chronic pain in children can be difficult and stressful to navigate, but with time, appropriate specialized care, and parental support, children with chronic pain can manage it and reclaim their lives again for greater health and happiness.

Please read blog disclaimer below; this blog does not replace medical advice.

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pediatric psychologist in mclean, falls church, arlington and vienna

Victoria Chialy Smith, PhD is a licensed clinical psychologist providing individual therapy to children, teens, and adults with chronic pain, anxiety, and depression. Our practice provides Cognitive Behavioral Therapy (CBT), mindfulness based therapies, and other premier evidence-based treatments, and serves the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. Call, email, or schedule an appointment with us online today. We’re happy to help!