How Grounding Techniques Can Help With Anxiety

If you’ve dealt with anxiety before, you know that it can be hard to get out of the cycle of panic on your own. When you’re in the midst of an anxious spiral, it can be almost impossible to snap yourself out of it, especially if you haven’t practiced. Anxiety is a complicated condition, but luckily there are ways to prepare yourself for your next bout of anxiety. One of the most popular ways to help manage panic or distressing thoughts is by grounding yourself. 

What is grounding?

Grounding is a practice that allows you to connect back to your body and the earth. Grounding is a great option when you want to feel more stable and relaxed. Taking the time to focus on your connection to your body and the earth can help you approach things from a place of stability, rather than panic. 

Grounding is kind of like taking a deep breath and resetting when your emotions are heightened. It allows you to take a break from the mass of thoughts and worries in your head and instead focus on being present in your body. Using a grounding technique can help break the cycle of anxious thoughts and return you to the present moment.

The techniques used in grounding aren’t limited to just anxiety relief. They can be helpful for folks dealing with PTSD, frequent bouts of dissociation, feeling the urge to self-harm, and for folks struggling with substance use. Since the point of grounding is to bring you back to the present, instead of getting lost in your thoughts and feelings, it can be a valuable way to calm yourself down quickly in any situation. 

What are some ways to practice grounding yourself? 

There are a lot of ways to ground yourself, and you don’t have to try them all. You might go through the list and try a few out and find one that works really well for you, or you might use a different technique every time. Here are some of our favorite grounding techniques to try when you feel anxious:

The 5-4-3-2-1 Method.

This method uses the senses to ground yourself. Find five things you can see, then four things you can feel, then three things you can hear, then two things you can smell, and finally, one thing you can taste. Make sure to say each thing out loud to yourself. 

Carry a grounding object.

You might find it helpful to bring a grounding object with you when you’re out and about. The object can be whatever you want it to be (rocks, soft fabrics, photographs, marbles, trinkets, crystals, etc.), just make sure it’s easy to grab when you feel your anxiety kicking up. Focus entirely on your object, using your hands to touch it and taking note of anything you feel with your body.

Make a hot beverage.

Focusing fully on the process, make a warm beverage for yourself, like coffee, tea, or hot chocolate. Carefully follow each step of the process. Take note of what your body feels during the process - use your senses as a guide. 

Use water.

Try putting your hands in water. Switch up the temperature and notice how that feels on your skin. How does the water feel on your fingers? On your palms? Does it feel the same everywhere, or does it feel different depending on the part of your hand that’s submerged?

Return to your breath.

There’s a reason why people say “take a deep breath!” when you’re worked up over something - it is a quick way to help you calm your body + brain down. Close your eyes and follow the count of your breath. Try inhaling for longer than you exhale, and vice versa. Notice what it feels like to change up the rhythm of your breath. 

Picture a stream.

Imagine that your brain is a river and your thoughts are leaves on the top of the water, floating past. For every new thought you have, picture placing it on a leaf and watching it float right on past. This is a great reminder that thoughts naturally come and go, and we don’t have to fixate on them. 

Wiggle your feet.

Sometimes you might not want to draw tons of attention to yourself when you’re trying to ground yourself. A fairly private way to ground yourself in a public place is to focus on your feet in your shoes. Wiggle your toes in your shoes, tense up your foot and then allow it to relax, stretch a little. How do your feet feel in your shoes? 

Get moving.

A great way to distract yourself is to use some of that anxious energy by moving your body. Movement doesn’t have to mean punishing your body for the way it looks, it’s just another tool in your mental toolkit to help yourself feel better. Explore ways of movement that feel good to you. If you have a hard time coming up with something, think back to the ways you liked to move as a child. Did you dance a lot? Jump rope? Hula hoop? Play a sport? See if there’s a way you can reincorporate that activity into your adult life. 

The Grounding Chair technique.

Sit straight up in your seat, with your feet on the ground and your hands on your knees. Start with some deep breaths, then take note of how your body feels in the chair. What does it feel like where your body is touching your seat? What material is the chair made of? Imagine the energy in your body moving through your body back into the earth. As you imagine the energy moving, relax your muscles and take note of how that feels. 

Observe your surroundings.

Whether you’re inside or outside, actively take a look at your surroundings. Are you warm or cold? Are you in nature? What can you see or hear? Describe your surroundings with tons of detail to yourself. 

Having a plan for when anxiety kicks up can go a long way toward making you feel better. Try out a few of these grounding techniques and see which ones work best for you. Then you have something to turn to when you’re feeling anxious and lost and are having a hard time calming yourself down. Make sure to practice these techniques when you’re feeling safe and your anxiety is low, so you can focus on mastering the techniques instead of calming your anxiety until you get the hang of it. If you need help creating a plan for your next bout of anxiety, our clinicians can help you find one that works for you. 

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Hope+Wellness is a therapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide compassionate care 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!

Is Perfectionism Holding You Back?

What is perfectionism?

“Perfectionism is a trait that makes life an endless report card on accomplishments or looks.” That is how Psychology Today makes short work of defining perfectionism. While simple, this succinct definition of perfection hits the nail on the head. 

While achieving perfection sounds positive, the trait of perfectionism is actually more toxic than beneficial to our overall health and wellness–because, as most of us know, perfection isn’t actually possible to achieve. Instead, perfectionism is a trait that acts as a harsh, critical voice inside our heads, making us too afraid of failure or criticism to try new things, expand our world, or let ourselves be vulnerable in any way. 

In essence, if you are a perfectionist, the thought of doing something incorrectly can hinder you from trying it at all. There is a constant fear of judgement, criticism, or ridicule in the back of your mind. You also likely attribute your value, your worthiness, your purpose, etc. to things that you can achieve. Due to this, the idea that you might not be successful at something new isn’t just a learning experience for you; it’s an experience that makes you question your value entirely. 

Signs you might be a perfectionist: 

• You would rather not do something at all, than do it incorrectly

• You’re specific about your process: things have to be done in a certain way or else they are wrong

• You’re overly critical of yourself

• You pay more attention to criticism than praise

• Your standards (in work, regarding personal goals, etc.) are extremely high

• You’re prone to procrastination

• You invest too much time in something, often “correcting” mistakes that others don’t see

•  Success is never enough: no matter what you accomplish, you feel you can still achieve more.

Where does it come from?

As we touched on above, perfectionism is rooted in fear, which can essentially be boiled down to one general fear: that you won’t be enough. 

Whether that comes in the form of not being smart enough to do something well, or not being creative enough to tackle a new project, or not being skilled enough to be an expert at everything, there’s is an underlying fear at the root of all perfectionism. 

In the mind of a perfectionist, criticism isn’t just a tool that can be used to learn, grow, and get better. It’s a judgement on their worthiness, their quality, all of the core parts of their identity. 

How does it impact our lives?

Obviously, this trait can have a huge impact on our lives. 

Whether your perfectionism comes in the form of obsessively hiding your imperfections from others, or in trying to achieve perfection in all things, it can take a huge toll on the self. 

If you are constantly worrying about perceived imperfections, you will be more concerned with how you’re appearing to others than actually taking care of yourself. Rather than making decisions based on what it is you need and want, you’ll make decisions based on how those choices will appear to an outside observer. 

And if you are constantly trying to achieve (or at least project) perfection in all things, failure–or not being able to achieve absolute perfection–will feel devastating. In fact, it will feel so horrible that you likely will stop trying new things, stop allowing yourself to be vulnerable, and stick only with what you know you can do. 

In either of these cases, it’s clear that perfectionism is a one way track to stopping our growth and self betterment. 

How can we resist the pressure of perfectionism?

Learning to resist the compulsion for perfectionism is hard, and can feel very scary. But it is also an amazing step on your journey toward self care! While healing from perfectionism can be a long and arduous journey, there are a few things you can do for yourself to get you started:

1). Give yourself concrete reasons for change

This may seem silly at first, but make a pro + con list when you see your perfectionism rearing its head. How are you benefitting from the need for perfection? How is it holding you back? Maybe there’s a big project you need to be working on, but you know that you aren’t ready to do it perfectly, so you’re putting it off. The “pro” here is that you’re giving yourself a sense of reassurance that there will be a later time when you’re more prepared to handle this task, and you are saving yourself from immediate criticism. But how else is it impacting your life? In the “con” side you might out things like: putting this project off is making it harder to manage my time, I’m constantly stressed because I know I will have to deal with it later, I’m giving myself a shorter amount of time to produce something of quality, etc. 

Be kind to yourself when doing this exercise. Remind yourself that your perfectionism serves a purpose–it likely exists to offer you some sort of protection. However, at this point in your life, the protection it offers is outweighed by the burden it puts on you. Giving yourself a physical list to show this can be a powerful reminder & motivator when trying to overcome your perfectionism. 

2). Celebrate what you’ve done well

A big problem in perfectionism is that when a perfectionist is not 100% successful at something, they don’t just see it as an instance in which they failed. Rather, they see it as the turning point when they became a failure. Reminding yourself of things you have accomplished, jobs done well, even small victories, can help you to remember that even if you don’t succeed at one thing, you aren’t a failure. 

3). Only compare yourself to you 

If you’re trying something new, and you compare yourself to an expert, you’re obviously going to feel like you’re coming up short. Instead, use yourself as the yardstick to measure accomplishment. If you want to learn to play the piano, don’t compare your first day at a piano to Elton John now. Instead, think about how yesterday, you didn’t have the courage to even sit down at a piano, and now you’re actively learning! In a month, or a year, you’ll be able to look back and see what progress you’ve made. 

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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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What parents of anxious children should know about anxiety

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! 

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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!

Live with Happiness by Identifying Your Values

Sometimes in life, we feel lost and confused, unsure of which direction to go in our lives. Should we go to this school or that school? Should we stay with this person or leave? Well-meaning friends and family may give us advice and feedback, but we end up feeling even more lost among all their opinions and perspectives. Many people also find it difficult to make their own decisions, as they want so much for others to be happy, that they’ve learned to set aside their own desires for that of others.

Complicating things are feelings of anxiety or stress. For instance, your anxiety may make it difficult to go out with friends or to do the things you would like to do in your life such as travel or meet new people, out of fear and avoidance.

What Are Values?

According to Acceptance and Commitment Therapy (ACT), an evidence-based treatment for anxiety and depression, one of the keys to a meaningful and fulfilling life is to examine your personal values. Values are attitudes that guide your emotions and behavior. They represent what is important to you. By clarifying them, you identify what is important to you. This can help guide your life decisions and actions so that they are consistent with what you truly find important in life, even when stress and anxiety get in the way.

How to Clarify and Claim Your Values

Being aware of your values and setting specific intentions related to them can help you build a rich and meaningful life. Start with a list of common values, such as love, friendship, meaning, loyalty, wealth, acceptance, adventure, adversity. Then give yourself 5-10 minutes to read through the list and select your top values. It can be helpful to select the values that resonate with you immediately and to not overthink it. It is also important to know that you can have values in different areas of your life — including friendship, family, romantic relationships, work, education, spirituality, and personal development. Therefore, you can clarify different sets of values in each of these domains. When selecting your values, ask yourself questions such as what type of friend or family member you would like to be. What is important to you in a romantic relationship and what type of values would you like to live out?

Why Clarifying Values is Important

Values can provide a north star for you as you go about your daily life and make decisions. By clarifying and being intentional about making decisions and acting in ways consistent with your values, you are creating a meaningful and fulfilling life. When things are in alignment, you are content and feel peace with your decisions even in the face of stress or other people’s opinions. You also feel fulfilled even when experiencing anxiety, because you know that an action such as attending a party and meeting new people is something important to you even if it may provoke anxiety.

Life is Short

When it comes down to it, life is short. We each have a limited time here on this earth. It’s important to have an awareness of what you want out of life and to live intentionally with meaning, purpose, and clarity each day. Values help illuminate a path forward for you toward achieving your best life.

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

Victoria Chialy Smith, PhD is a licensed therapist 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!

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!

16 Calming Quotes to Relieve Stress and Anxiety

We all experience stress and anxiety in our lives, but when it begins to interfere with the quality of our lives, it’s time to let go. We worry about our relationships. We get anxious about work and what colleagues think of us. We worry about all that we say or do — things we’ve done in the past, things we might do in the future. Soon, many of us get caught into this trap of worry that we forget to live our lives as it was intended. We lose our flow.

So let go of all the ways you thought life would unfold. Let go of the struggle and fear. Let go and find a place of peace and transformation. Below are 16 stress-relieving quotes and perspectives to help.

“In the end, just three things matter: How well we have lived. How well we have loved. How well we have learned to let go.”

— Jack Kornfield

“The moment one gives close attention to anything, even a blade of grass, it becomes a mysterious, awesome, indescribably magnificent world in itself.”

— Henry Miller

“When I let go of what I am, I become what I might be.”

— Lao Tzu

“The man who moves a mountain begins by carrying away small stones.”

— Confucius

“Just when the caterpillar thought the world was ending, he turned into a butterfly.”

— Proverb

“Peace is the result of retraining your mind to process life as it is, rather than as you think it should be.”

— Wayne W. Dyer

“The greatest weapon against stress is our ability to choose one thought over another.”

— William James

“Its not stress that kills us, it is our reaction to it.”

— Hans Selye

“You wouldn’t worry so much about what others think of you if you realized how seldom they do.”

— Eleanor Roosevelt

“We must be willing to let go of the life we’ve planned, so as to have the life that is waiting for us.”

— Joseph Campbell

“There are times when we stop, we sit still. We listen and breezes from a whole other world begin to whisper.”

— James Carroll

“Within you, there is a stillness and a sanctuary to which you can retreat at any time and be yourself.”

— Hermann Hesse

“Breathe. Let go. And remind yourself that this very moment is the only one you know you have for sure.”

— Oprah Winfrey

“The more tranquil a man becomes, the greater is his success, his influence, his power for good. Calmness of mind is one of the beautiful jewels of wisdom.”

— James Allen

“To experience peace doesn’t mean that your life is always blissful. It means that you are capable of tapping into a blissful state of mind amidst the normal chaos of a hectic life.”

— Jill Bolte Taylor

“The power for creating a better future is contained in the present moment: You create a good future by creating a good present. ”

— Eckhart Tolle

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clinical psychologist 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!

24 Resources for Children and Teens with Anxiety and Their Families

We all experience anxiety, but sometimes it can become overwhelming and begin to interfere with your child’s daily functioning and quality of life. For example. some anxiety is healthy and natural when we are taking tests as it can help enhance performance. However, when anxiety becomes overwhelming, it can disrupt performance for children. Sometimes when anxious, children may begin to avoid certain triggering situations and events, such as peers, teachers, or school itself. The avoidance then serves to maintain the anxiety and to worsen it over time. As a parent, how can you help your child break free of anxiety, out of their mind and into their life?

It can be difficult to find resources to help. Here, we list websites, books, organizations, apps, and videos for valuable information and support.

organizations providing information and resources on child anxiety

These organizations provide invaluable information on anxiety and how to cope with it. They also provide listings of resources you may find helpful.

Anxiety and Depression Association of America - Anxiety and Depression in Children

https://adaa.org/living-with-anxiety/children/anxiety-and-depression

National Institute of Mental Health

https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml

Child Mind Institute

https://childmind.org/topics/concerns/anxiety/

American Academy of Child & Adolescent Psychiatry

https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/The-Anxious-Child-047.aspx

websites providing helpful information, handouts, and resources on child anxiety

These websites provide helpful information, handouts, and resources on anxiety and learning to cope with it.

Youth Anxiety BC

https://youth.anxietybc.com/

Anxiety.org

https://www.anxiety.org/causes-and-symptoms-of-anxiety-in-children

Worry Wise Kids

http://www.worrywisekids.org/

Brave Online - Helping Young Kids Overcome Anxiety

http://www.brave-online.com/

Coping Cat Parents

https://www.copingcatparents.com/Child_Anxiety_Tales

Anxiety Canada

https://www.anxietycanada.com/

blogs and online communities on child anxiety

Websites and forums featuring individuals writing about their journeys toward overcoming anxiety.

Parenting Anxious Kids

https://blogs.psychcentral.com/anxious-kids/

Anxiety Free Child Blog

http://anxietyfreechild.com/blog/

Turn Around Anxiety Blog

https://www.turnaroundanxiety.com/blog/

mindfulness exercises for child anxiety

Mindfulness Exercises for Children and Teens

https://positivepsychologyprogram.com/mindfulness-for-children-kids-activities/

Cosmic Kids Mindfulness Meditation Videos

https://www.cosmickids.com/mindfulness-meditation-videos-kids/

Mindfulness for Kids YouTube Video Resources

https://www.theottoolbox.com/2018/01/mindfulness-for-kids-youtube-videos.html

anxiety apps

Headspace for kids

https://www.headspace.com/how-it-works

Breathe2Relax

https://itunes.apple.com/us/app/breathe2relax/id425720246?mt=8

Calm

https://www.calm.com/

books for anxiety

These books are often recommended to patients by child psychologists who treat anxiety in children, and are written by clinical experts in the field.

What to Do When You Worry Too Much: A Kid's Guide to Overcoming Anxiety (What-to-do Guides for Kids)

Freeing Your Child from Anxiety

Helping Your Anxious Child

Wilma Jean the Worry Machine

The Anxiety Workbook for Teens

What resources have you found useful in helping your child manage anxiety? If you have any other resources that might be helpful for others, let us know in the comments below!

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Child Anxiety Treatment 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 stress, 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!

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!

28 Anxiety Resources for Adults

We all experience anxiety, but sometimes it can become overwhelming and begin to interfere with your daily functioning and quality of life. It can be difficult to find resources to help. Here, we list websites, books, organizations, apps, and videos for valuable information and support.

Organizations

These organizations provide invaluable information on anxiety and how to cope with them. They also provide listings of resources you may find helpful.

Anxiety and Depression Association of America

https://adaa.org/

American Psychological Association

http://www.apa.org/topics/anxiety/index.aspx

National Institute of Mental Health

https://www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml

National Alliance on Mental Illness

https://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders

Websites

These websites provide helpful information, handouts, and resources on anxiety and learning to cope with it.

Anxiety BC

https://www.anxietybc.com/

Anxiety.org

https://www.anxiety.org/

Anxiety Boss

https://anxietyboss.com/

PsychCentral

https://psychcentral.com/disorders/anxiety/

Blogs and Community

Websites and forums featuring individuals writing about their journeys toward overcoming anxiety.

The Mighty - Anxiety

https://themighty.com/topic/anxiety/

Thought Catalog - Anxiety

https://thoughtcatalog.com/tag/anxiety/

Healthy Place: Anxiety Schmanxiety

https://www.healthyplace.com/blogs/anxiety-schmanxiety

National Institute of Mental Health (NIMH) Director’s Messages.

Offers the latest news on mental health research and a nice overview

https://www.nimh.nih.gov/about/director/messages/index.shtml

Psych Central: Fearless: Breaking Anxiety Down

https://blogs.psychcentral.com/fearless/

Reddit/Anxiety

https://www.reddit.com/r/Anxiety/

Mindfulness Exercises for Anxiety (Online)

Mindfulness Exercises

https://mindfulwaythroughanxiety.com/exercises/

22 Mindfulness Exercises for Adults

https://positivepsychologyprogram.com/mindfulness-exercises-techniques-activities/

Anxiety Apps

Headspace

https://www.headspace.com/how-it-works

Breathe2Relax

https://itunes.apple.com/us/app/breathe2relax/id425720246?mt=8

Calm

https://www.calm.com/

Books for Anxiety

These books are often recommended to patients by psychologists who treat anxiety, and are written by clinical experts in the field.

The Anxiety and Phobia Workbook

Get Out of Your Mind and Into Your Life by Steven Hayes and Spencer Smith

ACT Made Simple: An Easy to Read Primer on Acceptance and Commitment Therapy

The Happiness Trap: How to Stop Worrying and Start Living by Russ Harris and Steven Hayes

The Mindfulness and Acceptance Workbook for Anxiety by John Forsyth and Georg Eifert

Mastery of Your Anxiety by Michelle Craske and David Barlow

Mastery of Your Anxiety and Panic by David Barlow

Videos

15 Best TED Talks for Anxiety, Stress, and Fear

Clinical Trials

Opportunities to participate in clinical trials and NIH funded studies to better understand anxiety and develop effective treatments.

National Institute of Mental Health - Clinical Trials

https://www.nimh.nih.gov/health/trials/anxiety-disorders.shtml

What resources have you found helpful in managing your anxiety? If you have any other resources that might be helpful for others, let us know in the comments below!

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Anxiety treatment in mclean, falls church, arlington, and vienna

Victoria Chialy Smith, PhD is a licensed clinical psychologist providing individual therapy to children, teens, and adults. 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!