Chrysalis Psychiatry https://chrysalispsych.com Temecula Psychiatrist, Sandra Cox M.D. Thu, 08 Jul 2021 02:11:50 +0000 en-US hourly 1 https://wordpress.org/?v=6.0 https://chrysalispsych.com/wp-content/uploads/2022/03/cropped-0001-32x32.jpg Chrysalis Psychiatry https://chrysalispsych.com 32 32 STRESS – How To Tell When Your Stress Level Has Become Destructive and How To Cope https://chrysalispsych.com/stress-how-to-tell-when-your-stress-level-has-become-destructive-and-how-to-cope/ Mon, 11 May 2020 03:12:52 +0000 https://chrysalispsych.com/?p=1255

STRESS – How To Tell When Your Stress Level Has Become Destructive and How To Cope

Today we will be talking about STRESS, a subject that is prevalent in our world and particularly so during this time in our history;

HEALTHY STRESS –Stress is common in our everyday lives, and is actually an important part of our journey of learning from mistakes and growing, as human beings, it’s important to recognize when that stress is becoming unhealthy. Stress can become unhealthy and destructive when we are exposed to trauma, whether directly, or secondarily, such as witnessing traumas that others are suffering.

STRONG EMOTIONS – Grief, Sadness, Anger

DISCUSS WAYS TO RELIEVE STRESS – how to trick your body and brain into a sense of well-being.

 

Stress is always best alleviated by a way to solve the problem or worry that has initiated the stress, however, we are now left with uncertainty as to how to do that.

SOCIAL ISOLATION IS STRESS-INDUCING

Social isolation, requires of us during this pandemic, compounds the anxiety as we humans, just as most other species of animals, typically turn to each other when we feel afraid. In fact, being isolated goes squarely against animal instinct in the time of stress and fear. Gathering into groups is an instinctual, protective mechanism that all animals share. When presented with a potential threat, any species of animal will group together because, as the old adage says, “There is safety in numbers.”

Additionally, we need to be able to process what we are observing and feeling and doing so, while receiving or giving kind, physical touch can release valuable endorphins and oxytocin which are hormones that induce a sense of well-being, soothing a jangled nervous system.

Yet, we’ve been asked to shelter in place, something required to reduce the rate at which people are infected, thereby avoiding overwhelming first responders and hospitals. So, it is a mechanism that is both life-saving and counter-instinctual.

Stress shows up in both psychological and physical symptoms.

 

FOUR PSYCHOLOGICAL SYMPTOMS of STRESS and WAYS TO OVERCOME THEM

Loss of enjoyment

Step away from the stressful stimuli in your environment and make time for yourself. Remember the things you love to do and allow yourself be playful. Watch a comedy or play a game with people around you. Start engaging in what you used to enjoy, even if you don’t necessarily feel like it and you will find that those things still bring you pleasure

Loss of motivation

Remember that the more you procrastinate the things that are necessary to do, the more anxiety you will feel as they pile up. Set aside segments of time throughout each day to tend to the things that you dread doing. Don’t feel you have to get them all done at once.

Difficulty concentrating or remembering things

Set alarms on your phone or write notes to yourself as you go along.

ii. Be mindful of where your thoughts go so that you aren’t going off into the

weeds of worry and regret. Stay in present moment.

Sadness, anger or irritability

Stop to examine the things about which you feel sad, angry or irritable. Ask yourself “Can I change it?” If you can’t change it, practice letting it go. While grief in times like these is normal, try not to overwhelm yourself with the images and reports of sad things happening in the world. This is just a part of self-care.

SIX PHYSICAL SYMPTOMS of STRESS

1) Changes in sleep patterns

i. Be sure to keep a regular sleep schedule

ii. Avoid caffeine after 2pm

iii. Avoid drinking alcohol

iv. Set aside about an hour to prepare to bedtime

Turn off television, computer and get off your phone

Take a warm shower or bath

Have a cup of Chamomille tea

Do something relaxing such as reading or listening to soothing music

Melatonin is a good, natural sleep aid

Magnesium Oxide is also good for sleep, restless legs and digestive health

 

2) Muscle tension leading to back, neck and head pain

Take several 5 minute breaks each day, practice relaxing all of your muscles in your body, beginning in your feet and working your way up your legs, into your torso, back, shoulders and neck. Breathe deep and slow, imagining all of the tension flowing out your fingers and toes with each breath you exhale.

Notice when you are hunching your shoulders or tensing your back muscles and be cautious to practice good posture.

Find time each day to get some exercise, even if it’s just to do jumping jacks or running in place or walking around the block. Moving your body goes a long way toward relieving tension.

3) Fatigue

Regular sleep patterns

ii. take 5 minutes, three times/day to sit in a quiet space, relax your muscles

and clear your mind while breathing slowly and deeply.

4) Changes in appetite

Make a point of eating regular meals of healthy foods in healthy portions

Avoid comfort foods

Set reminders to eat, if you tend toward under eating

5) Gastrointestinal discomfort

Practice mindful eating. Slow your breath and take time to taste your food.

Drink plenty of water throughout the day

Minimize carbohydrate and salt intake

Eat 3 meals/day and be careful to limit the portions, then have 2 snacks of protein or fruit between breakfast and lunch and then between lunch and dinner.


6) Dry Mouth

i. Keep a bit of hard candy to suck on to keep the saliva going in your mouth
Drink plenty of water (Did I say that already?)

 

7) Rapid heartbeat or palpitations

Not to be repetitive, but again, slow your breathing and relax your muscles, this will tell your body there is no need to pump blood to your muscles to flee or fight.

Shortness of breath

Did I mention slow, deep breathing?

OTHER COPING STRATEGIES

STAY CONNECTED with people whom you trust and love, in whatever way you can while staying safe and social distancing.

EXERCISE each day, preferably getting your heart rate into an aerobic range for 20 minutes or so. This helps to discharge the anxiety through physical means and metabolizes adrenaline that has been produced during times of stress.

CREATE each day.

ENGAGE with a therapist or psychiatrist. Counseling, such as CBT can be helpful to show you where you may be overthinking or catastrophizing. Medications may be helpful, but AVOID BENZODIAZEPINES, such as Valium, Xanax, Klonopin and Ativan!

AVOID EXPOSURE to stressful subjects

AVOID ALCOHOL AND OTHER SUBSTANCES! These will deplete the stores of good neurotransmitters and increase anxiety and depression.

And lastly, if you feel you cannot implement these mechanisms on your own, reach out to a therapist. Most therapist and psychiatrists are practicing by videoconferencing, these days. This makes it easy to connect from the safety and comfort of your own home.

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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Becoming an Intention Thinker Part II Training the Puppy https://chrysalispsych.com/becoming-an-intention-thinker-part-ii-training-the-puppy/ Wed, 22 Apr 2020 03:14:08 +0000 https://chrysalispsych.com/?p=1260

Becoming an Intention Thinker Part II Training the Puppy

Hello, everyone and welcome to Part II on becoming AN INTENTIONAL THINKER in a time of stress.

When I speak of becoming an intentional thinker, I’m really speaking of mindfulness, but I’m hesitant to use that word, which has nearly become a catch phrase with little meaning.

The word “mindfulness” evokes images of Buddhist monks sitting in lotus position, meditating for hours or limber people in impossible Yoga poses. And for those who have read about mindfulness or attempted to practice meditation, it may bring back memories of when you “tried” to meditate, only to become frustrated with being unable to empty your mind.

So, we aren’t going to be talking about any of that, today, but something occurred to me this morning that might help you to understand this concept of “mindfulness” or “intentional thinking” better.

Each morning, I walk my dogs, which gives me much-needed time outdoors, getting exercise and typically listening to something I find inspirational. The trouble is, my walk is interrupted repetitively by my dogs’ need to sniff and pee on bushes …seemingly endlessly. You see, I’ve never taken my dogs to obedience school or really tried to train them. I notice other people walking their well-behaved dogs that just stroll along beside them without pulling on the leash or needing to mark everything they come across, but not mine.

For those of you who have ever been dog owners and taken them to obedience school, you may remember that the trainers are really training you to train your dog. Also, they train you not to be punitive with your dog, but to reward him with whatever reward is pleasing to him/her, which might be a treat or a pat on the head or just a “good dog”. And, pretty soon, your doggie is walking beside you without stopping and insisting on leading you away from your path.

It occurred to me this morning, that this is a lot like training our minds to be intentional in thought and mindful.

We begin by settling into a nice, comfortable position, closing our eyes and taking a few deep breaths while relaxing our muscles and with the intention of clearing our minds of all thoughts.

Then, the brain notices something it needs to have its own conversation about and in this time of the COVID 19 pandemic, it’s usually something like… “I think we’re out of toilet paper. Followed by “Oh no, the stores were out of toilet paper? What will we use?” or I need to cancel that dentist appointment!”

That is the equivalent of your brain stopping to sniff and pee on every bush it notices, interrupting your nice walk down meditation lane. And where do you end up? Annoyed and frustrated because you can’t get your puppy brain to stay on the path to pure bliss.

So, how do we train our brains to maybe notice the bush, but walk past it? Perhaps a lot like we train our puppies? Rather than scolding ourselves for “not getting it right” or thinking “oh, no, I can’t stop thinking, I HAVE to clear my mind!”

Why not notice the thought and replace it with a thought or image or idea that is pleasing to us and brings a good feeling? Then, settle into that feeling state which may be happiness, comfort, freedom, a sense of total health and wellbeing or love and ALLOW it to wash over you. Stay in that state…until the next thought comes along to interrupt it and then…JUST NOTICE IT…let it go and divert back to the thought, idea or image that brings a feeling state of happiness, comfort, freedom or whatever that good feeling was. Keep practicing that, but without a sense of urgency or judgment of whether you are doing it right or wrong.

As you practice getting into that good feeling each time you sit to meditate, you will begin to bring that same practice into your everyday activities. Feeling good leads to noticing the good things around you. On an unconscious level, it opens you up to noticing opportunities or when you are in sync with others or your environment. That will then lead to you being able to take those opportunities and allow them to make positive differences in your life, whether it be a new job, a new partner, something that you’ve wanted, or just a new idea.

So, until next time, have fun training your puppy brain with rewards and watch your life become more rewarding

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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Surviving Social Isolation in the Time of COVID 19 Part 4 https://chrysalispsych.com/surviving-social-isolation-in-the-time-of-covid-19-part-4/ Fri, 10 Apr 2020 03:19:31 +0000 https://chrysalispsych.com/?p=1281

Surviving Social Isolation in the Time of COVID 19 Part 4

To start, I hope you are doing well through this challenging time in history and I hope the tips I share with you today help you cope with the current circumstances due to COVID-19. In todays post I wanted to address the issue of worry. We all feel worry through our lives at different levels but these present times are sky rocketing worry levels around the world.

Before we talk about how to reduce the effects of worry it’s important that we address the beneficial side of worry which provides a warning signal to us that we need to improve a certain area of our life. Always remember that worry is only a warning signal that is there to get your attention but not to rule your life. Below are 6 steps to help you better deal with on going worry.

Step 1: Keep a daily diary of you thoughts
Through out the day as you notice things you are thinking about write them down. Do this for several days and go back and observe your thought patterns. Were they thoughts of fear, worry, or anger?

Step 2: What do you feel?
After you have reviewed your past thoughts from previous days, be honest and answer…how do I feel when I think these thoughts?

Step 3: Make separate thought columns
The first column is for what your current thought is right now. The second column is for ideas on how you can change your perspective to transform that previous thought into a positive one.

Step 4: Be mindful of the input into your brain
It’s very important that you monitor how much media you are consuming from mainstream news and social media sources. This alone can put you into a state of fear and panic. Try and replace the time you spend watching media with creative outlets that releases a positive state of achievement.

Step 5: Focus on the good parts of your life
Each morning write down 5 to 10 things you can be grateful for. These don’t have to be big things, just the basic essential parts of life like food, water and shelter that keep you living. This will help shift your focus away from fear of loss.

Step 6: Use the power of your imagination
Everyday for at least 16 seconds try to vividly imagine your ideal life and what that looks like. A few examples are your finances, relationships, and health.

In closing I would like to share a quote with you from lao tzu, an ancient Chinese philosopher. “Be mindful of your thoughts. Thoughts lead to words, words lead to actions, actions lead to habits, habits lead to character, your character leads to your destiny.”

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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COVID 19 Surviving Social Isolation Part 3 https://chrysalispsych.com/covid-19-surviving-social-isolation-part-3/ Mon, 06 Apr 2020 03:17:57 +0000 https://chrysalispsych.com/?p=1276

COVID 19 Surviving Social Isolation Part 3

As COVID-19 continues to have a hold on the world one of the major growing concerns is depression and suicide. We are at the point where we have to not only social distance ourselves from one another, but also where face masks which is creating a lot of fear. Many millions of people have had their daily work routine disrupted which can lead to more growing fear and anxiety. Thats why in these times of uncertainty to keep a routine even though you might have no place to go.

The foods you are eating during this stressful time can have a huge effect on how your body and mind respond. Try to stay away from a lot of excess carbs and junk food that will give you a very brief period of joy but will only leave you feeling worse. Exercise is also very important to keep you feeling good. Even a short home workout is enough to get your lymphatic system moving which gives you a natural endorphin rush. Youtube is a great option for free home workouts that don’t require any equipment. 

Keeping your home environment clean and organized is also great for calming your nervous system. If you are looking at clutter all day in your home that will transfer over into a cluttered feeling in your mind which triggers more fear and confusion. This might seem like basic rules of living at anytime which is true, but these principles are more important than ever right now.

Now let’s talk about possibly the most difficult thing to manage and that is staying informed without feeling overwhelmed by the non stop media coverage. There is no need to watch hours of the news day in and day out, this will only make you feel worse. Just check in once a day to see what major changes are happening and then shut it off. Our minds can only handle so much of it with out it having a negative effect. Instead of giving your attention to the major news networks, spend it reaching out to loved ones to give each other encouragement.

The Alcohol industry is seeing record breaking  retail sales during COVID because when people are in a state of fear they drink more to dull the pain. While alcohol does provide a dopamine rush that reduces pain and anxiety, it is only temporary and will only leave feeling worse the next day. Exercise also gives you a dopamine rush in a natural way which will allow your body to remain balanced and feeling great making it a much better alternative to alcohol. These are not easy to change habits but when made they have the power to transform your body and mind.

While these tips are very helpful when applied I’m aware that many people are in need of support now to deal with overwhelming suicidal thoughts due to the impact of COVID. For 24/7/365 support with thoughts of suicide please call 1-800-273-8255.

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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Surviving Social Isolation COVID 19 Part 2 https://chrysalispsych.com/surviving-social-isolation-covid-19-part-2/ Sat, 04 Apr 2020 03:16:36 +0000 https://chrysalispsych.com/?p=1271

Surviving Social Isolation COVID 19 Part 2

This time in our collective and personal histories requires us to practice self care with intention. Today I discuss the ways in which we can boost our immune systems and calm our minds in order to bring more peace into our lives during these challenging times. More than ever it is essential that you find ways in which to calm your mind to control cortisol spikes that can suppress your immune system. If watching the news or being on social media is causing you to feel waves of extreme stress then simply stop watching.

Transcendental meditation is something I highly recommend for calming down your mind and lowering your stress level. Just sit in a comfortable position, close your eyes and focus on an internal sound that comes from you internally. The sound does not have to be aloud but can be just within your own mind. Meditation has been proven to lower cortisol levels in many studies and is a free for you to use at anytime.

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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What COVID 19 means for the mentally ill and homeless https://chrysalispsych.com/what-covid-19-means-for-the-mentally-ill-and-homeless/ Wed, 01 Apr 2020 03:21:29 +0000 https://chrysalispsych.com/?p=1286

What COVID 19 means for the mentally ill and homeless

Homelessness often goes hand in hand with mental illness. The homeless and mentally ill population are particularly vulnerable to COVID 19. Here are things to consider in this time of pandemic as well as things to take forward from it, with regard to our homeless and mentally ill population.

In Los Angeles alone there are an estimated 52,000 homeless people and in San Fransisco that number is much higher. The homeless population are more vulnerable than anyone due to the lack of resources to maintain proper hygiene. Try and remember the next time you are shopping to pick up extra non perishable items to bring to shelters for those who are far less fortunate than you are.

 

 

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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Surviving Social Isolation Part 1 https://chrysalispsych.com/surviving-social-isolation-part-1/ Mon, 30 Mar 2020 03:15:08 +0000 https://chrysalispsych.com/?p=1266

Surviving Social Isolation Part 1

After taking a hiatus from Youtube for the last few months I feel now is a more important time than ever to reach out and give support as we all struggle to deal will the COVID-19 crisis in our country.

Today we will be talking about the effects of social isolation and how it can have a drastically different effect depending on what type of person you are. For example, an introvert like myself who naturally enjoys spending time alone or with a small group of friends or family members will have an easy time compared to extroverts that enjoy large gatherings and need to be out of the house and active to feel normal and enjoy life.

 

 

I encourage you to look at this downtime in a positive light, a time to develop your gifts. This a time where we are not so confined to our normal busy schedules of working, raising children, and keeping a household together. Many people let their daily routine get in the way of exploring the things that they really want to do. Maybe there is a book inside of you or a work of art that you have never had the time to dedicate to, but now is your chance!

The main point I’m trying to make and want you to remember is that we are all going through this and it’s up to you to decide how you will perceive this time of social isolation. Will you see it as a time of pain and frustration or a great opportunity to do creative things that you never had time to do before.

And lastly, if you feel you cannot implement these mechanisms on your own, reach out to a therapist. Most therapist and psychiatrists are practicing by videoconferencing, these days. This makes it easy to connect from the safety and comfort of your own home.

If you or someone you know is in need of extra help, please do not hesitate to call my office at (951) 553-3767 or email me at [email protected] to schedule an appointment.

Be good to you!

Schedule An Appointment

Please complete the short contact form to request your appointment.

Contact Info for Temecula Psychiatrist
Sandra Cox M.D. of Chrysalis Psychiatry

Providing adult and adolescent (ages 13+) psychiatry  services locally in Temecula, Murrieta and all of California in person and online.

Request An Appointment

How would you like us to contact you?

Are you seeking a tele-health appointment or in-person appointment?

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