Self-Help Tips for Understanding and Managing Anxiety and
Depression
An interview with
Susan Huebert, L.S.C.S.W., by Lisa Giannetti.
Here today is Susan
Huebert, a Licensed Specialist Clinical Social Worker
offering private practice counseling services in
Wichita. Susan is going to talk about her practice and
also about something interesting she has learned during more
than 15 years of helping others deal with two serious mental
disorders: depression and anxiety.
Susan has realized
that in addition to the common treatments for depression and
anxiety, there are many natural remedies that have helped
people deal with their disorders. Over many years of working
with people in psychotherapy, she has found that individuals
who have incorporated natural remedies into their treatment
programs have been successful at shortening their recovery
times. Susan has also found that by implementing the
lifestyle changes that she recommends during her counseling
sessions, many of her patients have successfully kept the
symptoms of depression and anxiety from returning.
Susan, let me begin
by saying “Welcome.” I know you’re anxious to get started,
but before we talk about natural
remedies for treating the symptoms of depression and
anxiety, can you first briefly define these health problems
in layman’s terms?
Certainly. We all
feel down from time to time, and that’s perfectly normal.
Life is challenging and humans are emotional so changes in
mood are quite common. However, for some individuals, change
is not achievable and that’s when the symptoms of depression
and/or anxiety begin to set in.
The symptoms of
depression – depressed mood, disturbed sleeping and/or
eating patterns, loss of energy, loss of interest in things
that once were interesting, feeling worthless and even
suicidal, and difficulty concentrating – are such that the
affected individual cannot break free of its hold without
the assistance of a trained counseling specialist.
Anxiety includes
feelings of worry, fear and apprehension, and when these
feelings don’t subside, they can become debilitating. In
addition to the mental feelings, anxiety can express itself
physically with symptoms including heart palpitations, chest
pain, trembling, shortness of breath, tingling, a feeling of
faintness, chills and hot flashes. Again, we all feel
apprehensive and we all worry from time to time, but when an
individual is not able to escape the physical and mental
symptoms of anxiety, a deeper problem generally
exists.
As a Licensed
Specialist Clinical Social Worker, how many cases of
depression and anxiety have you
treated?
Hundreds. My
counseling practice in Wichita helps people deal with
everyday issues including marital problems, stress, anger,
divorce, rape, ADHD/ADD, grief counseling and family
counseling. Unfortunately, these are the types of issues
that often lead to feelings of depression or anxiety which
is why one of my areas of expertise involves helping others
overcome these mental disorders.
Right now, over 20
million Americans have symptoms of either depression or
anxiety and some even have symptoms of both. Many others
exhibit the symptoms but have yet to link their symptoms to
these mental disorders. In other words, the number of
individuals afflicted is likely much higher than the numbers
doctors are reporting. I offer counseling in Wichita and
over the last 15 years, I’ve treated over 300 patients with
symptoms of depression or anxiety ranging from mild to
extreme. Through my Wichita counseling practice, I offer
both short-term and long-term psychotherapy that involves
Cognitive Behavioral and solution focused interventions,
skill training, education, as well as approaches that are
client-centered, supportive, insight-oriented or expressive.
I also coach emotionally healthy people by phone who want to
live more fulfilling lives and to learn to be more resistant
to depression and anxiety.
At what point during
therapy do you begin discussing the subject of natural
remedies for depression and anxiety?
It’s difficult to
offer a general answer to that question because all of my
clients are unique. Many of the clients I work with are
relatively normal people who are struggling with some
anxiety and depression. I want them to know that there are
things they can do to solve their problems, but I also want
them to know that I can help them along the way to get rid
of their depression and anxiety symptoms more quickly
and more permanently by helping them learn to change the
things that make them more prone to anxiety and depression.
So I guess the answer is that I try to suggest natural
remedies and follow-up with my suggestions as often as it
makes sense.
I am a strong
advocate of natural remedies for depression and anxiety
because they have been proven effective. The natural
remedies I recommend are activities that most individuals
can do on their own, but as I said, more often they’re
undertaken in combination with my counseling services. In
many cases, counseling sessions help my patients get started
on the right path to recovery and they help to keep them
focused on their goals.
So you’re saying you
advise treatments during your counseling sessions, one of
which is the incorporation of natural remedies. Let’s focus
on that subject now. Which of the natural remedies for
depression and anxiety do you believe are most effective?
Since depression and
anxiety are both classified as disorders of the mind, I feel
very strongly that the first step on the road to recovery is
developing a different mindset. For example, during my
Wichita counseling sessions, I tell my patients that
whenever they notice they’re having a pessimistic, negative
thought they should try to counteract it by thinking a more
positive thought, offering a prayer of thanksgiving, or
counting their blessings. I also believe that an individual
has to work at being more optimistic because pessimism is
highly correlated to depression. Now I realize that these
types of changes are easy for me to suggest but they’re
difficult for many of my patients to implement. That’s why I
feel the most effective treatment approach is to have
someone like me, a trained counseling professional, guide
affected individuals through the process of changing their
ways of thinking.
Are there other ways
that people can change their thought
patterns?
Oh yes, of course.
You’ve probably heard that misery loves company, and those
who are depressed or anxious consciously or unconsciously
tend to seek out others who are equally down, pessimistic or
fearful. Quite frankly, many have no choice because
optimistic individuals don’t like to be around others who
can’t say or think anything positive.
I believe that
getting out of bed, getting dressed and finding someone with
a positive and supportive attitude to talk with is one
effective way to change thought patterns. I also am strongly
opposed to withdrawing from social contacts for more than
short periods of time. When I learn a patient is living this
way, I focus my counseling on modifying this behavior. If a
patient doesn’t have a social circle to tap into, I suggest
finding a place to volunteer to help others. So many
organizations need volunteers and that need makes it easy to
find an opportunity that matches a person’s interests.
Volunteering is a great way to lift a person’s mood and
equally important, it helps the person reduce the tendency
to brood about his or her own troubles.
Besides relying on
others, are there any activities a person can do alone to
help change his or her negative thought patterns? If so, can
you share your favorites?
Yes, there are
several ways individuals can start turning their negative,
pessimistic and fearful thoughts into positive ones. One
approach is to keep a journal. Some people aren’t good at
writing, but I remind them that a personal journal isn’t
supposed to be a college term paper. The act of writing
alone is an effective way of getting those negative thoughts
out of the head. Believe it or not, many of my patients have
told me during counseling that writing has become somewhat
of an addiction. It gives them something to look forward to
and the act of writing offers a release.
Another useful tool
is listening to positive affirmations. Ready-made positive
affirmation tapes are available but some of my patients have
made their own. When they’re struggling with negative
thoughts, I suggest playing the positive thoughts that are
similar to the thought they want to think. Praying is
another effective remedy. And again, I tell my patients that
they can pray even if they’re not church-goers. Prayer can
be very effective at changing a person’s mood. I advise my
patients to pray for changes in their moods, to pray for the
perseverance to endure, to pray that they’ll be able to
forgive those who have hurt them. And most importantly, I
tell my patients to pray prayers of thankfulness. These
natural remedies alone have helped many break the grips of
depression and anxiety.
That really is
amazing. What else have you come to realize during your 15
years of counseling in Wichita?
I’ve found that when
those suffering from depression and anxiety resume their
hobbies and start doing things for themselves, their
attitudes and outlooks on life begin changing for the
better. The hobby itself doesn’t matter. It can be dancing,
singing, exercising, scrapbooking, collecting, gardening,
drawing, painting, whatever. When a person draw or paints,
he’s using the creative side of the brain which is why
creative activities are excellent forms of expression. And I
am a huge advocate of scrapbooking because it helps a person
gather happy memories together into one place. Pulling out
the happy memories is a great form of self-therapy whenever
someone is feeling down.
So let me get this
right. You’re suggesting that people can snap out of
depression and anxiety by doing things they enjoy, changing
the way they think and being around others? It all sounds so
simplistic. What’s the catch?
There’s no catch but
understand I am not suggesting that natural remedies alone
are enough. They’re effective in combination with other
treatment methods and that’s important to remember. I
believe natural remedies work most effectively when
practiced while under the guidance of a trained therapist.
Do you want to know
what else I find interesting? Something as simple and as
natural as laughing can work miracles. People who are
depressed and who walk around waiting for the next bad thing
in life to hit have lost the ability to laugh at life. Now
I’m not saying that life is funny because I realize it’s a
lot of hard work. But what I am saying is that these
individuals need to find something that will make them
laugh. Whether it happens by watching a funny movie,
collecting jokes and humorous cartoons, or by renting a
funny video, it doesn’t matter. What matters is that a
healthy life needs laughter.
And you want to know
what else helps deal with depression and anxiety? Sex. Yes,
sex, and preferably with a spouse because I’m not advocating
the carefree, risk-taking type. When a person makes love to
his or her spouse, biochemical changes occur in the brain,
especially when a person reaches orgasm. These biochemical
changes act as natural anti-depressants and that’s a fact.
Unfortunately this is a catch-22 type of situation because
many depressed people have less desire for sexual activity.
Even though it’s not as dramatic as orgasm, there is some
positive effect simply by being touched by another person.
So those without a spouse may find that getting a
professional massage can be a suitable substitute.
I’ve also heard that
exercise and diet can help with depression and anxiety. Do
you agree or disagree, and can you elaborate on your
opinion?
I strongly agree. In
fact exercising and eating right are two very important
natural remedies for depression and anxiety and here’s why.
Exercising continuously for 35 minutes will insure that the
brain starts releasing endorphins. Endorphins are the body’s
natural mood lifters so any activity that can trigger their
release will automatically help a person “feel better.” The
most effective time to exercise is in the morning. That way,
the endorphins will continue circulating throughout a
person’s body all day long. And again, exercising doesn’t
have to be extensive, expensive or exhaustive. In fact, in
my opinion, activities such as walking or bicycling are the
best choices. No special gear is required, each can be done
practically anywhere and most importantly, it’s easy for
most people to keep at these activities for at least 35
minutes without tiring and without becoming bored. I tell my
patients to let nature help lift their moods by getting out
and taking a walk in the most beautiful, natural setting
they can find nearby.
As for diet, we’ve
all heard about depressed people who eat pints of their
favorite ice cream every night. But stopping that habit
isn’t what I consider to be a natural remedy for depression
or anxiety, although doing so is important for other
reasons. What I mean by diet is ensuring that my patients
get the recommended daily allowance (RDA) of the minerals
magnesium and zinc. The majority of Americans do not get the
RDA of magnesium, and a large number of others don’t get
enough zinc.
Most of my patients are included in these figures which is
why I often suggest mineral supplementation. Magnesium and
zinc are critical building blocks for serotonin and other
neurotransmitters that the body needs to help feel good.
When people aren’t getting the minerals they need (as well
as the vitamins) they are lowering their resistance to
depression and inviting a chemical imbalance into the
brain.
Everyone benefits
from adopting a healthier lifestyle by eating right and
exercising moderately, especially my patients who suffer
symptoms of depression and anxiety. As I’ve said earlier,
I’ve witnessed this first-hand. I have even more examples.
Would you like me to continue?
Yes, please go on.
This is all very interesting.
Research has shown
that Omega 3 essential fatty acids can help to improve
moods, both in those with clinical depression and for those
with less significant mood problems. During my counseling
sessions, I help my patients learn about “good fats” like
fish oil and flax oil, and then I encourage them to include
these good fats in their diets. If my patients are dieting,
I advise against low fat diets that are low in Omega 3
essential fatty acids. It’s good to reduce saturated fats
and cut out hydrogenated oils, but don’t drastically limit
all fats. I
also advise against the “low carbohydrate” style diet plans.
The brain needs some carbohydrates to make adequate levels
of neurotransmitters. To put it simply, those with
depression or anxiety should steer clear of extreme diets
that don’t meet all nutritional needs. To bring this topic
to conclusion, my advice to my patients is to eat a
nutritionally-balanced, heart-healthy diet. Research shows
that depression and heart disease are highly
linked.
We’re nearing an end
to our interview and I have learned so much from our time
together. If I was in a session with you right now at your
Wichita counseling center and you were helping me with my
depression or anxiety, what would you give me for a homework
assignment?
I might suggest you
try using aromatherapy with a scent you enjoy the moment you
got home because your sense of smell is directly linked to
your moods and can be effective at lifting your mood. Then
I’d have you plan one activity that you want to get done
today and I’d want you to do it when you got home. It’s so
important not to load yourself with a to-do list that’s
impossible for you to handle. I’d also have you check your
home environment to make sure you’re getting some natural
sunlight. If your home doesn’t get much natural light, I’d
suggest you consider full-spectrum light tubes. Insufficient
sunlight is a real mood modifier, especially in winter when
too little sunlight can bring on or deepen depression. And
finally, I’d suggest that you take time to pet your pet.
Depending on what I know about your home situation, I might
even suggest that you get yourself a pet if you don’t
already have one that you can cuddle up with.
That doesn’t sound
so difficult. If a patient of yours went home and did all
the things you suggested during the counseling session,
would he or she need to return for more counseling or would
the depression and anxiety symptoms be
gone?
The symptoms might
not be gone, but it’s quite possible that the feelings of
depression and anxiety would begin to lift, the individual
would be encouraged and motivated, and positive changes
would begin. I would, however, want to follow up with more
counseling sessions to ensure that my patients allow the
natural remedies I’ve suggested to become part of their
routines. Depending on how long the depression and anxiety
have persisted and how severe they are, it might take more
than a dozen counseling sessions to get the full benefit and
provide the most protection against the symptoms
returning.
My clients might
need help learning skills such as how to break out of
destructive relationship patterns or how to stop
self-defeating behaviors. Therefore, I’d want to continue
working through the other problems in their lives, the
problems that may have caused the depression and/or anxiety
in the first place.
And let’s talk about
that for a moment. When those who are experiencing symptoms
of depression and anxiety are involved in relationships that
are not supportive, they’ve got to seek professional help to
improve those relationships or they’ve got to learn how to
find supportive people and choose supportive partners.
Relationship problems are a major reason that people become
depressed and/or anxious. The goal of my Wichita counseling
practice is to be supportive and that’s the philosophy
around which I’ve built my business.
Well, Susan, I do
thank you for sharing your point of view on natural remedies
for treating depression and anxiety. At this point, our
interview is over. Would you like to provide the details of
your Wichita counseling practice for those who are
interesting in talking with you further?
Yes, and I want to
thank you for having me as your guest speaker today. For
more information simply visit my Wichita Counseling and
Coaching Center website where you will be able to
download a printer- friendly copy of this interview so you
can refer back to it whenever necessary. You can also sign
up to receive my free Emotional Wellness ezine. Each issue
will be loaded with professional advice, tips and tricks for
improving your emotional wellness. Remember, visit my
Wichita
Counseling and Coaching Center website to receive a
printer-friendly transcript of this interview.
(This interview may
be freely re-published on other websites and ezines, or
passed along to others, as long as it is not altered or
edited, including all paragraphs and
links.)
Anxiety Treatment Wichita KS
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