by Geoff Michell | Sep 22, 2021 | Anxiety, Depression, Health, Mental Health, Vestibular Conditions
In Canada, anyone over the age of 40 has a 35% chance of experiencing a vestibular problem at some point in their lives. Vestibular conditions involve difficulty with balance, dizziness, and vertigo. They can also affect (and be affected by!) your mental health.
As a counsellor who has worked with thousands of clients with vestibular conditions, I can say without a doubt that these symptoms are not fan favourites! Feeling unsure on your feet or that you might fall over, or experiencing the nausea that can often accompany these symptoms, is alarming, upsetting, and demoralizing. If you can’t trust your body to keep itself upright it can be hard to relax. Often people with vestibular conditions cannot manage day-to-day tasks. Work, household chores, playing with or taking care of the kids, and more can all become difficult. Even getting up out of bed can be an unpleasant adventure! At the very least, feeling gross or worried can sap the joy out of a lot of normally fun or rewarding activities. It should be no wonder, then, that vestibular conditions are highly co-occurring with depression and anxiety.
Vestibular Conditions, Depression, and Anxiety
For people who are already experiencing anxiety or depression, adding a vestibular condition can make it a lot worse. If you are already having trouble getting out of bed because of depression, having the spins when you do certainly won’t help! Those who have struggled with anxiety and depression in the past can often see a return of their mental health difficulties along with the vestibular condition. It is certainly understandable that for someone who has gone through depression or an anxiety disorder, feeling helpless, overwhelmed or fearful because of their vestibular condition can trigger fears that they are sliding back into those mental health conditions.
Equally problematic is that anxiety and fearfulness can often make the experience of dizziness worse. People often feel sensations similar to dizziness when anxious, such as light-headedness. This can be misattributed to the vestibular condition, as these sensations don’t come with a clear memo as to what is causing them. (“I’m dizzy because of the concussion!”, as opposed to lightheaded because of the understandable anxiety.
Anxiety and depression can also hinder us in engaging in the activities that are useful in rehabilitating from a vestibular condition. They can lead to “catastrophic” all-or-nothing thinking. For example, “I’ll never get better!”, “I can’t do anything!”, “If I try going for that walk I’ll fall and break my neck!” and so forth. Furthermore, clients often struggle with having an “invisible injury”. They often can’t point to an obvious injury, like a leg in a cast, and may wonder if others doubt the severity of their condition, or may even doubt it themselves
Pathways Forward
Fortunately, there is a way out. Working with a vestibular physiotherapist can help to rebuild confidence in your capacities. They can provide treatments and exercises that can be done safely, without risking re-injury. Their deep knowledge and experience with these conditions can provide tremendous reassurance about what to expect with your condition, and what you can do safely.
In addition to this, working with a counsellor in conjunction with a vestibular physiotherapist (and other members of your health care team, like your family doctor), can really help you to adapt to the symptoms, provide coping skills to be more effective with them, as well as rebuild your hope in the future and faith in yourself. Working with both a counsellor and a vestibular physiotherapist is a “one-two punch” that I have seen be helpful for countless clients with vestibular conditions, providing the support and encouragement needed to help them get their lives back.
If you are interested in learning more about how counselling can help with your vestibular condition, please contact our reception team to request an appointment with me. We’re here to help!
by Scott McNeil | Oct 6, 2016 | Articles, Counselling
Your heart’s pounding, you can’t breathe, it’s hard to think and you feel an uncontrollable urge to escape or run away. Other symptoms could include; your stomach in knots, tension throughout your whole body and feelings that are overwhelming. Are you finding it difficult to cope with everyday situations or uncertainties of the future? Is it hard for you to control your body’s reactions when faced with these situations? These emotions are often identified as fear, anxiety, or stress.
Every person on the planet can relate to feeling anxious or stressed at some point in their lives. However, there are people who experience anxiety every day. Does this sound like you? If it does, don’t stress– there’s nothing wrong with you. Stress is your brain’s normal way of responding to impending danger or threats. Whether it is a general fear of the uncertainty of the future or specific fears such as embarrassing yourself in public, the fear you feel is actually your body’s way of protecting you. All people experience similar types of emotions when they are under threat or danger.
But what can you do about it? Sometimes, it’s hard for people (who’ve never felt such crippling anxiety) to understand what you’re going through. Your friends and loved ones might be telling you to simply relax or avoid the fearful emotions you’re experiencing. While they may have good intentions at heart, their advice doesn’t help and can further aggravate your mood.
What Causes Anxiety?
People get afraid of anxious sensations in their body (like your heart beating faster). They are also often afraid of the future. Think about waiting for those test results or waiting for the employer to get back to you after a job interview. How did you feel? It’s often thoughts about uncertainty and the future that drive our anxiety.
Acknowledging your anxiety and understanding what it is about the situation that causes you to feel anxious may help. Sometimes your brain senses danger even when other people around you don’t seem to feel the same way you do. And that’s okay. Not everyone processes external stimuli the same way. One person may feel like they’re in danger while another person standing next to them may feel perfectly fine. Knowing that everyone’s different can help you cope with your anxiety. The thing is sometimes our brains do things unconsciously. And sometimes this stuff may be based on past experiences that told us something was dangerous. Our brains’ uncanny ability to function unconsciously can be helpful in some circumstances. Take breathing for example: if you had to concentrate on that, you would never get anything else done! It’s the same when it comes to danger. Brains can unconsciously sense danger. Experiences that seemed to be dangerous in the past stick with us and our brains will tend to keep alerting us when faced with similar situations.
If our brain spots danger, it automatically equips our body to deal with the threat. It does this by releasing hormones into our system. These hormones increase our heart rate, our breathing gets faster and more shallow, and we sweat more. This is what anxiety feels like. Once we get away from the threat or danger, the feeling decreases. But we also lose the chance to find out if what our brain recognized as dangerous was truly dangerous. I often hear people say, “But it just happens to me, no particular situation causes it.” This is a common thought. But here is the thing: remember our brains look out for danger and send signals of anxiety subconsciously. However, if there are truly no outside triggers for the anxiety, we should look inside us.
How Cognitive Behavioural Therapy Can Help
Okay, so you’ve learned about the causes of anxiety and made sense of what causes these unwanted feelings. Now what? One form of therapy known as Cognitive Behavioural Therapy (CBT) has been known to help reduce anxiety.
CBT shows us that humans need to learn through doing. Humans that are anxious about a threat when no threat exists may benefit from learning why everyone else isn’t scared when they are. What CBT has demonstrated is that if humans can stay with the feeling of anxiousness for long enough and the thing that they fear does not occur, then their brains learn something new. What the brain learns is that the thing it thought was dangerous actually wasn’t. We have probably all experienced something like it. Feeling anxious about learning to drive, going to a new job, meeting a first date. We all know the anxious anticipation coupled with the thoughts, “Will I crash, make a fool of myself, get dumped?” And for anyone who has managed to stay in the moment, they probably noticed their anxiety reduced. If they experience the same situation often enough, they might notice their anxiety reduces over time as more time passes. The brain is good at learning through many different ways such as visually, orally, aurally, or physically. But when it comes to conquering fear, the best way is to experience it physically.
“Where does that leave me”? I hear you say. I don’t want to feel this way and you are telling me the only way to conquer this feeling is to face it. Well, the saying, “The only way to conquer your fears is to face it” carries some truth. People who go into situations they fear and stay there for long enough, start to notice that their fears do not materialise. This can be a very empowering and esteem building experience. Of course, it’s also a difficult thing to do. More difficult for some and easier for others. Some people might need help while others might be able to deal with it alone. You’re not alone if you feel like you can’t handle it on your own.
Additional Resources for Anxiety Relief
Here are some places you can get some help on your own if you’d like to try:
- These self-help booklets have some helpful advice for different problems. The booklets also have references for more detailed self-help books.
- Go to your family doctor and ask him/her about Bounceback a CBT program that is free of charge.
- Take a look at a series of books entitled Overcoming. For example: Overcoming Panic Attacks. These evidence-based self-help books are available at Amazon usually for less than $20.
Alternately, if you’d like some help figuring this anxiety thing out – we’re here to help. I specialize in Cognitive Behavioural Therapy. I’d love to do what I can to help you beat this brain frenzy we call anxiety. We also have other counsellors at Alongside You. As well, we offer alternative methods for coping through yoga and creative arts that are a great help to people. Even if you just want to chat about taking the first step, give us a call. It’s what we’re here for.
by Andrew Neufeld | Jan 6, 2016 | Announcements, Counselling, In The Community, News
Affordable Counselling at Alongside You
We have always wanted our services to be as accessible to everyone as possible, but we know that our lowest sliding scale rate is sometimes out of reach for many. As a business, we are only able to lower our rates so far and still keep the lights on and the doors open. We actively look for ways to make our services as affordable as possible, and we’ve just created one more option: Masters degree internships.
Counselling Intern now available at Alongside You
We’re please to announce that Kelly Williams, a Masters student from Adler University has started her internship and is available for individuals and couples needing counselling. As a Masters student, she will be under the supervision of Andrew Neufeld, or Executive Director. She will be with us through August 2016 and we couldn’t be happier.
What does this mean for affordability?
Clinical Internships benefit the student and the community in many ways, but one of financial benefits is that counselling is available at much lower rates that would be otherwise feasible. We are able to offer counselling with our interns at the following rates:
$30+GST/hour for individuals and couples
$20+GST/hour for individuals and couples on Persons With Disability benefits or Income Assistance
Our interns are supervised very closely and clients benefit not only from the experience and knowledge of the intern, but also the supervisor. It’s a wonderful arrangement that allows the student to gain the required hours for their program as well as providing a much needed service for the community.
How do I make an appointment to see the intern?
If you would like to see Kelly, please contact her supervisor, Andrew Neufeld through the contact form on the website or by phone at 604-283-7827.