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anxiety

Anxiety–A Brief History

Suffer from anxiety?  If so, you are not alone. According to the National Institute of Mental Health over 55 million Americans struggle with anxiety.

In a quest for better understanding and relief from anxiety, author Scott Stossel chronicled the history of the evolution of anxiety (Psychology Today, Feb. 2014). Here are the highlights:

4th Century B.C.–Hippocrates describes anxiety as a medical disease caused by “body juices”. Plato and his followers argue that it’s a philosophical problem, not a physical one. This launched an enduring argument between biological and mental approaches.

1862–An anxiety ridden Union soldier is diagnosed with “soldier’s heart”, a precursor to “shell shock” and post-traumatic stress disorder.

1883–The case of a man with an open hole in his stomach sheds light on how emotion affects the digestive system. When the man is anxious, his stomach tissue turns visibly pale.

1899–The Merck Manual (a medical reference book) recommends opium as an anxiety remedy.

1908–Two psychologists connect peak performance with optimal levels of arousal, suggesting that the right balance of anxiety–not too much, not too little–can be helpful during a test or competition.

1959–The New York Times makes the first written reference to antidepressants which paves the way for a surge in pharmacological anxiety treatments.

1980–The 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders is released, replacing Freudian concepts of neurosis with panic disorder, social anxiety disorder, obsessive-compulsive disorder, and other types of anxiety.

2005–The National Institute of Mental Health reports that 18% of American adults have some type of anxiety disorder.

So anxiety is real, it’s been around for thousands of years, and it requires treatment. In my next blog I will give recommendations for those afflicted with anxiety issues. In the meantime you can check out some resources here: http://carepossible.org/resources/

I’d love to hear from you! If you need support with anxiety please contact me at randy@randymoraitis.com. Websites: www.carepossible.com, www.randymoraitis.com.

According to new data published in the world’s leading general medical journal The Lancet, mental and substance use disorders were the leading causes of illness worldwide in 2010.

Harvey A. Whiteford, MD, of the School of Population Health at the University of Queensland, Australia, and colleagues wrote, “These disorders were responsible for more of the global burden than were HIV/AIDS and tuberculosis, diabetes, or transport injuries.”

Overall, mental and substance use disorders were the fifth leading cause of premature death and disease worldwide, and accounted for 22.9% of all nonfatal illness — more than any other disease!This is an alarming trend and in a press release Dr. Whiteford said, “barriers to mental health care must be addressed to reduce the global prevalence of mental and substance use disorders.”

A second study published alongside Dr. Whiteford’s stated that opioid dependence was responsible for the greatest burden of disease among all illicit drugs, accounting for 55% of the 78,000 deaths linked to drug use in 2010. The study also showed that more than two-thirds of individuals dependent on drugs were male — 64% each for cannabis and amphetamines and 70% each for opioids and cocaine, and the proportion of drug dependence increased in the highest-income countries.

What can you do to address the barriers to mental health and addiction treatment?

  • Get educated. We cannot fix what we do not understand.
  • Early intervention. If you or someone you know needs treatment for mental health or substance abuse issues, do all you can to encourage immediate treatment and research the treatment options.
  • Remove the stigma. Mental health and addiction issues should be looked at as disease, not personal failing. Surround these issues with support, not stigma or negativity.

To learn more or to help break through the barrier to treatment that so many face, visit www.carepossible.org. CarePossible is a nonprofit focused on making mental health care and addiction treatment possible for everyone.

I would love to hear from you. Please contact me at randy@randymoraitis.com. Websites: www.thecrossing.com and www.randymoraitis.com.

depression

By Randy Moraitis, MA, CIP, BCPC

Depression is a very common problem. Approximately 10% of the US population, over 30 million Americans, suffer from depression–but most could be successfully treated. The first step towards healing is to know the symptoms of depression.

Here are the symptoms so you can tell if you, or someone you care about, may have clinical depression:

There is an mnemonic that mental health professionals use to list the symptoms:

SIGECAPS.

S—SADNESS—the first, most obvious symptom–more than just the blues or a funk, but a deep sadness.

S—SLEEP—some with depression have difficulty sleeping, especially between 2-4am, others with depression want to sleep all the time. They’d rather sleep than participate in life.

I—INTERESTS—the person is no longer interested in doing what were once their favorite activities.

G—GUILT—feeling guilty can contribute to depression.

E—ENERGY—feeling like you have no energy is a common symptom of depression. It feels like the wind was knocked out of your sails.

C—CONCENTRATION—people with depression find it very hard to focus so they have trouble with work or schoolwork. Their poor performance leads to more problems which can perpetuate the depression.

A—APPETITE—a sudden change in appetite is a common symptom with depression. 1 in 4 people gain weight, 3 in 4 lose weight—we see this a lot with people going through a painful divorce—the divorce diet.

P—PSYCHO-MOTOR ABNORMALITIES—for example when you’re depressed it may feel like you’re moving in slow motion.

S—SUICIDAL THOUGHTS—very common—and if you or someone you know ever has suicidal thoughts, especially if there is a time and a method—like “I am going to take pills tonight at midnight”—call 911 immediately!

For someone to be diagnosed with clinical depression, they need to have 5 or more of these 9 symptoms for 2 weeks or longer. If you think you may have depression, then make an appointment with a doctor or counselor today. There is hope for healing, so take the first step today!

If you or a loved one are affected by depression, please reach out for help today. Email: randy@randymoraitis.com
Phone: 949.303.8264
Websites: www.randymoraitis.com or www.carepossible.org

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

Boundaries For Leaders was written by Dr. Henry Cloud, best known as the coauthor of the bestselling book Boundaries. I am a huge fan of Boundaries and really believe that it should be required reading for every human being. As a counselor it has been my observation that many problems experienced by individuals and families are often related to boundary issues.

So it was with great anticipation that I read Dr. Cloud’s new book Boundaries For Leaders, subtitled Results, Relationships, and Being Ridiculously in Charge.

This book was intended for, and marketed towards, executives and leaders who want to create successful organizations with satisfied employees and customers. However, I believe the principles taught by Dr. Cloud, based on his years of experience as a psychologist, life coach, and business consultant, can apply to anyone who has influence over others including parents, community leaders, and church leaders.

Boundaries for Leaders is full of tried and tested tools and techniques that leaders can use to inspire maximum performance from those they lead, as well create a mentally healthy organization.

According to Dr. Cloud a leader must, “accept that you are ridiculously in charge and that you are responsible for establishing the climate for success, setting the terms and expectations for performance with your people, for your organization, and for yourself.” (p. 235)

Some of Dr. Cloud’s suggestions for leaders include:

  • Create an emotional environment that is free of the wrong kinds of stress.
  • Build teams that are deeply connected.
  • Help people to think optimistically and root out pessimism.

The bottom line: leaders get what they create and what they allow! (Side-note–so do parents!)

I highly recommend this book for everyone as I believe we all have the potential to be leaders wherever we are. Add it to your summer reading list and watch yourself become ridiculously in charge!

I would love to hear your thoughts!
Email randy@randymoraitis.com
Websites: www.thecrossing.com or www.randymoraitis.com

marriage
1. TALK!
It is critical for couples to talk regularly and talk from the heart! As you get to know your spouse better you should grow in learning how and when to best communicate. Be wise and pay attention to what works and what doesn’t. And when you do talk, share your feelings. If you have trouble expressing your emotions, try a feelings chart by clicking here.

2. GRATITUDE!
Having an attitude of gratitude will really change the tone of your marriage. Be sincerely grateful for your spouse, and let them know that you are grateful. Sometimes we get so busy with the daily tasks of life that we take our spouses for granted. Be thankful, then tell your spouse that you are thankful!

3. TEACHABILITY!
Be open minded and mature enough to realize that you may have some new lessons to learn. We are all works in progress that will do best if open to learning and growing through life. Sometimes couple may need a therapist or counselor to teach them the tools and skills needed to grow together through a difficult issue or season.

4. INTIMACY!
There are three types of intimacy that are key to the best marriages–relational intimacy, spiritual intimacy  and sexual intimacy. When you have the first two in place, the third flows more naturally. Be sure to invest in relational intimacy through talks, activities, and date nights. Invest in spiritual intimacy by praying together and attending church together. The closeness you develop through these activities will serve to strengthen your sexual intimacy.

5. DO-OVERS!
Let’s face it, we all make mistakes! Because of this I encourage all married couples to have a rule in their marriage: if they are arguing, one spouse can say, “Let’s start over” and the other agrees.This works great for most day to day marital spats. Obviously more serious issues may require a counselor to help resolve. Bottom line–forgiveness and the willingness to start fresh is key to a healthy marriage. Holding on to resentments only hurts the marriage.

Talk to your spouse, or future spouse, about these five tips. Just having that conversation is a healthy start!

If you have any marriage tips, I’d love to hear them. You can email me at randy@randymoraitis.com. Websites: www.carepossible.org and www.randymoraitis.com.

teen drug testing

Should I Drug Test My Teen?

People often ask me whether they should drug test their teen. I believe that home drug testing of teens is a great tool, but like any tool, it must be used properly. Here are some facts to guide you in your decision making:

Easy Access–Home drug tests can be purchased online or in most pharmacies. Before purchasing, be sure to do some research online, or ask your physician or pharmacist for their recommendation. Be aware that home drug tests do not test for every drug, but they are still very useful.

Peer Pressure Victory–Most teens will inevitably be faced with peer pressure or circumstances to try drugs. If you let your teen know that they will be randomly drug tested, then you are giving them a safe way out of these pressure filled situations. This can be very powerful!

Tested Positive—Now What?–Think through how you will respond if your teen tests positive. Start with an honest heart-to-heart and try to find out what is going on in your teen’s life. Schedule an appointment with a counselor specializing in addictions. Continue testing and if there are more positive results get your teen into treatment.

Tested Negative—Now What?–A negative test deserves praise and still serves as an opportunity for honest discussion about drugs and alcohol—a subject that many are uncomfortable to discuss. Create a culture in your family where it is safe to talk about anything.

Also, keep in mind that a negative test may also mean that drugs have simply already passed through your teen’s system and are no longer detectable. If you observe suspicious behavior, follow your intuition and test again soon or consult with your physician or a counselor.

Parenting teens is hard! The wise parent will use every tool in the toolbox and drug testing is a great tool. I’d enjoy hearing your thoughts on this subject. You can email me at randy@randymoraitis.com or visit my websites www.randymoraitis.com or www.thecrossing.com.

By Randy Moraitis, MA, BCPC, CPC

I once heard it said that raising a teenager is like trying to nail jello to a tree–very challenging. I should know, I’m on my fifth teen and I’ve got the gray hairs to prove it!

Parents of teens have so much to worry about when their teens go out–alcohol, illegal drugs, prescription drugs, texting while driving–the list is very long and very scary.

Before your teen goes out, as part of setting clear expectations and boundaries, be sure to ask these five questions:

1. What will you be doing?

2. Where will you be going?

3. Who will you be with?

4. When will you be home?

5. How can I reach you?

By asking these questions, and only allowing your teen to go out once you have the answers, you are being a very proactive and responsible parent and sending a message to your teen that you love them and are paying attention.

Next blog–“Should I drug test my teen?”

I’d enjoy hearing your thoughts on this subject. You can email me at randy@randymoraitis.com or visit my websites ==www.randymoraitis.com or www.thecrossing.com

breathe
By Randy Moraitis, MA, CIP, BCPC

Stressed out? Tense? Anxious?

If so, here is a simple technique to help you relax. This technique will lower your heart rate, your blood pressure, and your potential for doing or saying something you may regret.

The technique is called “four square breathing” and is taught to military special forces units and first responders to help them stay calm in very stressful situations.

Four square breathing is a quick and easy way to get calm, cool, and collected and can be done virtually anytime and anywhere. I’ve used the technique very successfully with many clients over the years.

Here’s how to do Four Square Breathing:

1. Inhale through the nose for four seconds.
2. Hold the breath for four seconds.
3. Exhale through the mouth for four seconds.
4. Pause for four seconds.

Repeat for 1-3 minutes.

Tips to make this exercise even more effective:

1. Drop and relax your shoulders on each exhale.
2. Focus on a positive, encouraging, relaxing short phrase on each of the four breathing steps and say it in your during each of the four steps.
3. Listen to relaxing music while doing this technique.
4. Once four seconds per step becomes easy, you can increase the duration of each step to six or eight seconds.

I would love to hear any suggestions you have for relaxation. Contact me at randy@randymoraitis.com. Websites: www.randymoraitis.com and www.carepossible.org.

 

Couple arguing

By Randy Moraitis, MA, BCPC, CPC

Have you heard the joke, “A codependent is a person who, when they die, someone else’s life flashes before their eyes?”

That joke is really an unfortunate sign of the times and indicative of just how widespread codependency is.

So exactly what is a codependent? Melody Beattie, a leading expert and author on the subject of codependency, offers up this definition:

“A codependent person is one who has let another person’s behavior affect him or her, and who is obsessed with controlling that person’s behavior. Codependency involves a habitual system of thinking, feeling, and behaving toward ourselves and others that causes us pain.”

Causes of Codependency

The roots of codependency can often be found in one’s family of origin. If a family is dysfunctional, a child may grow up to be codependent. Physical, sexual, emotional, intellectual, and spiritual abuse can all lead to the abused person becoming codependent.

With the proliferation of addiction to drugs and alcohol in our society, a byproduct is that we see an increase in those who struggle with codependency.

Five Core Symptoms of Codependency

1. Difficulty experiencing appropriate levels of self-esteem.

2. Difficulty setting healthy, functional boundaries.

3. Difficulty owning one’s personal reality: body, thoughts, feelings, behavior.

4. Difficulty acknowledging and meeting one’s own needs, wants, and being
interdependent.

5. Difficulty experiencing and moderately expressing reality.

Moving Toward Recovery and Away from Codependency

There is hope for the codependent! By learning to detach from the person who is the focus of codependency one can begin to be set free and start living their own life. It is important for the person struggling with codependency to learn to love themselves, find their purpose in life and learn the art of acceptance.

If you or someone you know struggles with any of the above five core symptoms, please consider taking the following steps to begin the healing process:

1. Attend a CoDa (Codependents Anonymous) support group www.coda.org.

2. See a counselor or therapist to work on pain from your past.

3. Work with a recovery coach who can help you get unstuck and have a healthy
breakthrough.

I would love to hear from you on this important topic. Contact me at randy@randymoraitis.com. Websites: www.randymoraitis.com and www.thecrossing.com.

 christmas tree
By Randy Moraitis, MA, CIP, BCPC

1. What’s up with mistletoe? Mistletoe, the only plant to rival roses for inspiring kisses, was originally used by Druid priests 200 years before the birth of Christ in their winter celebrations. They revered the plant since it had no roots yet remained green during the cold months of winter.

The ancient Celtics believed mistletoe to have magical healing powers and used it as an antidote for poison, infertility, and to ward off evil spirits. The plant was also seen as a symbol of peace, and it is said that among Romans, enemies who met under mistletoe would lay down their weapons and embrace.

Scandinavians associated the plant with Frigga, their goddess of love, and it may be from this that we derive the custom of kissing under the mistletoe. Those who kissed under the mistletoe had the promise of happiness and good luck in the following year.

So mistletoe is more related to wintertime, than Christmas, but it’s use is highly encouraged by this writer.

2. The stable truth. The biblical story about the birth of Christ does not actually mention a stable. It does mention a manger which often leads people to think the baby Jesus was born in a barn. In reality, Jesus was probably born in a cave or, according to archaeology experts, Jesus was probably born in the house of relatives, but outside of the normal living and guest quarters. Quite a humble beginning.

3. Who were The Three Kings? Sorry to totally mess up your nativity scene (mine, too!) but there is no actual mention of “kings” in the biblical account of Christ’s birth. The Bible does say that wise men, also called “magi”, (but not Kings) visited Jesus. And it never says there were three of them. The word used for “magi” is plural, there were more than one, but people assume there were three because of the three gifts—gold, frankincense, and myrrh. Bottom line, they were not kings and there may not have been three of them!

4. Is Christmas really Jesus’ birthday? Although it is possible, it is very unlikely that Jesus was born on December 25th. No one knows for sure the exact date of Christ’s birth. The date chosen to celebrate it may be related to the Roman Saturnalia festival that lasted from the 17th -23rd of December. December 25th was chosen somewhere during the 4th century AD by the heads of the church. People were already used to gathering, so why not celebrate the birth of Christ?

5. Who is Santa Claus? Yes, Virginia, there really was a Santa Claus! The origin of Santa Claus began in the 4th century with the real Saint Nicholas, a Bishop in present day Turkey. By all accounts St. Nicholas was a generous and devoted Christ follower. He was particularly devoted to children. His kindness and reputation for generosity gave rise to much folklore that has spread and increased across cultures and through the years.

6. What about Jesus? Who was he? Did he really exist or was he a mythological character? There can be no doubt that Jesus actually existed and that he walked the earth. Sources outside of the Bible clearly confirm this. We may not have all the facts and cast of characters of our nativity scenes completely accurate, but we can rest assured that Jesus Christ was born, that his birth has been celebrated for two thousand years, and that he is the reason for the season. Merry Christmas!

Do you have any interesting Christmas facts or fallacies? I would love to hear them! Contact me at randy@randymoraitis.com or 949-303-8264. Websites: www.randymoraitis.com and www.carepossible.org.

About Randy Moraitis
Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy he will gladly show you pictures!) Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.