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Learning How to Tolerate Anxiety
Angela D'Unian • Oct 05, 2020

Anxiety is something we all experience; however, anxiety does not always have to be negative or debilitating. In fact, some levels of anxiety can even increase productivity! If you have been feeling anxious lately, you are not alone. Research reports that 1 in 5 Canadians will experience a mental illness (including anxiety) at some point in their lives (Smetanin et al., 2011).


Lately, we have all experienced uncertainty associated with the COVID-19 pandemic. Without a doubt, this unprecedented situation induces
anxiety for many reasons. If you are someone who likes to plan ahead, the uncertainty of not knowing when things will be back to the way they were can be particularly triggering. Keep in mind that an inability to cope with uncertainty is one of the main causes of anxiety


I am going to share some tools to help you cope with anxiety, which in Dialectical Behavioural Therapy, we refer to by the acronym T.I.P.P.


Temperature

You may have noticed that when you are feeling anxious, your body temperature rises. It is not abnormal for our body to overheat in response to situations that trigger feelings of helplessness and uncertainty. 


What you can do is pick up an ice pack and hold it against your face for 30 seconds. Alternatively, you can open the cold water tap and run cold water on your hands. This will help to regulate your body temperature and bring it back to optimal levels. 


Intense Exercise 

While the exercise does not have to be
intensive as the acronym suggests, engaging in physical activity will reduce anxiety by helping you to release some of the negative emotions you may be holding onto.


You can try doing a wall squat, plank, or sit-up. Try holding the position for 30 to 60 seconds. Exercise is a natural way to release endorphins, which are known as one of the
“happy chemicals.” By releasing endorphins, your body will be better equipped to combat feelings of anxiety, sadness, and anger


Paced Breathing

This is probably the most helpful tool to combat
anxiety. Oftentimes we actually forget to breathe. During an anxiety episode, our body’s natural fight or flight response is triggered, which means that our parasympathetic nervous system becomes hyperactive. Thus, we experience changes in our body temperature, heart rate, and we may experience shortness of breath. 


Remember to breathe slowly. Inhale through your nose, hold for as long as you can without experiencing discomfort, then slowly exhale through your mouth. It may help if you put one hand on your stomach and focus on your body movement as you inhale and exhale. Aim for 5 to 10 repetitions. 


Progressive Muscle Relaxation (PMR)

You may notice that when you are feeling particularly anxious, your body feels tense. Somatic concerns like body pain are often linked to psychological health. Along with paced breathing, you may benefit from relaxing your muscle groups.


Tense and relax each muscle group once. As you complete the exercise, focus on your breathing. In particular, focus on the tension you feel when your muscle is tense, and on the relief you feel when it is relaxed. This guided PMR video is a great tool to start with:

The T.I.P.P technique may not work immediately but with some practice you may notice improvement in your ability to cope with anxiety. Please note that while this technique is meant to help you reduce the negative effects of anxiety, it is not a replacement for psychotherapy. 


Written By: Angela D’Unian, M.Psy, R.P.

Edited/Reviewed by: Chantal Legere, M. Psy. and Dr. Stacy Lekkos, C. Psych


References


Smetanin et al. (2011). The life and economic impact of major mental illnesses in Canada: 2011-2041. Prepared for the Mental Health Commission of Canada. Toronto: RiskAnalytica.

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man-sleeping
By Erik Michalik 20 Nov, 2020
Let’s put something into perspective here: each day consists of 24 hours. Of those, it is recommended that each person sleep approximately eight hours per night. According to these numbers, we spend one third of our entire lives asleep, yet for some reason the majority of us are choosing to ignore the importance of this inevitability. Sleep alone can improve our stress , memory functioning, alertness, mood, immune system, hormone functioning, and weight, to name a few. There are no quick fixes or super pills anyone can take for instant success but sleep is truly one of the closest natural aspects we can improve on in order to benefit almost EVERY aspect of our lives. So what can we do to improve our sleep? Define Your Why A recurring theme when deciding to make changes in our lives is defining our ‘why’. Any meaningful action requires meaning or purpose for it to be achieved. No matter how complex or simple it is, when you have a reason to do something, you are more likely to actually follow through with it. Remember to remind yourself why you want to focus on this area of your life. This will be particularly important when the going gets tough or if you fall victim of your previous routine way of functioning. Remember, meaningful change (in this case, sleep) does not happen overnight. Limit Blue Light Exposure Cutting out screen time before bed is one of the most effective ways to improve sleep quality. However, I’m fairly confident that most of you reading this will end the last moments of your night on a screen, whether it's a phone, computer, iPad, or the television. Throughout human evolution, humans evolved to be awake when the sun was up and to fall asleep when the sun went down. The problem with blue light specifically is that it has shown to stimulate the brain in areas that are active during alert day hours, disorienting the body’s natural preparation for sleep. Furthermore, blue light suppresses melatonin production (the hormone that makes you sleepy) and elevates cortisol (the hormone associated with stress ). Mariana Figueiro, PhD., found that two hours of screen time before bed displayed a suppression in melatonin levels in the brain (Figeuiro et. al., 2011). In fact, even when our eyes are closed, we have photo-receptors all over our skin that absorb light just as our retinas in our eyes would. Thus, having screens on anywhere around our sleeping areas is problematic. Tips to manage blue light exposure: Setting a screen time curfew Wearing blue light protective glasses Turn on blue light blockers on devices, i.e. phones and computers (f.lux and Nightshift are recommended for iOS users and Twilight for android users) Instead of watching TV, movies, or YouTube before bed, listen to a podcast or audiobook with the screen off or on sleep mode. Ensure your room is completely pitch black at night, with no lights on, curtains closed, and any technology still on should be covered. For those of you who sleep with a light on, it’s recommended to buy a red light for your bedroom. Not only do these look cool but red light on the visible light spectrum has been shown to have little to no effect on both melatonin and cortisol levels. This is hypothesized to be due to the fact that humans have evolved sleeping by fire throughout human history (Stevenson, 2016). Caffeine Consumption Before getting into what you can do to manage your caffeine consumption, let’s take a simplistic look at what caffeine actually does to the brain that impacts our sleep. During normal functioning hours, the brain slowly accumulates a chemical called adenosine that binds to receptors to slow down brain activity and make you feel tired. The longer you are awake, the more tired you feel. Where caffeine comes into play is that it is shaped very similarly to adenosine and it binds to brain receptors. When these receptors are blocked by caffeine instead of adenosine, this tricks the brain into thinking it's not tired. Caffeine has a half-life of about 6-8 hours. A standard cup of coffee has roughly 150g of caffeine in it. What this means is that after about 6-8 hours there is still about 75g of caffeine in your system. Therefore, the timing of your caffeine consumption is just as important as the quantity. With this being said, the best strategy involves setting a caffeine curfew in order to reduce the amount of caffeine in your system by bedtime. It is recommended to cut out all sources of caffeine approximately 8 hours before bed. This includes coffee, caffeinated teas, espresso, or any other source of caffeine. Change Your Mindset in Regards to Sleep Although the other two points mentioned will probably apply to most readers, this one was the most influential point towards improving my sleep. I associated sleep with a negative outlook, specifically with loss of time. I knew through research and extensive thought that if I was going to improve my quality of sleep I was going to have to change my mindset. That isn’t the easiest task, especially when you spend years of your life thinking you dislike something. Some things that I did that helped me with this was reinforcing my why . The more I thought about why I was addressing my sleep, the easier it became to desire wanting sleep. Once I slowly worked towards this, I found that my anxiety associated with loss of time began to reduce and I was able to associate sleep with a positive mindset. Meditate Mindfulness is the act of becoming aware in the present moment, without judgement. The practice of mindfulness through mindful meditation can provide an opportunity to create mental space at bedtime and to help you feel more relaxed. Mindfulness can also help you to cope with negative thoughts surrounding sleep and to help you shift your focus to your body and to be present. This technique is easily accessible by downloading free apps or using beginner guided sleep meditation videos on YouTube. Other Minor Tips to Improve Your Sleep Journaling is an excellent release before bedtime, especially if you are an over thinker. Letting out the thoughts on paper and getting them out of your head will allow you to focus more on sleep and less on what’s on your mind. Invest in a good mattress. As mentioned earlier, we are going to spend about one third of our lives sleeping so why not ensure that we get the best sleep possible? If you are not in an ideal financial situation at the moment, perhaps investing in a proper mattress isn’t realistic. For you, I suggest buying a memory foam topper or just a mattress topper. This is an inexpensive way to improve sleep quality. Sleep and wake at consistent hours. Our super complex yet lazy brain loves to work off of routines so do your brain a favour and go to bed and wake up around the same time. This will make the process easier on yourself and will make you less likely to give up from frustrations of not being able to accomplish what you set out to. Do not, and I repeat do not, do any work or eating or anything in your bed besides sleep. The brain works off of associations so don’t confuse your brain into thinking your mattress is an office, movie theater, or a kitchen table. This is just the beginning when it comes to ways to improve your sleep, as solutions often depend on one’s specific sleep challenges. However, trying any of these tips can be beneficial as improving our sleep is crucial to improving our physical and psychological well-being. Best of luck on your sleep journey and sweet dreams. Written By: Erik Michalik, M. Psy Candidate, BASc, Edited/Reviewed by : Chantal Legere, M. Psy References Figueiro MG, Wood B, Plitnick B, Rea MS. (2011) The impact of light from computer monitors on melatonin levels in college students. Neuro Endocrinol Lett .; 32(2):158-63. PMID: 21552190. Stevenson, S. (2016). Sleep smarter: 21 essential strategies to sleep your way to a better body, better health, and bigger success . New York, NY: Rodale Books. Photo by Andrea Piacquadio from Pexels
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