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Personal Story 10.06.2022

Anxiety = Taboo

This was my rock bottom anxiety attack which was frightening. Where I didn’t have control over anything in my brain or my body and realized I needed help. I’m sharing my story with you because I searched for so long to find professionals or anyone who could help me. Someone who didn't just tell me," don't worry it's just anxiety."
Blog post 08.16.2022

Your Kid is Off to College. What Now?

Wherever you and your kid fall on the continuum of "I hope you never leave" to "I can't wait until you move out," your child's sudden absence is likely to stir up some stuff. I am a parent and a psychologist. I went to school longer than I needed to and spent the last 20-plus years working with college students. Here's what I've learned about how to handle this change.
Blog post 07.14.2022

How to Prevent Trauma From Becoming PTSD

Studies have shown a correlation with the development of PTSD and avoidance behaviors. In other words, the more one tries not to think about a traumatic event, resists revisiting a traumatic place, and avoids contact with any potential triggers of the traumatic event, the more likely one is to develop PTSD.
Blog post 06.22.2022

How to Talk with Your Children and Teens in the Aftermath of a Violent Event

The key message for parents to convey after exposure to any type of trauma or violence is to ensure that your child feels safe and loved. This can be challenging given the frequency of these events.  Knowing what your child’s school is doing to address risk is important so that you can talk with your child and give them a safe home context as well. 
Blog post 06.03.2022

Anticipatory Anxiety: Bleeding Before You Are Cut

Anticipatory anxiety involves worry about—and the urge to avoid—not only anxiety or panic, but also disgust, anger, shame, regret, humiliation, becoming overwhelmed, or any other unwanted emotion. We think of anticipatory anxiety as a third layer of fear.
Blog post 06.03.2022

When Reassurance Seeking Becomes Compulsive

It is natural to seek some reassurance when confronted with uncertainty. Reassurance can help to calm a doubt, allay a worry, solidify a plan of action, or guide a decision. 
Blog post 05.31.2022

What You Can Do to Overcome the Effects of Anxiety Disorders

It takes courage to successfully deal with anxiety disorders, but with lots of good information, coaching and support from your therapist and others you can learn to do it. You may not think that you have much courage because you have an anxiety disorder that make you fearful at times. However, courage is not acting without fear. It is acting despite fear. I have seen many, many examples of people with anxiety disorders who learned coping skills, to help them face their fears, and as a result got better and better over time. You can too.
Blog post 05.23.2022

Violating Expectations and the Metacognitive Approach

The recommendation most difficult to absorb by most clinicians is the suggestion that interventions that lower expectations of catastrophic or negative outcomes of exposure should be minimized in order to take advantage of the therapeutic effect of violating expectations. The question then arises as to how to motivate patients to do the exposure work while in the grip of serious anticipatory anxiety and suffering from the effects of their own anxiety sensitivity.
Blog post 05.20.2022

Social Anxiety After Quarantine Is Normal

As COVID restrictions get a little less and less frigid with the ongoing vaccination campaigns, a lot of us are very excited to resume some of our normal work and social life. At the same time, we may experience a burst of anxiety as we start to get out of quarantine-- after all, it’s been a really long time, right?!  To help ease up that anxious feeling, Dr. Carmichael has packaged some of her favorite pointers into an easy-to-remember acronym of S.U.N. to help you cope!