Coping with Anxiety and Covid-19

In the last few weeks it may feel that your world has been turned upside down. Many of you may be quarantined, social distancing, staying at home or safer at home. In this time of uncertainty, Covid-19, many of you may be feeling an increase of anxiety. Here are some tips for managing anxiety during the pandemic.

1. Exercise- exercise is important for physical and mental health. If you have an anxiety disorder exercise plays an essential role in managing anxiety. Exercise not only releases serotonin and endorphins to improve your mood but also can reduce activation in the amygdala which is the area of the brain that sends a distress signal to activate our fight, flight, freeze response. https://www.health.harvard.edu/staying-healthy/understanding-the-stress-response

2. Get outside- Time in the outdoors can be restorative. Having deficient levels of vitamin D can also be linked to depression and anxiety. https://www.unitypoint.org/livewell/article.aspx?id=ca7f4766-8ba8-43a2-bbe7-0ef9efab5c6d

3. Meditate- Meditation can improve focus, decrease anxiety, and help with emotion regulation among other benefits.

4. Keep a routine- our bodies thrive on routines. Routines can improve productivity, setting expectations and having some control.

5. Sleep- REM sleep can also play a role in decreasing activation in the amygdala. Setting up a sleep routine can signal to our body when it is time to go to sleep.

6. Social Support- these are hard times. While you many be social distancing from friends you do not need to isolate. Reaching out to friends can provide a sense of normalcy and a sense of belonging.

7. Manage your screen time- Between work, school and socializing online many of your are getting more screen time than you ever have before. Screen time can impact anxiety, sleep and overall well-being.

8. Focus on what you have control of- unfortunately with Covid-19 it may feel like there are many things that are out of your control. Focusing on these can lead to increased anxiety. Instead try focusing on what things are within your control. Make a plan for the things that are in your control, and let go of the things that are out of your control.

9. Stay present- Ask yourself what do I know in this moment instead of the what ifs.

10. Attitude of Gratitude- in the midst of all this chaos there is a lot to be grateful for. What do you feel grateful for? Write it down, say it out loud. Surround yourself with positive messages.

    For more information on coping with anxiety during the pandemic or to set up a free 15-minute consultation email julie@kullcounselingmadison.com or 608.239.4807.

The guilt of miscarriage

It is estimated that 1 in 4 women will experience a miscarriage.  For many, having a miscarriage is a devastating loss that leads to a roller coaster of emotions. One common emotion many women hesitate to talk about is guilt. When you have a miscarriage there is a large amount of guilt associated with it because you feel like you did something wrong.  

Different types of guilt with a miscarriage:

1. The Guilt of It was my job. You may feel that that having a baby is part of your role as a woman and a wife. You might feel guilty that this is your job and since this is your job and you did not give birth to a healthy baby you have failed your job. You might have been taught that pregnancy and motherhood come naturally (and easily might I add) so when you are not able to maintain a healthy pregnancy there are strong feelings of guilt.

2. The Guilt of I did something wrong. If you believe #1, that it was your job to get pregnant and have a baby, than this is usually where the second layer of guilt sets in. If you could not do "your job" than you must have done something wrong. Did I drink too much caffeine? Was I exercising too much or not enough? Was it that glass of wine I had before I knew I was pregnant? You probably have come up with a dozen things that might have caused your miscarriage and concluded that is was your fault. 

3. The Guilt of what if I can't get pregnant again. If it was your job and you did something wrong than you might be feeling it is quite possible that you cannot get pregnant again. You may fear that you have already lost a baby and now you feel the guilt of what if I already lost one baby and I will never be able to have another. You might feel that this was your only chance and you did something wrong to cause this. You might feel that this is punishment for something else that happened in your life.

Guilt is an intense emotion and a very real part of the healing process of losing a baby in early pregnancy. There is help working to challenge these negative thoughts and normalize these feelings. If you have experienced early pregnancy loss it is not your fault, and  you are not alone. To learn more about guilt and other common feelings after a miscarriage or more information about the free monthly miscarriage support group please contact Julie at 608.239.4807 or julie@kullcounselingmadison.com

How to reconnect with your partner after pregnancy loss

Pregnancy loss can have a profound effect on your relationship. For some, it can be a life altering event bringing you closer, and for others, it can lead to the end of your relationship.

When you lose a baby it can be difficult to cope. There is no handbook that gives you instructions on how to grieve. You may feel like you and your partner created this baby together, so grieving should be a joint process.  However, for many couples this is not the case. People grieve differently; how you process grief, when you process grief, and when you get to the acceptance stage of grief. You most likely felt different the minute you realized you were pregnant, connecting with your baby early on in your pregnancy. Research shows that for many first time fathers, a man does not consider a pregnancy a baby and himself a father until he holds that baby in his arms. www.webmd.com

You may feel emotionally disconnected from your partner when you are processing pregnancy loss, and you may also feel physically disconnected from your partner. It is common that you may also feel physically disconnected from your own body. You may find it difficult to be physically comforted by your partner or may have difficulty being intimate. This is common after you experience pregnancy loss. 

Reconnecting with your partner can be difficult, but it is not impossible. Here are a few things that can help you reconnect with your partner after pregnancy loss.

1. Reconnect with yourself - Before you will be able to reconnect physically with your partner, you need to reconnect with yourself. This can be done using mind-body techniques to reconnect you to your body. Two mind-body techniques that I use in my work include progressive muscle relaxation and the body scan. These exercises are both helpful to identify where in the body we hold pain, grief and stress from the trauma of a pregnancy loss and where we are disconnected. 

2. Communicate - This may not sound difficult in theory, but in practice can be difficult. Discuss your feelings about the loss with your partner and accept that they might not understand and that they may feel different about the loss of your baby. Tell your partner if it is difficult to connect physically. Explore feelings about being intimate and what that means for each of you. You may feel like being intimate again will lead to a subsequent pregnancy that you are not ready for. Your partner may just be trying to comfort  you and connect physically. Identify triggers that lead to feeling disconnected. Continue to check in about how you are both feeling.

3. Honor your loss - Find a way that feels comfortable to grieve your loss. Create a ritual that you can do with your partner to honor your loss together. It is important to find at least one way that you can honor your baby and sharing this with your partner is a great way to reconnect.

 4. Seek help - If the above ideas do not work and you are still finding it hard to reconnect there is help. Psychotherapy can help you reconnect to your partner after a loss. Remember to be kind to yourself. Pregnancy loss is a complicated loss and there is no one way to navigate it. 

For more resources on reconnecting with your partner please contact Kull Counseling, LLC at 608.239.4807 or julie@kullcounselingmadison.com.

Surviving the holidays after early pregnancy loss/miscarriage

In 1963, Andy Williams sang, "It's the most wonderful time of the year."

If you have experienced an early pregnancy loss you may feel differently. The holidays can be a difficult time of the year for many, but can be especially difficult if you have experienced a  miscarriage.

You may be dreading parties because people do know and are uncomfortable about what to say or  people do not know and are asking when you are planning on starting or growing your family. Or maybe you are dreading opening holiday cards of pictures of friends and family with their children or you may be dreading sending out your own without your child. 

You might be celebrating the anniversary of your loss, a due date or your child's first holiday. Perhaps you were waiting for Christmas to announce your upcoming birth. You might have already made plans for what this holiday would look like with a new baby.  It is easy to feel triggered around the holidays when much of it is centered around family and children.

Wherever you are in your journey, and whatever stage you are at in your grief, here are a few ideas to help through the holiday season.

Update 2021: This is an article that I wrote a few years ago but I have found is still helpful for navigating the holidays today. That being said for most of you, the holidays will look much different this year in the midst of Covid-19. I think more than ever this year support is especially needed. Whether it is virtual, or socially distanced I encourage you to find your support people. If you are not getting the support you need, it is important to ask for it. You may find going through a pregnancy loss can be isolating.

Tips for getting through the holiday season after an early pregnancy loss:

1. Get extra support - You need additional support during this time. Whether this is doubling up on support groups,  additional therapy sessions or just making plans with those that support you and your loss. If you are  religious, this may include attending services or seeking support through other church members. 

Support groups for miscarriage in the Madison, WI area:

https://www.kullcounselingmadison.com/miscarriage-support-group/

http://www.bereavedparentsofmadison.com

2. Say No - You do not have to do everything. It is okay to say no, whether this is to a party, a family gathering or sending out holiday cards. You especially do not need to do anything that triggers you or that is not a good space for you right now.

3. Practice kindness - During the holidays you tend to practice gratitude and kindness towards each other. Practice kindness and gratitude towards yourself. You may feel like you should be over your grief by now or that you were doing so well and that you took a step backwards-be patient with yourself. Do extra self care during this season: cooking, going for a walk, yoga, practicing mindfulness, reading a book, talking to a friend, or going on a date with your partner are just a few ideas.

4. Honor your baby - you may find it comforting to start a tradition to remember your baby during the holidays. This may look like buying an ornament that honors them or lighting a candle on your holiday to honor their presence. It could be volunteering or buying a gift for someone in need. Whatever this may look like for you, if you want your baby to be part of your holidays you can do it and let the important people in your life know what you need to honor your baby so they can support you.

Please remember if you are grieving a miscarriage you are not alone. If you need help during the holidays, Kull Counseling can help. Please contact  608.239.4807 or julie@kullcounselingmadison.com for more information.

5 things no one tells you about a miscarriage

A miscarriage is defined as the loss of a pregnancy before 20 weeks. It is estimated that 1 in 5 women will have a miscarriage. While many women have a miscarriage, it still remains a taboo subject, and can be very isolating for a woman to go through. 

5 things no one tells you about a miscarriage:

1.  It is a major loss - Going through a miscarriage is a major loss; whether you were 4 weeks pregnant or 20 weeks pregnant. Every woman has a different reaction and experience with miscarriage, and needs time to process and grieve what they have gone through.

2. The physical process can last weeks, if not months - Some women will miscarry at home while others will require medical interventions. Miscarriages can last weeks before they are completed. Because hormones are in the body some woman can continue to experience pregnancy symptoms such as nausea and weight gain. Once a miscarriage has completed it can take months for a woman's body to acknowledge they are no longer pregnant.

3. The mental process can last longer - Miscarriages are tough to deal with and can make you feel alone. People will try their best to support you and help you through your miscarriage, but may not understand what you are experiencing. In addition many people do not feel comfortable discussing having a miscarriage, which can make it feel isolating when you are experiencing one.

4. Your partner's grief will be different than yours -  It can be difficult to understand how your spouse or significant other feels.  Everyone experiences grief differently. While your grief can be different it is still possible to support each other. Open communication is key in understanding your partners grief.

5. It's okay to want to try again - Medical providers have different recommendations on when you can start trying again. Some for medical reasons and others for emotional/mental readiness. No one can tell you when you will feel ready to try again. It is something that each person will have to assess for herself. 

Each person's experience with miscarriage is completely unique and there is no "right way" to process grief. Not every person that experiences a miscarriage will need extra support, but if you feel like you need support through a miscarriage please contact Kull Counseling, LLC at 608.239.4807 or julie@kullcounselingmadison.com.