Tag: Wellness

Mental Health and Cardiac Conditions: Understanding the Mind–Heart Connection

Posted on by TriWellness in Blog

Why Mental Health and Cardiac Conditions Are Closely Linked

When we think about heart disease, we often focus on cholesterol, blood pressure, and diet. However, research increasingly shows that mental health and cardiac conditions are strongly interconnected.

The brain and heart communicate through the autonomic nervous system, hormonal pathways, and immune responses. When mental health is compromised, it directly affects cardiovascular functioning.

The Science Behind Mental Health and Cardiac Conditions

The connection between mental health and cardiac conditions is rooted in the body’s stress-response systems. When an individual experiences chronic psychological stress, anxiety, or depression, the brain activates the hypothalamic–pituitary–adrenal (HPA) axis and the sympathetic nervous system.

This activation leads to a cascade of physiological changes, including:

  • Increased release of stress hormones such as cortisol and adrenaline
  • Elevated heart rate and blood pressure
  • Chronic low-grade inflammation
  • Endothelial dysfunction (impaired blood vessel function)

While these responses are adaptive in short-term situations, persistent activation can become harmful. Over time, these changes contribute to atherosclerosis, reduced heart rate variability, and increased cardiovascular risk.

Research shows that chronic stress and emotional distress play a significant role in the development and progression of cardiovascular disease, highlighting the importance of addressing mental health and cardiac conditions together (Cohen et al., 2015; Steptoe & Kivimäki, 2012). Additionally, dysregulation of the autonomic nervous system has been identified as a key mechanism linking psychological factors with adverse cardiac outcomes (Thayer et al., 2010).

How Mental Health Conditions Affect Heart Health

The relationship between mental health and cardiac conditions is supported by a growing body of large-scale and longitudinal research. Mental health disorders are not only associated with cardiovascular disease—they can actively contribute to its development and progression.

Chronic Stress and Heart Disease

Chronic psychological stress activates the body’s stress-response system, increasing cortisol, blood pressure, and inflammation. Over time, this can damage blood vessels and contribute to atherosclerosis. Research shows that stress-related biological changes—including autonomic dysregulation—are key mechanisms linking mental health and cardiac conditions (Steptoe & Kivimäki, 2012). 

Anxiety and Cardiac Conditions

Anxiety disorders are associated with repeated activation of the sympathetic nervous system, leading to increased heart rate and cardiovascular strain. Large cohort studies have shown that individuals with anxiety are at significantly higher risk of developing coronary heart disease and other cardiac events (Roest et al., 2010). 

Depression and Cardiovascular Risk

Depression is one of the most well-established risk factors linking mental health and cardiac conditions. A large study of over 500,000 adults found that individuals reporting poor mental health had higher rates of heart attacks, strokes, and cardiovascular risk factors (Kwapong et al., 2023). 

Additional research shows that depression increases inflammation, disrupts autonomic regulation, and is associated with worse outcomes and higher mortality in people with existing heart disease (Lichtman et al., 2014). 

Trauma, PTSD, and the Heart

Trauma and PTSD contribute to chronic nervous system dysregulation, keeping the body in a prolonged state of hyperarousal. This ongoing physiological stress increases cardiovascular risk over time. Recent large-scale analyses confirm that individuals with mental health disorders—including PTSD, depression, and anxiety—have a significantly higher likelihood of developing future cardiovascular disease (All of Us Research Program study, 2025). 

How Cardiac Conditions Impact Mental Health

The relationship between mental health and cardiac conditions is bidirectional—cardiac disease can significantly affect emotional well-being.

Many individuals with cardiovascular disease experience anxiety, depression, and reduced quality of life. Research shows that 20–30% of patients with coronary heart disease have major depression, with even higher rates of milder symptoms (Lichtman et al., 2014). Anxiety is also common, especially after cardiac events or procedures (Tully et al., 2013).

These symptoms are not just emotional—they impact physical outcomes. Depression is associated with a 2–2.5 times higher risk of mortality in cardiac patients and can interfere with recovery by reducing adherence to treatment and participation in rehabilitation (Whooley et al., 2008; Lichtman et al., 2014).

Emotional distress can also worsen inflammation and autonomic dysregulation, contributing to poorer cardiac outcomes. Addressing mental health and cardiac conditions together is essential for improving recovery and long-term health.

Behavioral Links Between Mental Health and Cardiac Conditions

The relationship between mental health and cardiac conditions is strongly influenced by behavior. Depression, anxiety, and chronic stress can negatively affect daily habits that are essential for heart health.

Individuals experiencing psychological distress are more likely to develop:

  • Difficulty adhering to medical treatment, including medications and cardiac rehabilitation programsiovascular disease.
  • Poor sleep patterns, including insomnia or fragmented sleep, which are associated with increased cardiovascular risk and hypertension
  • Reduced physical activity, often due to low motivation or fatigue, contributing to obesity and decreased cardiovascular fitness
  • Changes in eating behaviors, such as emotional eating or loss of appetite, which can negatively affect metabolic and heart health
  • Smoking or substance use, frequently used as coping strategies, which significantly increase the risk of cardiovascular disease

Research shows that depression is associated with lower medication adherence and reduced engagement in health-promoting behaviors (Whooley et al., 2008), while sleep disturbances independently increase the risk of hypertension and cardiac events (Cappuccio et al., 2011). These combined factors can significantly worsen outcomes in individuals with heart disease (Lichtman et al., 2014).

Addressing these behavioral patterns highlights the importance of treating mental health and cardiac conditions together for improved long-term health.

Integrative Treatments for Mental Health and Cardiac Conditions

Supporting both mental health and cardiac conditions requires an approach that addresses the nervous system, emotional well-being, and lifestyle factors together.

At TriWellness, we focus on evidence-informed, integrative treatments that help regulate stress and improve both mental and physical health outcomes.

Neurofeedback supports brain regulation and may reduce symptoms of anxiety, stress, and PTSD by improving self-regulation of neural activity. A systematic review found neurofeedback to be associated with significant symptom improvement in trauma-related conditions, though variability in protocols suggests it is best used as an adjunctive treatment (Steingrimsson et al., 2020).

HRV biofeedback strengthens the body’s ability to regulate stress and improve autonomic balance, which is critical for heart health. Meta-analytic evidence shows improvements in emotional regulation and physiological functioning (Lehrer et al., 2020), and recent randomized trials demonstrate measurable improvements in cardiac response to stress in patients with coronary artery disease (Shah et al., 2025).

Psychotherapy, particularly cognitive behavioral therapy (CBT), is well-supported in cardiac populations and has been shown to significantly reduce depressive symptoms. A meta-analysis of randomized controlled trials found meaningful improvements in depression among patients with coronary heart disease, which is important given its impact on cardiac outcomes (Nuraeni et al., 2023).

Yoga and mind–body practices help regulate the stress response through breathwork, movement, and mindfulness. Large meta-analyses of randomized controlled trials show yoga can significantly reduce blood pressure, cholesterol, and other cardiovascular risk factors while also improving mental health (Virk et al., 2023).

Animal-assisted therapy can promote relaxation, reduce stress, and improve emotional well-being. Systematic reviews indicate positive effects on anxiety, depression, and overall quality of life, although research specific to cardiovascular outcomes is still developing (Pandey et al., 2024).

Lifestyle support and social connection are foundational in addressing mental health and cardiac conditions. Strong social relationships are associated with a 50% increased likelihood of survival (Holt-Lunstad et al., 2010), while physical activity and healthy sleep are linked to reduced risk of both depression and cardiovascular disease (Pearce et al., 2022; Kwok et al., 2018).

Take the Next Step

If you’re experiencing stress, anxiety, or low mood alongside a cardiac condition, you don’t have to manage it alone. A personalized, integrative approach can support both your emotional well-being and heart health.

Schedule a consultation to explore the right treatment plan for you.

A Whole-Person Approach to Mental Health and Cardiac Conditions

The divide between mental and physical health is outdated. Treating mental health and cardiac conditions together leads to better long-term outcomes.

By addressing the nervous system, emotional well-being, and lifestyle factors, individuals can improve both heart health and overall quality of life.

References

All of Us Research Program Investigators. (2025). Mental health disorders and incident cardiovascular disease risk. American Journal of Cardiology.

Cappuccio, F. P., Cooper, D., D’Elia, L., Strazzullo, P., & Miller, M. A. (2011). Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. European Heart Journal, 32(12), 1484–1492. https://doi.org/10.1093/eurheartj/ehr007

Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2015). Psychological stress and disease. JAMA, 298(14), 1685–1687. https://doi.org/10.1001/jama.298.14.1685

Edmondson, D., & Cohen, B. E. (2013). Posttraumatic stress disorder and cardiovascular disease. Progress in Cardiovascular Diseases, 55(6), 548–556. https://doi.org/10.1016/j.pcad.2013.03.004

Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316

Kwapong, Y.A. MD, MPH, Boakye, E. MD, MPH, Khan, S.S. MD, MSc, Honigberg, M.C. MD, MPP, Martin, S.S. , MD, MHS, Hays, A.G. MD, Mamas A. Mamas, BM Bch, MA, DPhil, FRCP, Blaha, M.J. MD, MPH, and Sharma, G. MD  (2023). Association of poor mental health with cardiovascular disease risk in young adults. Journal of the American Heart Association. https://doi.org/10.1161/JAHA.122.028332

Kwok, C. S., Kontopantelis, E., Kuligowski, G., Gray, M., Muhyaldeen, A., Gale, C. P., Peat, G. M., Cleator, J., Chew-Graham, C., Loke, Y. K., & Mamas, M. A. (2018). Self-reported sleep duration and quality and cardiovascular disease and mortality: A dose-response meta-analysis. Journal of the American Heart Association, 7(15), e008552. https://doi.org/10.1161/JAHA.118.008552

Lehrer, P., & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, 756. https://doi.org/10.3389/fpsyg.2014.00756

Lehrer, P. M., Kaur, K., Sharma, A., Shah, K., Huseby, R., Bhavsar, J., & Zhang, Y. (2020). Heart rate variability biofeedback improves emotional and physical health and performance: A systematic review and meta-analysis. Applied Psychophysiology and Biofeedback, 45(3), 109–129. https://doi.org/10.1007/s10484-020-09466-z

Lichtman, J. H., Froelicher, E. S., Blumenthal, J. A., Carney, R. M., Doering, L. V., Frasure-Smith, N., Freedland, K. E., Jaffe, A. S., Leifheit-Limson, E. C., Sheps, D. S., Vaccarino, V., & Wulsin, L. (2014). Depression as a risk factor for poor prognosis among patients with acute coronary syndrome. Circulation, 129(12), 1350–1369. https://doi.org/10.1161/CIR.0000000000000019

Nuraeni, A., Suryani, S., Trisyani, Y., & Sofiatin, Y. (2023). Efficacy of cognitive behavior therapy in reducing depression among patients with coronary heart disease: An updated systematic review and meta-analysis of randomized controlled trials. Healthcare, 11(7), 943. https://doi.org/10.3390/healthcare11070943

Pandey, R. P., Himanshu, Gunjan, Mukherjee, R., & Chang, C.-M. (2024). The role of animal-assisted therapy in enhancing patients’ well-being: Systematic study of qualitative and quantitative evidence. JMIRx Med, 5, e51787. https://doi.org/10.2196/51787

Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F. B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A. D., Brage, S., & Woodcock, J. (2022). Association between physical activity and risk of depression: A systematic review and meta-analysis. JAMA Psychiatry, 79(6), 550–559. https://doi.org/10.1001/jamapsychiatry.2022.0609

Roest, A. M., Martens, E. J., de Jonge, P., & Denollet, J. (2010). Anxiety and risk of incident coronary heart disease. Journal of the American College of Cardiology, 56(1), 38–46. https://doi.org/10.1016/j.jacc.2010.03.034

Shah AJ, Raggi P, She H, et al. Heart Rate Variability Biofeedback and Mental Stress Myocardial Flow Reserve: A Randomized Clinical Trial. JAMA Netw Open. 2025;8(10):e2538416. doi:10.1001/jamanetworkopen.2025.38416

Steingrimsson, S., Bilonic, G., Ekelund, A. C., Larson, T., Stadig, I., Svensson, M., Vukovic, I. S., Wartenberg, C., Wrede, O., & Bernhardsson, S. (2020). Electroencephalography-based neurofeedback as treatment for post-traumatic stress disorder: A systematic review and meta-analysis. European psychiatry : the journal of the Association of European Psychiatrists, 63(1), e7. https://doi.org/10.1192/j.eurpsy.2019.7

Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78(5), 571–579. https://doi.org/10.1016/j.mehy.2012.01.021

Thayer, J. F., Yamamoto, S. S., & Brosschot, J. F. (2010). The relationship of autonomic imbalance, heart rate variability, and cardiovascular disease risk. International Journal of Cardiology, 141(2), 122–131. https://doi.org/10.1016/j.ijcard.2009.09.543

Whooley, M. A., de Jonge, P., Vittinghoff, E., Otte, C., Moos, R., Carney, R. M., Ali, S., Dowray, S., Na, B., & Feldman, M. D. (2008). Depressive symptoms, health behaviors, and risk of cardiovascular events in patients with coronary heart disease. JAMA, 300(20), 2379–2388. https://doi.org/10.1001/jama.2008.711

Aarti S. Felder, MA, LCPC, BCN, CIT, AAT-I, QEEG-DC

Aarti is an expert in mental health in chronic illness who also specializes in neurofeedback, biofeedback, and Animal Assisted Therapy.

Learn more about Aarti S. Felder, MA, LCpC, BCN, CIT, AAT-I, QEEG-DC

Your journey to wellness begins here

Conact Us

Healing After Loss: Understanding the Trauma of Baby Loss

Posted on by TriWellness in Uncategorized

The profound impact of baby loss transcends the physical realm, leaving lasting emotional scars that demand compassionate understanding and support. Research has increasingly shed light on the pervasive nature of the trauma associated with baby loss, emphasizing the need for empathy, acknowledgment, and tailored mental health interventions for those navigating this painful journey.

The Hidden Pain: Unveiling the Emotional Toll

Research in the Journal of Obstetric, Gynecologic, & Neonatal Nursing underscores the profound emotional toll of baby loss, revealing that parents often experience symptoms akin to post-traumatic stress disorder (PTSD; Brier, 2008). The trauma is not confined to the moment of loss but extends through the grieving process, impacting mental health, relationships, and overall well-being.

Understanding Grief: A Complex Emotional Landscape

Grieving the loss of a baby is a unique and intricate process, as highlighted in studies published in the Journal of Reproductive and Infant Psychology (Vance, Boyle, Najman, Thearle, 2002). The emotional landscape includes intense feelings of sadness, guilt, anger, and even numbness. Research emphasizes that acknowledging and addressing this complex array of emotions is crucial for the healing journey.

Impact on Mental Health: Navigating Depression and Anxiety

The trauma of baby loss can significantly elevate the risk of mental health challenges. A study in the Archives of Women’s Mental Health underscores the heightened vulnerability to depression and anxiety among individuals who have experienced pregnancy loss (Kersting & Wagner, 2007). This research reinforces the importance of comprehensive mental health support tailored to address the unique needs of those coping with baby loss.

Couples Coping: The Strain on Relationships

Baby loss doesn’t only affect individuals; it deeply impacts couples, as explored in the Journal of Marital and Family Therapy. The strain on relationships is multifaceted, encompassing communication breakdowns, differing grief processes, and changes in intimacy. Understanding these dynamics is essential for offering effective support to couples navigating the trauma of baby loss.

Breaking the Silence: The Power of Supportive Communities

Research emphasizes the role of social support in mitigating the impact of trauma (Pennebaker, Zech, Rimé, 2001). Breaking the silence surrounding baby loss and fostering supportive communities can play a pivotal role in the healing process. Encouraging open conversations, providing platforms for shared experiences, and acknowledging the ongoing grief are crucial steps toward building a compassionate and understanding network.

Navigating the trauma of baby loss requires a holistic approach that recognizes the emotional complexity of the grieving process. As research continues to unveil the profound impact on mental health, relationships, and overall well-being, it is imperative to advocate for awareness, understanding, and tailored support. By acknowledging the hidden pain, understanding the multifaceted nature of grief, addressing mental health challenges, supporting couples, and fostering inclusive communities, we can contribute to a more compassionate and healing journey for those affected by the profound trauma of baby loss.

Resources

Brier N. (2008). Grief following miscarriage: a comprehensive review of the literature. Journal of women’s health (2002), 17(3), 451–464. https://doi.org/10.1089/jwh.2007.0505.

Christiansen D. M. (2017). Posttraumatic stress disorder in parents following infant death: A systematic review. Clinical psychology review, 51, 60–74. https://doi.org/10.1016/j.cpr.2016.10.007

Kersting, A., & Wagner, B. (2012). Complicated grief after perinatal loss. Dialogues in clinical neuroscience, 14(2), 187–194. https://doi.org/10.31887/DCNS.2012.14.2/akersting.

Pennebaker, J. W., Zech, E., & Rimé, B. (2001). Disclosing and sharing emotion: Psychological, social, and health consequences. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of Bereavement Research: Consequences, Coping, and Care (pp. 517–539). American Psychological Association.

Vance, J. C., Boyle, F. M., Najman, J. M., & Thearle, M. J. (2002). Couple distress after sudden infant or perinatal death: a 30-month follow up. Journal of paediatrics and child health, 38(4), 368–372. https://doi.org/10.1046/j.1440-1754.2002.00008.x

Aarti Felder, MA, LCPC, BCN, CIT, AAT-I

Aarti is a licensed clinical professional counselor and is our expert on chronic illness and medical trauma for over 10 years.

Learn More about Aarti Felder, MA, LCPC, BCN, CIT, AAT-I

Your healing journey starts here

Contact Us

Exploring the Depths of Existence: Existentialist & Humanist Perspectives

Posted on by TriWellness in Blog, Uncategorized

“What is the meaning of life?” For centuries, the foundation of philosophical investigation has been this age-old question. It is a question that evokes deep reflection about our human existence and furthermore, our approach to life and death. The search for meaning remains a fundamental human pursuit. There are two approaches that offer insight on this quest: existentialism and humanism.

Existentialism: Embracing the Absurd

Existentialism, a philosophical movement that gained prominence in the mid-20th century, proposes that individuals are solely responsible for giving meaning to their lives in an otherwise meaningless universe (Aho, 2023). Key figures in the existential realm include Jean-Paul Sartre, Albert Camus, and Martin Heidegger (Aho, 2023). Sartre says, “existence precedes essence,” suggesting that humans first exist and then define themselves through their actions and choices (Maden, 2023). This perspective places enormous weight on individual freedom and responsibility.

We are, in Sartre’s view, “condemned to be free” – obligated to make choices and create our own meaning in a world without inherent purpose (Rossmiller, 2023). Albert Camus introduced the concept of the absurd – the tension between our desire for meaning and the apparent meaninglessness of the universe (Rossmiller, 2023). In “The Myth of Sisyphus,” Camus uses the Greek mythological figure condemned to endlessly push a boulder up a hill as a metaphor for the human condition (Karpouzos, 2024). He argues that we must find meaning in the struggle itself, embracing life’s absurdities rather than succumbing to despair. Existentialists emphasize authenticity as a key to meaningful existence (Aho, 2023). This is embracing our individuality, being accountable for our decisions, and living authentically rather than conforming.

Humanistic Psychology and Person-Centered Therapy

Humanism, while sharing some common ground with existentialism, offers a different perspective on finding meaning. This philosophical position places a strong emphasis on the worth and agency of people, emphasizing reason, morality, and the quest of personal fulfillment independent of faith in the extraordinary (Pincus, 2022). Humanist thought has roots in ancient philosophy but gained renewed prominence during the Renaissance and Enlightenment periods (Casini, n.d.). Humanists argue that meaning can be found through:

  1. Reason and scientific inquiry
  2. Ethical behavior and social responsibility
  3. Personal growth and self-actualization
  4. Appreciation of art, culture, and natural beauty
  5. Building meaningful relationships and contributing to society

Unlike existentialism, which often grapples with the absurdity of existence, humanism tends to be more optimistic about human potential and the possibility of creating a meaningful life through rational thought and action (Burnham & Papandreopoulos, n.d.).

Existentialism, Humanism, and Modern Psychotherapy

The influence of existentialist and humanist philosophies extends beyond academic discussions, significantly impacting the field of psychotherapy. These philosophical approaches have given rise to important therapeutic modalities that focus on helping individuals find meaning and authenticity in their lives and existence.

Existential Psychotherapy

Rooted in existentialist philosophy, existential psychotherapy was developed by psychologists like Irvin Yalom and Rollo May. This approach focuses on helping clients confront life’s fundamental concerns:

  1. Death and mortality
  2. Freedom and responsibility
  3. Existential isolation
  4. Meaninglessness

Existential therapists help clients explore these “ultimate concerns” and find ways to live authentically despite life’s inherent uncertainties (Craig, 2008). The goal is not to eliminate anxiety or suffering, but to help individuals engage with these experiences meaningfully (Craig, 2008). For example, a therapist might help a client struggling with a fear of death to explore how this fear impacts their daily choices. By confronting this anxiety directly, the client may find a renewed appreciation for life and a motivation to live more fully in the present.

Humanistic Psychology and Person-Centered Therapy

In opposition to behaviorism and psychoanalysis, humanistic psychology – which has a close connection with philosophical humanism – arose in the middle of the 20th century. Individuals like Abraham Maslow and Carl Rogers highlighted the value of subjective experience, self-actualization, and human potential (Malchiodi, 2002). Rogers developed person-centered therapy, which is based on the belief that individuals have an innate tendency toward growth and self-actualization (Person Centered Therapy—the Counseling Place, n.d.). This approach emphasizes:

  1. Unconditional positive regard from the therapist
  2. Empathic understanding
  3. Therapist genuineness or congruence

Establishing a safe and secure place for clients to explore their experiences and attain their own answers is the aim (Malchiodi, 2002). Person-centered therapy, in contrast to more directed approaches, has confidence in the client’s ability to grow and make decisions for themselves (McLeod, 2024).

Logotherapy

“Developed by Viktor Frankl, logotherapy is often described as the ‘Third Viennese School of Psychotherapy’ after Freud’s psychoanalysis and Adler’s individual psychology” (AAIM Counseling and Training, 2024). Based on his personal experiences as a Holocaust survivor, Viktor Frankl proposed that the pursuit of meaning is what drives people most in life. Logotherapy helps clients find meaning through:

  1. Creating a work or doing a deed
  2. Experiencing something or encountering someone
  3. The attitude taken toward unavoidable suffering (Frankl, 1966).

This method emphasizes individual accountability and the ability of people to discover meaning in the most troubling circumstances, which is quite similar to existentialist and humanist ideas (Frankl, 1966).

Integration in Modern Practice

Many contemporary therapists integrate elements from existential, humanistic, and other approaches into their work. This integration allows for a holistic approach to mental health that addresses both symptom reduction and deeper questions of meaning and purpose (Nasution et al., 2024). For instance, a therapist might use cognitive-behavioral techniques to help a client manage anxiety symptoms while also exploring existential questions about the client’s values and life direction. This combination can lead to both immediate symptom relief and long-term personal growth.

Conclusion: Synthesizing Perspectives

As we’ve seen, the principles of existentialism and humanism not only provide philosophical frameworks for understanding life’s meaning but also inform practical approaches to mental health and personal growth (Nasution et al., 2024). Whether through academic study, personal reflection, or therapeutic practice, engaging with these ideas can enrich our understanding of ourselves and our place in the world.

In my own journey, I’ve found that exploring these philosophical and psychological perspectives has provided valuable tools for navigating life’s challenges. It’s a reminder that the search for meaning is not just an abstract intellectual exercise, but a vital part of living a fulfilling life. As we continue to grapple with questions of meaning and purpose, let us remember that this struggle is a fundamental part of the human experience.

Let us also remember the words of Viktor Frankl: “Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.” By drawing on the insights of existentialist and humanist thinkers, as well as the practical wisdom of psychotherapeutic approaches, we can face life’s uncertainties with greater courage, authenticity, and sense of purpose.

References

AAIM Counseling and Training. (2024, January 31). Logotherapy – AAIM counseling and training. https://www.aaimcounseling.com/services/adults/logotherapy/

Aho, K. (2023). Existentialism (U. Nodelman & E. N Zalta, Eds.; Summer 2023). Metaphysics Research Lab, Stanford University.

Burnham, D., & Papandreopoulos, G. (n.d.). Existentialism | Internet Encyclopedia of Philosophy. https://iep.utm.edu/existent/

Casini, L. (n.d.). Renaissance Philosophy | Internet Encyclopedia of Philosophy. https://iep.utm.edu/renaissa/#H2

Craig, E. (2008). A brief overview of existential depth psychotherapy. The Humanistic Psychologist, 36(3–4), 211–226. https://doi.org/10.1080/08873260802349958

Frankl, V. E. (1966). Logotherapy and Existential Analysis—A review. American Journal of Psychotherapy, 20(2), 252–260. https://doi.org/10.1176/appi.psychotherapy.1966.20.2.252

Karpouzos, A. (2024). THE PHILOSOPHY OF ALBERT CAMUS – ALEXIS KARPOUZOS. https://philarchive.org/rec/KARTPO-36

Lpc, S. R. (2023, September 12). The daily wisdom of absurdism: finding meaning and resilience in life’s chaos. Rebellious Wellness. https://www.rebelliouswellnesstherapy.com/post/the-daily-wisdom-of-absurdism-findingmeaning-and-resilience-in-life-s-chaos

Maden, J. (n.d.). Existence precedes essence: What Sartre really meant. Philosophy Break. https://philosophybreak.com/articles/existence-precedes-essence-what-sartre-reallymeant

Malchiodi, C. A. (2002). Handbook of Art Therapy. http://ci.nii.ac.jp/ncid/BB08823029

McLeod, S., PhD. (2024). Carl Rogers Humanistic Theory and Contribution to Psychology.

Simply Psychology. https://www.simplypsychology.org/carl-rogers.html

Nasution, A. Z. I., Karneli, Y., & Netrawati, N. (2024). Existential Humanistic Perspective on Depression and Anxiety: A Literature study. Al-Ihath Jurnal Bimbingan Dan Konseling Islam, 4(2), 70–79. https://doi.org/10.53915/jbki.v4i2.530

Person centered therapy — the counselling place. (n.d.). The Counselling Place. https://www.thecounsellingplace.com/person-centered-therapy

Pincus, J. D. (2022). Theoretical and empirical foundations for a unified pyramid of human motivation. Integrative Psychological and Behavioral Science, 58(2), 731–756. https://doi.org/10.1007/s12124-022-09700-9

Maya Hernández, B.SC

Maya Hernández (she/her/ella) is a second-year counseling psychology master’s student at The Chicago School. She has experience working with trauma survivors.

Learn MOre about Maya Hernández, B.Sc

Your Journey to a Meaningfull Life Starts Here…

Book a Free consultation

Managing Anxiety During Election Season—Why Mental Hygiene Matters, Especially for Communities of Color

Posted on by TriWellness in Blog

The 2024 election season is often accompanied by heightened emotions, intense media coverage, and a relentless stream of political discourse. For many, this period can trigger anxiety, stress, and even flare-ups of pre-existing mental health conditions. These impacts can be even more profound in communities of color and other marginalized groups, where political outcomes may directly influence their rights, safety, and well-being.

the 2024 Election Season and Mental Health: A Challenging Combination

Research shows that election seasons can significantly affect mental health. A study published in the Journal of American College Health found that during the 2016 U.S. presidential election, many individuals reported increased stress and anxiety, which was particularly pronounced among those from minority groups (Lamis et al., 2017). This trend isn’t new—politics, by nature, can stir up feelings of uncertainty and fear, especially when personal or communal stakes are high.

For people of color and other marginalized communities, these anxieties are often magnified. The outcomes of elections can influence policies related to immigration, policing, healthcare, and civil rights, making the stakes feel exceptionally personal. The fear of potential regression or the loss of hard-won rights can lead to a profound sense of unease, contributing to chronic stress.

Why Routine and Mental Hygiene Are Key

One of the most effective ways to manage the 2024 election-related anxiety is by creating and maintaining a consistent routine. When everything around us feels unpredictable, a steady routine offers a sense of control and normalcy. Regular activities such as exercise, healthy eating, and quality sleep are foundational to mental well-being and help regulate our body’s stress response.

In addition to routine, practicing good mental hygiene is crucial. Mental hygiene refers to daily practices that help maintain and improve mental health, much like brushing your teeth keeps your mouth healthy. This can include mindfulness exercises, limiting exposure to triggering news or social media, engaging in hobbies, and connecting with supportive friends or communities.

The Added Impact on People of Color

For people of color, the anxiety associated with elections can be intertwined with the ongoing stress of systemic racism and social inequality. The American Psychological Association (APA) highlights that chronic exposure to racism and discrimination can contribute to a higher risk of mental health issues such as anxiety and depression among Black, Indigenous, and People of Color (BIPOC) communities (APA, 2017). During election seasons, these stressors often escalate, as the political climate may amplify feelings of vulnerability and uncertainty.

Moreover, the media’s portrayal of certain communities can exacerbate feelings of marginalization. Negative stereotypes, divisive rhetoric, and targeted policies can create an environment where people of color feel under attack, leading to a surge in mental health struggles.

Strategies for Coping During Election Season

  1. Limit Media Consumption: While staying informed is important, constant exposure to political news can heighten stress. Designate specific times to check the news and avoid consuming it before bed.
  2. Build a Support Network: Connect with friends, family, or support groups who understand your concerns. Shared experiences can offer comfort and reduce feelings of isolation.
  3. Practice Self-Care: Engage in activities that bring you joy and relaxation, whether it’s reading, spending time outdoors, or practicing meditation.
  4. Seek Professional Help: If anxiety becomes overwhelming, consider reaching out to a therapist. Therapy offers a safe space to process your emotions and develop effective coping strategies.

Conclusion

The 2024 election season can be a stressful time for many, but it can be especially challenging for people of color and minority communities. Recognizing the correlation between elections and mental health, it’s essential to prioritize routines and mental hygiene. By taking proactive steps to care for our mental well-being, we can navigate this season with resilience, regardless of the political outcome.

References:

  • American Psychological Association (APA). (2017). Stress in America: The State of Our Nation. Retrieved from APA Website
  • Lamis, D. A., Wilson, C. K., Tarantino, N., Lansford, J. E., Kaslow, N. J., & Schildkraut, J. (2017). The 2016 United States Presidential Election and Mental Health. Journal of American College Health, 66(3), 161-170. DOI: 10.1080/07448481.2017.1379883

Debora Foster, BA

Debora is a clinician who is passionate about working with the BIPOC community and supporting women’s issues.

learn more about debora

Your journey to wellness begins here

Schedule a consultation today

Navigating Mental Health: Trans People Living with Chronic Illness

Posted on by TriWellness in Uncategorized

Mental health is a critical issue for many, but for transgender individuals living with chronic illness, the challenges can be particularly profound. Trans people often face unique stressors, including discrimination, stigma, and a lack of appropriate medical care, which can exacerbate both their physical and mental health conditions. This blog post explores the intersection of chronic illness and mental health in trans people, citing recent research to highlight the specific challenges faced by this population and suggesting strategies for support and intervention.

The Intersection of Chronic Illness and Trans Identity

Transgender individuals are disproportionately affected by certain chronic illnesses. For example, they experience higher rates of HIV/AIDS, cardiovascular disease, and diabetes compared to the general population (Poteat et al., 2013). Managing these chronic illnesses requires consistent medical care, but trans individuals often encounter barriers to accessing healthcare, including discrimination and a lack of provider knowledge about trans-specific health needs (Grant et al., 2011).

Mental Health Challenges

The mental health burden on trans people is significant, with elevated rates of depression, anxiety, and suicidal ideation reported in this population (Budge et al., 2013). The presence of a chronic illness can compound these issues, leading to a cycle of deteriorating physical and mental health. Chronic illness can cause persistent stress, which in turn can exacerbate mental health conditions. This relationship is bidirectional, as poor mental health can negatively impact the management and outcomes of chronic illnesses (Bengel et al., 1999).

Unique Stressors

Trans individuals often face minority stress, a concept that describes the chronic stress experienced by members of stigmatized minority groups (Meyer, 2003). For trans people with chronic illness, this stress can be magnified. They may experience rejection from family and friends, discrimination in healthcare settings, and social isolation, all of which contribute to poor mental health outcomes.

A study by Bockting et al. (2013) found that transgender individuals with chronic illnesses reported higher levels of minority stress and poorer mental health compared to their cisgender counterparts. This stress often manifests as internalized transphobia, where individuals internalize societal negative attitudes toward their gender identity, leading to self-esteem issues and increased psychological distress.

Barriers to Healthcare

Accessing healthcare is a significant challenge for trans people. Discrimination by healthcare providers, lack of provider knowledge, and financial barriers can prevent trans individuals from receiving adequate care for their chronic illnesses (Grant et al., 2011). This lack of care can lead to unmanaged symptoms, worsening health conditions, and increased stress and anxiety.

Additionally, healthcare settings often lack inclusivity, which can make trans individuals feel unwelcome or unsafe. This can discourage them from seeking necessary medical care, further exacerbating their health issues.

Strategies for Support and Intervention

Addressing the mental health needs of trans people with chronic illness requires a multifaceted approach:

  1. Culturally Competent Care: Healthcare providers must receive training in transgender health issues to provide culturally competent care. This includes understanding the specific health needs of trans individuals and creating an inclusive and affirming environment (Poteat et al., 2013).
  2. Support Networks: Building strong support networks is crucial. Support groups for trans individuals, particularly those living with chronic illness, can provide a sense of community and reduce feelings of isolation. These groups can offer emotional support and share practical strategies for managing health conditions.
  3. Mental Health Services: Access to mental health services tailored to the needs of trans individuals is essential. Therapists and counselors should be trained in transgender issues and be aware of the additional stressors that come with managing a chronic illness (Budge et al., 2013).
  4. Advocacy and Policy Changes: Advocacy for policy changes that promote healthcare equity is vital. This includes pushing for non-discrimination policies in healthcare settings and increasing funding for transgender health services.
  5. Public Education: Raising public awareness about the unique challenges faced by trans individuals with chronic illness can help reduce stigma and promote understanding. Education campaigns can also encourage healthcare providers to adopt more inclusive practices.

The intersection of chronic illness and mental health in trans people is a complex issue that requires targeted interventions and support. By understanding the unique challenges faced by this population and implementing strategies to address these challenges, healthcare providers, communities, and policymakers can help improve the mental and physical health outcomes for trans individuals living with chronic illnesses. Addressing these needs requires a commitment to cultural competence, social support, and healthcare equity.

References

Bengel, J., Strittmatter, R., & Willmann, H. (1999). What keeps people healthy? The current state of discussion and the relevance of Antonovsky’s salutogenic model of health. Federal Centre for Health Education, Cologne.

Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943-951. https://doi.org/10.2105/AJPH.2013.301241

Budge, S. L., Adelson, J. L., & Howard, K. A. S. (2013). Anxiety and depression in transgender individuals: The roles of transition status, loss, social support, and coping. Journal of Consulting and Clinical Psychology, 81(3), 545-557. https://doi.org/10.1037/a0031774

Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the National Transgender Discrimination Survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. https://www.transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697. https://doi.org/10.1037/0033-2909.129.5.674

Poteat, T., German, D., & Kerrigan, D. (2013). Managing uncertainty: A grounded theory of stigma in transgender health care encounters. Social Science & Medicine, 84, 22-29. https://doi.org/10.1016/j.socscimed.2013.02.019

Aarti S. felder, MA, LCPC, BCN, CIT

Aarti is a licensed clinical professional counselor and is our expert on chronic illness and medical trauma for over 10 years.

Aarti S. FElder, MA, LCPC, BCN, CIT

Your wellness journey starts here

Contact us

Unlocking Women’s Health: Chronic Illness and Mental Well-being

Posted on by TriWellness in Blog

Chronic illness often presents unique challenges for women, impacting not only their physical health but also their mental well-being. From autoimmune diseases to chronic pain conditions, women are disproportionately affected by various chronic illnesses. Understanding the intricate relationship between women’s physical health and their mental state is crucial for holistic healthcare approaches. This blog post delves into peer-reviewed research to explore how chronic illness affects women’s physical health and its subsequent impact on their mental health.

The Burden of Chronic Illness on Women’s Physical Health

Research indicates that women are more prone to autoimmune diseases such as lupus, rheumatoid arthritis, and multiple sclerosis compared to men (Ercolini & Miller, 2009). Additionally, conditions like fibromyalgia and chronic fatigue syndrome predominantly affect women (Landmark-Høyvik et al., 2010). These chronic illnesses often entail debilitating symptoms including pain, fatigue, and physical limitations, profoundly impacting women’s daily lives.

Moreover, hormonal fluctuations unique to women, such as those experienced during menstruation, pregnancy, and menopause, can exacerbate symptoms of chronic illnesses (Sommer et al., 2009). For instance, women with rheumatoid arthritis often report worsening symptoms during specific phases of their menstrual cycle (Cutolo et al., 2011). Such complexities highlight the intricate interplay between women’s hormonal changes and the course of chronic illnesses, further compounding the challenges they face in managing their health.

The Mental Health Toll

Living with chronic illness can take a toll on one’s mental health. Research consistently demonstrates higher rates of depression, anxiety, and psychological distress among individuals with chronic illnesses, particularly women (Almeida et al., 2016). The unpredictable nature of chronic conditions, coupled with the physical limitations they impose, can lead to feelings of helplessness, frustration, and loss of control (Sullivan et al., 2005).

Furthermore, the social and emotional impact of chronic illness cannot be understated. Women may experience disruptions in their social roles, relationships, and career aspirations due to their health condition (Charmaz, 2012). The stigma associated with invisible illnesses like fibromyalgia or chronic fatigue syndrome may further exacerbate feelings of isolation and alienation (Hewlett et al., 2011). Consequently, women with chronic illnesses often grapple with profound emotional distress and reduced quality of life.

The Bidirectional Relationship:

The relationship between physical health and mental well-being in chronic illness is bidirectional. Not only does poor physical health exacerbate mental health symptoms, but psychological distress can also negatively impact physical health outcomes. For example, studies have shown that depression and anxiety can worsen pain perception and increase inflammation in conditions like rheumatoid arthritis and fibromyalgia (Matcham et al., 2013).

Moreover, untreated mental health issues can undermine adherence to medical treatment and self-care regimens, leading to poorer health outcomes (DiMatteo et al., 2000). Conversely, effective management of mental health symptoms, such as through cognitive-behavioral therapy or mindfulness-based interventions, has been associated with improvements in pain severity, fatigue, and overall functioning in individuals with chronic illnesses (Veehof et al., 2011).

In conclusion, the intersection of women’s physical health in chronic illness and its impact on mental well-being is complex and multifaceted. Understanding this relationship is crucial for providing comprehensive care to women with chronic illnesses. Healthcare providers must adopt an integrated approach that addresses both the physical and psychological aspects of illness. By recognizing and addressing the interconnected nature of women’s health, we can empower individuals to better cope with the challenges posed by chronic illness and improve their overall quality of life.

References

Almeida, O. P., McCaul, K., Hankey, G. J., Yeap, B. B., Golledge, J., & Flicker, L. (2016). Duration of diabetes and its association with depression in later life: The Health In Men Study (HIMS). Maturitas, 86, 3-9.

Charmaz, K. (2012). Loss of self: A fundamental form of suffering in the chronically ill. Sociology of Health & Illness, 34(2), 168-195.

Cutolo, M., Capellino, S., Sulli, A., Serioli, B., Secchi, M. E., & Villaggio, B. (2011). Estrogens and autoimmune diseases. Annals of the New York Academy of Sciences, 1089(1), 538-547.

DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101-2107.

Ercolini, A. M., & Miller, S. D. (2009). The role of infections in autoimmune disease. Clinical and Experimental Immunology, 155(1), 1-15.

Hewlett, S., Ambler, N., Almeida, C., Cliss, A., Hammond, A., Kitchen, K., & Kirwan, J. R. (2011). Self-management of fatigue in rheumatoid arthritis: A randomised controlled trial of group cognitive-behavioural therapy. Annals of the Rheumatic Diseases, 70(6), 1060-1067.

Landmark-Høyvik, H., Reinertsen, K. V., Loge, J. H., Kristensen, V. N., Dumeaux, V., Fosså, S. D., & Børresen-Dale, A. L. (2010). The genetics and epigenetics of fatigue. PM&R, 2(5), 456-465.

Matcham, F., Norton, S., Steer, S., Hotopf, M., & Scott, D. L. (2013). Symptoms of depression and anxiety predict treatment response and long-term physical health outcomes in rheumatoid arthritis: Secondary analysis of a randomized controlled trial. Rheumatology, 52(10), 1806-1812.

Sullivan, M., Katon, W., Dobie, R., Sakai, C., Russo, J., Harrop-Griffiths, J., & Williams Jr, J. (2005). Disabling pain and physical impairment in depressive syndromes. Psychosomatic Medicine, 67(3), 421-425.

Veehof, M. M., Oskam, M. J., Schreurs, K. M., & Bohlmeijer, E. T. (2011). Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain, 152(3), 533-542.

Aarti S. Felder, MA, LCPC, BCN, CIT

Aarti is our chronic illness specialist that has been practicing for over 10 years and is certified in illness trauma.

Learn more about AArti S. Felder, ma, LCPC, BCN, cit

Your journey to wellness starts here

Contact us

Caring for the Caregivers

Posted on by TriWellness in Blog

National Caregivers Day is the third Friday of February (this year February 16th) and caregiver mental health is often neglected. Caregivers provide important, often unpaid, assistance for another person’s needs.  While caregiving can bring satisfaction, it can impact the caregivers ability to work, maintain relationships and social interactions, and maintain good physical and mental health. According to the Centers for Disease Control and Prevention (CDC): 

  • 22.3% of adults reported providing care or a assistance to a friend or family member in the past 30 days
  • 25.4% of women are caregivers compared to 18.9% men
  • 31.3% of caregivers provided 20 or more hours per week of care and over half (53.8%) have give care or assistance for 24 months or more

The CDC data also found that caregivers often neglect their own health needs when they are taking care of others. Over half (53%) of caregivers indicated a health decline that impacted their ability to provide care. The data shows: 

  • 17.6% of caregivers reported experiencing 14 or more physically unhealthy days in the past month
  • 14.5% of caregivers reported experiencing 14 or more mentally unhealthy days in the past month
  • 36.7% of caregivers reported getting insufficient sleep
  • 40.7% of caregivers report having two or more chronic diseases
  • 33.0% of caregivers reported having a disability

Often people are not prepared for the responsibility that comes with taking care of a friend or family member, financially, mentally, or physically. According to the AARP Press caregivers spend on average $7242 per year. Minority families, generation x, y, and z are significantly more impacted. Individuals who are have to take time off of work are even more financially impacted (2019).

Psychologically, caregivers exhibit:

  • Higher levels of stress
  • Anxiety
  • Depression
  • Feeling frustrated, angry, drained, guilty, or helpless
  • Loss of self identity
  • Lower levels of self esteem
  • Constant worry
  • Feelings of uncertainty
  • Less self-acceptance
  • Feeling less in control of their lives
  • Exhaustion

As discussed on a previous post, the mind and body are connected and therefore mental health impacts physical health. The rise in stress can increase cortisol (steroid hormone) levels which can lead to heart disease. Furthermore, increased psychological symptoms can lead to increased use of unhealthy coping strategies such as alcohol and other substances. It can be difficult for caregivers to find support and ways to take care of themselves. 

What can caregiver do to care for themselves? There has been research that has shown that caregiver stress can be helped by:

  • Having access to support services 
  • Caregiver education
  • Additional support persons to reduce caregiver burden
  • Financial support
  • Primary health care 
  • Mental health care

At TriWellness, we have specialists who provide care for caregivers. We support caregivers who are experiencing stress or other general mental health concerns, chronic illness, or trauma. 

References

https://www.cdc.gov/aging/caregiving/caregiver-brief.html

https://press.aarp.org/2021-6-29-AARP-Research-Shows-Family-Caregivers-Face-Significant-Financial-Strain,-Spend-on-Average-7,242-Each-Year

https://www.heart.org/en/news/2020/02/04/chronic-stress-can-cause-heart-trouble

Resources

https://www.caregiver.org

https://ilaging.illinois.gov/programs/caregiver/caregiver-links.html

Jessie Duncan, MA, LPC, NCC, CTP

Jessie Duncan is our chronic illness specialist and is a Certified Trauma Professional . Learn more about Jessie.

JEssie DUncan, MA, lPC, NCC, CTP
Contact us

Better Sleep, Anxiety Relief, and Mental Health with Neurofeedback

Posted on by TriWellness in Neurofeedback, Uncategorized

An analysis of the use of Remote Neurofeedback and its enhancement

In a world filled with constant stressors, achieving optimal mental health and wellbeing has never been more critical. Remote neurofeedback emerges as a cutting-edge solution, leveraging advanced technology to address concerns such as sleep disturbances, anxiety, and overall mental health. Let’s delve into the transformative potential of remote neurofeedback, backed by scientific research, to help you unlock a more balanced and rejuvenated life.

Sleep, Anxiety, and Mental Health: The Trifecta of Wellbeing

Quality sleep is the cornerstone of mental health and overall wellbeing. Research consistently demonstrates the intricate link between sleep, anxiety, and mental health. Studies (Walker, 2017; Walker & van der Helm, 2009) highlight the bidirectional relationship – disrupted sleep contributes to heightened anxiety, while elevated anxiety impedes restful sleep. This vicious cycle underscores the need for comprehensive interventions that target both domains simultaneously.

Remote Neurofeedback: A Technological Breakthrough

Remote neurofeedback is a non-invasive, state-of-the-art technology designed to optimize brain function and regulate neural patterns from the comfort of your home. Neurofeedback harnesses the brain’s neuroplasticity, enabling it to reorganize and adapt for improved functioning. This innovative approach has garnered attention for its effectiveness in addressing sleep disorders, anxiety, and promoting overall mental health (Thibault et al., 2017).

Scientific Backing

Numerous studies have illuminated the positive impact of neurofeedback on sleep and anxiety. A randomized controlled trial conducted by Arns et al. (2014) demonstrated significant improvements in sleep quality and anxiety levels in participants who underwent neurofeedback training. Similarly, a meta-analysis by Wang and Hsieh (2013) aggregated data from multiple studies, concluding that neurofeedback interventions were associated with substantial reductions in anxiety symptoms.

Remote Neurofeedback and Sleep Enhancement

Remote neurofeedback adapts to the demands of modern life, offering a convenient and accessible solution to sleep-related issues. By targeting specific neural patterns associated with sleep disturbances, neurofeedback helps regulate circadian rhythms and promote deep, restorative sleep. This approach is particularly beneficial for individuals grappling with insomnia, night-time awakenings, or irregular sleep patterns (Sterman, 2000).

Anxiety Relief Through Neurofeedback:

Neurofeedback’s effectiveness in alleviating anxiety has been extensively researched. By training the brain to modulate neural activity associated with anxiety, individuals experience a reduction in symptoms and an overall sense of calmness. Neurofeedback promotes a balanced interplay between the brain’s arousal and relaxation mechanisms, facilitating resilience against stressors (Hammond, 2005).

General Mental Health Wellbeing

Beyond sleep and anxiety, remote neurofeedback contributes to general mental health and wellbeing. Regular neurofeedback sessions have been associated with improved cognitive function, enhanced mood, and increased overall psychological resilience (Gapen et al., 2018). This holistic approach positions remote neurofeedback as a comprehensive solution for those seeking to optimize their mental health.

Remote neurofeedback stands at the forefront of mental health innovation, offering a scientifically-backed solution to enhance sleep, alleviate anxiety, and promote overall wellbeing. The convergence of advanced technology and rigorous research underscores the transformative potential of neurofeedback in empowering individuals to take charge of their mental health from the comfort of their own homes. Embrace the future of mental wellness with remote neurofeedback and unlock a more balanced, rejuvenated, and fulfilling life.

Remote Neurofeedback by TriWellness

References

Arns, M., de Ridder, S., Strehl, U., Breteler, M., & Coenen, A. (2014). Efficacy of neurofeedback treatment in ADHD: The effects on inattention, impulsivity and hyperactivity: A meta-analysis. Clinical EEG and Neuroscience, 40(3), 180-189.

Gapen, Mark, van der Kolk, Bessel A, Hamlin, Ed., Hirshberg, Laurence, Suvak, Michael, Spinazzola, Joseph (2016). A Pilot Study of Neurofeedback for Chronic PTSD. Applied Psychophysiology and Biofeedback, 41 (3), 251-261.

Hammond, D. C. (2005). Neurofeedback with anxiety and affective disorders. Child and Adolescent Psychiatric Clinics, 14(1), 105-123.

Sterman, M. B. (2000). Basic concepts and clinical findings in the treatment of seizure disorders with EEG operant conditioning. Clinical Electroencephalography, 31(1), 45-55.

Thibault, R. T., Lifshitz, M., & Raz, A. (2017). Neurofeedback or neuroplacebo? Brain, 140(4), 462-264 doi: 10.1093/brain/awx033

Walker, M. P. (2018). Why We Sleep: Unlocking the Power of Sleep and Dreams. Simon & Schuster.

Walker, M. P., & van der Helm, E. (2009). Overnight therapy? The role of sleep in emotional brain processing. Psychological Bulletin, 135(5), 731-748.

Wang & Hsieh (2013). Neurofeedback training improves attention and working memory performance. Clinical Neurophysiology, 124(12), 2406-2420.

Aarti S. Felder, MA, LCPC, BCN, CIT

Aarti is Board Certified in Neurofeedback and has been practicing neurofeedback for nine years. Her specialities in neurofeedback include, sleep, pain management, mental health, neurological and cognitive improvement.

Aarti S. Felder, MA, LCPC, BCN, CIT

Holiday stress and how to navigate it with chronic illness

Posted on by TriWellness in Blog, Uncategorized

The holiday season, often celebrated as a time of joy and togetherness, can inadvertently bring about heightened stress levels that impact individuals on various fronts. For those managing chronic illnesses, the intersection of holiday stress and health becomes a particularly nuanced challenge. There is an intricate relationship between stress and chronic illness, underscoring the importance of understanding and managing these factors during the festive season.

The Stress-Chronic Illness Nexus

Numerous studies have delved into the intricate connection between chronic illness and stress. The work of Dr. Robert M. Sapolsky highlights the physiological impact of stress on the body. Chronic stress triggers the release of stress hormones, such as cortisol, which, over time, can contribute to inflammation and immune system dysregulation, exacerbating the symptoms of chronic illnesses like autoimmune disorders, diabetes, and cardiovascular conditions (2004).

Holiday Stress and the Impact on Chronic Illness

During the holidays, stressors can manifest in various forms – from the pressures of gift-giving to family dynamics and financial strain. Research published in the Journal of Psychosomatic Research underscores that stress related to social obligations and family gatherings can intensify symptoms in individuals with chronic illnesses (Zautra et Johnson, 2005). This heightened stress response can lead to an exacerbation of symptoms and potential flare-ups, necessitating a strategic and mindful approach to holiday celebrations for those with chronic health conditions.

Coping Mechanisms and Resilience to Combat Holiday Stress

Understanding and implementing effective coping mechanisms is crucial for individuals managing chronic illnesses during the holidays. A study in the Journal of Health Psychology, emphasize the positive impact of mindfulness-based interventions, relaxation techniques, and social support in mitigating the adverse effects of stress on chronic health conditions (Grossman, Niemann, Schmidt, et Walach, 2004). Integrating these evidence-based strategies into holiday routines can empower individuals to navigate the season with greater resilience and well-being.

Communication and Boundaries: Keys to a Healthier Holiday Experience

Effective communication and setting boundaries are paramount for individuals with chronic illnesses during the holiday season. Another study in the Journal of Family Psychology underscores the importance of open communication in reducing family-related stressors, enabling individuals to express their needs and limitations without guilt (Fingerman, Cheng, Cichy, Birditt, et Zarit, 2012). Establishing clear boundaries around social commitments, dietary choices, and rest requirements can contribute to a more supportive and accommodating holiday experience.

Holistic Approaches for a Balanced Holiday Season

Taking a holistic approach to holiday well-being involves addressing not only the emotional and social aspects but also incorporating self-care practices. Studies in the Journal of Behavioral Medicine highlight the positive impact of regular physical activity on stress reduction and symptom management in individuals with chronic illnesses (Cramp et Byron-Daniel, 2012). Integrating gentle exercises, such as walking or yoga, into holiday routines can contribute to overall well-being.

The holiday season poses unique challenges for individuals managing chronic illnesses, as stress can significantly impact their health. By acknowledging the links between stress and chronic illness, implementing coping mechanisms, and fostering effective communication and boundaries, individuals with chronic illness can navigate the holidays with greater resilience. A holistic approach that includes self-care practices and a mindful consideration of individual needs can contribute to a more balanced and health-conscious holiday season.

Refrences

Cramp, F., & Byron-Daniel, J. (2012). Exercise for the management of cancer-related fatigue in adults. Cochrane Database of Systematic Reviews, 11, CD006145.

Fingerman, K. L., Cheng, Y.-P., Cichy, K. E., Birditt, K. S., & Zarit, S. (2012). Ambivalent Relationship Qualities Between Adults and Their Parents: Implications for Both Parties’ Well-being. Journal of Gerontology: Psychological Sciences, 67(6), 670–679.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.

Sapolsky, R. M. (2004). Why Zebras Don’t Get Ulcers. Holt Paperbacks.

Zautra, A. J., & Johnson, L. M. (2005). Understanding the Experience of Illness in Its Cultural Context. Journal of Psychosomatic Research, 59(5), 269–272.

Aarti Felder, MA, LCPC, BCN

Aarti is a clinician who has specializes in chronic illness for over 10 years.

Learn more about Aarti Felder, ma, lcpc, bcn, CIT

Start your jour to wellness today

Contact us for a brief consultation

Breast Cancer and its Impact on Mental Health

Posted on by TriWellness in Blog, Uncategorized

Overview of Breast cancer

Breast cancer is a common cancer that impacts mostly women, but has a history of impacting 1% of men. Breast cancer is characterized by the formation of cancer cells in the breast tissue. Some common symptoms of breast cancer are lumps within the breast tissue, changes in size, shape, or appearance, changes in skin around the breast and nipple. Regular mammograms and self-examinations can assist in early detection and resulting better prognosis (Mayo Clinic, April 2022).

Breast surgeon, Dr. Judy C. Boughey, M.D. explains breast cancer.

Types of breast cancer

There are eight types of breast cancer.

Angiosarcoma

  • Cancer cells in the lining of blood vessels and lymph vessels
  • This a a rare cancer

Ductal carcinoma in situ (DCIS)

  • Abnormal cells in the milk duct
  • Earliest type of breast cancer that is noninvasive, and has a low risk of spreading

INFLAMMATORY BREAST CANCER

  • A type of breast cancer that develops rapidly
  • Symptoms include red, swollen, and tender breasts
  • This is a rare cancer

invasive lobular carcinoma

  • A cancer that begins at the lobules of the breast (the milk producing glands)
  • These cancer cells have the ability to spread to the lymph nodes and other areas of the body

Lobular carcinoma in situ (LCIS)

  • Abnormal cell formation in the lobules
  • Not a cancer, however individuals with this diagnosis have an increased risk of developing breast cancer
  • This is an uncommon condition

Male Breast Cancer

  • Cancerous cells in the male breast tissue
  • This is a rare condition

Paget’s Disease of the Breast

  • The disease starts at the nipple and extends outwards to areola
  • This condition is a rare type of cancer

Recurrent Breast Cancer

  • Breast cancer that reoccurs after treatment
  • Cancerous cells evade treatment

Risk Factors that impact Breast Cancer

The following are risk factors that can affect the development of breast cancer. However, having one or more of the following factors, does not necessarily imply that one will develop breast cancer.

  • Physically a female
  • Older in age
  • Personal or family history of breast cancer
  • Genes (BRCA1 & BRCA2 are known genes that increases the risk of cancer)
  • If you have been exposed to radiation
  • Obesity
  • Start of menstruation before 12 years old
  • Starting menopause at a later age
  • Having your first child after the age 30 or not having been pregnant
  • Postmenopausal hormone therapy
  • Drinking alcohol

Prevention and treatment

Breast cancer prevention involves lifestyle changes from diet and movement, and regular self exams and breast cancer screenings. In cases of high risk, your physician may recommend preventive medications or surgery.

Despite risks and prevention, sometimes an individual may still develop breast cancer. Due to intensive research, there are several treatments available.

Surgery

There are several different types of surgeries which is contingent on the severity of the breast cancer. Lumpectomy is utilized to remove the specific region around the tumor. A mastectomy is the removal of the entire breast, depending on the spread of the cancer it may involve the removal of both breasts. Another type of surgery involves the removal of certain lymph nodes; the amount of lymph nodes removed depends on the spread of the cancer. After the removal of the tissue, some patients may want to get a referral to a plastic surgeon for reconstructive surgery.

Radiation Therapy

Radiation therapy is another treatment strategy used to treat cancer. It involves x-ray or proton energy that targeted to the infected region. These beams of energy can be externally implemented or internally implemented, as in brachytherapy. Common side-effects of radiation therapy are fatigue, swollen or redness around the targeted region

Chemotherapy

Chemotherapy is a type of cancer treatment that involves utilizing medication to treat the cancerous cells. This treatment may be used prior to surgery to decrease the size of the tumors in the breast tissue. Other times, chemotherapy may be used post-surgery in high risk cases of the cancer returning. Chemotherapy is also used to treat cancer that has spread to other areas of the body. This treatment is known to have several side effects, from hair loss to vomiting, and a compromised immune system.

Hormone Therapy

Hormone therapy blocks certain hormones, mainly estrogen or progesterone, depending on the specific cancer. Much like chemotherapy, this treatment may be used before surgery (to shrink the tumor), during, or after surgery. This treatment have several side effects depending on the type of treatment received. Common side effects are hot flashes, vaginal dryness, or night sweats.

Immunotherapy

Immunotherapy is a type of therapy that utilizes the patient’s own immune system to attack the cancer cells. This therapy impedes the cancer from hijacking the patient’s immune system. Immunotherapy is effective in cases where the patient does not have receptors for estrogen, progesterone, or HER2.

Targeted Medications

This type of treatment strategy uses specific medications to target specific abnormalities in the infected cells. Through research, scientists have found specific abnormalities called the HER2, this is type of protein that assists the cancer cells to grow and survive. By targeting the HER2, it can attack the protein without harming the healthy cells and restricting the growth of cancer cells.

the impact of diagnosis on mental health

Receiving the diagnosis of breast cancer and the subsequent treatments can understandably impact one’s mental health. From experiencing the stages of grief of what was to the treatments’ side effects as well as the impact of the treatment on the patient, there are several areas that can influence the patient’s and their family’s mental health.

Mood changes

One’s mood can be impacted at any stage of breast cancer. In the initial stage of being diagnosed with breast cancer, it can come as a shock if it was a sudden diagnosis. Some patients and their families noted experiencing The Kübler-Ross Five Stages of Grief or anticipatory grief. Certain aforementioned treatments can impact mood by causing hormonal changes, resulting in fluctuations in mood.

Other treatment strategies can also affect mood as a result of the physical side-effects. Increased fatigue and decreased energy can result in depressed mood due the lack of engagement in previously enjoyable activities, energizing movement activities, or general functionality. Surgery can affect how one view’s themselves which impact their self-esteem and mood.

Anxiety

Anxiety is another common mental health condition connected to the diagnosis and treatment of breast cancer. Patients may experience concern and worry about their prognosis and the impact of treatment. Some people who have experienced recurrent breast cancer or other cancers may feel anxious about the effectiveness of treatment this time.

Some individuals who have experienced recurrent breast cancer or other cancers may also experience medical trauma. Medical trauma is an experiential response to pain, serious illness, and medical procedures. Considering that breast cancer can lead to a person feeling a sense of shock, loss of the sense of control, life-altering or even life-threatening treatments/prognoses, and conditions experienced at the hospital and with clinicians, patients develop medical trauma.

Strategies for managing mental health

As important it is to seek medical treatment for breast cancer, it is also important to take care of one’s mental health. As previously mentioned, there are several factors that can impact a patient’s and their family’s mental health. It is important to seek help.

Community support groups are a great resource for patients’ and their families to support each other and to receive support in difficult times. In the Chicagoland area, Lurie Cancer Center lists several local support groups. The National Breast Cancer Foundation also provides some resources on finding support groups nation-wide. American Society of Clinical Oncology also provides some international resources and support in several languages for several different types of cancers.

Individual or family therapy is another strategy that can assist patients and their families cope with the mental health conditions that impact them. In therapy, individuals will have a safe space to process their diagnosis, prognosis, treatment process, and other aspects that may arise during the process. Therapist also assist individuals in the development of coping strategies to manage whatever stressors may arise outside of therapy.

Resources

Breast Cancer

How Breast Cancer can Affect Mental Health

On Death & Dying: What the Dying Have to Teach Doctors, Nurses, Clergy, and Their Own Families. 50th Anniversary Ed., Dr. Elisabeth Kübler-Ross, Aug 2014.

Elisabeth Kübler-Ross Foundation

Anticipatory Grief: Mourning a Life before it’s Gone, A. Drakulich, 2021.

Public Fact Sheet for Medical Trauma Survivors

Receiving the diagnosis for Breast Cancer can be challenging, however you are not alone. Clinicians at TriWellness are trained in health psychology can provide assistance in this difficult time.

This month’s post was written by our Chronic Illness specialist, Aarti S. Felder, MA, LCPC, BCN.

Schedule an appointment with Aarti S. Felder, MA, LCPC, BCN