Teletherapy

Phone and video conferencing therapy options now available. With the rising concerns surrounding the coronavirus, this type of therapy session is more relevant than ever.

Patient Comment – June 2021

“Our teen has been meeting with Dr. Jenny Holland for a couple of years. She took time to reach out to us as parents to ensure that we were getting support too as we navigated not just a transitioning child but the emotional ups and downs of a teenager, too. She gave us permission to be strong parents without giving in to our kid. Reach out, it is worth it.”

Real life support ranked better than social media for improving mental health

Social media may make it easier for people to engage online, but it does not provide certain benefits of real-life human interactions, according to Michigan State University researcher.

“Problematic social media use has been associated with depression, anxiety and social isolation, and having a good social support system helps insulate people from negative mental health,” said Dar Meshi, an assistant professor in the Department of Advertising and Public Relations at MSU. “We wanted to compare the differences between real-life support and support provided over social media to see if the support provided over social media could have beneficial effects.” The research was published online April 29 in the journal Addictive Behaviors.

While social media support did not negatively impact mental health, it did not positively affect it either.

“Only real-life social support was linked to better overall mental health,” Meshi said. “Typical interactions over social media are limited. We theorize that they don’t allow for more substantial connection, which may be needed to provide the type of support that protects against negative mental health.”

Meshi and Morgan Ellithorpe, an assistant professor in the Department of Communication at the University of Delaware and a co-author on this paper, conducted a survey of 403 university students to identify how problematic their social media use was and their degree of social support in real-life and on social media. The survey also measured depression, anxiety and social isolation, the researchers could see how the students’ social media use and social support related to their mental health.

Problematic social media use is not a recognized addictive disorder, but there are similarities in the symptoms of someone with a substance use disorder and a person displaying excessive social media use. Examples include preoccupation with social media and signs of withdrawal, such as irritability, when prevented from using social media.

“It appears that the more excessive one’s social media use is, the less social support that person gets in real life, which leads to poor mental health,” Ellithorpe said. From these results researchers encourage people who are using too much social media to reach out to people in real life for social support.

Read this article on Science Daily: Michigan State University. “Need to vent? Turn to real-life support, not social media: Research finds social support provided over social media does not improve mental health for excessive social media users.” sciencedaily.com/releases/2021/05/210503104605.htm.


Dr. Jenny Holland, PsyD

Dr. Holland is a psychotherapist practicing in Santa Rosa California, providing cutting edge, integrative and evidence-based mental health care, proven effective with depression and anxiety, life transitions; pregnancy, parenting, ageing, loss, and caring for a parent or loved one during a health crisis or decline.

In-person and Online Video Counseling Services are now available. Short-term sessions, single sessions or ongoing support to meet your needs. Contact Dr. Holland to schedule an appointment at 707-479-2946.

Pandemic Taking a Toll on Mental Health and Addictions

COVID Presents Increased Risk of Addiction for Unusual Groups

The pandemic’s effect on addiction has become a hot topic for researchers and mental health specialists alike. "The COVID-19 pandemic is a particularly grave risk to the millions of Americans with opioid use disorder, who—already vulnerable and marginalized—are heavily dependent on face-to-face health care delivery," researchers stated in "An Epidemic in the Midst of a Pandemic: Opioid Use Disorder and COVID-19," a recent study that examined the effects of the unprecedented situation.

In addition to those wrestling with addiction even before the pandemic created challenges in receiving care, it is now being reported that everyone from retired baby boomers with no preexisting addictions to millennials struggling with job loss and COVID related family challenges are now finding it harder to put a limit on emotion-numbing substances.  According to national surveys alcohol sales are up 250 percent, a trend that is compounding both emerging and preexisting mental health issues such as anxiety, stress, and depression.

“In my practice I have been working with a lot of people during quarantine around addiction,” explains Dr. Jenny Holland, PsyD. “The longer COVID restrictions continue, the more potential there is for temporary behaviors based on escaping emotional turmoil to turn into full blown addictions.”

Addiction is not always about drugs, alcohol, or other substances. It can also take on forms including uncontrolled gambling, shopping, gaming, smoking, food, and sex addiction. When these activities become compulsive or unstoppable, they have essentially hijacked the brain’s otherwise 'normal' pleasure functions. At this point, when a behavior becomes a habit or addiction, getting back to ‘normal’ or getting control over compulsions can be a challenge for most anyone.

The Toll of Long-Term Use

Addiction is defined by the American Society of Addiction Medicine (ASAM) as a brain disease indicated by cravings, an inability to abstain from the behavior or substance, dysfunctional emotional responses, and a loss of behavioral control. Compulsive behaviors are often unconscious and can result in making questionable choices. Although breaking an addiction is tough, it can be done. The sooner it is addressed, the better the chances are for recovery.

With any addiction, the recognition that something that may have started out as a distraction has now become a problem is the first step on the road to recovery. While denial over the loss of control that leads to addiction may be a way of coping with sudden changes in behavior, knowing when to seek help is key to recovery.

Healthy alternatives to addictive behavior

“My job as a mental health professional is to help my patients restore balance by guiding them toward healthier coping mechanisms,” explains Dr. Holland. “The focus of addiction therapy in my practice highlights how attachment and connection is the opposite of addiction.”

Treatment also incorporates behavioral therapies, counseling, and other supportive measures to build new and improved habits and life skills. Through this process stress and anger management as well as communication skills are combined with relapse prevention tools to create new coping mechanisms that support well-being.

As a highly qualified drug and alcohol counselor, Dr. Holland provides the most effective treatments for managing compulsive behaviors and addictions and offers individualized therapy to address the unique behaviors that the client may want to change.

Teletherapy – Online Video Counseling Services

Short-term sessions, single sessions or ongoing support

It’s no question that these are very trying times for all of us, so I want to let you know that you are not alone. No matter what is coming up for you right now it is important to allow yourself to feel what you’re feeling. I invite you reach out to me to see how we can start getting you on the path to feeling better now.

Contact Dr. Holland to learn more and to schedule an appointment or call 707-479-2946.

 

 

Pets improve mental health and reduce loneliness amid COVID stressors

Owning a Pet Shown to Relieve Stresses Caused by COVID Restrictions

Sharing a home with a pet appeared to act as a buffer against psychological stress during lock-down, a new survey shows. Most people who took part in the research perceived their pets to be a source of considerable support during the lock down period. The study (UK) -- found that having a pet was linked to maintaining better mental health and reducing loneliness. Around 90 per cent of the 6,000 participants had at least one pet. The strength of the human-animal bond did not differ significantly between species with the most common pets being cats and dogs followed by small mammals and fish.

More than 90 per cent of respondents said their pet helped them cope emotionally with the lockdown and 96 per cent said their pet helped keep them fit and active. However, 68 per cent of pet owners reported having been worried about their animals during lock-down, for example due to restrictions on access to veterinary care and exercise or because they wouldn't know who would look after their pet if they fell ill.

Lead researcher, Dr Elena Ratschen from the Department of Health Sciences University of York said: "Findings from this study also demonstrated potential links between people's mental health and the emotional bonds they form with their pets: measures of the strength of the human-animal bond were higher among people who reported lower scores for mental health-related outcomes at baseline. We also discovered that in this study, the strength of the emotional bond with pets did not statistically differ by animal species, meaning that people in our sample felt on average as emotionally close to, for example, their guinea pig as they felt to their dog. It will be important to ensure that pet owners are appropriately supported in caring for their pet during the pandemic."

Co-author, Professor Daniel Mills said: "This work is particularly important at the current time as it indicates how having a companion animal in your home can buffer against some of the psychological stress associated with lock-down. However, it is important that everyone appreciates their pet's needs too, as our other work shows failing to meet these can have a detrimental effect for both people and their pets."

Dr Ratschen added: "While our study showed that having a pet may mitigate some of the detrimental psychological effects of the Covid-19 lock-down, it is important to understand that this finding is unlikely to be of clinical significance and does not warrant any suggestion that people should acquire pets to protect their mental health during the pandemic."

More than 85 million households are estimated to own at least one pet in the U.S.

The study also showed that the most popular interaction with animals that were not pets was bird watching. Almost 55 per cent of people surveyed reported watching and feeding birds in their garden.

READ this article on Science Daily: "Pets linked to maintaining better mental health and reducing loneliness during lock down, new research shows." ScienceDaily, 26 September 2020. www.sciencedaily.com/releases/2020/09/200926145210.htm.


Dr. Holland & Olive

"Pets, especially dogs and cats, have been proven in studies to reduce stress, anxiety, and depression and ease loneliness. Pets naturally encourage exercise and renew a sense of playfulness in pet owners. Some studies clearly show that owing a pet can improve your cardiovascular health. Psychological studies show that caring for an animal can help children grow up feeling more secure while increasing their likelihood of staying active. As I well know, pets also provide valuable companionship for adults of all ages. For me, interacting with my new canine companion Olive brings a real sense of joy and unconditional love that goes both ways."

While we individually and collectively continue to navigate social restrictions imposed by COVID , it is important for everyone’s mental health and emotional well-being to find new, healthy ways to maintain social connections. Virtual communication including phones and video chats with friends and family can help alleviate feelings of loneliness and isolation. And when people find it too difficult to maintain a positive sense of well-being, reaching out to a mental health professional can help. Dr. Holland offers Teletherapy to fit individual needs including; short-term sessions, single sessions or ongoing support. Contact Dr. Holland for more information and to help get you on the path to feeling better. Or call 707-479-2946 to schedule a telehealth video therapy session.

COVID-19 restrictions increased loneliness among adults

New study says loneliness is a real factor during COVID-19 restrictions

Loneliness is a significant public health issue and is associated with worse physical and mental health as well as increased mortality risk. Systematic review findings recommend that interventions addressing loneliness should focus on individuals who are socially isolated. However, researchers have lacked a comprehensive understanding of how vulnerability to loneliness might be different in the context of a pandemic.

In the new study, researchers used an online survey to collect data about adults during the initial phase of COVID-19 lockdown from March 23 to April 24, 2020. 1,964 eligible participants responded to the survey, answering questions about loneliness, sociodemographic factors, health, and their status in relation to COVID-19. Participants were aged 18 to 87 years old (average 37.11), were mostly white (92.7%), female (70.4%), not religious (57.5%) and the majority were employed (71.9%).

The overall prevalence of loneliness, defined as having a high score on the loneliness scale (ie., a score of 7 or higher out of 9), was over a quarter of respondents: 26.6%. In the week prior to completing the survey, 49% to 70% of respondents reported feeling isolated, left out or lacking companionship. Risk factors for loneliness were being in a younger age group (aOR: 4.67 -- 5.31), being separated or divorced (OR: 2.29), meeting clinical criteria for depression (OR: 1.74), greater emotion regulation difficulties (OR: 1.04), and poor-quality sleep due to the COVID-19 crisis (OR: 1.30). Higher levels of social support (OR: 0.92), being married/co-habiting (OR: 0.35) and living with a greater number of adults (OR: 0.87) were protective factors.

The authors hope that these findings can inform support strategies and help to target those most vulnerable to loneliness during the pandemic.

Groarke adds: "We found that rates of loneliness during the early stages of the lockdown were high. Our results suggest that supports and interventions to reduce loneliness should prioritize young people, those with mental health symptoms, and people who are socially isolated. Supports aimed at improving emotion regulation, sleep quality and increasing social support could reduce the impact of physical distancing regulations on mental health outcomes."


Healthcare institutes all over the country say the coronavirus pandemic can be extremely stressful for people. Fear and anxiety generated by the idea of a communicable disease and worry over what might happen can become overwhelming and stimulate strong emotions in both adults and children. Public health actions, such as social distancing certainly helps keep everyone safer but, social distancing can leave people feeling even more isolated and lonely. Teletherapy is proving to have some surprising benefits for people who are isolated, and for people who have social anxiety.

“It can be quite relieving for a person with anxiety to not have to be face-to-face for a therapy session. In fact, teletherapy actually empowers my patients who might experience anxiety, because it creates a sense of ‘safe distance’ from the therapist. This alone, often makes it easier for them to open up and to feel comfortable with the therapy modality.”

Dr. Holland specializes in working with individuals with depression and/or anxiety, those who have experienced trauma, chronic illnesses or conditions associated with aging as well as identity issues.

Individualized Teletherapy Sessions are Available - Short-term sessions, single sessions or ongoing support.

Contact Dr. Holland for more information and for help, or call 707-479-2946 to schedule a telehealth video therapy session.