Contact Us

We offer both in person services based in Mission Valley as well as telehealth services via video-conferencing platforms to patients located in California.

We do not accept walk-ins. You must contact our Clinic Coordinator at 858-354-4077 or info@csamsandiego.com before visiting us on site.

CONTACT US

IF YOU WOULD LIKE TO INQUIRE ABOUT TREATMENT AT CSAM, PLEASE FILL OUT THE FORM AND A THERAPIST WILL CONTACT YOU TO MAKE AN APPOINTMENT.

You may also contact us via phone or email:

Phone: 858-354-4077

Email: info@csamsandiego.com

7860 Mission Center Ct, Suite 209
San Diego, CA, 92108

858.354.4077

At The Center for Stress and Anxiety Management, our psychologists have years of experience. Unlike many other providers, our clinicians truly specialize in the diagnosis and treatment of anxiety and related problems. Our mission is to apply only the most effective short-term psychological treatments supported by extensive scientific research. We are located in Rancho Bernardo, Carlsbad, and Mission Valley.

full banner.jpg

Blog

Read our award-winning blogs for useful information and tips about anxiety, stress, and related disorders.

 

What Would Oprah Do: Harnessing a Wise Guide to Motivate Values-Based Living

Jill Stoddard

Many years ago, one of my therapy clients came to session beaming over the values-​based choices she had made during the previous week. When I asked what helped her to succeed, she said, “Every time I faced a choice, I just thought, WWJD?” At first, I anxiously thought, What would Jesus do? Oh no, I didn’t know she was religious! But then she went on to explain that the “J” she was referring to was not Jesus, it was…me! She said each time she faced a tough choice, she thought about our sessions and what I would do if faced with a similar choice. Then she harnessed her psychological flexibility skills and did it!

I loved this so much that I adopted it as a regular values exercisethat I use with all my clients. I ask them to think about who their J would be--someone they know (like a coach, friend, or family member), someone they feel like they know (like a celebrity), or even a fictional character. Someone who embodies the qualities they would most like to embody in their own lives. A person, or persons, who represents the Me they most deeply desire to be.

Here's my own example: if you know me, you know I have a mild Oprah obsession. I look up to Oprah because she has endured poverty, abuse, racism, sexism, and body shaming and has never let it stop her from being herself and pursuing what matters to her. Though I don’t know Oprah personally (yet!), she also seems to want to leave the world better than she found it. So when I’m faced with a tough choice—one where I have an opportunity to do something values aligned, but avoidance beckons—I think, WWOD: What would Oprah do?


This strategy was THE way I chose to do a TEDx talk during a time I felt paralyzed with fear and woefully inadequate, and I’ve used it many, many times in the four years since.

Who is your ‘J’ or ‘O’? How might they help motivate you to show up as the Me you most deeply desire to be, especially when feeling challenged to do so?

Perinatal and Postpartum OCD

Jill Stoddard

by Auti Scolman

Obsessive-Compulsive Disorder, or OCD, is a disorder distinguished by the presence of obsessive thoughts and/or compulsions that soothe the distress brought on by the obsessions. OCD can manifest in many different ways and often revolves around a theme, like contamination, sexuality, harm, or needing things to be “just right.”. A lesser spoken about manifestation of OCD can occur during pregnancy and/or the postpartum period, called Perinatal or Postpartum OCD (-). “Perinatal” refers to the time during pregnancy and “postpartum” refers to the time immediately following birth. The rates of Perinatal/Postpartum OCD range from 7-11% in the perinatal period and typically peak around 8 weeks postpartum. Folks who are pregnant or have recently given birth are vulnerable to developing Perinatal/Postpartum OCD symptoms, especially if they experienced symptoms prior to pregnancy. Although it is normal to feel stressed or anxious about a major life transition like having a child, there are certain markers that can help differentiate expected anxiety and Perinatal/Postpartum OCD. 

Common symptoms of Perinatal/Postpartum OCD:

  1. Symptoms that begin or worsen at the time of pregnancy or birth

  2. Unwanted, obsessive thoughts about harming the unborn or newborn baby that cause significant fear and distress

  3. Secrecy around the experienced symptoms for fear of being judged, hospitalized, or having the child removed 

  4. The presence of compulsions meant to control the obsessive thoughts (i.e. excessive checking on the baby, washing, etc.)

  5. Avoidance of activities that may cause the baby harm (i.e. using stairs, changing diapers, handling sharp objects around the baby, bathing, etc.)

  6. Co-occuring symptoms of postpartum depression (research shows up to 70% of folks with Perinatal/Postpartum OCD have postpartum depression)

  7. Overwhelm or obsessional fear getting in the way of caring for baby

  8. Needing to have a partner nearby when handling the baby out of worry or fear

  9. Issues bonding with the baby because of Perinatal/Postpartum OCD symptoms

  10. Trouble sleeping

Why does Perinatal/Postpartum OCD happen?

The occurrence of Perinatal/Postpartum OCD is due to a combination of factors including hormone changes and environmental contributors. The levels of oxytocin and neurotransmitter, serotonin, are impacted during and after pregnancy. Research suggests that an imbalance of oxytocin can then shift levels of serotonin and this may play a role in the development of OCD. Along with hormonal changes, the responsibility of having a child will likely cause increased stress and anxiety. It is important to note that Perinatal/Postpartum OCD can show up in all parents, not just the birthing person. 

How is Perinatal/Postpartum OCD treated?

The treatment for Perinatal/Postpartum OCD looks similar to treatment for OCD and will typically involve Exposure and Response Prevention (ERP), a form of Cognitive-Behavioral Therapy (CBT) that has strong research evidence supporting its efficacy. ERP involves safely confronting avoided situations and lessening the exercising of rituals to manage obsessive fear and worry. Another treatment intervention is the use medicine, particularly selective serotonin reuptake inhibitors (SSRI). Please check with your medical doctor to assess the safety of these medications while pregnant or breastfeeding. 

If you are struggling with Perinatal/Postpartum OCD, please know that you are not alone and there are options out there to support your journey. If You Or Someone You Love Might Benefit From Cognitive Behavioral Therapy (CBT), Acceptance And Commitment Therapy (ACT) For Perinatal Or Postpartum OCD, Or If You Would Like More Information About Our Therapy Services, Please Contact Us At (858) 354-4077 Or At Csamsandiego@Gmail.Com.


Sources:

https://iocdf.org/wp-content/uploads/2014/10/Postpartum-OCD-Fact-Sheet.pdf

https://iocdf.org/perinatal-ocd/

https://womensmentalhealth.org/posts/perinatal-obsessive-compulsive-related-disorders/

https://www.webmd.com/mental-health/what-is-postpartum-obsessive-compulsive-disorder

https://www.psychguides.com/ocd/

A Look Into EMDR

Jill Stoddard

by Auti Scolman

In the world of therapy, several evidence based approaches have emerged to help individuals overcome traumatic experiences and distress associated with Post-Traumatic Stress Disorder (PTSD). One powerful approach is Eye Movement Desensitization and Reprocessing (EMDR). This innovative method has gained significant recognition for its ability to alleviate symptoms related to trauma, and in some cases, certain kinds of anxiety. Let’s dive into what happens during an EMDR session and the benefits that can follow.


What happens in a typical EMDR session?

EMDR is a specific protocol that requires the therapist undergo intensive training in order to become certified. During an EMDR session, a certified therapist will engage the client in some form of bilateral stimulation while they focus on a specific traumatic memory. Bilateral stimulation is theorized to engage and connect the brain’s two hemispheres as it processes the trauma, and can involve moving the eyes from side to side, hearing a tone that alternates between ears, or tapping that alternates on each side of the body. The aim is to access and reprocess the trauma, allowing the individual to create new, adaptive associations and perspectives. In turn, clients strengthen their ability to cope with the emotional distress. 

Benefits of EMDR:

  1. Trauma recovery: Reduction in avoidance of reminders of trauma, changes in cognition and beliefs around trauma, reduction in hyperarousal symptoms.

  2. Reduction in anxiety and panic: Similar to CBT and ACT approaches, as clients willingly approach the traumatic memory and associated feelings of discomfort including anxiety and panic, they increase their ability to sit with anxiety. With EMDR, the distressing emotions around a traumatic memory typically reduce dramatically on their own through the reprocessing in a single session.

  3. Enhanced self-compassion: Clients may find they are more capable of showing themselves compassion, and may begin to reclaim a sense of agency and empowerment in their lives.

  4. Accessible care for those who struggle to articulate thoughts: Because EMDR is not an approach that relies on a great deal of talking, clients who struggle to articulate their thoughts may find this modality beneficial.

  5. Accelerated healing : EMDR, like CBT approaches, is a short term modality. A typical course of treatment is typically somewhere between 6-12 sessions.

EMDR at CSAM:

Our very own Dr. Terra Fuhr is EMDR trained. She decided to pursue training back in 2017 because she saw several colleagues find great success using EMDR. In her experience, she has found EMDR can help clients break through in places where they may have gotten stuck with CBT approaches alone. She is grateful to have an additional evidence based approach in her tool kit to help tailor treatment to each clients’ individual needs.To make an appointment with Dr. Fuhr, please use our website contact form or call the clinic line at (858) 354-4077.

CSAM IS HERE TO HELP

If you or someone you love might benefit from eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), or biofeedback for anxiety, depression, stress, or PTSD, or if you would like more information about our therapy services, please contact us at (858) 354-4077 or at csamsandiego@gmail.com.

For more information about Eye Movement Desensitization and Reprocessing, visit The EMDR Institute.

Sources:

https://psychcentral.com/health/emdr-therapy#how-does-it-work

Menopause and Mental Health

Jill Stoddard

by Auti K Scolman

Mood swings, insomnia, hot flashes, oh my! Do these symptoms sound familiar? We’re talking about menopause and the transitional period leading up to it called perimenopause. Menopause can have a major impact on a person’s mental health. During this time, hormone levels fluctuate greatly, leading to uncomfortable psychological and physical changes. The realities of menopause may come as a shock to menstruating people because of the lack of awareness and open communication around the topic. How can someone be prepared for a shift like this if they aren’t given the tools to succeed? Educating mentruators about this mid-life event, its symptoms, and treatments can help smooth the path through this natural transition.

How Menopause Can Manifest In the Mind and Body

  1. Mood Swings

  2. Anxiety and Depression

  3. Insomnia

  4. Difficulty with Memory and Concentration

  5. Hot Flashes/Night Sweats

  6. Changes in Libido

  7. Vaginal and Bladder Issues

  8. Headaches

  9. Bone Loss

  10. Changing Cholesterol Levels

It’s only human to look at the list above and feel overwhelmed or discouraged. Rest assured there are solutions to help in the management of the symptoms brought on by “the change”. Both Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) offer beneficial strategies to utilize while going through menopause. CBT helps clients understand the way their thoughts, behaviors, and feelings - including both emotions and uncomfortable physiological sensations - interact and influence each other. Rather than focusing on changing their feelings, clients learn to change their behaviors and the way they think about their symptoms and situation in order to respond more effectively to pain and discomfort. ACT focuses on teaching clients to be more psychologically flexible. This involves teaching clients acceptance and mindfulness skills to respond to their feelings of discomfort, and teaching them to observe their thoughts, all of which are in service of creating space for clients to continue to move toward their personally chosen values regardless of what painful internal experiences arise. Both approaches offer techniques to build empowerment around the obstacles presented during this life stage.

To schedule with Dr. Jill Stoddard, give us a call at (858) 354-4077 or email us at info@csamsandiego.com.

IF YOU OR SOMEONE YOU LOVE NEEDS SUPPORT AND MIGHT BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY (CBT) OR ACCEPTANCE AND COMMITMENT THERAPY (ACT) FOR ANXIETY, PANIC, PHOBIAS, STRESS, PTSD, OCD, OR STRESS, OR IF YOU WOULD LIKE MORE INFORMATION ABOUT OUR TELEHEALTH SERVICES, PLEASE CONTACT US AT (858) 354-4077 OR AT INFO@CSAMSANDIEGO.COM

References:

https://fortune.com/well/2022/06/15/most-women-are-unprepared-for-menopause/ https://www.health.harvard.edu/womens-health/menopause-rocky-road-to-menopause https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03768-8 https://www.womens-health-concern.org/wp-content/uploads/2023/02/02-WHC-FACTSHEET- CBT-WOMEN-FEB-2023-A.pdf https://www.psychotherapy.net/article/Acceptance-and-Commitment-Therapy- ACT#:~:text=The%20ACT%20interventions%20focus%20around,toward%20living%20a%20va lued%20life.

How Mindfulness Can Enrich Your Life

Jill Stoddard

by Auti Scolman

Mindfulness. We hear that word all the time, but what exactly does it entail? Think of it as the practice of focusing your awareness on the present moment, and acknowledging and accepting your feelings, thoughts, and sensations in your body. In other words, mindfulness is the practice of paying attention to the here and now in a non-judgmental way.

There are so many benefits to practicing this therapeutic technique. Here are just a few:

Respond to Stress and Anxiety More Effectively:

One of the most well-known benefits of mindfulness is its ability to help us cope with stress and anxiety. When we’re mindful, we’re better able to regulate our emotions and handle difficult situations. Mindfulness takes us off autopilot and creates a space from which we are more able to identify our triggers and take thoughtful steps to manage them.

Improve Physical Health:

Research has shown that mindfulness can improve physical health in a number of ways. It has been linked to lowered blood pressure, improved sleep, and a strengthened immune system. It can also help ease chronic pain and other physical conditions that impact your quality of life. 

Enhance Mental Health:

Mindfulness can also improve our overall mental health. It’s been shown to reduce symptoms of depression and improve overall well-being. Many people who practice mindfulness report an increased ability to be present rather than stuck in rumination, a greater enthusiasm for life, and improved self-compassion.

Promote Better Relationships:

When we’re present and aware, we’re able to actively listen and be fully attuned in our interactions with others. This can lead to stronger communication and deeper connections.

Increase Self-Awareness:

When we’re mindful, we’re better able to witness our thoughts, feelings, and behaviors, which can help us make informed decisions that move us toward our values and help us live a more authentic life.

In conclusion, mindfulness is a powerful tool that can bring about a number of benefits to your daily life. Mindfulness, or Present Moment Awareness, is one of the six core processes taught in Acceptance and Commitment Therapy, and is one of the skills that helps increase our psychological flexibility. In other words, it helps us observe and make space for uncomfortable thoughts and feelings so that we’re able to move toward the things that matter most to us. There are a lot of activities that incorporate mindfulness and it may take some time to find what practices work for you. You can try journaling, meditating, or restorative yoga, or simply pay attention to the present moment using your senses—notice what you see, hear, smell, touch, and taste in a non-judgmental way. The key to developing a mindful mindset is consistent effort- you’ve got this! If you would like some support in practicing mindfulness and increasing psychological flexibility, CSAM can help.

IF YOU OR SOMEONE YOU LOVE NEEDS SUPPORT AND MIGHT BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY (CBT) OR ACCEPTANCE AND COMMITMENT THERAPY (ACT) FOR ANXIETY, PANIC, PHOBIAS, STRESS, PTSD, OCD, OR STRESS RELATED TO COVID-19, OR IF YOU WOULD LIKE MORE INFORMATION ABOUT OUR TELEHEALTH SERVICES, PLEASE CONTACT US AT (858) 354-4077 OR AT INFO@CSAMSANDIEGO.COM

0 Likes

Reference: 

https://greatergood.berkeley.edu/article/item/five_ways_mindfulness_meditation_is_good_for_your_health

Exercising Your Willingness Muscles

Jill Stoddard

by Annabelle Mebane, MA, AMFT

When you’re someone who experiences a lot of anxiety, it’s easy to end up internalizing unhelpful messages like “you’re too sensitive,” or to think that any time you are having any big feelings, it’s “just anxiety” and that you need to push through or get over those feelings. But a crucial component of learning to respond to anxiety more effectively involves learning to respond more flexibly.

The goal of Acceptance and Commitment Therapy (ACT) – an evidence based transdiagnostic treatment model – is to increase what we call psychological flexibility:

the ability to do what matters most to you no matter what uncomfortable thoughts, feelings, memories, or sensations arise in the process. It’s to accept painful feelings, notice painful thoughts as thoughts rather than always buying into them, and choose to move toward your values even when it’s uncomfortable. Without a solid understanding of values, it might be easy to confuse accepting painful feelings and getting distance from painful thoughts with needing to push through all discomfort no matter what.

But acceptance is not about white knuckling your way through pain,

and defusing from your thoughts is not about writing off all uncomfortable thoughts as “just anxiety.” Yes, anxious thoughts can be unhelpful. Yes, they can get you stuck. But rigidly pushing through all anxiety without getting curious about your pain can be just as unhelpful as rigidly buying into every anxious thought and avoiding anything that brings up those anxious feelings.

Here is the thing: your pain is full of really important information.

Sometimes the way your mind tries to deliver that information is not helpful or accurate. But the pain shows up for a reason. And usually that reason is linked to your values. Sometimes, the reason is that you care so much about something that it hurts. When you care deeply, you risk feeling the pain of failure, loss, rejection, grief, etc. Other times, painful feelings show up to alert you that there is something untenable about a situation, relationship, or context, and to compel you to take actions to protect, advocate for, and take care of yourself.

Acceptance allows you to make space for your feelings, to notice your experience with curiosity and compassion, and to choose how to respond in a way that moves you toward your values.

Sometimes that response involves persisting and acknowledging that the discomfort is likely to come along for the ride as the price of growth and vitality. Sometimes the response involves setting a boundary, saying no, speaking up for yourself, or removing yourself from a situation that is unsafe or out of alignment with what you want or need.

Think of acceptance in the context of working out.

If you want your muscles to grow, you will be required to experience and allow for some discomfort. But there is discomfort that feels like pushing yourself in service of growth, and then there is discomfort that feels like you may be injuring yourself and to persist would actually impede your growth. When we are mindful of our feelings and willing to experience and notice them, we are empowered with important information about how to proceed in a way that ultimately moves us toward our values.

IF YOU OR SOMEONE YOU LOVE NEEDS SUPPORT AND MIGHT BENEFIT FROM COGNITIVE BEHAVIORAL THERAPY (CBT) OR ACCEPTANCE AND COMMITMENT THERAPY (ACT) FOR ANXIETY, PANIC, PHOBIAS, STRESS, PTSD, OCD, OR STRESS RELATED TO COVID-19, OR IF YOU WOULD LIKE MORE INFORMATION ABOUT OUR TELEHEALTH SERVICES, PLEASE CONTACT US AT (858) 354-4077 OR AT INFO@CSAMSANDIEGO.COM