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Your Family Psychiatrist is a trusted resource for individuals searching for mental health answers. Our articles help you understand mental illness, substance abuse treatment, and what to expect when working with licensed mental health professionals. 

Mental Health Awareness

3/30/2021

6 Comments

 
Houston Mental Health Awareness

​Mental health issues effect each one of us, every day.  Simple anxiety can escalate and systemic problems like schizophrenia are real illnesses just like a broken bone or cancer. 
 
By becoming aware of mental health issues you can develop a knowledge of the various factors involved in taking care of one's mental health.  Unfortunately there is still a significant stigma attached to mental health issues and diseases.  Awareness campaigns focus on productive discussions and acceptance of the reality of mental illnesses and how we can raise awareness and support those suffering from them.
 
There are a number of ways to get involved in mental health awareness:
  • Discuss mental health openly-  Sharing information on social media or through conversations is important. Just be sure the information you are sharing is based on real medical evidence and not common myths or stereotypes. 
  • Tools – There are other online blogs, screening tools, and telehealth services that offer anonymity and help others recognize symptoms as needing treatment.  Speaking about it at other wellness-oriented facilities like gyms could provide someone the impetus needed to get help.  Libraries or other public forums offer information about how to access resources in the community.
  • Support Advocacy – MHA and NAMI offer help lines and support for mental health issues. Through financial and volunteer efforts you can support these and other programs.  Encourage others to do the same.  Use social media like Facebook and LinkedIn to make others aware of the availability of help and to encourage mental health awareness.
  • Be a Friend – If possible, support any of your friends and acquaintances who you believe are having difficulty with mental health issues.  This includes those who are grieving, lonely or feeling lost.  Sometimes a friendly ear is all that is necessary.  Hearing others speak honestly about their problems can help them feel heard and respected.
  • Self Care – Take care of your own mental health.  Talk to your psychiatrist or counselor and read about new techniques and programs.  Practice wellness and participate in programs.  Take your mental health as seriously as you do your physical well being.
  • Legislative – In Congress there are pending changes to Medicaid and behavioral health funding.  Protecting funding and support for these issues is critical to continued services for many thousands of Americans.  Contact your legislative representatives and let them know how you feel about this problem and how their actions can help reduce the number of people suffering.
 
May is mental health month.  Celebrate it by spreading the word about the services available and how good mental health is important.  Don't restrict your work to a single month.  Continue the fight throughout the year to help others in need.

Mental Care in Houston
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What Are Benzodiazepine Withdrawal Symptoms?

3/26/2021

69 Comments

 
benzodiazepine doctor
Understanding Withdrawal, Risks, and How to Stop Safely

Benzodiazepines, often called “benzos”, are commonly prescribed medications for anxiety, panic attacks, insomnia, muscle spasms, and seizures. Examples include Xanax (alprazolam), Klonopin (clonazepam), Ativan (lorazepam), and Valium (diazepam).

While these medications can offer short-term relief, long-term use can lead to dependence, making it difficult and even dangerous to stop suddenly. 

What Is Benzodiazepine Withdrawal?
​

When you take a benzodiazepine for a long time, your brain and nervous system get used to the medication. These drugs work by enhancing the effect of GABA, a calming brain chemical that slows down activity and reduces stress.

Over time, your brain adjusts by making less GABA or responding less to it. When you suddenly stop taking the medication, your body struggles to calm itself, leading to symptoms of overactivity and high stress called withdrawal.

Why You Should Never Stop Long-Term Benzos Suddenly

Stopping benzodiazepines “cold turkey” is risky. Your brain is so used to the calming effect that removing it suddenly can trigger:
  • Severe anxiety or panic attacks
  • Seizures
  • Delirium or psychosis
  • Hospitalization or emergency care

These risks are higher if you’ve been taking benzos:
  • Daily for longer than a few weeks
  • At high doses
  • Combined with other medications like opioids or alcohol

Common Benzodiazepine Withdrawal Symptoms
Withdrawal symptoms usually fall into three categories: psychological, physical, and cognitive. Some are uncomfortable but manageable; others can be dangerous.

Psychological Symptoms
  • Sudden return or worsening of anxiety or panic
  • Irritability or mood swings
  • Depression or hopelessness
  • Fear of losing control
  • Obsessive thoughts or restlessness

Physical Symptoms
  • Headaches
  • Dizziness or lightheadedness
  • Muscle tension, cramps, or tremors
  • Nausea, vomiting, or diarrhea
  • Increased heart rate or blood pressure
  • Sweating, chills, or hot flashes
  • Flu-like symptoms or fatigue

Sensory and Cognitive Symptoms
  • "Brain fog", confusion, or memory problems
  • Insomnia or vivid nightmares
  • Sensitivity to light, sound, or touch
  • Feelings of unreality (derealization) or detachment (depersonalization)
  • “Zaps,” vibrations, or tingling sensations

How Long Do Withdrawal Symptoms Last?

This depends on:
  • The specific benzodiazepine (short vs long-acting)
  • How long you’ve been taking it
  • Your dosage
  • Whether you stop suddenly or taper slowly

Timeline:
  • Short-acting benzos (like Xanax): symptoms can begin within 6–24 hours of the last dose
  • Long-acting benzos (like Valium): symptoms may begin 2–7 days after stopping
  • Acute withdrawal phase: lasts 2–6 weeks
  • Protracted withdrawal: in some patients, symptoms can persist for months or over a year, though they gradually improve

What Is Protracted Withdrawal Syndrome (PAWS)?

About 10–25% of long-term users experience what’s called Protracted Withdrawal Syndrome, where symptoms linger beyond the typical withdrawal phase.

Common features include:
  • Chronic anxiety
  • Sensitivity to stress
  • Sleep problems
  • Difficulty concentrating
  • Low mood or motivation

PAWS is not permanent, but recovery can be slow. Regular psychiatric care, therapy, and sometimes medications to support sleep and mood may help ease this process.

Safe Ways to Stop Benzodiazepines

Never stop on your own. The safest way to stop taking benzodiazepines is through a medically supervised tapering plan created by a psychiatrist.

What does tapering mean?
Tapering means gradually lowering the dose over weeks or months to allow the brain time to adjust. In many cases, a doctor will switch the patient to a longer-acting benzo like Valium (diazepam) to make tapering smoother and safer.

Typical tapering guidelines:
  • Reduce dose by 5–10% every 1–2 weeks
  • Adjust more slowly if symptoms increase
  • Use support medications (see below)

Are There Medications to Help With Withdrawal?

Yes. In some cases, psychiatrists may use supportive medications to help manage symptoms:
  • Melatonin – helps regulate sleep naturally
  • Gabapentin or pregabalin – may ease anxiety and nerve symptoms
  • Hydroxyzine or propranolol – to treat physical symptoms of anxiety like heart racing or sweating
  • Antidepressants – may be used if depression worsens during withdrawal
  • Flumazenil (rare) – a benzodiazepine receptor antagonist that may reduce long-term symptoms in select cases, used only by specialists

Therapy and Mental Health Support

Stopping benzodiazepines is not just a physical process. It’s an emotional and psychological one. Many people find success with:

Cognitive Behavioral Therapy (CBT)
CBT is one of the most effective forms of therapy for anxiety and panic. It helps you reframe your thoughts, understand triggers, and learn calming strategies that don’t involve medication.

Support Groups
Talking to others going through the same journey can provide validation, tips, and encouragement.


Benzodiazepine withdrawal is real and challenging but very treatable with the right support. Many people successfully taper off these medications and go on to live happier, more balanced lives.

Working with a psychiatrist is key to doing this safely and comfortably. At Your Family Psychiatrist, we’ve helped many patients reduce or eliminate benzodiazepines, while also improving anxiety, sleep, and overall well-being.
What are benzodiazepine withdrawal symptoms?
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Unique Coping Mechanisms for Stress

3/17/2021

187 Comments

 
Picture
Creative Ways to Feel Better, Backed by Science
​

Everyone feels stressed from time to time. Whether it's work, school, family life, or just keeping up with daily responsibilities, stress is a part of modern life. Too much stress, can lead to serious health problems like anxiety, depression, heart disease, and even a weakened immune system.

While many people know about common ways to cope with stress, like exercising, journaling, or talking to a friend, there are also some unique and creative techniques that can make a big difference. In this article, we’ll explore why stress matters and several unusual but research-backed ways to cope with it.

Let’s start by understanding why stress needs to be managed in the first place.

Why Is Stress Harmful?
Stress isn’t always bad. In small amounts, it can motivate us to meet deadlines or perform well under pressure. Chronic stress, stress that doesn’t go away, can damage the body and mind.

According to the American Psychological Association, 77% of people experience stress that affects their physical health, and 73% report stress that impacts their mental health.

When stress sticks around, it can cause symptoms like:
  • Headaches and muscle tension
  • Trouble sleeping
  • Digestive problems
  • Mood swings, anxiety, or depression
  • Weakened immune function

Over time, it increases the risk for conditions like high blood pressure, heart disease, and substance abuse. That’s why it’s important to have coping strategies or tools that help your body and mind respond in a healthier way.

What Makes a Coping Mechanism “Unique?
Traditional coping mechanisms include things like deep breathing, taking a walk, or venting to someone you trust. These are helpful and proven to work, but they don’t work for everyone.

Unique coping mechanisms are tools that might be a little different, less talked about, or more creative. They still help regulate emotions and reduce stress, but in ways that may be more engaging, personalized, or even fun.

Let’s dive into some of the most effective and unique options.

1. Grounding with Temperature Therapy
Changing your body temperature can have a surprising effect on your mood.
Ice Therapy: Holding an ice cube or dunking your face in cold water can help “shock” your nervous system out of a stress spiral. This works by activating the dive reflex, which slows your heart rate and calms the body.

🧊 Try this: Hold an ice cube in your hand and focus on the cold sensation for 30 seconds. Notice how your breathing and thoughts slow down.

Heat Therapy: Taking a warm bath, using a heating pad, or drinking hot tea also soothes the body. Warmth can increase serotonin, a feel-good brain chemical.
🛁 Fun Fact: A 2018 study found that people who took regular warm baths reported less depression and improved sleep compared to those who only used exercise as a treatment.

2. Scent-Based Stress Relief
Your sense of smell is directly connected to the emotional part of the brain called the limbic system. This makes scent a powerful tool for calming stress.

Aromatherapy: Lavender, peppermint, citrus, and sandalwood are some scents shown to reduce anxiety.
  • Lavender: Linked to lower heart rate and blood pressure
  • Citrus: Boosts mood and energy
  • Peppermint: Increases alertness and reduces fatigue

👃 Try this: Keep a small bottle of essential oil with you. When feeling stressed, take a few deep breaths while inhaling the scent.

📊 Study highlight: A 2020 review in the Journal of Affective Disorders found that aromatherapy significantly reduced anxiety in people with chronic health conditions.

3. Expressive Art and Movement
You don’t need to be an artist or a dancer to use creativity as a coping mechanism.
Doodling or Coloring: Coloring can create a calming, meditative state. Mandala coloring has been shown to reduce anxiety.

🎨 Try this: Spend 10 minutes coloring a pattern or doodling whatever comes to mind. Let your thoughts flow without judgment.

Intuitive Movement: This isn’t formal exercise. It’s about letting your body move freely to music or in silence. It could look like stretching, swaying, or slow dancing in your living room.

💃 Did you know? According to Frontiers in Psychology, movement-based therapies like dance and stretching can lead to lower cortisol (stress hormone) levels and improved mood.

4. Engaging in “Flow Activities”
Flow is a mental state where you’re fully immersed in a task, time seems to disappear, and you feel in control but challenged.

Some examples include:
  • Playing a musical instrument
  • Gardening
  • Cooking a new recipe
  • Building with Legos or puzzles
  • Playing video games with strategy elements

🎮 Research note: A 2021 study published in Computers in Human Behavior found that certain video games reduce symptoms of anxiety and depression, especially when they promote focus and problem-solving.

5. Laughter as Medicine
Laughter releases endorphins, relaxes your muscles, and even boosts your immune system.

😂 Try this: Watch a funny movie, listen to a comedy podcast, or talk to someone who makes you laugh.

📊 Scientific proof: A study in Alternative Therapies in Health and Medicine found that people who participated in laughter therapy sessions had lower stress levels, improved mood, and even reduced blood sugar in diabetic patients.

6. Using Objects for Tactile Relief
Some people find comfort in touching certain textures or using small objects to stay grounded.
Fidget Tools and Textures:
  • Stress balls
  • Kinetic sand
  • Velvet or soft fabric
  • Rubik’s cubes or spinner rings

These objects can provide sensory feedback that helps anchor you in the present moment.

✋ Fun Fact: Tactile input can lower stress by activating the parasympathetic nervous system, which slows your heart rate and relaxes the body.

7. Creating a “Safe Place” in Your Imagination
Visualization is a powerful technique used in therapy for trauma, anxiety, and panic attacks.

🧘‍♂️ Try this: Close your eyes and imagine a place where you feel completely safe. It could be a beach, forest, or your childhood bedroom. Picture the sights, sounds, smells, and feelings in detail.

🧠 Research insight: A study in Psychology and Psychotherapy found that visualization techniques helped reduce anxiety and increased emotional resilience in patients with chronic stress.

8. Practicing Micro-Meditation
You don’t have to sit in silence for 30 minutes to meditate. Short bursts of mindfulness throughout the day can be just as effective.

⏱️ Try this: Pause for 60 seconds. Take five deep breaths. Focus only on the feeling of air entering and leaving your body. Do this every time you get in the car, before you eat, or when you're waiting in line.

📊 Evidence: Research in Mindfulness Journal shows that even 3-minute breathing exercises reduce anxiety and improve mood over time.

9. Volunteering and Helping Others
Helping others is one of the fastest ways to reduce your own stress. It gives you a sense of purpose, increases social connection, and shifts focus away from your problems.

❤️ Ideas to try:
  • Write a thank-you note to someone
  • Donate to a food bank
  • Offer to walk a neighbor’s dog
  • Volunteer at a shelter or community event

📊 Harvard research shows that people who regularly volunteer have lower blood pressure, reduced depression, and longer life expectancy.

10. Talking to Yourself Like a Friend
Your inner voice matters. Harsh self-talk fuels stress. Kind, supportive self-talk builds resilience.

🗣️ Try this: The next time you’re feeling overwhelmed, ask yourself, “What would I say to a friend going through this?” Then say those same words to yourself.

📚 Study highlight: In one experiment from Clinical Psychological Science, people who used supportive self-talk had better emotional control and lower stress levels compared to those who were self-critical.

When to Seek Professional Help
While coping mechanisms are incredibly helpful, they don’t replace mental health care when it's needed. If your stress is:
  • Affecting your ability to function
  • Causing panic attacks, insomnia, or constant worry
  • Leading to substance use, isolation, or thoughts of self-harm

Then it’s time to reach out to a mental health professional.

Psychiatrists can help by:
  • Ruling out medical causes of stress symptoms
  • Recommending medications if needed
  • Offering therapy or referring you to a therapist
  • Creating a personalized plan for long-term stress management

Make Your Toolkit Personal
There’s no one-size-fits-all way to deal with stress. What matters is finding the tools that work for you. Some people love yoga; others hate it. Some relax with coloring books, while others prefer cold showers. That’s okay.

Your coping toolkit can be as unique as you are.

Try out a few techniques from this article and see what sticks. Add the ones that help to your daily routine. And remember stress is a normal part of life, but with the right strategies, it doesn’t have to control you.

At Your Family Psychiatrist in Houston, we help patients discover personalized ways to manage stress, improve mental health, and live more balanced lives. If you’re feeling overwhelmed, we’re here to help. Schedule a consultation today.
Stress Doctor Houston
187 Comments

How To Help Someone With PTSD?

3/10/2021

6 Comments

 
how to help someone with ptsd

​When someone you care for suffers from mental health issues like PTSD (post-traumatic stress disorder), it can become overwhelming for you as well. Thankfully there are effective treatment options available for PTSD.  You may be wondering how to help someone with PTSD? Your actions can definitely help your loved one overcome symptoms of PTSD and live a happy and healthy life. 
​

​Provide Social Support

It is very common for patients with PTSD to withdraw from social life. They might feel ashamed and prefer to avoid being a burden on others.

It is important for you to respect the emotional and physical boundaries set by the effected individual. Your care and support can definitely help him/her overcome negative feelings of grief, helplessness, and despair but it is also important to not overwhelm them. 

You can encourage the person to pursue hobbies, seek out friends, and participate in activities that he/she likes such as singing, swimming, and rock climbing. This would enable the patient to forget the traumatic event by diverting his/her mind to pleasant activities
​

​Be a Listener

Never push a patient with PTSD to talk. You should, instead, be ready to listen without judgments and expectations. 

Make it clear to your loved one that you care and are interested in listening to his/her experience.  It is the act of listening that would be helpful to your loved one. Don't be quick to offer advice.
​

Rebuild Safety and Trust 

A traumatic event may alter the way your loved one sees the world. It might make the world seem like a frightening and dangerous place for that person. It may also damage his/her ability to trust others. 

Rebuilding trust can instill a sense of security, in such cases, and contribute to faster recovery.  You can express your commitment to your loved one to help him/her feel secure. Creating a predictable routine can also help to restore a sense of security and stability to patients with PTSD and help them regain their confidence.
​

​Anticipate Triggers

Any trigger including a person, thing, place, or situation which reminds the patient of the trauma could set off the symptoms of PTSD.  Sometimes, the triggers are obvious. In some cases, it might take you time to identify the triggers.

Careful observation of the pattern of symptoms would help to identify the possible triggers. Identifying such triggers and avoiding them can help the patient prevent outbursts of negative emotions and support recovery. 

Common PTSD triggers include: 
  • People, locations, and things that recall the unpleasant memories
  • The sight, sound, or smell associated with the traumatic event
  • Significant times and dates, such as anniversaries 
  • Media coverage about the traumatic event 
Trying to remain calm and composed during an emotional outburst and communicating to the patient that he/she is “safe” would help the situation from escalating.

Conclusion
It takes time for a person with PTSD to overcome the difficult emotions brought about by the traumatic experience. However, continuous support and care by loved ones can help him or her get rid of the symptoms and live a happy and normal life. 
​
Seeking appropriate treatment including medications and counseling, when necessary, are also critical when helping your loved one recover faster. 
PTSD Treatment in Houston
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