Southeast Kentucky Behavioral Health, LLC
How to Stop Worrying: Effective Strategies and Insights

Worrying is a common human experience, but when it becomes excessive, it can negatively impact mental and physical health. Research indicates that chronic worrying is linked to anxiety, stress-related illnesses, and diminished quality of life (Borkovec et al., 1998). Fortunately, there are evidence-based strategies to manage and reduce worry effectively.

Understanding Worry

Worry involves repetitive thoughts about potential future events, often focusing on negative outcomes (American Psychological Association, 2020). While occasional worrying can help with problem-solving and preparation, excessive worry often leads to feelings of helplessness and distress.

Strategies to Stop Worrying

1. Practice Mindfulness

Mindfulness, the practice of focusing on the present moment without judgment, is a powerful tool to combat worry. Studies have shown that mindfulness-based interventions reduce anxiety and promote emotional regulation (Hofmann et al., 2010). Techniques like deep breathing, meditation, or yoga can help individuals break free from the cycle of worry.

2. Challenge Negative Thoughts

Cognitive-behavioral therapy (CBT) emphasizes identifying and challenging irrational or exaggerated worries. Writing down worries and questioning their validity can help reframe thoughts into more realistic perspectives (Beck, 2011). Ask yourself:

  • Is this thought based on facts or assumptions?
  • What is the worst that could happen, and how likely is it?

3. Set a Worry Time

Dedicate a specific time each day to address worries. This technique, often called “scheduled worry time,” can reduce the tendency to ruminate throughout the day (Leahy, 2005). During this time, write down your concerns and brainstorm potential solutions.

4. Focus on Problem-Solving

Instead of dwelling on “what ifs,” shift your energy toward actionable steps to resolve the issue. Research suggests that problem-solving therapy can reduce anxiety and improve coping mechanisms (D’Zurilla & Nezu, 2010).

5. Engage in Physical Activity

Exercise is a natural stress reliever and mood booster. Aerobic activities, such as walking, running, or swimming, have been shown to decrease anxiety and improve overall well-being (Herring et al., 2010).

6. Limit Exposure to Triggers

Reducing time spent on activities that exacerbate worry, such as excessive news consumption or social media use, can help maintain emotional balance. Set boundaries around these activities to minimize unnecessary stress.

7. Cultivate Gratitude

Focusing on positive aspects of life can counteract worry. Keeping a gratitude journal or listing three things you are grateful for each day can shift your focus away from concerns and toward positivity (Emmons & McCullough, 2003).

8. Seek Professional Help

If worrying becomes overwhelming and interferes with daily functioning, seeking support from a mental health professional is essential. Therapists can provide tailored strategies to manage anxiety and address underlying causes of chronic worry.

The Role of Social Support

Connecting with others can also reduce feelings of worry and isolation. A supportive network of friends, family, or support groups can offer reassurance and practical advice.

While worrying is a natural response to uncertainty, excessive worry can harm mental and physical health. By practicing mindfulness, challenging negative thoughts, and focusing on actionable solutions, individuals can regain control over their thoughts and reduce the impact of worry on their lives. Incorporating these strategies into daily life can foster resilience and promote overall well-being.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field. He currently serves as the executive director and outpatient behavioral therapist for Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at by phone at 606-657-0532 Extension 101 or by email at [email protected].


References

  • American Psychological Association. (2020). Understanding anxiety and worry. Retrieved from https://www.apa.org
  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal processes. Cognitive Therapy and Research, 22(6), 561-576.
  • D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. Springer.
  • Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.
  • Herring, M. P., O’Connor, P. J., & Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms: A meta-analysis. Psychosomatic Medicine, 72(6), 465-474.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
  • Leahy, R. L. (2005). The worry cure: Seven steps to stop worry from stopping you. Harmony.

Managing the Gap Between Perception, Expectations, and Reality in Marriage: A Psychological Perspective

Marriage often begins with a blend of excitement, hope, and expectations about the roles partners will play. For many women, the concept of a husband is shaped by cultural norms, personal upbringing, and media portrayals, which can lead to a distinct perception of what a partner “should” be. However, the reality of married life often reveals that individuals bring unique traits, flaws, and complexities into the relationship that may not align with those preconceived ideals. The process of reconciling this gap is central to building a healthy, enduring partnership.

Perceptions and Expectations of a Husband

The perception of an ideal husband varies across cultures and individuals. Studies suggest that traditional expectations of a husband often include emotional support, provision of financial security, and shared domestic responsibilities (Fowers, 1998). These perceptions are shaped by societal roles and personal experiences, including family dynamics witnessed during childhood. For instance, a woman raised in a household with a nurturing and present father may expect similar traits in her spouse.

Media also plays a significant role in shaping these perceptions. Romantic comedies and novels often depict husbands as highly attentive, emotionally available, and consistently fulfilling their partner’s needs. While such portrayals can be aspirational, they may inadvertently set unrealistic benchmarks that are difficult for real individuals to meet.

Adjusting to the Reality of Marriage

Marriage, as psychologists emphasize, is a journey of understanding and acceptance rather than perfection. When a husband does not fit the initial mold envisioned by his spouse, the process of adjustment requires several critical steps:

1. Acknowledging Differences: Research shows that the ability to tolerate differences in personality and behavior is key to marital satisfaction (Gottman & Silver, 1999). Recognizing that no partner can fully embody every ideal trait helps reduce feelings of disappointment.

2. Developing Realistic Expectations: Unrealistic expectations can lead to dissatisfaction and conflict. A study by Fletcher et al. (2000) highlights the importance of developing realistic views of a partner’s strengths and weaknesses, which fosters a sense of acceptance.

3. Improving Communication: Open communication is crucial for bridging the gap between expectations and reality. Partners who express their feelings, needs, and concerns constructively are better equipped to address misaligned expectations.

4. Cultivating Empathy and Patience: Adjusting to a partner’s traits requires empathy and patience. Understanding the reasons behind certain behaviors—whether shaped by past experiences, stressors, or personal insecurities—encourages a compassionate perspective.

5. Shared Growth and Compromise: Successful marriages often involve mutual growth. Both partners must be willing to compromise and adapt to each other’s evolving needs (Karney & Bradbury, 1995).

The Role of Cognitive Reframing

Cognitive reframing is a psychological technique that can help individuals manage unmet expectations. This approach involves shifting one’s mindset from focusing on a partner’s shortcomings to appreciating their positive traits. For example, instead of fixating on a husband’s lack of romantic gestures, a wife might focus on his consistent efforts to provide stability and support. Cognitive reframing has been shown to increase relationship satisfaction and reduce conflict (Fincham & Beach, 1999).

Building Resilience in the Marriage

The ability to adapt to the realities of marriage is closely tied to emotional resilience. Resilient couples are better equipped to navigate disappointments and build a partnership that transcends initial expectations. Key strategies for fostering resilience include:

• Fostering Gratitude: Regularly expressing gratitude for one another’s contributions strengthens emotional bonds.

• Seeking Professional Support: In cases where expectations and reality create significant distress, couples therapy can provide valuable tools for resolving conflicts and rebuilding trust.

• Focusing on the Bigger Picture: Long-term marital success often depends on focusing on shared values, goals, and commitments rather than minor discrepancies in behavior or personality.

Conclusion

The journey from perception to acceptance is a hallmark of marital growth. While initial expectations about a husband may be shaped by societal norms and personal ideals, the reality of marriage often requires flexibility, empathy, and open communication. By embracing their partner’s unique qualities and addressing differences constructively, women can build a fulfilling partnership that transcends unrealistic ideals. Ultimately, the strength of a marriage lies not in perfection but in the shared commitment to understanding, growth, and love.

This article has been written by John S. Collier, MSW, LCSW. John has over 25 years in the social work field. He currently serves as the executive Director and outpatient provider at Southeast Kentucky Behavioral health based out of London Kentucky. John may be reached at 606-657-0532 extension 101 or by email at [email protected]

References

• Fincham, F. D., & Beach, S. R. (1999). Conflict in marriage: Implications for working with couples. Annual Review of Psychology, 50(1), 47–77.

• Fletcher, G. J., Simpson, J. A., & Thomas, G. (2000). The measurement of perceived relationship quality components: A confirmatory factor analytic approach. Personality and Social Psychology Bulletin, 26(3), 340–354.

• Fowers, B. J. (1998). The limits of a technical concept of a good marriage: Exploring the role of virtue in communication skills. Journal of Marital and Family Therapy, 24(1), 15–28.

• Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. Three Rivers Press.

• Karney, B. R., & Bradbury, T. N. (1995). The longitudinal course of marital quality and stability: A review of theory, methods, and research. Psychological Bulletin, 118(1), 3–34.

Healthy Forms of Validation: Recognizing and Seeking Supportive Affirmation

Validation is the process of understanding, affirming, and accepting one’s feelings, thoughts, or experiences. Receiving healthy validation plays an essential role in building self-esteem, enhancing relationships, and promoting emotional resilience. However, it’s essential to recognize and seek out validation that is healthy and constructive. Here’s an overview of different types of validation and strategies for recognizing and pursuing them effectively.

Why Validation Matters

Validation from others reassures us that our feelings and experiences are understood and accepted. Research shows that receiving consistent, positive validation from supportive people can lead to improved mental health, stronger relationships, and a more secure sense of self (Linehan, 1993). According to self-determination theory, validation can also foster autonomy, competence, and relatedness, which are essential for psychological well-being (Ryan & Deci, 2000).

However, relying solely on external validation can be harmful, leading to dependency and reduced self-esteem. Instead, it’s beneficial to balance seeking validation from others with developing self-validation practices.

1. Types of Healthy Validation

  • Emotional Validation: Emotional validation involves acknowledging and accepting someone’s feelings without judgment. This can be as simple as listening attentively, empathizing, and affirming that the other person’s feelings are understandable. Emotional validation reinforces that feelings are valid and that it’s okay to feel what one feels (Linehan, 1993).
  • Validation of Effort and Progress: Praising effort rather than outcomes is a powerful form of validation that can reinforce persistence, self-compassion, and growth. Validating someone’s efforts, even if they fall short of success, promotes a growth mindset, where challenges are seen as opportunities to learn rather than sources of failure (Dweck, 2006).
  • Authentic Affirmations: Authentic affirmations recognize specific qualities, skills, or positive contributions that a person has shown. This validation should be specific rather than generic to reinforce self-worth in an honest, meaningful way (Wood et al., 2008).

2. Recognizing Healthy Validation

Healthy validation has distinct characteristics that make it different from unhealthy or superficial validation. Here’s how to identify it:

  • Respectful and Non-Judgmental: Healthy validation acknowledges your experiences without judgment or dismissal. Research shows that people who validate respectfully build stronger, more trusting relationships (Kross et al., 2014).
  • Specific and Genuine: Unlike generic praise, specific and genuine validation is grounded in real examples. For example, instead of saying “You’re smart,” healthy validation might sound like “I noticed how thoughtful you were when you solved that problem.” This specificity makes the affirmation more meaningful and believable (Wood et al., 2008).
  • Supportive but Not Enabling: Healthy validation encourages personal growth and resilience. It acknowledges your feelings and experiences without enabling unhelpful behaviors, promoting personal accountability and independence (Ryan & Deci, 2000).

3. How to Seek Out Healthy Validation

While it can be challenging to seek validation directly, there are strategies to create environments and relationships where it naturally occurs:

  • Communicate Openly: Sharing how you feel and what kind of support you need can help others understand your perspective and respond in validating ways. Research suggests that people who openly communicate their feelings are more likely to receive affirming responses, as clear communication reduces misunderstandings (Gottman, 2011).
  • Seek Supportive Relationships: Prioritize connections with people who genuinely care about your well-being and listen to you. Friendships and relationships that emphasize empathy, understanding, and honest feedback are more likely to offer healthy validation (Reis & Shaver, 1988).
  • Set Boundaries Around Validation-Seeking: Being mindful of how and when you seek validation can help prevent over-dependence on others. Seeking validation when genuinely needed, rather than as a habit, can help you distinguish between healthy support and dependency (Neff, 2003).

4. Building Self-Validation Skills

Relying on oneself for validation is a healthy, empowering practice that can lead to greater self-confidence and resilience:

  • Practice Self-Compassion: Self-compassion is a form of self-validation that involves treating yourself kindly, especially during challenging times. According to Dr. Kristin Neff, practicing self-compassion can help you become your own source of validation, reducing dependency on external sources (Neff, 2003).
  • Acknowledge Your Own Efforts: Celebrating your progress, no matter how small, reinforces self-validation. This practice helps you recognize your own efforts, fostering a positive self-image and reducing the need for constant external approval (Dweck, 2006).
  • Mindfulness and Journaling: Reflecting on your experiences, thoughts, and emotions through mindfulness or journaling can help you recognize your feelings and validate them internally. This process strengthens self-awareness and helps you rely less on external feedback (Kabat-Zinn, 2003).

Conclusion

Validation is a powerful element of healthy relationships and self-esteem, but it’s essential to seek out healthy, constructive forms of affirmation. By recognizing the qualities of healthy validation, seeking it from supportive people, and building self-validation skills, individuals can enhance their emotional resilience and improve their overall well-being.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at [email protected].

References

  • Dweck, C. S. (2006). Mindset: The New Psychology of Success. Random House.
  • Gottman, J. M. (2011). The Science of Trust: Emotional Attunement for Couples. W.W. Norton & Company.
  • Kabat-Zinn, J. (2003). Mindfulness-Based Stress Reduction (MBSR). American Psychological Association.
  • Kross, E., et al. (2014). Social rejection and the brain. Trends in Cognitive Sciences, 18(1), 15-21.
  • Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford Press.
  • Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223-250.
  • Reis, H. T., & Shaver, P. (1988). Intimacy as an interpersonal process. In Handbook of Personal Relationships, 367-389.
  • Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68-78.
  • Wood, A. M., et al. (2008). The role of gratitude in the development of social support, stress, and depression: Two longitudinal studies. Journal of Research in Personality, 42(4), 854-871.

This article provides a guide to recognizing and seeking healthy forms of validation based on research and psychological theories. Let me know if there’s any area you’d like to explore in more depth.

Supporting Veterans and Their Mental Health: A National Responsibility

Veterans have served their country with dedication and, upon returning to civilian life, often face numerous challenges that require our support and understanding. Many veterans experience significant mental health issues, including post-traumatic stress disorder (PTSD), depression, anxiety, and substance use disorders. These challenges can hinder their ability to reintegrate into civilian life and maintain relationships, employment, and a healthy lifestyle. Recognizing the mental health needs of veterans and implementing effective support strategies is crucial for honoring their service and supporting their well-being.

The Mental Health Landscape for Veterans

Veterans are at a higher risk of mental health issues compared to the general population. A report from the U.S. Department of Veterans Affairs (VA) indicated that approximately 11-20% of veterans who served in Iraq and Afghanistan suffer from PTSD in any given year, and the prevalence is even higher among those who served in the Vietnam War (U.S. Department of Veterans Affairs, 2022). Additionally, veterans are at an increased risk for depression, anxiety, and substance abuse issues, with research suggesting that over 25% of veterans experience symptoms related to depression and other mood disorders (Hoge et al., 2004).

A primary cause of these mental health challenges is the exposure to trauma and high-stress situations during service. Repeated exposure to combat, violence, and injury can leave lasting psychological scars that are difficult to heal. This stress may also exacerbate pre-existing mental health issues, making it even more difficult for veterans to transition back to civilian life.

Barriers to Mental Health Care for Veterans

While the VA and other organizations offer resources for veterans, barriers to accessing mental health care persist. According to the RAND Corporation, veterans may face significant obstacles, such as long wait times for appointments, stigma surrounding mental health, and a lack of providers who understand military culture (Tanielian et al., 2018). This stigma can prevent veterans from seeking help, as they may feel that mental health challenges are a sign of weakness or that others will not understand their experiences.

Rural veterans often face additional obstacles due to the lack of nearby mental health resources. Research has shown that nearly a quarter of all veterans live in rural areas, where specialized mental health services may be limited (Weeks et al., 2008). Telemedicine and virtual counseling have helped bridge some of these gaps, but there remains a need for more accessible, culturally informed care tailored to the unique needs of veterans.

Strategies for Supporting Veterans’ Mental Health

  1. Increasing Access to Mental Health Services:
    Expanding mental health resources specifically tailored for veterans is essential. The VA and other organizations are implementing initiatives to reduce wait times, increase the availability of telehealth services, and provide alternative therapies, such as art therapy, music therapy, and mindfulness practices (U.S. Department of Veterans Affairs, 2022). Community-based programs can also provide veterans with accessible care, particularly in rural areas.
  2. Building a Community of Support:
    Peer support programs can be highly effective for veterans, as they allow veterans to connect with others who have had similar experiences. Programs like the Veterans Crisis Line and the VA’s Peer Support program connect veterans with trained peers, who provide support, understanding, and guidance. Research suggests that peer support reduces PTSD symptoms and increases veterans’ willingness to seek help (Resnick et al., 2012).
  3. Reducing Stigma through Public Awareness:
    Public awareness campaigns can play a crucial role in reducing stigma around veterans’ mental health issues. Campaigns should focus on educating both veterans and the general public about the commonality of mental health challenges, emphasizing that seeking help is a sign of strength. The VA’s “Make the Connection” campaign is an example of an initiative aimed at reducing stigma and encouraging veterans to pursue mental health treatment (U.S. Department of Veterans Affairs, 2022).
  4. Encouraging Family Involvement and Support:
    Family members can be a crucial source of support for veterans dealing with mental health issues. Programs that educate family members about PTSD, depression, and other mental health conditions can equip them to support their loved ones effectively. Involving families in therapy sessions can also create a support network that extends beyond formal mental health services, which may improve outcomes for veterans (Monson et al., 2006).
  5. Employment and Reintegration Support:
    Meaningful employment can significantly impact veterans’ mental health and quality of life. Programs like the VA’s Vocational Rehabilitation and Employment services provide veterans with job training, career counseling, and job placement assistance, helping veterans reintegrate into civilian life (U.S. Department of Veterans Affairs, 2022). Research shows that veterans who find stable employment report higher levels of satisfaction and mental well-being (Resnik et al., 2012).

A Call to Action

Supporting veterans’ mental health is not only a moral duty but also a way to ensure the well-being of individuals who have made profound sacrifices. By addressing the barriers veterans face in accessing mental health care, expanding peer support networks, reducing stigma, and providing employment and family support, society can help veterans lead healthier and more fulfilling lives. Moreover, these actions honor their service by providing the respect, care, and compassion they deserve.

We must continue to advocate for policies that support veterans’ mental health, fund research into effective treatments, and raise public awareness about the unique challenges veterans face. Providing veterans with the resources and support they need to thrive is one of the most meaningful ways we can repay them for their service and dedication to our country.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field and is based in London Kentucky through Southeast Kentucky Behavioral Health, LLC. Mr. Collier may be reached by phone at (606) 657–0532 extension 101 or by email at [email protected].


References

Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13-22.

Monson, C. M., Schnurr, P. P., Stevens, S. P., & Guthrie, K. A. (2006). Cognitive-behavioral conjoint therapy for PTSD: Pilot results from a community sample. Journal of Traumatic Stress, 19(3), 289-299.

Resnick, S. G., & Rosenheck, R. A. (2012). Integrating peer-provided services: A quasi-experimental study of recovery orientation, confidence, and empowerment. Psychiatric Services, 63(6), 541-547.

Tanielian, T., Jaycox, L. H., & RAND Corporation. (2008). Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. RAND Corporation.

U.S. Department of Veterans Affairs. (2022). PTSD: National Center for PTSD. https://www.ptsd.va.gov