Supporting Kids with Anxiety during Summer Break

By Jessy Weston, lmft

For many families, summer is something to look forward to – a break from school routines, time

for play, travel, and relaxation. But for kids who struggle with anxiety, summer can bring a

whole new set of stressors. The sudden shift in structure, increased social expectations, and

sensory overload of summer activities can feel overwhelming.

The good news? With some thoughtful planning, it’s absolutely possible to create a summer that

feels calm, connected, and supportive. Here are a few simple strategies to help your child feel

grounded and safe during the summer months.

1. Understand What Triggers Their Anxiety in Summer

Every child is different, but some common summer-related anxiety triggers include:

• Lack of structure or routine

• Social demands like day camps, parties, or family events

• Fear of missing out or comparison to peers

• Changes in sleep, screen time, or diet

• Sensory overload from travel, heat, or noisy environments

Pay attention to when your child seems more anxious – tracking patterns can help you anticipate

challenges and plan support accordingly.

2. Create a Gentle Routine

Kids thrive on predictability, and even a flexible routine can help them feel safe. While it doesn’t

have to match the rigidity of the school year, having a general rhythm to the day can ease a lot of

underlying anxiety.

Consider setting:

• Consistent wake-up and bedtime routines

• Regular mealtimes

• Built-in quiet time or downtime

• A visual schedule or calendar for daily activities

Involve your child in creating the routine. Having a sense of control can be empowering and

reduce anxious resistance.

3. Prepare for Transitions and Travel

New places and changing routines can be particularly tough for kids with anxiety. Whether

you’re planning a vacation or starting summer camp, help them prepare in advance.

Some helpful strategies:

•  Preview what to expect with photos, videos, or social stories

• Walk through the schedule together before the event

• Pack comfort items like favorite snacks, toys, or headphones

• Offer choices when possible to give a sense of control

The more your child knows what to expect, the safer they’ll feel.

4. Focus on Connection

What matters most is connection – your child feeling seen, heard, and supported.

Let them know:

• It’s okay to feel nervous or overwhelmed

• They can talk to you about their feelings, without judgment

• You’re in this together, and they’re not alone

A daily moment of genuine connection, whether during breakfast, bedtime, or a walk around the block, can have a lasting impact on a child’s sense of emotional safety.

10 Ways To Practice Mindfulness This Winter Season

By Bree Minger, AMFT

The winter tends to feel like a whirlwind. The holidays start in November and keep us busy all the way to January when we decide to test ourselves with New Year’s resolutions. After that tends to peter off then comes the Super Bowl and Valentine’s Day. Many of these celebrations may induce anxious or depressive feelings about one’s relationships with family, romantic partners or singleness. Additionally, this season can lead to many celebrations which often include heavier drinking or substance use. During this time of year, it is too easy to get caught up in hurry or expectations of status leaving many of us feeling drained or overwhelmed. 

Alternatively, winter can be a very fruitful time of rest. A period of hibernation to reflect and prepare for the next season to come– whether that be a new relationship, a new season of singleness, learning how to manage anxiety or depression or simply the shift to spring weather. Through all of these changes and challenges, one can practice rest through mindfulness. Mindfulness is proven to decrease feelings of anxiety, depression, pain, stress, insomnia and high blood pressure. Overall mindfulness can be practiced in many ways, as long as the body and brain are slowing down to pay attention to one’s senses and experience. 

Here are 10 ways to be practice mindfulness for the remainder of the winter season: 

1. Find joy in simple pleasures. Whether reading a book or watching the snowfall, try to slow down the moment and notice the beauty or tranquility. Breathe in the peace and breathe out any distractions from that present moment. 

2. Mindful eating can help slow your thoughts, emotions and prolong the enjoyment of the meal. Next time you eat your favorite snack or food, focus on each bite, relishing in the flavors you taste or the food’s texture. 

3. Breathing is very powerful when it comes to slowing our bodies down. Paying attention to exhales in particular can regulate our nervous system rapidly. Even apps on smart watches can aid in practicing deep breathing for just 1 to 2 minutes a day. 

4. Body scans can be helpful to notice sensations and connect these to emotions you may be experiencing. Body scans can be incorporated into therapy, or helpful guides can be found on youtube or elsewhere online. 

5. Slow down daily moments. From making your bed, to brushing your teeth, to showering there are many opportunities to set intentions for the day. Perhaps choose a daily moment to focus on what you may need that day, or how you can show up for someone else. Use the time to set a small daily goal that is achievable. 

6. Practicing gratitude can be an effective way to reflect on the day. Either at the end of the work day or while getting ready for bed reflect on one part of your day that stood out or one person for whom you are grateful. 

7. Progressive muscle relaxation can be an entry level meditation if mindfulness is uncomfortable. Again, a meditation like this can be incorporated into therapy sessions or guides are easily found online. 

8. Walking meditations reap several benefits because they incorporate physical activity and slowing down in the moment. Go for at least a 10 minute walk and notice the feeling of your footsteps and the shift of your body weight.

9. Engaging in art or creativity is also a very beneficial way to practice mindfulness. From painting to woodworking, using one’s hands to create is very helpful. 

10. Massage therapy is another mindful practice that connects the body and the brain. Releasing tension through massages comes from the release of endorphins allowing the body to fully relax and feel sensations of calm. 

SOURCES

Navigating the Maze: Understanding High Functioning Anxiety

By Megan Allcock, AMFT

Anxiety is a common mental health condition that affects millions of people worldwide. While it manifests differently in each individual, there is an unofficial subtype often labeled as High Functioning Anxiety. So what is that exactly?

High functioning anxiety is not an officially recognized mental health diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Instead, it's a term used to describe individuals who outwardly appear to have their lives together while silently battling persistent anxiety beneath the surface.

Some of the key characteristics of High Functioning Anxiety include:

• Perfectionism: Setting impossibly high standards for themselves, striving for flawlessness in every aspect of their lives.

• Overthinking: Constant overthinking and ruminating about past events or future scenarios.

• Procrastination: Ironically, some individuals with high functioning anxiety may procrastinate tasks due to the fear of not meeting their own high standards.

• Constant Worry: Excessive worrying, even about trivial matters, is common as well.

• Difficulty Relaxing: People with high functioning anxiety may find it challenging to relax or "switch off," always feeling the need to be productive or busy.

• Physical Symptoms: While not always present, physical symptoms like muscle tension, restlessness, and gastrointestinal issues are common too.

So how is it different from typical anxiety? The main difference between high functioning anxiety and typical anxiety is the ability to maintain a presence of “normal”. High functioning anxiety often goes unnoticed because individuals suffering from it have developed coping mechanisms to navigate daily life effectively. They may excel at work, maintain social relationships, and fulfill responsibilities, all while concealing their inner stress and anxiety. 

If you think you might suffer from this, here are some tips to help manage it better. 

• Self-awareness: Recognizing and accepting that you have high functioning anxiety is crucial. Understand that it's okay and often necessary to seek help and support.

• Therapy: A therapist can provide tools and strategies to cope with anxiety symptoms as well as navigate some of the underlying causes for your anxiety.

• Medication: Medication prescribed by a healthcare professional may be necessary and very helpful to alleviate anxiety symptoms - usually in conjunction with talk therapy.

• Self-care: Prioritize self-care activities such as regular exercise, adequate sleep, a balanced diet, and relaxation techniques as often as possible.

• Set realistic goals: Challenge the need for perfectionism and set achievable, reasonable goals for yourself. Practice self-compassion.

• Establish boundaries: Learn to say no when necessary. Setting healthy boundaries can prevent overcommitting and feeling overwhelmed.

• Seek support: Share your feelings with trusted friends or family members. Often, simply talking about your anxiety can provide some relief.

Guiding Yourself: Progressive Muscle Relaxation

By Jessy Weston, AMFT

In the midst of life's hustle and bustle, finding moments of calm can feel like an elusive quest. I often find myself sitting with clients who are struggling to navigate stress and anxiety in their lives and are unsure of how to slow down. In those moments, I find it can be helpful to practice a mindfulness exercise together. One of my favorite mindfulness techniques is progressive muscle relaxation.

Progressive muscle relaxation (PMR) is a relaxation technique based on the concept that physical tension and mental stress are closely connected. Developed by American physician Edmund Jacobson in the early 20th century, PMR aims to reduce both physical and mental stress by systematically tensing and then relaxing different muscle groups in the body.

The theory behind PMR is rooted in the idea that when we consciously tense and then release muscle groups, we become more aware of the physical sensations associated with tension and relaxation. This heightened awareness allows us to recognize and differentiate between states of tension and relaxation more effectively. By repeatedly practicing PMR, we can learn to identify when we are holding tension in our bodies, even in day-to-day situations. Over time, PMR can lead to reduced muscle tension, decreased anxiety, improved sleep, and an overall sense of calm and well-being.

Step 1: Find a Quiet Space

Choose a peaceful environment where you won't be disturbed. Sit or lie down in a comfortable position, and close your eyes if you feel comfortable doing so.

Step 2: Focus on Your Breath

Take a few slow, deep breaths to ground yourself. Inhale through your nose, feeling your lungs and belly expand, and then exhale slowly through your mouth, releasing any tension.

Step 3: Tense and Release

Begin with your toes. As you inhale, curl your toes tightly, feeling the tension in your foot. Hold for a few seconds, then exhale as you release the tension. Notice the difference between tension and relaxation.

Step 4: Move Up the Body

Continue this process, moving progressively up your body. Focus on each muscle group for 5-10 seconds before releasing:

• Calves and shins

• Thighs

• Abdomen

• Chest and back

• Shoulders

• Arms and hands

• Neck and throat

• Face (forehead, eyes, cheeks, jaw)

Step 5: Embrace Sensations

As you work through each muscle group, pay attention to the sensations. Notice how tension feels different from relaxation. Notice the soothing sensation of letting go.

Step 6: Slowly Return

When you're ready, gently bring your awareness back to the present moment. Wiggle your fingers and toes, stretch your body, and open your eyes if they were closed.

Sleep Anxiety Struggles

By Nicole Marino, AMFT

Falling asleep can sometimes seem like a battle, especially when anxiety starts to creep in and suddenly all of your worries are swirling around in your mind. It is truly hard to fall asleep, even if your body is tired, when your mind won’t rest. Everyone is different and there is not one magical tip that works for all, but by changing some routines and habits around nighttime, it may help improve overall relaxation and worry leading up to bedtime!

1. Try sleeping focused meditations: Meditation’s purpose is to bring you into the present moment, to ease your mind, and to focus on your breathing. There are so many different types of meditations to try, but looking up sleeping meditations (use of an app or just searching in YouTube) can be very useful when it comes to relaxing a busy mind. Body scan meditations are specifically helpful when it comes to this because you are guided through focusing on each individual part of your body and relaxing any tension in your body.

2. Write a list of everything you are worried about: Sometimes our anxiety feels like it holds so much power, but when you write out your concerns, you are taking the power back. Often times, listed out, our worries and fears don’t look as scary or overwhelming as we once thought.

3. Focus on the things within your control: Following that, focus on the worries or concerns that are within your control. Often times, anxiety focuses on things that are completely out of our control and we have no power altering. Let go of the things that we cannot change because it may never even happen. Your anxiety is not a fortune-teller of what is to come in the future. It is just our fears turned into anxious and negative thoughts. Also, it is important to focus on the things you can control right in that moment because I bet there are not a lot of things that you can do while you’re in bed trying to fall asleep.

4. Read: This is a very relaxing activity to do before bed and can keep your mind busy leading to tiredness.

5. Create a bedtime routine: Going off of reading, creating a nighttime routine focused on relaxation and non-stressful activities/tasks is very beneficial when it comes to easing sleep anxiety. Creating a routine of things you look forward to doing is a form of self-care. Whether that is doing your skincare routine, reading, stretching, journaling, showering, or meditating, the key is to focus on the tasks that are not going to cause additional worries or concerns, but the activities that are going to cultivate calm energy.

6. Avoid use of screens: If possible, not looking at your phone before bed is a healthy sleep time habit. When you look at your phone screen or TV, your brain is stimulated and “lights up” delaying when you start to feel sleepy.

7. Avoid harsh lighting: Similar to use of screens, turning on bright lights at night can wake you up and do the opposite of relaxing you. Studies show that red light therapy can help with both depression and anxiety. Because of this, switching your bedroom lights to red lightbulbs can help ease anxiety especially before bed.

8. A to Z technique: This technique is helpful once again to focus your mind on something low risk, fun, and calming. You can pick any topic or category you would like (sports, food, songs, shows, animals, etc.) and go A through Z naming one thing within the topic that starts with each letter of the alphabet. This is a fun twist on “counting sheep”!

9. Listen to calming music or relaxing noises: This can definitely be different for everyone, but listening to classical music, rain sounds, ocean sounds, or even just using a white noise machine can help your mind have something to focus on rather than what you have to do tomorrow.

As stated before, not everything listed is going to work for everyone because everyone is unique and different! The purpose of this is to give techniques and tricks to try out when it comes to combating sleep anxiety. It never hurts to try something new especially when it comes to taking power back from your anxiety at night! It is so important to be getting enough rest at night so don’t let your anxiety focus on the countdown till the morning, but focus on the present moment and what you can do to help destress and get to sleep quicker.

So you’ve developed some social anxiety during the pandemic? Now what?

By Megan Allcock, AMFT

According to the National Institute of Mental Health, social anxiety disorder is a mental illness characterized by an intense, persistent fear of being watched and judged by others. This fear makes it difficult to work, hangout with friends and generally function in a “normal” way. While not everyone is diagnosable, there are plenty of people who identify with certain characteristics of this mental illness.

For the past 16 months everyone’s social interactions have been limited. Whether you have been completely isolated, or had minimal interactions with friends, family, or coworkers no one has been living a completely normal social life.

As I sit with clients week after week I have noticed some common themes come up for everyone. First, saying yes to any and all plans offered. Before the pandemic people felt they could more freely choose when they wanted to socialize and when they wanted to have alone time. Now, many people are feeling such a draw to say yes because they have been lacking for so long.

I recommend thinking about how much time you would like to spend doing particular things in your life. Break it down into hours or percentages or whatever works for you. Take into account the things you MUST do each week such as work, exercise, sleep, eating, etc. And then figure out how much time you realistically have for “free” activities. Next, consider how much of that free time you want to spend by yourself and how much you want to spend with others. Having a clear idea of your priorities will help you make more informed decisions.

Second, people are feeling completely depleted from the new expectations being set. We have adapted in the past year to spending time alone, or with very few people. Now many of us are expected to be at the office, then attend happy hours, and have plans during the weekend. We have weddings to make up for, birthdays, etc. It can all start to feel so overwhelming.

Start by practicing saying NO because you are not obligated to say yes to anyone except yourself. If you want to go out to dinner with that friend, then do. If you want to sit at home and read a book alone, then do that instead. The opportunity to go out to dinner with a friend will always be present. Make the choices that work for YOU, not everyone else.

Another theme I’ve seen a lot is the anxiety associated with returning to work. Some people have loved working from home and adjusted to the ability to do laundry or other house chores while working. As businesses start opening and return to offices starts up I have notices a spike in anxiety. There are so many reasons this anxiety may be spiking for you. Some things I recommend to help ease that a bit is setting boundaries for yourself and communicating with your boss effectively.

Pay attention to the parts of working from home that worked for you and try to see how you can implement some of those while being in the office. If that means bringing some comfort items in such as your favorite mug or blanket, do it! Having a serious conversation with your boss or supervisor about how working from home impacted your mental health could also be an important step. Ask if you could have a hybrid work option. Remember that the only person who will advocate for your needs is YOU.

Overall, give yourself some grace because this is a big adjustment period. There has been so much change in the past 16 months and although there is a lot of excitement about seeing people, it also comes with a cost. Be kind to yourself when it feels a little awkward. Be kind to yourself when you’re not in the mood to go out. Remember you are rebuilding a muscle. When a person trains for a marathon they don’t start by running all 26.2 miles immediately, they have to build up slowly. This concept applies for you building your social muscle back. It will take time for you to be able to be social the way you used to be (if you even want to go back to that) and that is OKAY.

The Next Phase & Living in the Grey

Image by Lilli Caré for the New York Times

By Sasha Taskier, LMFT

In the beginning of March, when many of us were beginning to quarantine, there was so much anxiety. How big are the risks? Will we get sick? How long will this last? Will the grocery stores restock? Will we have enough food? Will we keep our jobs? Of course, all of these questions persist, but the palpable anxiety has diminished (for many of us) as we’ve settled into new routines, transitioned from in-person to Zoom meetings and gatherings, and have continued to keep our day-to-day life confined under our roofs.

For many of us, it has been incredibly difficult (isolating, no childcare, homeschooling, more stress and fighting at home, etc.), AND we’ve also had the privilege of staying home, staying safe and staying healthy. Now, as we begin to enter the next phase of all this - and we see our neighboring states open up their parks, bars and restaurants and Chicago begins to “soften” on the lock down - I’ve been seeing another spike in tour collective anxiety. There is a new sense of uncertainty, a new challenge for us -- how to live in a grey area of risk.

Just weeks ago, it was pretty black and white - you can only leave the house for emergencies, essential services and groceries. Restaurants, bars, playgrounds, schools, the lakefront are all closed. Now, we each have a million and one questions to ask ourselves; can a friend come over if we stay outside and are six feet apart? Can grandparents finally come see their grandkids? If daycares reopen, is it safe to send our children? Should we go to a restaurant if outdoor seating is available? The list goes on and on… and unfortunately, there are no clear answers.

Anxiety breeds in uncertainty. When we perceive risk, when we feel scared or threatened, it grows. This is an unprecedented time in our collective memories, and this new phase is no different. Many of us have to ask some really hard questions of ourselves and our families and friends. Navigating school, playdates, gatherings etc, will now all require a new level of personal introspection, couple & family communication and trust in our communities.

Here are some resources that may be helpful as you and your families begin to think about next steps and make decisions about what feels safe for you and your loved ones:

A New Thing to Fight About; Virus Risks, Jessica Grose Interview with 3 couples: When Couples Fight about Virus Risks, Jessica Grose

What Parents Should know as States ReOpen, Annie Sneed

Safety Advice for Reopening, Andrea Petersen

The Horror of the Corona Virus Data Log, Amanda Mull

5 Grounding Exercises for When Anxiety Hits

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By Caitlin Nelson, LMFT

Anxiety is often not a favorite feeling. It can make us feel panicky, tense and not in control. While helpful in small amounts, anxiety can feel overwhelming when it is more intense. Grounding techniques are helpful in-the-moment exercises to decrease those feelings of anxiety and bring us back to the present. Here are five quick grounding exercises to try when you’re feeling anxious:

1. The “54321” Technique

- Name 5 things you can see right now (tree, bookcase, etc)

- Name 4 things you can feel right now (feet on floor, back on couch, etc)

- Name 3 things you can hear right now (music, people talking outside, etc)

- Name 2 things you can smell right now (fresh air, food cooking, etc)

- Name 1 good thing about yourself (I am thoughtful, I am strong, etc)

2. The Category Game

Try to name as many different items in a category that you can remember, such as different types of dog breeds, movies you’ve seen, cities you’ve visited, types of food, etc.

3. Square Breathing

- Inhale for 4 seconds

- Hold for 4 seconds

- Exhale for 4 seconds

- Hold for 4 seconds

- Repeat

Focus on how your breath feels coming in and out of your body during this exercise, and make sure to breathe from your diaphragm so that your belly expands before your chest.

4. Repeat a mantra or soothing statement to yourself

- “I can handle this”

- “This feeling will pass”

- “I am safe right now”

5. Remind yourself of things you are looking forward to in the next week

- Trying a new restaurant

- Going to a movie

- Spending time with a friend