The Importance of Healthy Narcissism: The Relationship Between Self-Esteem and Symptoms of Anxiety and Depression

Blog 3 in a 3 Part Series on the Developmental Roots of Anxiety and Depression: Linking Narcissism to Depression and Anxiety

Healthy narcissism is important for us to achieve our goals and cope with the inevitable disappointments and failures we all face in our lives. The word “narcissism” usually conjures up negative images of a very entitled, attention-seeking, arrogant individual. Narcissism, however, can come in both healthy and unhealthy forms. It can even be considered synonymous with self-esteem and we know that healthy self-esteem is critical to your wellbeing and optimal functioning.

We are all born with an innate sense of the potency and vigour we possess to develop our own self through self-expression, the pursuit and fulfillment of our authentic needs, and setting and achieving our goals to thrive. We all need a healthy investment in our own self – to feel that we are significant, valuable, worthwhile, and deserving enough to take and receive what we need for our self. We must love our self enough to pursue our own self-interests and entitlements while maintaining our relationships with others. Without healthy narcissism, we may not feel potent or strong enough, or we may not have enough vigour and vitality to meet our needs and pursue our goals. We are not able to feel excited, proud, and joyful in our achievements, nor fulfilled and satisfied in the pursuit of our self and relational needs. We may not feel sufficiently entitled to assert our self with others. We may not feel worthy enough to pursue our fair share of the rewards of our work, or to request that our needs be met in our relationships.

Healthy self-esteem involves a sense of feeling competent and capable enough to achieve realistic life goals. Feelings of competency and ability come from our hard-earned efforts along with our innate sense of talents and intelligences. The more we are able to learn, achieve, and overcome life obstacles, the more confident and competent we feel as we deepen our sense that we can manage our lives effectively. Self-esteem also means developing a positive self-image that is congruent with the skills, talents, intelligences, and competencies that we possess, along with an acknowledgment of the realistic goals and achievements we have attained for ourselves. On the other hand, having an overly-inflated self-image – seeing ourselves as much greater than others see us or significantly overestimating what is possible for us – becomes problematic. Narcissism can become unhealthy when you come to believe that you deserve or are entitled to more, when in fact there is nothing real (i.e., achievements, goal-attainment, talents, skills, intelligences, contributions) to back up that entitlement.

With healthy narcissism, an increased sense of competency bolsters our capacity to face life challenges and enhance our resilience. Anxiety and depression are less likely when we have a realistic and positive self-image and we pursue realistic goals with the deep belief that “I can do it.” Healthy narcissism is important particularly in contexts in which we are facing adversity and require the stamina, resilience, and self-trust required to overcome life obstacles. We can tolerate adversity and failure much more when we have the self-esteem for it. At the same time, this healthy narcissism involves pursuing our self, but not at the expense of injuring others. Our capacity for empathy limits our narcissism within healthy ranges as our awareness of others’ feelings, needs, and rights puts a natural boundary on our ability to take excessively from others (i.e., their attention, admiration, recognition, and material items like money, property, etc.).

Some individuals go on to develop unhealthy self-esteem as a result of their early interactions with others. They will seek more than their fair share of rewards, recognition, and attention from others in their work and relationships without putting forward enough effort to justify it, or by inflating their sense of self-importance and significance. Unhealthy narcissism can develop out of different kinds of conditions. One of these conditions is when a child is overpraised and admired for something they did not initiate and something they did not put much effort into doing, such that they begin to expect or demand the same praise on an ongoing basis. Another condition is when a child is shamed, abandoned, rejected, and punished with great suffering and feelings of powerlessness that then result in fantasies and pursuit of greatness and fulfillment of self-impulses, desires, and needs at the expense of others. Individuals with unhealthy narcissism, or fragile self-esteem, are externally dependent on others to boost their self-esteem and good feelings about themselves. They can become anxious, aggressive, and depressed (i.e., hopeless, despairing) when the outside world does not validate them as competent or as great as they see themselves. Depression and anxiety ensue in those with poor self-esteem, as they lack the internal resilience and self-esteem to address their life problems.

Clinicians at CFIR can help individuals whose self-esteem is too externally dependent on others.  Psychodynamic and attachment-based treatments are provided to help you deal with the original suffering underlying unhealthy narcissism and to help you develop better internal self-esteem. We can help you develop more internal self-esteem while enhancing your connectedness with others. We can also help you build a greater sense of healthy confidence in your self by setting out and pursuing realistic life goals.

Dr. Dino Zuccarini, C.Psych. is CEO and co-founder of the CFIR. He has published book chapters and peer-reviewed journal articles on the subject of attachment, attachment injuries in couples, and attachment and sexuality. He has taught courses at the University of Ottawa in Interpersonal Relationships, Family Psychology, and Human Sexual Behaviour. He has a thriving clinical practice in which he treats individuals suffering from complex attachment-related trauma, difficult family of origin issues that have affected self and relationship development, depression and anxiety, personality disorders, sex and sexuality related issues, and couple relationships. At CFIR, he also supports the professional development of counsellors, psychotherapists, and supervised practice psychologists by providing clinical supervision.

The Separation-Individuation Process: Being Too Other-Directed Leads to Anxiety and Depression

Blog 2 in a 3 Part Series on the Developmental Roots of Anxiety and Depression: Linking Separation-Individuation to Depression and Anxiety

We all need to find our own “voice” and develop our own authentic identity! In this blog post, find out how anxiety and depression can arise when we are too directed by ‘others’ in our self-development.

When we are unsure of what we honestly think, feel, need, and desire, or are driven too much by what others think and feel, we can become disconnected, “unanchored,” and “decentred” from our authentic and true self. This uncertainty can lead to poor mental health outcomes, including anxiety and depression.

Margaret Mahler, the mother of separation-individuation theory, used empirical research to create a developmental model explaining how we develop a separate sense of our self and identity from our parents as we grow up. To develop a healthy sense of our self, we need to be able to become our own psychological beings – our own selves – separate from our parents. We need to develop our personal self boundary, which can grow and change over time from childhood to adulthood. Our parents, friends, and partners can facilitate and support us to develop our own “voice” and self-definition. They can do this by acknowledging, attuning to, and accepting our individual authentic self-expression (i.e., our personal reactions, thoughts, opinions, feelings, desires, and needs). Eventually, we also then need to tolerate that others will have their own self boundary and self definition and may validate who we are, but not necessarily think, feel, need, or desire the exact same things we do. We need to learn how to develop our own self boundary and respect others’ boundaries.

Sometimes parents can struggle with allowing their child to develop a separate sense of self. A lot of pressure can be exerted on the child to conform to the parent’s self and personality. Some parents leave their child with a sense of guilt, shame, or fear when the child is expressing his or her true authentic self or “voice.” Parents can also put significant pressure on children by being overly harsh and critical to ensure conformity to the parents’ wishes. We can lose confidence in our self and become self-critical to meet our parents’ expectations. Later on, we might then lack the confidence to express our true self to others or perhaps feel unsafe expressing our self-doubts and uncertainties. This high self-criticism and low self-confidence can lead to anxiety and depression.

Throughout our lives, we face many different developmental stages that require us to define and redefine our self boundary and self-identity on an ongoing basis. We need to figure out for ourselves who we are, what we like and do not like, what education and training we are going to pursue, what types of relationships or family we want to create, and what work we will do to become a productive member of society. If we let other people’s thoughts, feelings, preferences, desires, and needs define these aspects of our self for us, we can lose our selves and become “unanchored” and “decentred.”

Clinicians at CFIR support you to develop your own authentic “voice” so that your life’s choices and decisions are rooted in your genuine thoughts, feelings, desires, and needs. We can help you to find your own self boundary and self-definition. We can support you in learning how to direct your life from within. Developing a life that is more rooted in your own authentic and true self creates more certainty and confidence, allowing you to pursue a life that is purposeful, meaningful, and fulfilling.

Dr. Dino Zuccarini, C.Psych. is CEO and co-founder of the CFIR. He has published book chapters and peer-reviewed journal articles on the subject of attachment, attachment injuries in couples, and attachment and sexuality. He has taught courses at the University of Ottawa in Interpersonal Relationships, Family Psychology, and Human Sexual Behaviour. He has a thriving clinical practice in which he treats individuals suffering from complex attachment-related trauma, difficult family of origin issues that have affected self and relationship development, depression and anxiety, personality disorders, sex and sexuality related issues, and couple relationships. At CFIR, he also supports the professional development of counsellors, psychotherapists, and supervised practice psychologists by providing clinical supervision.

Secure Attachment: Relying and Depending on Others May Be an Antidote Against Depression and Anxiety

This blog post is the first in a series of three posts in which I share with you some of the developmental roots of anxiety and depression. These blogs explore how anxiety and depression may be linked to how you learned to attach with others (attachment), how you developed into a distinct, separate person from your parents (separation-individuation), and how your self-esteem developed in your early years (healthy narcissism).

Blog 1 in a 3 Part Series on the Developmental Roots of Anxiety and Depression: Linking Attachment to Depression and Anxiety

We all need other people! Some of us cherish total self-sufficiency and try hard to not rely on anybody else – but we still need other people anyways. Being able to rely and depend on others can improve our mental health outcomes. In this blog, I help you understand the link between secure attachment and positive mental health.

John Bowlby, the father of attachment theory, recognized that our reliance and dependence on attachment figures exists from “the cradle to the grave.” According to attachment theory, we are hardwired to seek relationships with others to help us deal with emotional distress and stress in our lives. In the beginning, as infants, we are highly dependent on our caregivers to provide us with both physical and emotional care. When parents provide sufficient care, we go on to develop a positive sense of our self as lovable and worthwhile. We also go on to develop a sense of others as potentially trustworthy, reliable, and dependable when we are distressed and in need of physical or emotional care. As a result of their responsiveness, we become more securely attached. Secure attachment helps us develop more confidence and self-esteem because our self mattered and continues to matter to others when we are distressed. We are also more easily able to reach out for others when in need of support when facing challenging life circumstances because we remember that others can provide potential solutions to our distress. Secure attachment is a healthy antidote to stress, anxiety, and depression!

Research suggests that individuals suffering from mental health issues also tend to be insecurely attached to others. Insecurely attached individuals are less able to efficiently or effectively signal to others, or do not signal to others at all, when distressed. Developing relationships that allow for reciprocal and mutual caring is important because as humans we are not designed to be emotionally distressed and isolated. When we are alone and isolated with the stress and distress of everyday life, our mental health can deteriorate. Insecurely attached individuals cannot turn to others, or they are not effective in their efforts to seek soothing, comfort, or problem-solving responses from others. In their childhoods, their attachment figures may not have been accessible and responsive to their physical and emotional care needs. As a result of these earlier experiences involving non-responsiveness of caregivers, deep down the insecurely attached individual may feel unlovable and unworthy of care or believe that others will be unreliable, undependable, and untrustworthy when in need of support. In the present day, prolonged emotional distress and stress without a connection to others and without foreseeable solutions can contribute to anxiety and depression symptoms. Many individuals with anxiety and depression have difficulties in their attachment with others.

Clinicians at CFIR can support you to create stronger bonds in your relationships with others through an assessment of your attachment style and treatments that enhance your capacity to develop and maintain healthy relationships. Learning how to experience and express your emotions and needs to others in a safe and secure relationship is central to becoming securely attached. Being able to rely and depend on others, and develop reciprocal and mutual attachment relationships with others, is key to our mental health and wellbeing.

Dr. Dino Zuccarini, C.Psych. is CEO and co-founder of the CFIR. He has published book chapters and peer-reviewed journal articles on the subject of attachment, attachment injuries in couples, and attachment and sexuality. He has taught courses at the University of Ottawa in Interpersonal Relationships, Family Psychology, and Human Sexual Behaviour. He has a thriving clinical practice in which he treats individuals suffering from complex attachment-related trauma, difficult family of origin issues that have affected self and relationship development, depression and anxiety, personality disorders, sex and sexuality related issues, and couple relationships. At CFIR, he also supports the professional development of counsellors, psychotherapists, and supervised practice psychologists by providing clinical supervision.

Self-Harm – It’s More Than You Think

What is Non-Suicidal Self Injury?

Non-suicidal self-injury (NSSI), commonly described as self-harm, involves deliberate acts (such as cutting) that directly damage the body but occur without suicidal intent. Typically, when we think of NSSI we think of individuals who cut, burn, punch, or pinch themselves. In the psychological literature, these behaviours are referred to as direct NSSI. In an ideal setting, individuals who engage in self-harm behaviours either independently seek out psychological support in the form of therapy, or are noticed to be engaging in self-harm by individuals close to them and are encouraged to seek help at that time.

Indirect NSSI

However, individuals can also engage in other self-harm behaviours that are not as clearly noticed by others, since the methods of self-harm do not directly lead to bodily damage. These behaviours are termed indirect NSSI. 

‘Indirect’ methods of NSSI can include:

  • Involvement in abusive relationships
  • Substance abuse
  • Risky or reckless behaviour (e.g., reckless driving, bar fights, unsafe sexual practices)
  • Intentionally putting one’s body into physical danger (e.g., ‘daredevil’ acts)
  • Disordered eating behaviour

Since these activities are not often identified as self-injury, and can even be missed as warning signs by therapists, hospitals, and primary care physicians, it is crucial to notice problematic behaviours before their severity increases.

Men and Self-Harm

For a variety of reasons, individuals who identify as male are more likely to engage in indirect self-harm than those who identify as female (St. Germain & Hooley, 2012; Hooley & St. Germain, 2014). One such reason that has been proposed is that behaviors that have often been labeled as traditionally male expressions of anger and frustration sometimes contain indirect forms of NSSI (e.g., punching walls, picking fights with others, overconsumption of drugs and alcohol; Green & Jakupcak, 2016). Adherence to these traditional male gender norms is also associated with difficulties articulating thoughts and feelings, which can further increase an individual’s risk of engaging in self-harm (Levant et al., 2003). As a result, some men might not readily identify the intentionality behind some of the harmful actions described above.

Finding Help

Psychologists and therapists at CFIR are able to diagnose and guide the treatment related to direct and indirect self-harm for all individuals. We provide support to children, adolescents, adults, couples, and families who themselves struggle with self-harm, or have loved ones who do. We help clients establish solid networks of physical and emotional care and support. We also provide specific psychological treatment for individuals who self-harm, supporting them through the cascading negative emotions that may precede or accompany instances of self-harm.

Dr. Brent Mulrooney, C.Psych. is a psychologist in supervised practice at CFIR (Toronto). He has substantial interest and treatment experience in the realm of family functioning and relationships, anxiety and mood disorders, work and school success, addictions, violence (especially violence in the home), trauma, and gender identity and sexuality. Brent holds a PhD in School and Clinical Child Psychology from the University of Toronto, as well as a Masters degree in Applied Social Psychology from Memorial University of Newfoundland.

Five Warning Signs of Burnout and How to Manage Them

We all experience stressful situations in our lives, whether they occur at work, school, or in our personal lives. While experiencing stress is completely normal, if this stress has started to seriously impact any aspect of your life it may be a sign of burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive or prolonged stress. 

Burnout can occur to anyone who is working or living in a consistently stressful environment. It can slowly creep up because the early warning signs may be innocuous. Some common warning signs of burnout include the following: 

  • Feeling more tired than usual, or having difficulty sleeping
  • Having difficulty concentrating 
  • Increased agitation or irritability 
  • Loss of enjoyment in things you used to enjoy 
  • Poor work performance 

If you are experiencing any of these symptoms of burnout, here are some tips to help you manage: 

  • Take care of your physical health: sometimes we can forget about eating properly, exercising, and sleeping when we are feeling burnt-out. Taking care of our physical health can also boost our mood. 
  • Self-Care: take some time out of your schedule to do activities that make you happy. It can be as simple as taking a bath, talking to a good friend, or making yourself a nice meal. 
  • Set Boundaries: whether at work or in your personal life, it is important to set boundaries with those around you to make sure you are not giving too much of yourself. 
  • Talk to someone: whether it’s a friend, co-worker, family member, or professional, talking to someone you trust about what you’re feeling can help to reduce feelings of isolation and loneliness associated with burnout.

These strategies can help reduce the symptoms of burnout. However, if you feel the symptoms you’re experiencing have been going on for an extended period of time or feel uncontrollable, it might be time to seek professional help. At CFIR, we can help you understand where your burnout is coming from and support you in developing healthy coping and self-care strategies.

Natalie Alexov, B.Sc. is a counsellor at the Centre for Interpersonal Relationships (CFIR) under the supervision of Dr. Aleks Milosevic, C.Psych., and a Masters of Education with a concentration in Counselling Psychology at the University of Ottawa. She supports individual clients to overcome a broad range of difficulties including depression, anxiety and stress, the impact of traumatic experiences, and relationship problems.

‘Tis the (Exam) Season!

by: Dr. Marisa Murray, C.Psych. (Supervised Practice)

You’ve prepared for weeks. Or maybe you haven’t? Your social life–at this point, is non-existent! Whether you’ve studied to the brink of reciting the material in your sleep or if your total exam prep has consisted of overnight cramming, when exam day arrives, the same thing often happens. Thoughts of uncertainty begin to kick in, leaving you feeling overwhelmed and anxious.

It’s natural to feel some butterflies in your stomach before an exam. It’s similar to the way you might feel before playing in the big game, performing on stage, or engaging in public speaking. Pre-exam jitters can be channeled to help motivate us to perform at our best. This is known as a helpful kind of anxiety. It helps us view the exam as an exciting challenge!

It’s the unhelpful kind of anxiety–the one that causes us to fear the exam, to have difficulty concentrating, to second guess ourselves or to have physical symptoms, like a headache or a racing heart–that interferes with our performance.

With exam season fast approaching, here are some helpful tips for managing your pre-exam anxiety: 

  1. Use your time effectively: No matter how hard you try, it can feel like there is ‘never enough time’ around exam season. Fine-tuning your time-management skills can include: using a calendar or a checklist to set goals, avoiding potential distractions (e.g., phone, your guilty pleasure on television) during study time, and keeping a consistent yet flexible study routine while rewarding yourself for meeting your study goals.
  2. Engage in self-care: Take care of yourself to manage your stress levels. Getting a good night’s sleep, taking breaks (typically ones that allow for stretching, moving around, replenishing food and water intake), engaging in social interactions, and/or practicing a relaxation activity are examples of how you can release some of the pre-exam stress. Just as you schedule your study time, schedule time for yourself!
  3. Develop a study plan: Consider putting together a realistic study plan that allows for flexibility. In developing your study plan, figure out which exams require more prep time. Also, try to factor in some wiggle room for potential obstacles that might interfere with the study plan (e.g., coming down with the flu!). Most importantly, figure out what helps you reach your optimal studying – do you study better alone? Or do you better achieve your studying goals in a group setting? Do you like to study in the comfort of your own home? Or do you prefer the silence of the library? Do you learn better visually? Auditorily? What time of day do you retain information best? Try to answer these questions and incorporate the answers into your study plan.
  4. Monitor your negative thoughts: Telling yourself, “I’m going to fail this exam,” can be very convincing to the powerful mind and, yes, exacerbate anxiety! Keep in mind that there will be questions you know and others you don’t. You cannot learn everything! Try to view your upcoming exam as a new experience. Perhaps the midterm didn’t go as well as you wanted – this is a new exam. Work on convincing your mind that you will “try your best.”
  5. Make use of available resources: Many schools offer workshops and presentations related to stress management, test-taking strategies, and time-management. Look into what’s available on campus. Also, make use of your professors’ and teaching assistants’ office hours to get a better grasp on challenging course material. Finally, consider reaching out to a mental health professional for assistance in managing unhelpful exam anxiety.


Dr. Marisa Murray, C.Psych. (Supervised Practice) is a psychologist in supervised practice at the Centre for Interpersonal Relationships (CFIR) in Toronto, Canada, under the supervision of Dr. Cassandra Pasiak, C.Psych. Dr. Murray supports children, adolescents, and adults with psychological treatment and assessment services, including psychoeducational assessments and treatment for eating disorders and body image-related issues.

7 Tips to Put the Brakes on Road Rage

In our modern commuting lives, there may be nothing less infuriating than traffic and congestion. No doubt, in recent years there has been a notable jump in commute times across most Canadian cities and as a result a more significant presence of “road rage”. You might be all too familiar with the trademark experiences of road rage: the honking horns, the screams from passing cars, or the casual use of the middle finger. However, we’re less likely to have ways to help deal with the stress caused by traffic and congestion.

Here are some great tips to put the brakes on road rage: 

1. Listen to audiobooks – Find and explore new subjects of interest to you that will both expand your mind as well as allow you to focus on something other than the cars around you.

2. Take Deep Breaths – This simple strategy can be quite effective in reducing stress. Try this: Get comfortable in your car seat, take in a deep breath in for four seconds, then hold this breath for seven seconds, and slowly breath out for another eight seconds. Try to relax your body as you slowly release this breath. 

3. Get out of your head and into your body –  Sometimes we get so wrapped up in our heads we forget about the rest of our experiences. Try this: While paying attention to traffic get comfortable in your car seat, start to notice where your body is making contact with the car, focus on a particular sensation, try to hold your concentration on the feeling, note any distractions, and then try to move your attention back to the sensation. To deepen this exercise, include deep breaths. 

4. Be curious about the experiences of those in the cars around you – When we are face-to-face with someone, we can more easily experience empathy for others – but when they’re a car-length away, understanding can sometimes become difficult. When driving, try to imagine the lives and faces of the individuals in the cars around you. Like you, they’re bound to make mistakes. This empathy technique can help reduce feelings of anger and frustration.

5. Explore your musical tastes – Music can be an excellent way to decompress and bring feelings of happiness to commuting. However, it’s best to take notice of what type of music you’re playing. Is it aggressive or angry? It might not be the best time to explore this type of music when you’re behind the wheel. Try something more uplifting, relaxing, or neutral to keep calm and avoid anger. 

6. Take the scenic route – Though not always possible, occasionally adding a few minutes onto your commute may be worth it to avoid congestion. Sometimes an extra ten minutes down a picturesque tree-lined street is ideal in comparison to a gloomy and congested highway. 

7. Make congestion part of your decompression – This cognitive shuffle can help turnaround the way you feel about your commute home. Try looking at this period as a time you can leverage. Shift this time from being lost to instead being a valuable part of your day to disconnect, explore, or grow using some of the other strategies discussed in this article. 

These tips should help you lessen some of the effects of road rage and traffic congestion. However, if you feel like your anger still feels out of control, it might be time to seek help. Skilled clinicians at CFIR can help you understand your experiences of anger and support you to build a more resilient and healthy self. Click here to book your free consultation now.

7 Tips to Put the Brakes on Road Rage

by: Joshua Peters, M.A., R.P.

In our modern commuting lives, there may be nothing less infuriating than traffic and congestion. No doubt, in recent years there has been a notable jump in commute times across most Canadian cities and as a result a more significant presence of “road rage”. You might be all too familiar with the trademark experiences of road rage: the honking horns, the screams from passing cars, or the casual use of the middle finger. However, we’re less likely to have ways to help deal with the stress caused by traffic and congestion.

Here are some great tips to put the brakes on road rage: 

1. Listen to audiobooks – Find and explore new subjects of interest to you that will both expand your mind as well as allow you to focus on something other than the cars around you.

2. Take Deep Breaths – This simple strategy can be quite effective in reducing stress. Try this: Get comfortable in your car seat, take in a deep breath in for four seconds, then hold this breath for seven seconds, and slowly breath out for another eight seconds. Try to relax your body as you slowly release this breath. 

3. Get out of your head and into your body –  Sometimes we get so wrapped up in our heads we forget about the rest of our experiences. Try this: While paying attention to traffic get comfortable in your car seat, start to notice where your body is making contact with the car, focus on a particular sensation, try to hold your concentration on the feeling, note any distractions, and then try to move your attention back to the sensation. To deepen this exercise, include deep breaths. 

4. Be curious about the experiences of those in the cars around you – When we are face-to-face with someone, we can more easily experience empathy for others – but when they’re a car-length away, understanding can sometimes become difficult. When driving, try to imagine the lives and faces of the individuals in the cars around you. Like you, they’re bound to make mistakes. This empathy technique can help reduce feelings of anger and frustration.

5. Explore your musical tastes – Music can be an excellent way to decompress and bring feelings of happiness to commuting. However, it’s best to take notice of what type of music you’re playing. Is it aggressive or angry? It might not be the best time to explore this type of music when you’re behind the wheel. Try something more uplifting, relaxing, or neutral to keep calm and avoid anger. 

6. Take the scenic route – Though not always possible, occasionally adding a few minutes onto your commute may be worth it to avoid congestion. Sometimes an extra ten minutes down a picturesque tree-lined street is ideal in comparison to a gloomy and congested highway. 

7. Make congestion part of your decompression – This cognitive shuffle can help turnaround the way you feel about your commute home. Try looking at this period as a time you can leverage. Shift this time from being lost to instead being a valuable part of your day to disconnect, explore, or grow using some of the other strategies discussed in this article. 

These tips should help you lessen some of the effects of road rage and traffic congestion. However, if you feel like your anger still feels out of control, it might be time to seek help. Skilled clinicians at CFIR can help you understand your experiences of anger and support you to build a more resilient and healthy self. Click here to book your free consultation now.

Accompanying You Through Your Losses and Grief

by: Dr. Dino Zuccarini, C.Psych.

Life can be a symphony of losses. Many of us struggle to cope with unresolved losses from either the past or present day. We can experience loss as we transition through various life stages (i.e., childhood onward toward the end of life). Some individuals will experience loss as a result of unmet needs, separation, divorce, or death of loved ones, or unfulfilled goals and potentials. Some of us will experience a deep sense of loss as we inevitably experience changes in our physical and mental abilities, health status, and roles and identity. The emotional residue and grief associated with these losses, when left unaddressed and unprocessed, can evolve into anxiety and depression.

In terms of overcoming your grief, we help you to understand the meanings of your losses, and to process the unresolved or complicated emotional residue from these losses. Unprocessed grief and loss can affect our emotional well-being, our functioning in everyday life, and our interpersonal relationships. We support you throughout your grieving process so that you may move forward with your life with a renewed sense of meaning, purpose, and hope. Psychologists and clinicians at CFIR employ psychodynamic and experiential approaches to support you through the process of dealing with past and present-day losses.

Read more about our Depression, Mood & Grief Treatment Service.

What’s Anxiety and How Is It Related to Stress?

by: Dr. Lila Z. Hakim, C.Psych.

Mood and anxiety disorders are among the most common types of mental disorders in Canada and have been shown to have a major impact on the daily lives of those affected.

SOURCE: Mood and anxiety disorders in Canada | canada.ca

Anxiety tends to be accompanied by a wide range of physical and psychological symptoms. Individuals experiencing anxiety may have physical complaints such as shortness of breath, heart palpitations, sweating profusely, or feeling dizzy. Chronic fearful arousal can interfere with sleep, concentration, and attention, and affect overall functioning. These physical symptoms are often accompanied by negative and self-critical thoughts about oneself, catastrophic fears, and thoughts of terrible things happening to oneself or loved ones. Some individuals will engage in certain behaviours (e.g., checking, counting, handwashing), or avoid certain places or social situations to deal with their anxiety.  Anxiety can manifest in different ways — individuals can struggle with different types of anxiety, including agoraphobia, generalized anxiety, panic, social anxiety, and specific phobias.

Anxiety may be rooted in difficult early or present-day life situations. For some of us, early childhood experiences in which we lacked appropriate and sufficient nurturance and support may have resulted in a vulnerable sense of self that is prone to anxiety in everyday life. For others, challenging, negative life experiences with family, friends, peers, and relationship partners may have undermined our safety and security in such a way that our confidence in our selves and others has been drastically altered.

Deep self-vulnerability may emerge when the unprocessed emotions and unmet needs associated with these past and present-day life events are not addressed. As a result of these experiences, we begin to think about, or emotionally react to our selves, others, and the world, in ways that constrict us from being able to move freely in the world or create relationships with others. We can begin to overly anticipate danger, or bad things happening to us, and engage in behaviours to cope with the anxiety. These behaviours then stop us from participating fully in life and become a further source of distress.
Sometimes stress, particularly when long-lasting, can overwhelm us and result in us feeling anxious. Some individuals have stress for days before tests, public speaking, or appointments, which impairs their ability to cope with life’s daily tasks. Their functioning becomes significantly diminished and our anxiety response to life increases. Being able to manage stress increases our sense of confidence, and improves the quality of our lives, and reduces our anxiety.

Work stress can also undermine our sense of emotional and physical well-being, and as a result, bring about chronic anxious feelings. Burnout can result from long-term stressors that are unresolved. Being able to cope with work stress is essential to prevent burnout. Work stress and exhaustion are caused by multiple factors that require attention to ensure we are creating a good quality of life in our work lives. Work stress and burnout can have a long-lasting impact on our sense of selves and our relationships when not addressed. When we are overly stressed and experiencing burnout, life’s smallest tasks can bring about anxious feelings. 

The Anxiety, Stress & Obsessive-Compulsive Service at CFIR offers clients a comprehensive assessment and diagnosis of your anxiety issues to facilitate appropriate treatment planning. We employ short-term and long-term, scientifically-validated interventions to address the specific type of anxiety you are experiencing. Cognitive-behavioural, psychodynamic, and experiential approaches are employed to help you resolve issues related to anxiety or stress.

Read more about our Anxiety, Stress & Obsessive-Compulsive Treatment Service.