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Mrs. Sarah Himes Himes, MA, Licensed Mental Health Counselor, LMHCA is a counselor in Normandy Park, WA specializing in counseling.
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Anxiety
Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.
Some of the specific conditions covered under the general label of anxiety include:
Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.
Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.
LGBT Issues
LGBT stands for lesbian, gay, bisexual, and transgender, and is indicative of a greater spectrum of different sexualities and genders that some people may identify with. LGBT issues are issues that LGBT people may face in their daily life, affecting children, adolescents, and adults. Adverse experiences and stigmas may contribute to depression, anxiety, and undue stress in LGBT people. Common LGBT issues may include:
Healthcare providers are working to provide more inclusive care for people of all sexual orientations and identities. Some choose to address LGBT issues through procedures such as chest reconstruction, facial feminization surgery, masculinization surgery, and glottoplasty (surgery to raise the pitch of one's voice). Sensitive OB-GYN care and hormone therapy may also be options for people with LGBT issues.
LGBT therapy can also help people navigate LGBT issues and mental health problems. LGBT affirmative therapy specializes in creating "affirmative" spaces for people who are LGBT. LGBT affirmative therapists use patients' preferred pronouns, address homophobia and social biases, and act as LGBT advocates in their talk therapy sessions.
Self-Esteem Issues
Self-esteem is the value one assigns to oneself based on a complex combination of factors such as confidence, identity, sense of belonging, and self-image, among others. Self-esteem plays a critical role in determining one's happiness and overall well-being. Those with a very positive self-perception are considered to have "high" self-esteem, whereas those with negative self-perception have "low" self-esteem. Self-esteem does not dictate one's true intelligence, skills, looks, or accomplishments, although it can undermine one's motivation and opportunities. Successful people can have low self-esteem, and in some cases, that low self-esteem might motivate people to work harder at establishing themselves. Self-esteem is also not a binary scale, but a broad spectrum that people may move up or down throughout the course of their lives.
Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.
Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:
Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.
Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.
Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.
She has a state license in Washington.
Licensed In: Washington
Mrs. Sarah Himes Himes, MA, Licensed Mental Health Counselor, LMHCA appears to accept the following insurance providers: Kaiser Permanente, Regence and United Healthcare.
According to our sources, Mrs. Sarah Himes Himes, MA, Licensed Mental Health Counselor, LMHCA accepts the following insurance providers:
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Ms. Sarah Counseling's area of specialization is counseling. Her areas of expertise include person-centered therapy, solution-focused brief therapy (SFBT), and anxiety. Ms. Counseling seems to honor several insurance carriers, including Regence, Blue California, and United Healthcare.
