Virtual Reality Therapy with Susan Morlock, MA, LPC

By Hallie Schwartz

We are living in the golden age of technology, and mental health professionals are finding new and innovative ways to help their clients. Susan Morlock, a staff therapist at The Awakening Center, is one of those innovators.

            Virtual reality therapy offers an entirely new experience to clients. Susan explained that exposure therapy is often used with clients who experience anxiety. Her virtual reality technology brings exposure therapy directly into the office. Susan stated that virtual reality therapy immerses people in their fears in a safe environment. Fear of flying, for example, could be treated using exposure therapy. Clients would be incrementally exposed to entering the airport, checking into a flight, going through airport security, boarding a plane, preparing for take-off, and so on. Likely, this would involve clients driving to and from the airport on multiple occasions. Using virtual reality therapy allows clients to receive a very similar experience without all the travel back and forth.

            I asked Susan about her biggest success story with virtual reality therapy. She was proud to tell me that the technology, along with some additional education, helped one of her clients fly after not going near an airplane for 16 years! 

            Susan purchased her virtual reality equipment from a company called PSIOUS, which is based out of Spain. The virtual reality platform, called PsiousToolsuite, provides animated and live environments that can be used in clinical practice. Susan showed me some of the technology’s additional capabilities: typing messages to participants that can act as replacement thoughts, changing parts of the scene to make them more stressful, and the biofeedback monitor that can track physiological responses. PsiousToolsuite provides environments for more than just the treatment of anxiety and anxiety-related disorders. The technology can be used for mindfulness and relaxation techniques too. In fact, Susan relayed that she mostly uses the equipment when teaching mindfulness and relaxation to her clients.

            I was excited to play the role of Susan’s client as she showed me how virtual reality therapy works. I wore a pair of googles that had a cell phone attached as a means to provide the screen. Susan used her laptop to control the images on the cell phone screen. She presented me with a very calming scene of a green pasture with a tree in the forefront. As we worked through this mindfulness module, I watched the tree’s leaves slowly fall to the ground. I truly felt present in the moment and calmer afterward.

            Susan said that PsiousToolsuite is updating its modules all the time and offering more to mental health professionals. Virtual reality therapy does not require a certification and can be purchased online at www.psious.com.

            As an intern therapist, I am inspired by Susan’s efforts to explore more new age therapeutic interventions and plan to do the same in my clinical practice. After all, it’s called the golden age of technology for a reason.

Hallie is a graduate intern at The Awakening Center and currently finishing her master’s degree in Clinical Mental Health Counseling at Roosevelt University. Hallie is passionate about working with clients who are in recovery. She has worked with clients in recovery from domestic violence, substance dependency, and eating disorders.

Breaking Anxiety's Grip

Breaking Anxiety's GripAmy Grabowski, MA, LCPC

"My heart beats so fast that it feels like it will explode out of my chest..." "A feeling of doom washes over me. Everything looks bleak and scary...." "My thoughts start to race... What if? What if? What if?"

When I was 19, I started to feel anxious and have panic attacks. Looking for help, I described how I was feeling to a doctor. He blankly diagnosed panic attacks, handed me a prescription for a tranquilizer and walked out. I felt alone, like some kind of shameful freak.

What I really needed from him, I didn't get: an explanation, and some reassurance that I was going to be OK.

When clients come to me with anxiety, I help them heal themselves in four ways. First, I give them reassurance that they are definitely NOT alone with these feelings. Anxiety is the #1 reason Americans seek counseling. Secondly, I help them understand anxiety, how it develops, and how to feel more "in control" of it.

Third, I teach them ways to help them stop the anxiety spiral. Then fourth, they learn how to comfort the "part" of themselves that becomes anxious. Anxiety is excessive worry that is difficult to control. It causes: restlessness, being keyed up, feeling on edge, fatigue, difficulty concentrating, irritability, muscle tension, difficulty falling or staying asleep, or restless unsatisfying sleep. (If you think about it, most people in our high pressure society feel anxious.)

Panic attacks are periods of intense fear or discomfort, with physical symptoms that develop abruptly and reach a peak within 10 minutes. These symptoms include: pounding heart, sweating, trembling, shortness of breath, feeling of choking, nausea, abdominal distress, dizziness, faintness, feelings of unreality or being detached from oneself, fear of losing control, fear of going crazy, fear of dying, numbness, tingling, chills or hot flushes.

When you understand anxiety, it becomes less frightening and then can be dealt with in a calmer more logical manner. Anxiety is an instinctual survival mechanism - developed millions of years ago. When Ms Cavewoman saw a sabertooth tiger, her brain registered a "threat", and activated her "fight or flight response". Her body gives her a squirt of adrenaline to make her heart beat faster, lungs breathe more rapidly, thoughts come more quickly, and her muscles to tense up - so that she could fight or flee. This is all well and fine if I am about to be hit by a Northbound Lincoln Avenue bus. That automatic squirt of adrenaline burns off as I run for my life.

But, most "threats" in today's society are abstract. Our brain cannot tell the difference between a real threat and an "imagined" threat. So when we think "Oh no! What if I gain weight?" or "Oh my God! My boss won't like me if I speak up!" we get the same automatic squirt of adrenaline - even though you would never start a fistfight or flee in terror.

Worse yet, we notice our bodies' symptoms and think "Oh no! I'm shaking! What if someone notices?" Our mind sees this as another threat, and before you know it, squirt! - another dose of adrenaline. This speeds up our bodies and minds even faster. When this is noticed, "Oh my God! What's wrong with me?" - (you guessed it) squirt, more adrenaline. And so on, and so on. To stop this out of control cycle, we need to recognize anxiety in our bodies. I often ask clients, "Where in your body do you feel anxiety? What does it feel like?" If your first anxiety symptom is a "lurch" in your stomach, then the next time it occurs you may recognize it and process it in a way that avoids the out-of-control-spiral.

Deep breathing exercises, visualizations, and other techniques can halt the anxiety spiral. For example, visualize the most calming color imaginable, and then the color of your anxiety. Take a deep breath in through your nose, and imagine that you "breathe in" your calm color. When you breathe out through your mouth, "exhale" anxiety. As you breathe in your calm color, imagine yourself in a calm setting, such as a beach, a cabin or anywhere that feels safe. As you exhale your anxiety, imagine that it floats away from you like smoke or confetti in the wind.

Since anxiety tends to make us zoom into the future, especially with "What if" thoughts, introducing a "mantra", a calming phrase that is repeated over and over, can be very reassuring. A mantra such as "Right now, this moment, I am not in danger" can bring us back to the present.

Sometimes just identifying that we are feeling anxiety and are having body symptoms, (but without the catastrophizing), can be calming. For example, "OK, I'm having body symptoms. So what? Nothing's going to happen" After doing all this for a while, you will feel in control of the anxiety by breaking the upward spiral of symptoms that had you in anxiety's grip. But it is not enough to just control the physical symptoms of anxiety. To finally stop the anxiety from reoccurring, you must address the underlying issues that started the anxiety originally, - usually with the help of a licensed counselor.

For each person, these underlying issues are unique. Yours may be based on family dynamics from years ago, or a trauma that never fully healed. Whatever the cause, the process of resolving these issues is the same. Feel a bit of the anxiety. Then visualize this feeling as a "part" of you who needs something from you. Often this part will be a younger version of you that is stuck in the past, and can't move forward because it did not get what it needed then.

If you imagine sitting next to this part, you may feel empathy and compassion for the part. Ask the part what it needs from you, what words it wants to hear more than anything else. Often the parts wants validation, acceptance, and reassurance -- phrases like: "Its OK to feel this way." "You are still good enough even though you're scared." "It's going to be all right." and "You are not alone." Write these phrases down on a card and pull out your card whenever you need to calm down.

When the part is calmed down, then you, your adult self, can take care of what caused you to become anxious in the first place. It sounds easy, but it does require work and persistence on your part. Using the guidance of a licensed counselor, you can finally resolve these underlying issues. Breaking the grip of anxiety will spiral you upwards -- to happiness, health and success!

Focus on Today

Focus on Today

Cara Chill

In an effort to maintain a healthy lifestyle and accomplish a personal goal of mine, I have decided to start training for my first 5k.  Working out and going for walks or jogs has always been a great way for me to cope with stress while having a moment to myself.  I have always wanted to take jogging to the next level and run a 5k but have never had the courage to register.  The fear of coming in last was always something that deterred me from pursuing this dream of mine.  However, several weeks ago, I had a realization that encouraged me to register.  Something inside me believed that I was capable of running a 5k. It took me a very long time to relinquish my anxiety and my “what if” thinking, but now; I am focusing on the present, and understand that worrying about something in the future will not help me in the present. I then began browsing the internet and came across a quote that I found most fitting to my situation. “Worrying does not empty tomorrow if its troubles, it empties today of its strengths,” Corrie Ten Boom. I have always been the type of person who worries about things in the distance instead of focusing on the here and now.  As difficult as it was to change this type of thinking, I feel a lot more confident in my abilities when I maintain focused on the present. What I can do is try to focus on the present and try to not worry about things that are out of my control.  In order for me to be successful at my first 5k, I can practice, eat right, and sleep well.  This way of thinking can be taken into many different contexts.  People tend to worry about many aspects of their daily lives such as school, work, family, etc.  From my recent experience, my advice would be to focus more on whatever your current situation is and less on worrying about things off into the distance.  I know this may be easier said than done but I am trying to use this approach as much as I can.  I am beginning with something simple like running my first 5k and hopefully will use this to become more present the different aspects of my life.