Welcome to the Guidance Department/Therapeutic Support Services

  • The Pocantico Hills Guidance Department and Therapeutic Support Team provides a vast range of services to support the social and emotional well being of our students first and foremost, as well as the entirety of the Pocantico community.  In addition to facilitating mandated counseling and MTSS counseling, we pride ourselves on working collaboratively to think outside of the box in order to provide innovative strategies to best assist our students.

Guidance/Therapeutic Support Services Staff

The Difference Between Worry, Stress and Anxiety

  • Stress, Worry and Anxiety Are All Different. How Do You Cope With Each?  Have you experienced an increase in stress, worry or anxiety recently? What do you do to deal with it?   Credit...Peter Gamlen and Jeremy Engle. 

    By Jeremy Engle, March 11, 2020:  In “The Difference Between Worry, Stress and Anxiety,” Emma Pattee writes:  You probably experience worry, stress or anxiety at least once on any given day. Nearly 40 million people in the U.S. suffer from an anxiety disorder, according to the Anxiety and Depression Association of America. Three out of four Americans reported feeling stressed in the last month, a 2017 study found. But in one of these moments, if asked which you were experiencing — worry, stress or anxiety — would you know the difference?Does anything in that paragraph resonate with you? How would you define the differences between stress, worry and anxiety? Which do you think you’ve experienced, and what strategies have you used for coping?In her article, Ms. Pattee defines each, explains how each works and suggests steps to help regulate your symptoms. We have included most of her article below:  What is worry?  Worry is what happens when your mind dwells on negative thoughts, uncertain outcomes or things that could go wrong. “Worry tends to be repetitive, obsessive thoughts,” said Melanie Greenberg, a clinical psychologist in Mill Valley, Calif., and the author of “The Stress-Proof Brain” (2017). “It’s the cognitive component of anxiety.” Simply put, worry happens only in your mind, not in your body.

    How does worry work?  Worry actually has an important function in our lives, according to Luana Marques, an associate professor of psychiatry at Harvard Medical School and the president of the Anxiety and Depression Association of America. When we think about an uncertain or unpleasant situation — such as being unable to pay the rent, or doing badly on an exam — our brains become stimulated. When we worry, it calms our brains down. Worry is also likely to cause us to problem-solve or take action, both of which are positive things. “Worry is a way for your brain to handle problems in order to keep you safe,” Dr. Marques explained. “It’s only when we get stuck thinking about a problem that worry stops being functional.”  Three things to help your worries:  Give yourself a worry “budget,” an amount of time in which you allow yourself to worry about a problem. When that time is up (start with 20 minutes), consciously redirect your thoughts.  When you notice that you’re worried about something, push yourself to come up with a next step or to take action.  Write your worries down. Research has shown that just eight to 10 minutes of writing can help calm obsessive thoughts.  Remember: Worry is helpful only if it leads to change, not if it turns into obsessive thoughts.

    What is stress?  Stress is a physiological response connected to an external event. In order for the cycle of stress to begin, there must be a stressor. This is usually some kind of external circumstance, like a work deadline or a scary medical test. “Stress is defined as a reaction to environmental changes or forces that exceed the individual’s resources,” Dr. Greenberg said.  How does stress work?  In prehistoric times, stress was a natural response to a threat, like hearing a predator in the bushes. Today, it still prompts a behavioral response, firing up your limbic system and releasing adrenaline and cortisol, which help activate your brain and body to deal with the threat, Dr. Greenberg explained. Symptoms of stress include a rapid heart rate, clammy palms and shallow breath. Stress might feel good at first, as the adrenaline and cortisol flood your body, Dr. Marques said. You might have experienced the benefits of stress as you raced through traffic to get to an appointment, or pulled together an important assignment in the final hour. That’s called “acute stress,” and the rush wore off when the situation was resolved (i.e. you turned in your assignment).  Chronic stress, on the other hand, is when your body stays in this fight-or-flight mode continuously (usually because the situation doesn’t resolve, as with financial stressors or a challenging boss). Chronic stress is linked to health concerns such as digestive issues, an increased risk of heart disease and a weakening of the immune system.

    Three things to help your stress:

    1)  Get exercise. This is a way for your body to recover from the increase of adrenaline and cortisol.

    2)  Get clear on what you can and can’t control.Then focus your energy on what you can control and accept what you can’t. 

    3)  Don’t compare your stress with anyone else’s stress. Different people respond differently to stressful situations.  Remember: Stress is a biological response that is a normal part of our lives. 

    What is anxiety?  If stress and worry are the symptoms, anxiety is the culmination. Anxiety has a cognitive element (worry) and a physiological response (stress), which means that we experience anxiety in both our mind and our body. “In some ways,” Dr. Marques said, “anxiety is what happens when you’re dealing with a lot of worry and a lot of stress.”  How does anxiety work?  Remember how stress is a natural response to a threat? Well, anxiety is the same thing … except there is no threat.“  Anxiety in some ways is a response to a false alarm,” said Dr. Marques, describing a situation, for example, in which you show up at work and somebody gives you an off look. You start to have all the physiology of a stress response because you’re telling yourself that your boss is upset with you, or that your job might be at risk. The blood is flowing, the adrenaline is pumping, your body is in a state of fight or flight — but there is no predator in the bushes.

    There is also a difference between feeling anxious (which can be a normal part of everyday life) and having an anxiety disorder. An anxiety disorder is a serious medical condition that may include stress or worry.Three things to help your anxiety:Limit your sugar … and caffeine intake.Because anxiety is physiological, stimulants may have a significant impact.Check in with your toes. How do they feel? Wiggle them. This kind of refocusing can calm you and break the anxiety loop.When you’re in the middle of an anxiety episode, talking or thinking about it will not help you. Try to distract yourself with your senses: Listen to music, jump rope for five minutes, or rub a piece of Velcro or velvet.Remember: Anxiety happens in your mind and your body so trying to think your way out of it won't help.