The AHC Blog

When people think of Post-Traumatic Stress Disorder (PTSD), they often imagine flashbacks, nightmares, or feeling constantly on edge. But one of the most common and sometimes overlooked parts of PTSD is avoidance. Avoidance is when someone works very hard to stay away from reminders of what happened to them. In the moment, it can feel like the safest option. Over time, though, avoidance can also keep people feeling stuck. What Avoidance Can Look Like Day to Day Avoidance does not always mean running from danger. It often shows up in quiet, everyday ways. Someone living with PTSD might: Take a different route home to avoid passing a certain place. Stay overly busy so there is no time to think or feel. Hold back from sharing feelings with loved ones, even when craving connection. Skip activities, gatherings, or opportunities that once brought joy. Retreat into isolation because it feels safer than risking a trigger. These choices may offer short-term relief, but they can also make life feel smaller and lonelier. Healing means slowly reclaiming the parts of life that trauma tried to take away. Gentle Ways to Care for Yourself Working through avoidance does not mean diving headfirst into the hardest memories. Instead, it is about taking small, compassionate steps toward healing. Here are some ways to begin: Stay grounded in the present. Noticing the feel of your feet on the floor or taking steady breaths can remind your body that you are safe in this moment. Use journaling as a release. Putting thoughts and feelings on paper can bring relief and create space for processing. Take small steps forward. Gently reintroducing avoided activities in manageable doses allows you to celebrate progress along the way. Practice mindfulness. Being present with your thoughts and feelings without judgment can help reduce the urge to push them away. Reach out for support. Sharing space with trusted friends, family, or support groups can ease the loneliness of avoidance. These tools do not replace professional treatment, but they can help you feel more empowered in daily life. Healing Through Treatment PTSD is treatable, and there are proven therapies that help people move through avoidance in safe and effective ways: EMDR (Eye Movement Desensitization and Reprocessing): Helps the brain reprocess traumatic memories so they lose their overwhelming power. Trauma Processing Therapy: Creates a safe space to explore experiences at your own pace. Cognitive Processing Therapy (CPT): Focuses on shifting unhelpful thoughts and beliefs that keep avoidance in place. Medication support: Can reduce symptoms like anxiety or sleeplessness, making it easier to fully engage in therapy. Anchoring Hope: A Partner in Your Healing At Anchoring Hope Counseling & Medication Management, we know how heavy avoidance can feel, and we also know it does not have to last forever. Our compassionate team walks alongside you, offering evidence-based therapies like EMDR, CPT, and trauma processing. We also provide medication management when it is helpful, making sure your treatment supports both your mind and body. Healing does not happen overnight, but you do not have to walk the journey alone. With the right support, you can begin to release avoidance, reclaim your life, and rediscover hope.

Boundaries can be one of the most challenging—and most important—parts of maintaining healthy relationships. Many of us were never taught what a boundary looks like, and if you have a history of people-pleasing, it can feel uncomfortable or even “wrong” to consider putting your own needs first. Yet boundaries are not walls meant to keep others out. They are healthy guidelines that allow us to stay grounded, safe, and connected without losing ourselves. At our counseling practices in Wise, Abingdon, and Pennington Gap, Virginia, we often meet individuals who struggle with boundaries because they’ve learned to prioritize others’ comfort over their own well-being. Setting limits can bring up confusing emotions—fear, guilt, sadness, or even anger—but it’s also one of the most powerful ways to protect your mental health. When Might You Need to Set Boundaries? Boundaries often become necessary when something in a relationship starts to feel “off.” Maybe you notice that you leave interactions feeling drained or resentful. Perhaps you find yourself saying “yes” when you really mean “no,” simply to avoid disappointing someone. Or you may notice patterns of overcommitment, where you have little time or energy left for yourself. These moments are signals that a boundary could help restore balance. Boundaries can be especially important around time, emotional availability, and respect. For example, saying no to extra responsibilities at work when your plate is already full, or letting a friend know that constant late-night texts are disrupting your rest. While each situation is unique, the common thread is this: boundaries help protect your energy and values. How to Know if Your Boundary Is Appropriate It’s natural to wonder if you’re being “too harsh” or “selfish” when setting a boundary, especially if you’re used to people-pleasing. One helpful way to check yourself is to ask: Is this boundary about taking care of my well-being, or is it about controlling the other person? Healthy boundaries focus on your own needs. For example, “I won’t be answering work calls after 7 p.m.” is about caring for your rest, while “You’re not allowed to call me after 7” puts the focus on controlling someone else. The difference may seem small, but it matters. Approaching boundaries from a place of self-care makes them more respectful, both to you and to the other person. Communicating Your Boundaries Safely Sharing a boundary can be nerve-wracking. It’s not uncommon to fear rejection or conflict, especially if past experiences have taught you that asserting yourself leads to negative outcomes. When you feel safe to do so, try to: • Speak clearly and calmly about your needs. • Use “I” statements, such as, “I need more notice for plans,” instead of, “You always spring things on me.” • Keep it simple—boundaries don’t need long explanations to be valid. Still, not everyone will respond positively. Some people may resist, ignore, or even mock your boundary. This can be painful, but it’s also revealing. How someone responds to your expressed needs says a lot about the health of the relationship. If their reaction feels unsafe or consistently dismissive, it may be worth considering more distance or seeking support in managing that dynamic. Moving Forward Based on the Response • When boundaries are respected: Relationships often deepen, because both people feel heard and safe. • When boundaries are challenged but eventually honored: Growth is possible. Sometimes it takes time for others to adjust. • When boundaries are consistently rejected: This may be a sign that the relationship is unhealthy, and you may need to make hard decisions about how much access this person has to your time and energy. Whatever the outcome, it’s important to remember that your boundary is valid simply because you need it. Coping with the Outcome Even when boundaries lead to healthier relationships, the process can stir up difficult emotions. You may feel guilt for saying “no,” grief for what the relationship used to be, or fear of conflict. These feelings are normal—and they don’t mean you made the wrong choice. The first and most important step in coping is self-care. This might look like journaling to process your feelings, practicing mindfulness to stay grounded, engaging in creative outlets, or surrounding yourself with people who support your growth. Prioritizing rest, nutrition, and exercise can also help you manage the stress that comes with boundary-setting. If self-care alone isn’t enough, additional support can be helpful. Counseling provides a safe place to untangle your emotions, learn communication skills, and find validation for your experiences. For those struggling with conditions like anxiety or depression, pairing counseling with medication management can provide even more stability and support. At our locations in Wise, Abingdon, and Pennington Gap, Virginia, we are here to walk with you through these challenges with compassion and understanding. Final Thoughts Setting boundaries isn’t easy, especially if you’ve spent years putting others first. But boundaries are an act of courage and self-respect. They create space for healthier, more balanced relationships and allow you to show up authentically in your own life. If you’re wondering whether counseling could be helpful for you in this process, we invite you to take our short quiz . It’s a simple first step toward gaining clarity about your needs and exploring whether additional support could help you move forward with confidence.

Change can hit us like a wave. Sometimes it's refreshing, sometimes overwhelming, and often, completely outside of our control. Whether it’s a career transition, a relationship ending, a move, or a health diagnosis, change has a way of stirring up emotional responses that feel oddly familiar. That’s because major life changes often mirror the stages of grief. Just like we grieve a loss, we can grieve the life we expected to have. At Anchoring Hope Counseling, with offices in Wise, Abingdon, and Pennington Gap, VA, we often help clients understand that what they’re feeling isn’t just frustration or anxiety. It's grief. The Stages of Grief and Change Elisabeth Kübler-Ross’s five stages of grief — denial, anger, bargaining, depression, and acceptance — weren’t just meant for losing loved ones. They apply to the emotional rollercoaster of unwanted change: Denial: “This isn’t really happening.” We may try to push change away or pretend it won’t last. Anger: “Why is this happening to me?” This often turns into blame — of others, ourselves, or even life itself. Bargaining: “If I just work harder, maybe things can go back to how they were.” We look for ways to control the uncontrollable. Depression: “What’s the point?” We begin to feel the weight of the loss, even if it’s just the loss of certainty. Acceptance: “It’s happening, and I can move forward.” This is when we begin to make peace with our new reality. This framework helps explain why a life transition, like starting medication for anxiety, beginning depression counseling, or adjusting to a new role, can feel so deeply emotional. We're not just reacting to the change itself, but to the loss of the expectations and identity that came before it. 5 Ways to Cope with Unwanted Change Whether you're navigating the aftermath of a divorce, struggling with a sudden diagnosis, or starting a new phase of life you didn’t ask for, here are five practical ways to manage: 1. Acknowledge What You’re Feeling Name your emotions without judgment. Are you sad? Angry? Numb? Confused? All of these are valid responses. Avoiding your feelings won’t make them disappear. It just delays healing. 2. Get Grounded in Routine When everything feels uncertain, structure can help. Keep small daily routines, whether it’s your morning coffee ritual, a walk after dinner, or weekly therapy in Wise or Abingdon. Familiar patterns offer stability. 3. Reach Out, Don’t Isolate Talk to people you trust. Counseling is especially helpful when you feel stuck in a loop of grief or anxiety. We see this often in anxiety counseling. Connection creates clarity. If you're in the area, Anchoring Hope Counseling in Abingdon offers both traditional therapy and medication management for deeper support. 4. Focus on What You Can Control When change takes over one part of life, zoom in on areas you still influence. Your boundaries, your attitude, and your self-care all matter. Even making decisions about what time you go to bed can restore a sense of autonomy. 5. Adjust Your Expectations Change doesn’t just challenge our routines. It challenges our internal narrative. Maybe life doesn’t look like you thought it would, but that doesn’t mean it’s ruined. Growth often begins in the space where expectations fall away. A Final Thought Change can feel like a loss, but it can also be a beginning. You don’t have to rush to feel okay. You don’t have to skip straight to acceptance. But you do deserve support while you figure it out. Whether you're seeking depression counseling, help with medication management in Abingdon, or a safe space to process the unexpected, we're here for you. You may not have chosen this change. But you can choose how you grow from it. Anchoring Hope Counseling offers trauma-informed care, flexible scheduling, and a compassionate team of providers across Wise, Abingdon, and Pennington Gap, VA. Ready to talk? We’re ready to listen.The body content of your post goes here. To edit this text, click on it and delete this default text and start typing your own or paste your own from a different source.

Struggling with stress during a major life change? Learn practical ways to cope, when to seek counseling in Virginia, and how mental health medications may help. Take our free quiz to see if therapy is right for you.

Emotional meltdowns can feel overwhelming, leaving you unsure of how to regain control. Whether triggered by stress, anxiety, or past trauma, these intense moments can make it difficult to think clearly.

Finding the right therapist is an important step in taking control of your mental health…

For women, the journey to diagnosis is often a hidden battle, tangled in stereotypes and subtle symptoms that are easy to dismiss.

parenting, holidays, coparenting, divorce, two families, parental alienation

Learn how to understand the root of your trauma and how to discover how to grow from it.

“There is no “right” or “wrong” way to feel during the holidays.”

“Recognizing these gifts fosters contentment and can lead to greater resilience and happiness.”

“Your attachment style is shaped by how responsive, nurturing, and emotionally available your caregivers were during your early years.”

Telehealth can be used for counseling sessions at Anchoring Hope Counseling and can be provided across the state of Virginia!

“Anxiety is a natural response from our body and mind, preparing us for situations that may bring uncertainty or fear, often triggered by stress, but sometimes, it can feel like it’s controlling us more than we are controlling it.”

We are Appalachian strong. For generations, we've been left to fend for ourselves, and that’s made us more than just survivors—it’s made us resourceful beyond measure. We know the power of community, of rallying together when times are tough.

Fortunately, there are several ways to manage and even prevent SAD from taking over your life. Below are some strategies we recommend at Anchoring Hope Counseling

"Just like the bravery it takes to do counseling, there are some brave people to take the leap we did."

From Frenzy to Focus: Stephanie Strouth of Anchoring Hope Counseling On How We Can Cancel Hustle Culture And Create A New Sustainable Work Paradigm

“At Anchoring Hope Counseling in Wise and Abingdon, VA, we offer Eye Movement Desensitization and Reprocessing (EMDR) therapy – a highly effective treatment for trauma and other mental health challenges.”

If you’re looking for activities for energetic kids, this is the article for you! At Anchoring Hope Counseling in Abingdon, Virginia, we are here to help you as holistically as possible on your counseling journey.

“At that point, there were two ways to view the situation: 1.) I had failed. 2.) I was respecting my body and its limits by listening to it.”

With summer coming to a close, let’s review some tips to help you decrease anxiety and get in gear!

At Anchoring Hope, we have several therapists ready to help with a variety of struggles.