The Anxiety Break

The Anxiety Break Anxiety is a beast, let’s tame it!

Living My Values, One Iguana at a TimeIn the Dominican Republic for Advanced ACT training, deepening my commitment to li...
02/23/2025

Living My Values, One Iguana at a Time

In the Dominican Republic for Advanced ACT training, deepening my commitment to living a values-driven life. Every day, I push myself to take opportunities—big or small—for growth, even when they come with a price tag.

Case in point: strolling on the beach, I came across an iguana street vendor. Naturally, I saw it as an opportunity for an exposure. Albeit an expensive one.

ACT isn’t just something I teach—it’s how I live. Facing discomfort, embracing the moment, and leaning into what matters. Here’s to choosing growth over fear, one beachside challenge at a time. 🌴🦎

One of the best strategies for building responsibility and independence is positive reinforcement—recognizing and reward...
01/08/2025

One of the best strategies for building responsibility and independence is positive reinforcement—recognizing and rewarding actions you want to see more of. It helps build long-term habits and confidence.
But isn’t that bribery? Not at all.
Here’s the Difference:
• Bribery: Happens before the behavior (e.g., “If you get out of bed, I’ll let you skip chores.”). It creates dependency on rewards for short-term compliance.
• Positive Reinforcement: Happens after the behavior. It recognizes effort and celebrates progress, helping someone feel ownership over their actions.
Example: Rewarding a Teen for Waking Up Without Reminders
Imagine this: A parent stops reminding their teen to wake up. For about a week, the teen struggles and is late to school.
But today? They got up on their own and made it on time.
Here’s how the parent handle it:
1.Recognize the Change
“I noticed you got up and made it to school on time today. That’s a big deal! You really showed responsibility.”
2.Offer a Meaningful Reward
“Since you handled your morning so well, I trust you to decide your bedtime tonight. You’ve earned it by showing you can take responsibility.”
3.Tie It to Their Growth
“You’re learning what works for you to manage mornings, rather than doing it because I am telling you. That’s a huge skill for life!”
Why This Works:
Positive reinforcement helps people see the benefits of their actions. They feel proud of their choices, not like they’re being micromanaged, or it’s something they have to do for others.
It builds independence, confidence, and trust—and that’s what growth is all about.
What’s a win you’ve celebrated with positive reinforcement? Let me know in the comments! 👇

Playing the Long Game in Family WorkWhen I work with families, I focus on the long game—helping loved ones build skills,...
01/06/2025

Playing the Long Game in Family Work
When I work with families, I focus on the long game—helping loved ones build skills, resilience, and insight over time. While minimizing behaviors often come from good intentions, they can unintentionally reinforce avoidance and block self-awareness.


For example, a parent reminding their child to do homework every day may seem helpful in the moment, but it removes the child’s chance to recognize important patterns. They miss learning that they may struggle with managing time, prioritizing tasks, or focusing independently. It also denies them the opportunity to experience natural consequences—like a poor grade—and to problem-solve what works best for them to stay on track.


Problem-solving isn’t just about completing tasks—it can also help the child gain insight into deeper challenges that might need treatment, such as ADHD or anxiety. As they begin to recognize these struggles, they may become more motivated to seek and engage in treatment opportunities.


Additionally, stepping back lowers family tension, as constant reminders can lead the adolescent to feel frustrated or upset, believing the parent doesn’t trust them to handle their own responsibilities.


This process often involves trial and error, but adolescence is the perfect time to learn these skills—when the stakes are lower—rather than waiting until they lose a job or fall behind in college.


By stepping back and allowing this growth, families empower their loved ones to take responsibility, learn, and thrive—one step at a time.
Would love to hear your thoughts or experiences with this!

As parents, the harder you try to make your child feel better—by soothing their fears, avoiding triggers, or accommodati...
01/04/2025

As parents, the harder you try to make your child feel better—by soothing their fears, avoiding triggers, or accommodating their anxiety—the more it can sometimes reinforce the cycle of distress. It’s a heartbreaking paradox: the love and care you pour into your child’s well-being can inadvertently fuel their anxiety. SPACE helps parents break free from this cycle by offering tools to reduce accommodations in a supportive way, without blame or shame. Parents are guided to recognize that they are already doing enough, that they are worthy, and that their love and support are the foundation for helping their child build resilience and independence.


















Is your child struggling with anxiety or OCD?I’m so excited to offer the SPACE Workshop (Supportive Parenting for Anxiou...
01/02/2025

Is your child struggling with anxiety or OCD?

I’m so excited to offer the SPACE Workshop (Supportive Parenting for Anxious Childhood Emotions), a six-week program designed to help parents like you support your child’s growth and reduce their anxiety—without requiring your child to attend.

What is SPACE?
This evidence-based approach focuses on how parents respond to their child’s anxiety or OCD. By making small, meaningful changes, you can help your child build confidence, reduce their anxiety, and thrive. SPACE has been proven as effective as CBT for managing anxiety and OCD.

What will you learn?
•How to reduce accommodations that may unintentionally keep anxiety going
•Tools to support your child through challenges without adding to their stress
•Strategies to build resilience and confidence at home

Why join this program?
•Works great as a stand-alone program to equip you with actionable tools and strategies.
•Acts as an adjunct to your child’s therapy, complementing their progress and reinforcing change at home.
•You’ll leave with practical tools to make real, lasting changes.
•You’ll join a small group of six families, ensuring a supportive and personalized experience.

Workshop Details:
•Start Date: April 2nd
•Duration: Six weekly, one-hour group sessions via Zoom
•Cost: $600, with payment plans available
•Early Bird Special: Save 20% if you pay in full by January 31st!

This program is designed to empower parents to confidently guide their child through anxiety and OCD challenges. Whether your child is already in therapy or you’re looking for a starting point, the SPACE Workshop offers the tools you need to make meaningful progress.

Sign up today to reserve your spot! Space is limited to 6 families, so don’t wait. Visit The Anxiety Break for more information or to register. www.theanxietybreak.com

Let’s work together to help your child thrive.

12/31/2024
We are excited to invite you to our upcoming training opportunity, Accommodations and Recovery Avoidance in Treatment Re...
12/12/2024

We are excited to invite you to our upcoming training opportunity, Accommodations and Recovery Avoidance in Treatment Resistance, and to share some fantastic news for educators, parents, and loved ones! Please feel free to share this information to families or friends with loved ones who struggle with OCD, anxiety, or offer mental illness that may benefit from attending.

Event Details:
Date: December 15, 2024
Time: 3:00 PM - 5:00 PM
Location: Zoom
CEUs: Eligible for 2 CEUs through the Montana Board of Behavioral Health (Certificate issued upon completion of survey)
Cost: $80 for clinicians, $50 for educators and loved ones
Discount Code: ACCOMMODATION$30

About the Training:
This training, presented by Dr. Michelle R. Matzke, PsyD, and Michelle M. Puerner, LCSW, will explore critical strategies for mental health professionals and caregivers, including:
• Understanding responses that increase resistance to treatment
• Exploring the impact of family accommodations on anxiety and recovery
• Differentiating between supportive behaviors and enabling

Participants will also learn practical techniques to assist families in fostering recovery without enabling treatment resistance.

Winter SPACE Workshops:
This training serves as a perfect introduction and accompaniment to the SPACE (Supportive Parenting for Anxious Childhood Emotions) workshops we will be offering this winter. SPACE workshops are designed to empower parents to reduce anxiety-related accommodations and foster resilience in children. By attending this training, parents can explore whether the SPACE program is the right fit for their family’s needs.

Valuable information on SPACE and Recovery Avoidance:
SPACE Website: https://www.spacetreatment.net.
SPACE film (20 mins): https://youtu.be/BoMyqockXV4?si=aBQyNzZVX4O_wvy3
When a Loved One Won’t Seek Treatment Webinar (1 hour): https://youtu.be/mhS4s_JomS4?si=0hRZcjGjEUJncfFD

Don’t miss this opportunity to gain valuable insights and tools for supporting families and loved ones!

Register now and secure your spot:
www.theanxietybreak.com/clinicianscorner

Questions?
We’d love to hear from you! Contact us at:
michelle@mountainviewhealing.com (Dr. M) or therapy@michellepuerner.com (Michelle P)

We hope to see you there!

Watching our loved ones experience pain and go through difficult natural consequences is one of the hardest things we fa...
10/03/2024

Watching our loved ones experience pain and go through difficult natural consequences is one of the hardest things we face. As much as we want to shield them, we know growth often happens through struggle. It’s a balance of providing support while allowing space for them to navigate their challenges. Sometimes, the most compassionate thing we can do is let them learn from these moments, trusting in their resilience and offering unconditional love along the way.

In honor of OCD Week, Emily Pray and I invite you to join us for a special Zoom event on October 15th from 5:15 to 7:15 ...
10/03/2024

In honor of OCD Week, Emily Pray and I invite you to join us for a special Zoom event on October 15th from 5:15 to 7:15 PM. We’ll be hosting a panel of individuals with lived experience, sharing their journey with OCD—from pre-diagnosis to recovery.

This event is free and offers 2 CEUs for those under the scope of the Montana Board of Behavioral Health. It’s designed for clinicians, patients, and families. Feel free to share this with anyone who may benefit. Please note: various OCD themes will be discussed, some of which may not be suitable for young children unless they are already dealing with similar obsessions.

Be sure to sign up in advance at: https://theanxietybreak.com/clinicianscorner. CEU certificates will be available after completing a post-event survey. The Zoom link is included on the website.

We hope to see you there!

When I’m working with families, this is one of the things we really work on. It goes against human nature and is so hard...
09/23/2024

When I’m working with families, this is one of the things we really work on. It goes against human nature and is so hard to see loved ones struggle, but it’s paramount to learning how to regulate our difficult emotions…

“It’s hard to watch your child hurting, and the instinct to make their pain go away is strong. But it’s important that we learn to sit with them and their tough emotions.

Record numbers of children and teens are struggling emotionally right now. Here's how parents can help.

Just a glimpse into a normal day in a zoom therapy office, with an occasional visitor… he promises to follows all HIPAA ...
09/12/2024

Just a glimpse into a normal day in a zoom therapy office, with an occasional visitor… he promises to follows all HIPAA regulations and signed with his paw print 🐾 … incase you’re wondering, I love monkeys.

09/10/2024

Behavior is communication, especially in littles.

Address

Kalispell, MT

Opening Hours

Monday 11am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm

Website

http://Theanxietybreak.com/

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