Suicide Awareness and Prevention: A Conversation We Need to Have

September is National Suicide Prevention Month, a time to raise awareness, break the stigma surrounding mental health struggles, and bring attention to the critical need for suicide prevention. As a mental health therapist, I've seen firsthand the devastating impact of suicide on individuals, families, and communities. It is a complex topic to discuss, but one that is necessary if we are to prevent unnecessary loss and help those who are struggling.

The Importance of Awareness

Every 40 seconds, someone in the world dies by suicide. It is the second leading cause of death among people aged 10 to 34 in the U.S. This startling statistic highlights the importance of recognizing the signs and signals that someone may be at risk. Common warning signs include:

• Expressing feelings of hopelessness or being a burden

• Withdrawing from friends, family, and activities

• Sudden mood changes, including unexplained calmness after a period of depression

• Talking about wanting to die or making plans to harm oneself

Understanding these warning signs and being proactive can save lives. Often, people contemplating suicide feel isolated and believe they are a burden on others, but with proper support and intervention, recovery is possible.

How to Help

If you believe someone may be struggling with thoughts of suicide, it's essential to approach the situation with care and compassion. Some ways to provide support include:

• Be direct: Don't be afraid to ask someone if they're thinking about suicide. Asking shows you care and opens the door for an honest conversation.

• Listen without judgment: Let them share their feelings without interrupting or offering solutions immediately. Simply listening can be incredibly powerful.

• Offer hope: Remind them that help is available and their feelings are temporary.

• Encourage professional help: Suggest talking to a mental health professional; if the situation is urgent, accompany them to seek immediate assistance.

Out of the Darkness Community Walks: Making a Difference

One powerful way to raise awareness and contribute to suicide prevention is by joining the Out of the Darkness Community Walks hosted by the American Foundation for Suicide Prevention (AFSP). These walks bring people together to support those affected by suicide, raise funds for prevention efforts, and create a space for healing.

Dawn O'Meally is proud to be part of the Carroll County Out of the Darkness Walk on September 14 at Krimgold Park. Last year, The Counseling Center for Change (TCC4C) team placed #3 in fundraising, and this year, we're walking again to bring attention to this vital cause. Dawn is also honored to chair the event as a member of the AFSP Maryland Board of Directors.

Whether you can join us in walking or support by donating, every step and contribution matters, by coming together, we can spread hope, connect with those in need, and help prevent future tragedies.

Together, We Can Prevent Suicide

The journey toward suicide prevention requires collective effort. Through education, compassion, and community events like the Out of the Darkness Walks, we can raise awareness and let those struggling know they are not alone. If you or someone you know is facing mental health challenges, please reach out. We are all part of this fight to prevent suicide, and every voice matters.

If you want to join the walk or support our team, follow this link [insert link] to learn more. Your participation and donations make a difference, whether walking with us or helping from afar.

You're Not Alone: Help Is Available

If you or someone you know is experiencing thoughts of suicide, help is available 24/7 through the National Suicide Prevention Lifeline. Call or text 988 to connect with a trained counselor.

Let's continue the conversation and work together toward a world where suicide is preventable, and hope is always within reach.

Back-to-School Prep: A Mental Health Guide for Parents

As a new school year approaches, transitioning from summer to school routines can be challenging for parents and children. As a mental health therapist, I’ve seen firsthand how crucial it is to approach this time with a balanced mindset. Preparing your child for the academic year is not just about getting supplies; it’s about establishing routines, managing anxiety, and setting a tone that fosters growth and well-being for the entire family. Here’s how you can make the transition smoother.

1) Establishing a Mental Routine for Parents

Before focusing on your child’s needs, take a moment to assess your mental state. The back-to-school rush can trigger stress, anxiety, and overwhelm, making it essential to have a mental routine in place. Start your day with mindfulness practices like deep breathing or journaling to set a calm tone. This helps you stay grounded and approach the day’s challenges with clarity. Remember, your emotional state directly impacts your child’s, so taking care of your mental health is essential.

2) Setting Up a Sleep Routine

A good night’s sleep is foundational for both you and your child. About two weeks before school starts, adjust bedtimes and wake-up times to align with the school schedule. For younger children, establish a calming bedtime routine, including reading a book or taking a warm bath, and limit screen time before bed for older kids to encourage better sleep quality. Consistency is key—keeping the same sleep schedule on weekends helps maintain the routine.

3) Handling Separation Anxiety

Separation anxiety can affect both parents and children as the new school year begins. The thought of being away from home can be daunting for children, especially younger ones. To ease this, start by discussing the upcoming school year in a positive light, highlighting the exciting aspects. Gradual separation can also help; consider short playdates or daycare visits to get them accustomed to being apart.

Parents, too, can experience anxiety when their child starts school. It’s important to acknowledge these feelings rather than dismiss them. Connecting with other parents, talking to a therapist, or simply permitting yourself to feel anxious can be helpful. Remember, it’s a transition for you as well.

4) Time Management for Parents

With school comes a flurry of activities, from homework to extracurriculars, making time management crucial. Start by creating a family calendar to keep track of everyone’s schedules. Prioritize tasks and delegate responsibilities when possible—don’t hesitate to ask for help from your partner or even your children, depending on their age. Creating a structured after-school routine can also help children transition from school to home life smoothly, making the evening less stressful for everyone.

5) Approaching Stubborn Kids with Authority and Compassion

Establishing new routines can be met with resistance, especially from strong-willed children. It’s essential to approach these situations with a balance of authority and compassion. Start by involving your child in the process—ask for their input when creating routines, which gives them a sense of control and responsibility.

When enforcing rules, be clear and consistent. Explain the reasons behind the routine and the consequences of not following it. If your child resists, listen to their concerns, but stand firm in your expectations. Positive reinforcement, like praise or rewards for following the routine, can motivate compliance. Remember, the goal is to create a structure that helps your child thrive, not to impose unnecessary control.

The back-to-school season is a time of transition, but with the right strategies in place, it can be a smooth and positive experience for the whole family. By prioritizing mental health, establishing routines, and approaching challenges with empathy and firmness, you set the stage for a successful school year.

Anxiety Caused by Global Events and Personal Uncertainties - How to maintain your strong, mental health

In today's world, uncertainty has become a constant companion. Global events such as pandemics, economic fluctuations, and geopolitical tensions can trigger anxiety in many individuals. On a personal level, uncertainties related to health, job security, and relationships can further compound this anxiety. It's crucial to develop effective strategies for managing anxiety in these uncertain times. This blog post will explore practical methods for coping with anxiety, helping you find stability and peace amid chaos.

Understanding Anxiety

Anxiety is a natural response to stress and uncertainty. It manifests in various ways, including physical symptoms like increased heart rate, sweating, and difficulty breathing, and emotional symptoms such as fear, worry, and irritability. While occasional anxiety is a normal part of life, chronic anxiety can significantly impact your well-being and quality of life. Therefore, it's essential to recognize when anxiety becomes overwhelming and to implement strategies to manage it effectively.

1. Stay Informed, but Limit Exposure

One of the primary sources of anxiety in uncertain times is the constant influx of news and information. While staying informed is essential, excessive exposure to news, especially negative news, can heighten anxiety levels.

Strategies:

• Set specific times during the day to check the news and stick to these times.

• Choose reliable news sources and avoid sensationalist media.

• Take breaks from social media and news apps to prevent information overload.

1. Practice Mindfulness and Meditation

Mindfulness and meditation are powerful tools for managing anxiety. These practices help you stay grounded in the present moment, reducing the tendency to worry about the future.

Strategies:

• Dedicate a few minutes each day to mindfulness meditation. Apps like Headspace and Calm offer guided meditations for beginners.

• Practice deep breathing exercises to calm your nervous system. Try the 4-7-8 technique: inhale for 4 seconds, hold for 7 seconds, and exhale for 8 seconds.

• Engage in mindful activities such as yoga, tai chi, or mindful walking.

1. Maintain a Routine

Establishing and maintaining a routine can provide a sense of normalcy and control, which is crucial in uncertain times.

Strategies:

• Set regular times for waking up, eating, working, and sleeping.

• Include physical activities to boost your mood and energy levels in your daily routine.

• Schedule time for hobbies and activities that bring you joy and relaxation.

1. Stay Connected

Social support is vital for mental health. Even though physical distancing may be necessary, staying connected with friends, family, and community can provide emotional support and reduce feelings of isolation.

Strategies:

• Use technology to stay in touch with loved ones through video, phone, and messaging.

• Join online support groups or communities with shared interests.

• Consider reaching out to a mental health professional for additional support.

1. Focus on What You Can Control

Anxiety often stems from feeling helpless or out of control. Focusing on what you can control can help reduce anxiety.

Strategies:

• Make a list of things you can control, such as your daily routine, self-care practices, and how you respond to situations.

• Set small, achievable goals to give yourself a sense of accomplishment.

• Practice gratitude by acknowledging the positive aspects of your life.

1. Practice Self-Compassion

In times of uncertainty, it's essential to be kind to yourself. Self-compassion involves treating yourself with the same kindness and understanding as you would a friend.

Strategies:

• Acknowledge your feelings without judgment. It's okay to feel anxious.

• Give yourself permission to take breaks and rest when needed.

• Engage in self-care activities that nurture your body and mind, such as reading, bathing, or listening to music.

1. Seek Professional Help

If anxiety becomes overwhelming and interferes with your daily life, it may be time to seek professional help. Therapists and counselors can provide strategies and support tailored to your specific needs.

Strategies:

• Look for therapists who specialize in anxiety and stress management.

• Consider virtual therapy options if in-person visits are not feasible.

• Don't hesitate to discuss your anxiety with your primary care physician, who can refer you to appropriate resources.

Managing anxiety in uncertain times requires a multifaceted approach. You can effectively cope with anxiety by staying informed, practicing mindfulness, maintaining a routine, staying connected, focusing on what you can control, practicing self-compassion, and seeking professional help when needed. Remember that it's okay to seek help and take steps to prioritize your mental health. You can navigate these challenging times with the right strategies, resilience, and strength.

June: Men's Mental Health Awareness Month

Understanding Men's Mental Health

Mental health issues can affect anyone, regardless of gender, but men often face unique challenges that can make it harder for them to seek help. Societal expectations and traditional gender roles often pressure men to be stoic, self-reliant, and resilient, leading many to suppress their emotions and avoid discussing their mental health struggles. This reluctance to seek help can result in worsening mental health conditions and, in severe cases, can lead to tragic outcomes such as suicide.

Key Statistics

To understand the scope of men's mental health issues, consider the following statistics:

• Men are less likely than women to seek help for mental health issues.

• In many countries, men have higher rates of suicide than women. For instance, in the United States, men are nearly four times more likely to die by suicide.

• Mental health disorders, including depression and anxiety, often go undiagnosed in men.

• Men are more likely to misuse substances as a way of coping with mental health issues.

Common Mental Health Issues in Men

Several mental health issues are particularly prevalent among men. Understanding these conditions and recognizing their symptoms can help in identifying when professional help is needed.

1. Depression

Depression is a common but serious mood disorder that affects how a person feels, thinks, and handles daily activities. Men may experience depression differently than women, often displaying symptoms such as anger, irritability, and aggression rather than sadness.

Symptoms of Depression in Men:

• Persistent sadness or emptiness

• Loss of interest in activities once enjoyed

• Fatigue or lack of energy

• Difficulty concentrating

• Changes in sleep patterns (insomnia or sleeping too much)

• Changes in appetite (overeating or loss of appetite)

• Physical aches and pains without a clear cause

• Thoughts of death or suicide

2. Anxiety Disorders

Anxiety disorders involve excessive fear or worry and can significantly impact daily functioning. Men may be less likely to report feelings of anxiety, instead describing physical symptoms like headaches or digestive issues.

Symptoms of Anxiety in Men:

• Persistent worry or fear

• Restlessness or feeling on edge

• Muscle tension

• Rapid heartbeat

• Sweating

• Difficulty sleeping

• Gastrointestinal problems

3. Substance Use Disorders

Men are more likely than women to use and misuse substances, including alcohol and drugs, as a way to cope with emotional distress. Substance use can exacerbate mental health issues and lead to a cycle of dependence and worsening mental health.

Signs of Substance Use Disorders:

• Increased tolerance to the substance

• Withdrawal symptoms when not using

• Using the substance in larger amounts or over a longer period than intended

• Unsuccessful attempts to cut down or quit

• Neglecting responsibilities at work, school, or home

• Continuing to use the substance despite negative consequences

4. Post-Traumatic Stress Disorder (PTSD)

PTSD is a mental health condition triggered by experiencing or witnessing a traumatic event. While PTSD affects both men and women, men are more likely to experience trauma related to combat, accidents, or physical assaults.

Symptoms of PTSD:

• Intrusive memories or flashbacks of the traumatic event

• Nightmares

• Severe emotional distress or physical reactions to reminders of the trauma

• Avoidance of places, people, or activities that remind of the trauma

• Negative changes in mood and thinking

• Increased arousal and reactivity, such as being easily startled or having difficulty sleeping

5. Suicide

Men are at a significantly higher risk of suicide than women. Factors contributing to this include societal pressures, reluctance to seek help, and the use of more lethal means. Recognizing the warning signs of suicide and knowing how to respond can save lives.

Warning Signs of Suicide:

• Talking about wanting to die or to kill oneself

• Looking for a way to end one's life, such as searching for methods online or acquiring a weapon

• Talking about feeling hopeless or having no reason to live

• Talking about feeling trapped or in unbearable pain

• Increasing the use of alcohol or drugs

• Acting anxious or agitated; behaving recklessly

• Withdrawing from friends, family, and society

• Displaying extreme mood swings

Breaking the Stigma

One of the biggest barriers to men seeking help for mental health issues is the stigma associated with it. Societal norms often dictate that men should be strong and self-sufficient, leading many to feel ashamed or embarrassed about their struggles. Breaking this stigma is crucial to improving men's mental health outcomes.

Strategies to Break the Stigma

1. Open Conversations: Encourage open and honest conversations about mental health. Sharing personal experiences can help normalize the discussion and reduce feelings of isolation.

2. Education and Awareness: Increase awareness about mental health issues and the importance of seeking help. Education can dispel myths and misconceptions about mental health.

3. Supportive Environments: Create supportive environments at home, work, and in the community where men feel safe to express their emotions and seek help.

4. Role Models: Highlight stories of men who have successfully managed their mental health issues. Role models can inspire others to take action and seek help.

5. Mental Health Resources: Promote available mental health resources and services. Making information readily accessible can encourage men to seek the help they need.

Taking Action: How Men Can Prioritize Their Mental Health

Men can take several proactive steps to prioritize their mental health and well-being. Here are some practical strategies:

1. Regular Check-ins

Just as regular physical check-ups are essential, so are mental health check-ins. Periodically assessing one’s mental state can help identify early signs of distress and prompt timely intervention.

2. Build a Support Network

Having a strong support network of friends, family, and colleagues can provide emotional support and reduce feelings of isolation. It’s important to reach out and stay connected with loved ones.

3. Practice Self-Care

Self-care activities such as regular exercise, a balanced diet, adequate sleep, and relaxation techniques can significantly improve mental health. Finding time for hobbies and activities that bring joy is also crucial.

4. Manage Stress

Effective stress management techniques, such as mindfulness, meditation, and deep breathing exercises, can help reduce anxiety and improve overall mental well-being.

5. Seek Professional Help

There is no shame in seeking professional help. Therapists, counselors, and mental health professionals can provide valuable support and treatment for mental health issues. Therapy options like Cognitive Behavioral Therapy (CBT), medication, and support groups can be highly effective.

Understanding and Supporting Those with PTSD: A Guide for PTSD Awareness Month

June is PTSD Awareness Month, a time dedicated to raising awareness about Post-Traumatic Stress Disorder (PTSD) and promoting understanding and support for those affected. PTSD is a mental health condition triggered by experiencing or witnessing a traumatic event. It can affect anyone, regardless of age, gender, or background. This blog post will explore what PTSD is, its symptoms, how it affects people, and how we can support those living with this condition.

What is PTSD?

PTSD is a psychiatric disorder that can occur in people who have experienced or witnessed a traumatic event such as a natural disaster, serious accident, terrorist act, war/combat, rape, or other violent personal assaults. While it's normal to feel afraid during and after a traumatic situation, people with PTSD may experience intense, disturbing thoughts and feelings related to their experience long after the traumatic event has ended.

Symptoms of PTSD

PTSD symptoms are generally grouped into four types: intrusive memories, avoidance, negative changes in thinking and mood, and changes in physical and emotional reactions. These symptoms can vary over time and can differ from person to person.

1. Intrusive Memories

• Flashbacks: Reliving the traumatic event as if it were happening again.

• Upsetting Dreams: Having distressing nightmares about the traumatic event.

• Distressing Thoughts: Frequent, involuntary thoughts about the trauma.

2. Avoidance

• Avoiding Places or People: Steering clear of places, activities, or people that remind you of the traumatic event.

• Avoiding Thoughts or Feelings: Trying to avoid thinking or talking about the traumatic event.

3. Negative Changes in Thinking and Mood

• Negative Thoughts About Oneself or Others: Persistent and distorted sense of guilt, shame, or blame.

• Hopelessness About the Future: Feeling detached from family and friends, and losing interest in activities you once enjoyed.

• Memory Problems: Trouble remembering important aspects of the traumatic event.

• Difficulty Maintaining Close Relationships: Feeling estranged from others.

4. Changes in Physical and Emotional Reactions

• Being Easily Startled or Frightened: Having heightened reactions.

• Always Being on Guard: Feeling tense or "on edge".

• Self-Destructive Behavior: Engaging in unhealthy activities such as drinking too much or driving recklessly.

• Trouble Sleeping: Experiencing insomnia or frequent nightmares.

• Trouble Concentrating: Difficulty focusing on tasks.

• Irritability, Angry Outbursts, or Aggressive Behavior: Having anger management issues.

Causes and Risk Factors

Causes:

• Traumatic Events: Experiencing or witnessing traumatic events such as combat exposure, childhood physical abuse, sexual violence, physical assault, being threatened with a weapon, or an accident.

• History of Trauma: Individuals with a history of other trauma may be at higher risk.

Risk Factors:

• Gender: Women are more likely to develop PTSD than men.

• Occupation: Jobs that increase the risk of being exposed to traumatic events, such as military personnel and first responders.

• Mental Health History: A history of mental health issues like anxiety or depression.

• Family History: A family history of PTSD or other mental health problems.

• Substance Abuse: Using drugs or alcohol can increase the risk.

How PTSD Affects Individuals

PTSD affects individuals differently, but it can have a profound impact on one's daily life. The condition can lead to difficulties in personal relationships, social isolation, and problems at work or school. It's essential to recognize that people with PTSD are not "choosing" to have these symptoms. The disorder is a severe and genuine medical condition that requires compassion and understanding.

Emotional and Psychological Impact

• Anxiety and Depression: High levels of anxiety and depression are common among those with PTSD.

• Substance Abuse: Some individuals may turn to drugs or alcohol as a way to cope with their symptoms.

• Suicidal Thoughts: Those with PTSD are at a higher risk for suicidal thoughts and behaviors.

Physical Impact

• Chronic Pain: Individuals with PTSD often report chronic pain and other physical health issues.

• Sleep Disorders: Insomnia and other sleep disturbances are frequent.

• Cardiovascular Issues: Stress and anxiety can lead to heart problems and other serious health issues.

Supporting Those with PTSD

Supporting someone with PTSD can make a significant difference in their recovery and quality of life. Here are some ways you can help:

Educate Yourself

Understanding what PTSD is and how it affects people is the first step in providing support. Learn about the symptoms, causes, and treatments available.

Be a Good Listener

Sometimes, the best thing you can do is listen. Allow your loved one to talk about their experiences without judgment. Validate their feelings and offer a supportive, non-judgmental ear.

Encourage Professional Help

While being supportive is crucial, professional help is often necessary for managing PTSD. Encourage your loved one to seek help from a therapist or counselor who specializes in trauma and PTSD.

Provide Practical Support

Helping with everyday tasks can alleviate some of the stress and anxiety associated with PTSD. Offer to help with chores, run errands, or provide transportation to appointments.

Be Patient

Recovery from PTSD is a long and challenging process. Be patient and understand that there will be good days and bad days. Offer consistent support without pushing too hard.

Avoid Triggers

Learn about your loved one’s triggers and help them avoid situations that may cause distress. This can include avoiding certain places, activities, or conversations that might remind them of the traumatic event.

Self-Care for Caregivers

Supporting someone with PTSD can be emotionally taxing. It’s essential to take care of your mental health as well. Here are some tips for caregivers:

• Seek Support: Join a support group for friends and family of people with PTSD. Sharing your experiences with others who understand can be incredibly helpful.

• Set Boundaries: It's okay to set limits on what you can handle. Ensure you're not neglecting your own needs while caring for others.

• Practice Self-Care: Engage in activities that you enjoy and that help you relax. This can include hobbies, exercise, or simply taking time for yourself.

• Consider Professional Help: If you're finding it difficult to cope, consider speaking with a therapist or counselor.

Treatment Options for PTSD

There are several effective treatments available for PTSD. These treatments can help individuals manage their symptoms and improve their quality of life.

Psychotherapy (Talk Therapy)

• Cognitive Behavioral Therapy (CBT): Focuses on changing negative thought patterns and behaviors.

• Exposure Therapy: Helps individuals face and control their fear by exposing them to the trauma in a safe way.

• Eye Movement Desensitization and Reprocessing (EMDR): Uses guided eye movements to help process traumatic memories.

Medication

• Antidepressants: Can help control symptoms of depression and anxiety.

• Anti-anxiety Medications: May be used to manage severe anxiety.

• Prazosin: Sometimes used to reduce or suppress nightmares.

Support Groups

• Peer Support: Sharing experiences with others who have PTSD can provide comfort and practical advice.

• Family Therapy: Can help family members understand what their loved one is going through and how best to support them.

PTSD Awareness Month is an important time to shed light on the challenges faced by those living with PTSD and to emphasize the importance of understanding and support. By educating ourselves, being compassionate listeners, encouraging professional help, and offering practical support, we can make a significant difference in the lives of those affected by PTSD. Remember, it's not about controlling every thought and feeling; it's about learning to live with them and finding ways to thrive despite the challenges.

If you or someone you know is struggling with PTSD, don’t hesitate to reach out for help. Support is available, and recovery is possible.

Breaking the Stigma: A Guide to Understanding Depression and Seeking Help

Depression is more than just feeling sad. It's a common mental health condition that affects millions of people worldwide. Despite its prevalence, there's still a stigma surrounding depression that can make it difficult for individuals to seek help. In this guide, we'll break down the stigma surrounding depression, explain what depression is, and provide tips for seeking help.

What is Depression?

Depression is a mental health disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. It can affect how you think, feel, and handle daily activities. Depression is not a sign of weakness or a character flaw—it's a medical condition that requires treatment.

Breaking the Stigma:

1. Depression is Not a Choice: It's important to understand that depression is not something you can "snap out of." It's a complex condition influenced by biological, psychological, and environmental factors.

2. It's Okay to Seek Help: Seeking help for depression is a sign of strength, not weakness. Talking to a trusted friend, family member, or mental health professional can provide support and guidance.

3. You're Not Alone: Many people struggle with depression, and there are resources and support available to help you navigate your journey to recovery.

4. Mental Health Matters: Just like physical health, mental health is essential for overall well-being. Taking care of your mental health is vital to living a fulfilling life.

5. Recovery is Possible: With the proper treatment and support, many people with depression can experience significant improvement in their symptoms and lead fulfilling lives.

Seeking Help:

1. Talk to Someone: Reach out to a trusted friend, family member, or mental health professional to share your feelings. Talking about your experiences can help you feel less alone and provide insight into the next steps.

2. Consult a Mental Health Professional: A mental health professional, such as a therapist or psychiatrist, can assess your symptoms, provide a diagnosis, and develop a treatment plan tailored to your needs.

3. Explore Treatment Options: Treatment for depression may include therapy, medication, lifestyle changes, and support groups. Working with your mental health provider is essential to find the best approach for you.

4. Practice Self-Care: Self-care activities such as exercise, healthy eating, getting enough sleep, and engaging in enjoyable activities can help improve your mood and overall well-being.

5. Stay Connected: Stay connected with supportive friends and family members, and consider joining a support group for individuals with depression. Building a support network can provide encouragement and understanding during difficult times.

Breaking the stigma surrounding depression starts with understanding that it's a familiar and treatable condition. By seeking help and talking openly about depression, we can create a more supportive and compassionate society where individuals feel empowered to prioritize their mental health. If you or someone you know is struggling with depression, remember that help is available, and recovery is possible.

Unveiling the Ozempic Epidemic: Why Bariatric Surgery Prevails in Weight Loss Journey

In recent years, various treatments and solutions have dominated the weight-loss landscape, with Ozempic emerging as a popular option. However, as the hype around Ozempic grows, so do the concerns regarding its effectiveness and safety, especially when compared to bariatric surgery. This blog post delves into the Ozempic epidemic, its pitfalls, and why bariatric surgery remains a superior choice for sustainable weight loss.

The Ozempic Misconception: Weight Loss vs. Diabetes Treatment

Ozempic, a medication primarily prescribed for individuals with type 2 diabetes, has garnered attention for its purported weight-loss benefits. However, it's crucial to understand that Ozempic is not approved for weight loss alone. Misuse and misunderstanding its intended purpose have led to widespread misconceptions about its efficacy and safety.

The Dark Side of Ozempic: Side Effects and Skinny Confessions

While Ozempic may yield some weight-loss results, its side effects can be severe and detrimental. Nausea, vomiting, diarrhea, and abdominal pain are expected during the initial stages of treatment. Moreover, the recent documentary "Skinny Confessions" on Hulu sheds light on the distressing experiences of individuals who have suffered from the adverse effects of Ozempic, raising concerns about its misuse and the lack of awareness regarding its potential dangers.

Bariatric Surgery: A Safer and More Effective Alternative

In contrast to Ozempic, bariatric surgery offers a comprehensive solution for long-term weight loss and improved health outcomes. Pre- and post-evaluation are crucial in ensuring the safety and efficacy of bariatric procedures. Comprehensive assessments, including medical history, nutritional counseling, and psychological evaluation, help identify suitable candidates and minimize potential risks associated with surgery.

Why Bariatric Surgery Prevails

1. Long-Term Success: Unlike Ozempic, which may provide temporary weight loss, bariatric surgery offers sustainable results. Many patients experience significant weight loss and improvement in obesity-related health conditions.

2. Comprehensive Approach: Bariatric surgery addresses the underlying factors contributing to obesity, including metabolic, hormonal, and behavioral aspects, leading to holistic and transformative changes in patients' lives.

3. Improved Health Outcomes: Studies have shown that bariatric surgery significantly improves obesity-related comorbidities such as diabetes, hypertension, and sleep apnea, reducing the risk of cardiovascular events and improving overall quality of life.

4. Professional Guidance and Support: Bariatric programs provide comprehensive support before, during, and after surgery, including ongoing medical monitoring, nutritional guidance, and behavioral counseling, ensuring optimal outcomes and long-term success.

In conclusion, while Ozempic may offer a quick fix for weight loss, its potential risks and limited effectiveness highlight the importance of exploring safer and more sustainable alternatives such as bariatric surgery. By prioritizing comprehensive evaluations and personalized care, bariatric surgery provides a transformative solution for individuals seeking lasting weight loss and improved health.

Remember, your health is invaluable, and making informed decisions guided by professional expertise and evidence-based practices is essential. Choose the path prioritizing your well-being and setting you on a healthier, happier life.

Disclaimer:

The information provided in this blog post is intended for educational purposes only. While we strive to provide accurate and up-to-date information, it is not a substitute for professional medical advice, diagnosis, or treatment.

Weight loss and health-related decisions should always be made in consultation with qualified healthcare professionals who can assess your individual needs and provide personalized recommendations.

We encourage readers to seek guidance from licensed medical professionals, including physicians, nutritionists, and bariatric specialists, before making any significant changes to their diet, exercise routine, or medical treatment plan.

Additionally, individual experiences and outcomes may vary, and the information presented in this blog post should not be construed as a guarantee of results.

By reading this blog post, you acknowledge and agree that the authors and publishers are not liable for any decisions made or actions taken based on the information provided herein.

Daylight Savings Time and Mental Health: Conquering the Time Change Blues

Daylight Savings Time and Mental Health: Conquering the Time Change Blues

As daylight savings time rolls around, the days grow longer, and the evenings brighter, many of us welcome the change with open arms. However, the shifting of the clocks can also significantly impact our mental health. The disruption to our internal body clocks, also known as circadian rhythms, can lead to feelings of fatigue, irritability, and even seasonal affective disorder (SAD). In this blog post, we'll explore the connection between daylight savings time and mental health and provide tips to conquer the time change blues.

The Impact of Daylight Savings Time on Mental Health

The transition to daylight savings time, whether it's "springing forward" or "falling back," can throw off our internal body clocks, leading to a range of mental health challenges. For many people, losing or gaining an hour of sleep can disrupt their sleep patterns, leaving them feeling dizzy and disoriented.

Seasonal Affective Disorder (SAD)

For some individuals, the onset of daylight savings time can exacerbate symptoms of seasonal affective disorder (SAD). SAD is a type of depression that occurs at the same time each year, typically during the fall and winter months when daylight hours are shorter. The shift to daylight savings time can further reduce exposure to natural light, triggering feelings of sadness, lethargy, and depression.

Tips for Conquering Daylight Savings Time Blues

1. Gradually Adjust Your Sleep Schedule: In the days leading up to the time change, try progressively adjusting your sleep schedule by going to bed and waking up 15-30 minutes earlier each day. This can help your body gradually acclimate to the new time.

2. Prioritize Sleep Hygiene: Establish a relaxing bedtime routine and create a sleep-friendly environment by keeping your bedroom dark, quiet, and calm. Avoid screens and stimulating activities before bed, and follow a consistent sleep schedule.

3. Get Plenty of Natural Light: Exposure to natural light is crucial for regulating your body's internal clock. Try to spend time outdoors during daylight hours, especially in the morning, to help reset your circadian rhythms.

4. Stay Active: Regular exercise can help boost your mood and energy levels, making it easier to cope with the effects of daylight savings time. Aim for at least 30 minutes of physical activity each day, whether it's a brisk walk, a yoga class, or a workout at the gym.

5. Practice Self-Care: Take time to prioritize self-care and engage in activities that bring you joy and relaxation. Whether reading a book, taking a hot bath, or spending time with loved ones, prioritize self-care during the transition to daylight savings time.

6. Consider Light Therapy: If you struggle with symptoms of SAD, light therapy can be an effective treatment option. Light therapy involves exposing yourself to bright artificial light for a specified period each day, which can help regulate your body's internal clock and alleviate symptoms of depression.

While the transition to daylight savings time can be challenging, especially for those with pre-existing mental health conditions, there are steps you can take to minimize its impact on your well-being. By prioritizing sleep, staying active, and practicing self-care, you can conquer the time-change blues and emerge feeling refreshed and rejuvenated. Remember, listening to your body and giving yourself grace as you adjust to the new schedule is essential. With a bit of time and patience, you can easily navigate the transition to daylight savings time.

Ditch the New Year’s Resolutions and focus on Healthy Intentions for 2024!

Ditch the New Year’s Resolutions and focus on Healthy Intentions for 2024! 

By Dawn O’Meally, LCSW-C, P.A.

Most of us have done it. Me included!  New year, New you right?   The new year is like a blank slate where we can aspire to make positive changes and better our lives.  Nothing negative about that for sure, but many people develop New Years Resolutions only to find that they don’t stick to them. That can be a set up for failure.   Did you know that research shows that only 8% of people achieve their New Year’s resolutions ?  Let’s set ourselves up for success this year and instead focus on cultivating healthy intentions for 2024. Here are some reasons why we want to ditch the Resolutions:

1.    Resolutions can be too rigid: Resolutions are often black and white, and don’t allow for much flexibility. This can lead to feelings of guilt and shame if you don’t stick to them perfectly. Healthy intentions, on the other hand, are more flexible and allow for setbacks and mistakes.  The all or nothing thinking doesn’t work!

2.    Intentions are more positive: Resolutions often focus on what you want to stop doing, such as quitting smoking or cutting out sugar. Healthy intentions, on the other hand, focus on what you want to start doing, such as eating more vegetables, moving your body more, or practicing mindfulness.

3.    Intentions are more sustainable: Resolutions are often short-term goals that are difficult to maintain over time. Even if/when you hit the goal, then what?  Healthy intentions, on the other hand, are long-term lifestyle changes that can be developed and sustained over time.

Here are some healthy intentions you can set for 2024:

1.    Practice self-care:  Make yourself a priority this year by carving out time for yourself every day, whether it’s taking a relaxing bath, having tea from your favorite cup, reading a book, doing a craft, listening to music you love, or going for a walk.  Sometimes actually scheduling time for yourself will improve the likelihood that doing these things will happen!

2.    Move your body: Find a form of exercise that you enjoy, whether it’s walking, running, yoga, Zumba, dancing, kick boxing, water aerobics, etc.  Get a coach or trainer if you need support or help to move your body safely. Just get moving and you will feel so much better!

3.    Eat more whole foods & hydrate: Focus on eating more fruits, vegetables, whole grains, and lean proteins this year. Experiment and try some new recipes this year.  Making small and intentional changes (i.e. track your water intake, include one fruit per day, decrease processed food, pack a healthy lunch, etc.) add up and your health will thank you in many ways!

4.    Practice mindfulness: Take a few minutes each day to meditate, practice deep breathing, or simply be present in the moment. There are many apps and YouTube videos that can help you learn how to practice mindfulness. Calming your mind has huge benefits in managing your stress and your overall health.

5.    Get more sleep- Sleep is foundational for your mind and body.  Make sleep a priority by developing healthy sleep routines (i.e. go to bed earlier, turn off your phone, limit caffeine).

6.    Connect with others: Meaningful connection with other people is vital for our wellbeing. Make time for your friends and family, maybe set out to meet new people and make new friends. To accomplish this, Meetup.com is a great resource, for example, to meet people who enjoy getting together to do a social activity.  You might explore trying out some new activities through Meetup.com that you have always wanted to try but didn’t have people to do it with. Volunteering, enrolling in a class, joining a church are some other ways to become more social and meet new people.

7.    Practicing gratitude to Practice gratitude:  Make it a point this year to be intentional about practicing gratitude.  This can be accomplished through journaling about things every day to feel grateful about. Try going through the alphabet and identifying something to be grateful for every letter in the alphabet.  For example- “A”-I saw a beautiful piece of Art today!  It will take you some time to get through the alphabet, but you will intentionally shift your mind and you will feel soooo much better.

Keep in mind that cultivating healthy intentions are not about perfection, but about progress.  Give yourself credit and be kind to yourself along the way to cultivating your intentions.  By focusing on small, sustainable changes (i.e. baby steps), you can improve your overall health and wellbeing in 2024 and beyond.

September-A Time of Transition for All of Us ~ Tips to Help for Optimal Mind and Body Health

September-A Time of Transition for All of Us ~ Tips to Help for Optimal Mind and Body Health

“The leaves fall, the wind blows, and the farm country slowly changes from the summer cottons into its winter wools.” - Henry Beston

September is a month of transition as it marks the end of summer and the beginning of fall. It is a time when the days start to get shorter and the nights longer and there is less available sunlight.  September is also a time when many people (children and adults) return to school or work after summer vacation, which can be a big change for some people. Getting back into routines with school and work can be challenging and require a period of adjusting to the previous structure.  The weather also starts to change during September, with cooler temperatures, and the days become shorter and shorter.  We also know that holidays are on the horizon which generates many different thoughts and feelings as well. 

As we endeavor to get back into the swing of things, below are some tips to help us have a smooth transition into September and the upcoming Fall:

1. Get ahead of the upcoming seasonal transition time by developing, identifying, and planning new routines and activities.  Investigate and explore opportunities for learning and connection with other people. Think about getting involved with volunteer activities.  It is typical to feel somewhat “out of control” when unplanned transitions occur, so attempting to recognize what you can control vs. what you cannot control and taking action in these areas can be helpful.

2. Reframe the upcoming seasonal change to identify the positives.  Look for the beauty in the upcoming fall season.   Even when change is unwanted or unplanned, it is likely that there are some positive aspects of the change. Identifying potential benefits or positive outcomes may allow you to develop a new fresh perspective on the situation. 

3. Engage in self-care practices: Caring for ourselves during times of change is critical. Engaging in basic forms of self-care, such as engaging in daily movement (walking outside, Yoga, swimming, etc.), getting enough sleep (7-9 hours per night), eating nutritious whole foods, taking appropriate vitamins, can drastically improve our body’s response during transitions.

4. If you suffer with Seasonal Affective Disorder, dig out your Full Spectrum Bright Light and make sure it is in working order.   Light Therapy — which involves sitting close to a special light source every morning for at least 30 minutes — can help improve SAD.  Check out www.sunbox.com or go to Amazon.com to order a full spectrum light.  Just make sure it is 10,000 Lux or it will not be effective.

5. There is some evidence that a Negative Ion Generator may help relieve symptoms of depression. When negative ions reach the bloodstream, they create a reaction that increases our Serotonin levels (feel good neurotransmitter) increasing our mood and helping us to fight depression. This process makes these negative ions work as a natural antidepressant.  Negative Ions are abundant in nature in forests, waterfalls, oceans, water. Get outside, bring plants inside. 

6. Antidepressant medications may or may not be an option that you want to try to assist with mood support.  Medications for depression, anxiety, and insomnia carry the risk of unwanted side effects or dependence and may not prove to be effective or may be only partially effective. Alternatives to prescription medications including herbal and other remedies such as St. John’s Wort, SAM-e, Saffron, B-Vitamins, Acupuncture, Biofeedback, Tapping, Cognitive Behavioral Therapy (CBT) have been shown to be beneficial in helping with seasonal mood changes.  These interventions should always be discussed with your medical provider, not Dr. Google!

7. Alpha-Stim is another option for mood/insomnia/pain support.  It is  FDA cleared medical device that has been proven time and again, since the 1980’s, to safely and effectively treat depression. It uses a modality called cranial electrotherapy stimulation (CES), rather than drugs, to treat your depression. A tiny current of electricity is transmitted through two ear clip electrodes, restoring balance to your brain and making you feel better. Treatments are painless and easy, there are no side effects, and treatments can be done in the comfort of your own home. The effectiveness of Alpha-Stim’s patented waveform is backed by over 100 clinical research studies, and patients rave about their success. Visit https://www.tcc4change.com/alpha-stim for more information.  

8. Art Journaling can help you let go of whatever it is that is weighing you down, helping you relax your mind and body. From boosting your self-esteem, providing you with a safe channel to express your emotions to giving you a sense of control over what you want, art journaling acts as a form of self-care and healing.

9. Seek support: Reach out to others. Don’t isolate during times of difficulty, as engaging in social activities is known to provide numerous positive health and mood benefits. Friends and family are often willing to help, and support may also be gained from others experiencing the same thing.  Counseling and support groups (online and in person) can be extremely helpful.

There are probably many more ideas and tips, but these are enough to get you started.  I hope you find these helpful!

Alzheimer’s Brain Health Prevention TIPS Maybe You Didn’t Know

By: Dawn O’Meally, MSW, LCSW-C, P.A,

Did you know that over 6 million Americans are currently suffering from Alzheimer’s Disease and Dementia? Sadly, medications have been largely ineffective in clinical trials leaving little hope for those affected once the diagnosis is made.

More and more emphasis is being placed on PREVENTION of these dreaded brain diseases. While there is no definitive way to prevent Alzheimer’s disease, research is showing that some lifestyle factors may help reduce the risk or delay the onset of dementia. While not an exhaustive list, some of the possible prevention strategies include:

Increasing physical activity: Regular exercise may help improve blood flow to the brain, reduce inflammation, and prevent conditions like diabetes and high blood pressure that are linked to cognitive decline. Obesity creates the ‘dinosaur syndrome’ according to Dr. Daniel Amen. The bigger the body becomes, the smaller the brain becomes. When it comes to size, the size of your brain matters A LOT!

Walking is a good place to start with increasing your physical activity. Doing it with another person is even better as you are adding social interaction to the activity which is also protective against developing Dementia.

Eating a healthy diet: Stay away from “ultra-processed foods” such as cereal bars, hot dogs, and instant noodles typical of SAD (Standard American Diet). These foods may be convenient and may taste good but may speed cognitive decline due to all the additives in these processed foods. Start reading the labels and if you can’t pronounce the ingredients, don’t eat it. Check out the MIND Diet Cookbook. According to Claudia Suemoto, M.D., Ph.D., of the University of Sao Paulo Medical School in Brazil, “The Mediterranean-DASH Diet Intervention for Neurodegenerative Delay (MIND diet) has been linked to better cognitive performance and decreased risk of cognitive decline and dementia in several studies across the globe. The healthy foods included in the MIND diet are whole grains, leafy greens and other vegetables, nuts, beans, berries, poultry, fish, and olive oil”.

Nutrition and vitamin supplementation play an important role in the brain’s neural pathways. Lacking Vitamin D, Vitamin B12, iron, and omega 3 fatty acids contribute to ‘brain fog. How can you expect your brain to function if you are depleted? Get your vitamin levels checked through a simple blood test which can be ordered through your PCP so you know where you stand. Get on a quality supplement that is certified for its quality and purity. Consult with your physician about which supplements are right for you.

Getting enough sleep: It can’t be said too many times how important sleep is for your brain health. During sleep, especially deep sleep, the brain clears out amyloid plaques, which are associated with Alzheimer’s disease. Visualize all the junk build-up happening in your brain not getting cleared out from sleep. It’s not a surprise that poor sleep quality or quantity may impair memory and thinking skills. If you have Sleep Apnea, use your C-pap no ifs, ands, or buts. If you snore, wake up gasping for air, or have daytime sleepiness, ask your PCP to order a Sleep Study.

Managing stress effectively: Chronic stress may have negative effects on the brain, such as shrinking the hippocampus (the memory center) and increasing inflammation. Stress management techniques like practicing mindfulness, meditation, yoga, breathing exercises, or hobbies may help lower stress levels and improve mood. Working with a coach and/or seeking counseling to help you learn strategies to cope with stress can be beneficial.

Learning new things: Keeping your brain stimulated by learning new things may help keep it active and resilient. Activities like reading, learning a new language or skill, playing games like sudoku and doing crossword puzzles (aka “mental gymnastics”), learning a foreign language or musical instrument, drawing, painting, or taking a course may challenge and enhance cognitive abilities. There are many APPS and games are available to challenge your brain like Lumosity.

Get connected with other people: We are wired for connection with others! Social interaction may help prevent isolation and depression, which are risk factors for cognitive decline. Having meaningful relationships, joining clubs or groups, volunteering, or staying in touch with friends and family may provide social support and social stimulation.

Healthy Heart/Healthy Brain: Have you heard that what is good for your heart is likely good for your brain? “The brain is the most highly vascularized organ in the body,” says Percy Griffin, Ph.D., M.Sc., director of Scientific Engagement at the Alzheimer’s Association. Stop smoking tobacco and limit alcohol for a healthy heart and brain. Excessive drinking is a major risk factor for dementia. Get your blood pressure and cholesterol under control.

Get your A1-C under control: More and more, Alzheimer’s Disease is being referred to as Type 3 Diabetes. This makes sense as Diabetes causes inflammation everywhere, including your brain! Inflammation is a key contributor to Alzheimer’s risk.

Good oral health may help protect against Alzheimer’s Disease: Flossing and brushing your teeth is not only good in preventing heart disease but is also good for your brain. According to Harvard Health,“Scientists have previously found that a species of bacteria, called Porphyromonas gingivalis, can move from the mouth to the brain. Once in the brain, the bacteria release enzymes called gingipains that can destroy nerve cells, which in turn can lead to memory loss and eventually Alzheimer’s risk.

We need to think differently about brain health and do our part in preventing or slowing down cognitive issues like Alzheimer’s disease or Dementia from developing. According to Dr. Tom O’Bryan, researcher, and author of You Can Fix Your Brain, changes in the brain can begin occurring up to 20 years or more before mild cognitive impairment (MCI) type symptoms such as short-term memory loss begin to manifest on the path to full-blown Alzheimer’s Disease. That means you can be walking around for a long time with brain changes occurring without realizing it until the initial symptoms show up. Unlike mammograms that are done on a yearly basis, there are no routine or yearly brain imaging tests like MRI or PET Scans are being done to evaluate brain health status as these tests are costly. Our best bet goes back to PREVENTION- the earlier in life the better. It’s never too late, however, to get started on making the brain-healthy lifestyle changes mentioned in this article.

June is Alzheimer’s & Brain Awareness Month

Improving Sleep Quality for Mental Health & Weight Loss: 9 Tips to Follow

We all know that getting enough sleep is important for our overall health, but did you know that it can also play a role in weight loss? Studies have shown that people who don’t get enough sleep are more likely to be overweight or obese. So, if you’re trying to shed a few pounds, improving your sleep quality should be a top priority. There is a known correlation between lack of sleep and weight gain. Studies have shown that people who get less than the recommended amount of sleep per night (7-9 hours) are more likely to be overweight or obese. Getting a good night’s sleep is essential for our overall well-being. However, depression and anxiety can make it difficult to get the rest we need. Sleep deprivation can exacerbate symptoms of depression and anxiety, leading to a vicious cycle of poor sleep and increased symptoms.

This is due to several factors.

First, lack of sleep disrupts the hormones that regulate appetite. The hormone leptin, which signals to the brain that the body has had enough to eat, is decreased by lack of sleep. At the same time, the hormone ghrelin, which stimulates appetite, is increased. The result is that people who are sleep-deprived tend to feel hungrier and eat more, leading to weight gain.

Second, sleep deprivation can lead to decreased energy levels and motivation to exercise. People reach for energy drinks loaded with caffeine and simple carbohydrate snacks to boost energy. When people are tired, they are less likely to engage in physical activity, which can contribute to weight gain.

Finally, lack of sleep can also lead to an increase in stress hormones such as cortisol, which can cause the body to store fat, particularly in the abdominal area.

Here are nine tips to improve your sleep while dealing with weight, depression, and anxiety:

1. Stick to a sleep schedule

Your body has an internal clock that regulates your sleep-wake cycle, also known as your circadian rhythm. Sticking to a consistent sleep schedule can help regulate this Blog By: Mind, Mouth and Movement: Connecting the Missing Links By Nancy Lum, RDN and Dawn O’Meally LCSW-C, P.A. rhythm and improve the quality of your sleep. Try to go to bed and wake up at the same time every day, even on weekends.

2. Create a relaxing bedtime routine

Creating a relaxing bedtime routine can help signal to your body that it’s time to wind down and prepare for sleep. This could include taking a warm bath, reading a book, or practicing meditation or deep breathing exercises. Avoid stimulating activities like watching TV or using your phone or computer, as the blue light emitted by these devices can interfere with your body’s natural sleep-wake cycle. These blue lights stimulate your retina and make your brain assume it is still on, therefore the brain does not get the recovery time it needs.

3. Make sure your sleep environment is comfortable

Your sleep environment can have a big impact on the quality of your sleep. Make sure your bed is comfortable and supportive, and that your bedroom is cool, dark, and quiet. Invest in blackout curtains or a white noise machine if necessary.

4. Limit caffeine and alcohol intake

Caffeine is a stimulant that can interfere with your ability to fall asleep and stay asleep. Try to avoid caffeine in the afternoon and evening and limit your intake overall. Similarly, while alcohol may make you feel sleepy initially, it can disrupt your sleep later in the night and lead to poorer sleep quality overall. Alcohol is also a depressant and interferes with anti-depressant medications working properly.

5. Exercise regularly

Regular exercise has been shown to improve sleep quality, as well as overall health and well-being. Aim for at least 30 minutes of moderate intensity exercise most days of the week, but avoid exercising too close to bedtime, as this can interfere with your ability to fall asleep.

Improving your sleep quality can be a simple but effective way to support your weight loss goals. By following these tips, you can help regulate your body’s natural sleep- wake cycle and ensure that you’re getting the rest you need to feel your best. Exercise is also a natural anti-depressant, anti-anxiety strategy and has been shown to be as effective as medications in the treatment of anxiety and depression.

6. Seek professional help

If you’re struggling with depression and anxiety, it’s essential to seek professional help. A mental health professional can help you develop coping strategies and provide treatment options that can improve your sleep and overall well-being. Cognitive- behavioral therapy (CBT) has been shown to be particularly effective in treating sleep disturbances related to depression and anxiety.

In conclusion, getting enough restful sleep is critical to our overall health and well- being. By establishing a sleep routine, creating a restful sleep environment, limiting caffeine, alcohol, and nicotine intake, exercising regularly, and seeking professional help, you can improve your sleep despite experiencing depression and anxiety symptoms.

7. Supplementation

There are natural supplements that can be utilized to foster better sleep such as:

Melatonin, which helps regulate the circadian rhythm, however, do not take this for more than 3 months as it will decrease your body’s ability to produce melatonin naturally. Magnesium, Ashwagandha, L-Theanine, Passionflower, chamomile, valerian root are all examples of natural supplements that can aid in better sleep. Please see a medical professional before deciding on these supplements.

8. Alpha-Stim AID

Alpha-Stim treats anxiety, depression, insomnia by using a patented microcurrent called cranial electrotherapy stimulation (CES). The treatment is very simple and easy to use by attaching ear clip electrodes on the ear lobes to the handheld device. For many people one treatment alone can produce a significant difference in sleep the very same night. For more information and to test the Alpha-Stim contact Dawn O’Meally LCSW-C, P.A. at dao@tcc4change.com.

9. Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I can help you control or reduce /eliminate negative thoughts and behaviors that may be keeping you awake and making it hard to initiate sleep. It is generally recommended as a first line psychological treatment for people dealing with insomnia. Typically, CBT-I is equally or more effective than sleep medications without causing any side effects.

References

National Institute of Mental Health. (2019). Depression. Retrieved from https://www.nimh.nih.gov/health/topics/depression/index.shtml
American Psychological Association. (2019). Exercise fuels the brain’s stress buffers. Retrieved from https://www.apa.org/monitor/2011/12/exercise
CDC. (2021). Sleep and Sleep Disorders. https://www.cdc.gov/sleep/index.html
Harvard Health Publishing. (2021). Sleep and Weight Gain: What’s the
Connection? https://www.health.harvard.edu/staying-healthy/sleep-and-weight-
gain-whats-the-connection
National Institute of Neurological Disorders and Stroke. (2021). Brain Basics: Understanding Sleep. https://www.ninds.nih.gov/Disorders/Patient-Caregiver- Education/Understanding-Sleep

The Yoga That I Teach

Presenting and introducing this month’s Integrative Health Practitioner~

BETSY PAUL-Slow, Meditative Yoga Instructor

https://www.justbyogawithbetsypaul.com/

The Yoga That I Teach

No doubt you have seen yoga magazine pictures with men and women twisted into what look like impossible-to-get-into pretzel shapes. This is not the yoga that I practice or the yoga that I teach. I teach gentle forms of yoga that emphasize breath control to relax the mind; I teach gentle stretches that help to increase flexibility, build strength, and release stress, while at the same time moving in a slow flow of intentional movement to avoid injury. I also teach meditation and Yoga Nidra (Yoga Sleep), a very deep form of meditation. One hour of Yoga Nidra is equivalent to eight hours of REM sleep. 

Slow, mindful yoga posture practice has health benefits (in addition to the usual exercise benefits) that can help to build resilience in the nervous system. Slow yoga can enhance muscular strength, enhance flexibility, promote and improve respiratory and cardiovascular function and promote recovery from and treatment of addiction, reduce stress, anxiety and depression, and chronic pain.    

Self-care is not selfish-it is essential!  Did you know that stress is killing us? Stress is the number one reason that women have trouble losing weight. And weight gain leads to numerous problems including high blood pressure, heart disease, diabetes, and more. Slow meditative yoga has numerous physical and mental health benefits.

Betsy sent an interesting and informative article on yoga and its effects on sleep, anxiety, depression, and cancer.  Check it out:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193654/

Betsy would love to provide online Slow Yoga Classes to CCFC clients.  We are creating a sign-up list of interested people and hope to launch online yoga classes soon!  Please email Dawn O’Meally at dao@tcc4change.com to sign up.  It will be a fun and healthy activity to do in the community with others.

We will be featuring Lisa Wilder who specializes in Emotional Freedom Technique (tapping) and will be educating us on how EFT can benefit your wellness.

Caring for Your Mind and Body Heart Health-Understanding the Connection

Heart Disease and Mental Health

While depression and anxiety do not likely directly cause cardiovascular disease, there is a mind-body connection. Research has shown that mental health has a physiologic effect on the body, including increased cardiac reactivity such as increased heart rate and blood pressure, reduced blood flow to the heart, and heightened levels of cortisol (a stress hormone).High blood pressure or hypertension is the leading cause of heart attacks and strokes. When stressed, the body releases adrenaline and cortisol to help us, but too much stress for too long, can lead to changes that effect heart health. With untreated or undertreated stress or anxiety, we may not be reaching for healthy foods and instead are reaching for foods or substances to self soothe that promote Diabetes, High Cholesterol, and Obesity-all of which lead to heart disease. Lack of motivation, sadness, and desire associated with depression may contribute to a sedentary lifestyle, inadequate self-care, and poor management of health issues-all of which can increase risk factors for the development of heart disease.

Research has shown that people with serious chronic mental illnesses such as Bipolar Disorder, Schizophrenia, and Schizoaffective Disorder die 10-20 years sooner than the general public and the leading cause of death was cardiac disease. Why? Risk factors for cardiovascular disease helped explain the reason as those with serious mental illnesses were more likely to be current smokers and to have obesity, diabetes or high blood pressure. In addition, many classes of medications used to treat chronic mental illnesses can contribute to weight gain, increased cholesterol, and blood sugar issues-segways to cardiovascular disease.

Takotsubo cardiomyopathy (broken-heart syndrome) is a real diagnosis. According to Harvard Health Publishing, “Takotsubo cardiomyopathy is a weakening of the left ventricle, the heart’s main pumping chamber, usually as the result of severe emotional or physical stress, such as a sudden illness, the loss of a loved one, a serious accident, or a natural disaster such as an earthquake. That’s why the condition is also called stress-induced cardiomyopathy or broken-heart syndrome. The main symptoms are chest pain and shortness of breath.” Research has shown that women experience broken-heart syndrome more than men. Yes, our bodies respond to stressors! The good news is that the associated cardiac changes usually resolve within a month or two following the stressor.

Lastly, it is important to know that up to 20% of people that have had a heart attack develop depression afterward. People suffering from depression after having a heart attack, stroke, or heart failure have a lower chance of recovery and a higher risk of death than people without depression. This underscores the need to have both the resultant depression and heart disease treated to promote a better outcome.

How can you improve your heart health and mental health?

Though not exhaustive, check out the list below:

1. Get your depression, anxiety, trauma, and grief evaluated and treated by a licensed mental health professional.

2. Learn and practice stress management strategies (progressive relaxation, meditation, breath work, yoga, hobbies, connecting with spirituality, music, etc.)

3. Address your health risk factors (diabetes, obesity, high blood pressure, tobacco, and alcohol usage). Become proactive vs. reactive about your health.

4. Eat healthfully. Consult with a licensed registered dietician if needed.

5. See your primary care medical professional annually and find out your numbers (blood pressure, glucose, cholesterol, etc.).

6. Take all your medications as prescribed by your physician(s). Don’t try to be your own doctor, and don’t rely on Dr. Google.

7. Get good sleep (7-9 hours every night). If you are overweight or obese, sleep apnea should be evaluated and treated.

8. Become more physically active. Exercise works as well as Prozac in relieving depression. Get the support of a certified personal trainer if needed.

9. Connect with your family and friends.

10. Make small lifestyle changes and habits one at a time. (Atomic Habits is a great book.)

11. Identify and deal with negative self-talk, excuses, rationalizations, self-defeating habits, and behaviors contributing to undesirable mental health and health outcomes.

12. Practice self-compassion and self-kindness. Remember-Rome was not built in a day!

Heart Disease and Nutrition

Your heart is an amazing organ and is responsible for pumping 2000 gallons of oxygenated blood throughout your entire body every day and beats 72 times a minute. Getting plenty of water (64+ ounces daily) is extremely important to remain hydrated. Dehydration will impede your blood flow and can make your heart have to work much harder at pumping the blood. Exercise daily is essential in maintaining the oxygen in your blood which will reach your brain and help you think more clearly. Not enough oxygen to the brain leads to what we call mental fog and fatigue. The heart can cause us to experience profound feelings. Research suggests that the heart is a sensory system, able to learn, make decisions, and is highly perceptive, but it maybe a very clever data and processing center as well.

Nutrition and exercise play big roles in heart health. Fatty liver disease can be a precursor to heart disease so maintaining a healthy weight by making good food decisions and moving the body daily to prevent fatty liver disease and have a healthy heart go hand in hand. When your liver is not functioning well it causes 500 biological functions to be thwarted, heart functions included. The portal vein brings in nutrient-rich blood from the digestive system and then the hepatic artery carries oxygenated blood from the heart.

1. Making healthy food decisions means including healthy fats into the food plan such as olive/avocado oils, avocados, nuts, seeds, nut butter, fatty fish, seeds, and ground flaxseed and chia seeds which are all great choices to increase the omega 3 fats. Increasing omega-3 fats will help reduce inflammation and total cholesterol.

2. Decreasing intakes of saturated fat by removing butter and replacing it with nut oils like olive and avocado.

3. Purchasing leaner meats (85-97%), and consuming light and low-fat condiments and dairy products.

4. Increasing meals with fish especially wild-caught fatty fish like salmon, mackerel, and sardines.

5. Adding a daily vegetarian meal containing, beans, soybeans, and or lentils.

6. Lowering egg yolks to 5 a week. Egg whites can be much higher as the saturated fat and vitamin A are in the yolk and the protein is in the white part of the egg.

7. Increasing fresh and frozen fruits and vegetable servings per day.

8. Utilizing whole grain high fiber starch/grain products will increase daily fiber intake to also help lower cholesterol and provide other health benefits such as decreasing constipation, cancer prevention, and so on.

9. The two most important things to do to lower cholesterol are to decrease sweets/sugar and simple carbohydrates such as white, bread, pasta, rice, white rolls, chips, candy, cake, and ice cream and limit drinking alcohol.

10. Finally, purposeful exercise is at least 150-300 minutes a week of moderate cardiovascular activity such as; brisk walking, elliptical machines, biking, swimming, or 75-150 minutes of vigorous activity that is more high intensity like HIIT training and running.

We have many things we can do with our lifestyles to combat heart disease and turn down the expression of those heart disease genes to have better long-term outcomes.

In-Person Therapy and Digital Therapy - which one is better for YOU?

Throughout the pandemic, each of us was forced to adjust fast to surviving with an unseen enemy while also attempting to comprehend how to protect ourselves through the adoption of different ways of life and different routines each day. This led to an increasing need for Digital counseling services (AKA Telehealth or Teletherapy). 

Since COVID-19, more and more people are turning to therapy. You might be curious about how typical In-person therapy sessions differ from Virtual Therapy Sessions. 

Here is everything you need to know about therapy and the perks of in-person and digital counseling. Then, you can choose which suits you best. 

What is therapy? 

Therapy is specialized treatment in which a single person, a couple, or a family meets with a qualified professional therapist to discuss the challenges and difficulties they are encountering. Therapy is private, without value judgments, and always under client-patient confidentiality. 

People seeking counseling may have the chance to communicate their thoughts and feelings, validate those thoughts, and broaden their understanding of their experiences and the world around them. 

People who seek counseling may find that it assists them in gaining insight into various difficulties. People will choose the intended results and goals for therapy with the assistance of their therapist, and they will work toward accomplishing these objectives. 

Why Do You Need Therapy? 

Individuals, families, and entire communities may all benefit tremendously from the guidance and support found in professional counseling services. The Counseling Center for Change assists people in coping with challenging aspects of life, including the passing of a beloved one, the dissolution of a marriage, the onset of a natural disaster, the pressures of academic life, and the loss of employment-to name but a few. 

It offers strategies and perspectives that may utilize the management of mental health conditions such as Anxiety, Depression, ADHD, PTSD, and more. In the end, therapy helps people work through mental health issues and enables the ability to lead healthy and meaningful lives. 

In-Person Therapy vs. Digital Telehealth Therapy  

The following points can help you decide between Digital Telehealth Counseling and In-Person Counseling. 

In-Person Therapy 

The primary distinction between online and traditional face-to-face therapy is the mode of communication utilized. In-person sessions are those that take place in the workplace of the therapist, in which you and your therapist may communicate directly with one another. This makes it easier to understand body language and other forms of nonverbal communication. 

Traditional therapy, sometimes known as talk therapy, is a form of mental health care that involves engaging in direct conversation with a trained professional therapist. Weekly sessions are generally scheduled for 30 minutes to 1 hour in a neutral environment. 

Advantages of In-Person Counseling 

The following are some of the reasons why you might find face-to-face counseling more appealing: 

Trust: Trust is essential to the therapeutic connection, but it can be more challenging to establish this quality virtually. 

Focus: Some people find that they are better able to concentrate at their therapist’s office, where they are free from the distractions of both their job and home. 

Coverage Under Insurance: In-person treatment is most likely to be covered by insurance than its virtual counterpart, internet counseling. Regardless of the circumstances, it is critical to have a solid grasp of the insurance coverage & be conscious of any out-of-pocket expenses. 

Absence of Dependence on Technology: When you go to therapy in person, you won't have to be concerned about how technology may impact your session. 

It is also essential to remember that treating some mental health illnesses in a digital environment may not be possible. Therefore, getting immediate therapy for any new or complicated symptoms is important. 

Is In-Person counseling right for you? 

In-person treatment may be the best option for individuals with serious mental illness or those more likely to respond favorably in more personal settings. But, again, your choices and the situation’s specifics are the deciding factors here. You can go out of the house and interact with someone else when you see a counselor in person. It is possible to be surprised by how beneficial a change of environment may be. 

It has been demonstrated that face-to-face and talk therapy are effective methods for assisting patients suffering from a range of mental diseases. It is helpful in the majority of situations, even more so than antidepressants by themselves. Before beginning or discontinuing any drug, you should always make an appointment with your primary care physician or psychiatrist. The severity of the patient’s mental health problem is inversely proportional to the likelihood that in-person therapy will be required. 

You require a prompt answer when you find yourself in a precarious situation. However, you may only be able to hold out once you receive a text from the therapist. In addition, the mental health specialist may not be capable of determining how desperate you are simply by looking at you from a distance. 

Digital Telehealth Counseling 

Online counseling, like traditional therapy that takes place in person, is a mental health treatment service delivered through internet media such as mobile apps, conference video calls, email, text messages, or any other platform where a discussion can occur virtually. Online counseling is similar to traditional therapy that takes place in person. 

Advantages of Digital Counseling 

The use of online treatment has various benefits, including the following: 

Convenience: Participate in treatment whenever and wherever you like. 

Accessibility: People who cannot leave their houses or survive in distant places where it is difficult to receive treatment of adequate quality may discover that teletherapy is a perfect alternative. 

Cost: The associated costs, such as gas or childcare, may be avoided when patients participate in online therapy. 

Reduced social anxiety: People can engage in treatment in the comfort of their own homes, where they might feel more at ease addressing issues related to their mental health. 

Many people prefer teletherapy for many reasons, including its accessibility and convenience. It is simple to take part in therapy no matter where you are as long as you have access to a phone, tablet or a computer. You are not required to skip your session even if you are going to be out of town (this is not true as they can only be seen in the state where they reside and where the therapist is licensed.) 

People who are confined owing to COVID-19 cannot leave their homes or reside in areas with few treatment services. However, they can continue their therapy because of the availability of teletherapy, thanks to technological advancements. 

People can also see counselors who don't reside within a reasonable driving distance when they use online therapy. The regulations governing licensing in each state are different, but in most situations, you will be able to get treatment from a practitioner who is registered in the state in which you currently reside. 

Is Digital counseling right for you? 

Digital counseling is an exceptionally efficient and effective solution to overcome some of these primary barriers. Individuals who participate in online therapy can speak with their therapist from any location, provided they have access to the internet. 

People whose mental health illnesses are not severe may benefit significantly from Digital counseling, which has been demonstrated to be just as effective as traditional face-to-face therapy for treating various psychological issues. 

Clients can conduct sessions with their therapists without ever having to leave the comfort of their homes when they get services over the internet. In addition, it is much less challenging to meet with the therapist online using your laptop and iPad than driving during rush hour, sitting in the waiting area, and then fighting more traffic on the way back home just after the session. 

People who reside in distant areas or rural settings may need help gaining access to good quality mental health care. These patients, who otherwise would not have access to excellent therapists with a wide range of clinical expertise, can now obtain highly individualized treatment programs for their health thanks to the advent of virtual therapy. 

In-person or digital therapy is a personal choice that can be planned together with your therapist. Patients new to therapy may consider a hybrid model treatment that includes a variety of in-person and digital to see which works best for them. 

In some cases, both in-person and virtual therapy can be utilized depending on the treatment plan at different points in time during the therapy. Some therapists prefer to do the initial evaluation in person and if deemed appropriate, Telehealth sessions may follow. Some therapists do not provide Teletherapy and are strictly in-person. Be sure to ask your therapist, ideally before the first meeting so you can know what to expect and you can you plan accordingly. 

How to Maintain Mental Health during the Holidays

Caring for Your Mental Health During the Holidays 

Holidays have several mental health effects. Some individuals look forward to the holidays with excitement, while others detest them. While some individuals report feeling happier and more upbeat around the holidays, others experience the opposite. However, most of us are really in the middle. Certain parts of the holidays are excellent for our mental health, but others can be detrimental. 

Let's discuss the negative effects of holidays on mental health and tips to cope with them. 

Why Do the Holidays Seem to Have Such a Deep Impact on Our Mental Health? 

Anything that takes place in your life can affect your mental health. For example, a sad event, such as the loss of a loved one, or a happy one, such as being promoted at work, may affect it. 

However, for anything to affect your mental health, it does not necessarily require a personal experience; the items in your surroundings are also a potential source of such an effect. 

Negative Effects of Holidays on our Mental Health and Tips to Cope with them 

1. The Feeling of the Holidays 

As we get towards December, it is common practice to ask individuals to show "the Christmas spirit." However, others who say they are in "the holiday spirit" are filled with cheer and contentment at this time of year, and they share these emotions with those around them. 

For some people, this may be a good thing, and if the only thing looking at Christmas lights or drinking eggnog does make them feel better, then that's fantastic. However, if you aren't experiencing the emotions that the holiday says you should be feeling, it may negatively impact your mental well-being. 

A person experiencing a downturn in their mood is pressured by society to be happy during a specific time of the year. This is especially true if the individual is already struggling with a mental illness, loss, or another personal challenge.  

If you feel that the pressure to get into "the Christmas spirit" is having a detrimental impact on mental health, the following is something you may try: 

• Remember that you are not obligated to feel joy all the time or even at specific periods during the day. 

• Keep in mind that Christmas and New Year’s Day are actually each just one day. 

• Recognize the true sensations you are experiencing. Doing this helps you let go of them. 

• Steer clear of substances like alcohol and drugs to avoid making things even more difficult for yourself in the long term. 

• Put yourself in the company of individuals who can empathize with what you're going through or who can appreciate how you're feeling no matter the circumstance.  The worst thing you can do is isolate yourself from other people. 

• Practice self-compassion and self-care (get enough sleep, eat nutritious foods, exercise, meditate/pray, have realistic expectations, avoid perfectionism and procrastination, talk to yourself the way you would a dear friend, listen to music, read a good book, etc.) 

Gift-Giving

During the holiday season, exchanging presents may be a wonderful tradition. Gift-giving and receiving may positively impact a person's mental health. However, it is only the case for some individuals. 

If, for example, you don't want to participate in gift-giving because you don't have enough money, then seeing other people join in it might make you feel extremely depressed and helpless. But, on the other hand, the Christmas tree may be piled high with presents, which may bring tremendous delight to some people or bring them great sadness if they cannot join in the festivities for any reason.  

If the act of gift-giving leaves you feeling depressed or stressed, try these ideas instead: 

• Give just what you can. That may mean adhering to a tight budget, or it could mean coming up with some inventive solutions. If it requires the preparation of cookies, then excellent. If it requires you to make a card and include a specific poem inside, that would be fantastic. Presents don't need to be tangible items; after all, most of us already have more than enough stuff. 

This is because, during the holidays, many places and events usually open and frequented by us close so that individuals may enjoy time with their families. Although this has beneficial effects on the mental well-being of many, it may cause isolation for those who do not have a family to spend time with. You may feel entirely alone if you only have opportunities to communicate with others at your pottery class and that class is canceled. 

Similarly, you may feel quite alone if you don't have any family of your own and all your pals leave town for the holidays. Feelings of isolation and loneliness are detrimental to mental health and may exacerbate preexisting conditions. In addition, those who struggle with mental health issues, such as depression or anxiety, may find it challenging to seek out in such a setting.

Engage others in the process you want to use to hand out presents. You and your family may agree on a "Secret Santa" event, in which each individual buys only one gift for another family member to prevent anybody from going overboard. 

• Keep in mind that the gift of your time is highly valued. If you cannot provide anything tangible, you may always give of yourself. You may offer to prepare supper, assist with cleaning, or look after the children the following year. 

Isolation and loneliness 

While some individuals look forward to and thrive in the Christmas season's abundance of social opportunities, others find the season a painful exercise in isolation. 

If feelings of isolation and loneliness take a toll on your mental health over the holidays, consider these steps: 

• Make preparations in advance. Determine in advance what other people will be doing so you can prepare for periods when you will be alone. 

• Try connecting with others online if you can't be with them in person. While nothing beats physically being with someone, sometimes a quick online video chat is all it takes to remember the bonds you have. There are also the possibilities of texting, calling, or sending Christmas cards. 

• It's better to ask for help before you need it. You could ask for help early to get people on board with sending Christmas cards in your support. Video chats should be scheduled in advance, preferably before things become hectic. 

• Get out and mingle with strangers. You may, for instance, spend some of your time volunteering at a local charity. That's an excellent way to start talking to people. 

Taking Part in Festive Events 

Unsurprisingly, celebrations are planned for every holiday. Huge feasts, parties, exchanging presents, and other events are commonplace during holiday celebrations. 

The anticipation of Thanksgiving dinner and Christmas morning presents is enough to put a grin on many faces. The holidays have a beneficial influence on one's state of mind. Regrettably, though, not everyone shares that view. 

The pressure to participate may harm the mental health of those who prefer not to attend holiday events owing to unpleasant memories, social anxiety, or simply simple choice. 

Try this alternative if you don't feel like joining in on all the holiday gatherings: 

• If you're feeling overwhelmed, try drawing boundaries and going to the things you're interested in. You may, for instance, forego going out and instead spend time with family over a turkey supper. If nothing piques your interest, make alternate plans to do something you'll appreciate. 

• If you're not feeling the traditional Christmas activities, brainstorm some alternatives. Instead of visiting relatives, you may devote some of your time to helping others. 

• Remember to schedule some time for your self-care. Being well-rested and at peace with oneself will make participating in activities much simpler and more pleasurable. 

• Schedule an additional treatment session with your therapist to help you deal with your worries. Anxiety during a holiday gathering may be challenging, but a therapist can help you develop strategies for doing so and be there for you when you need it. 

Take charge of the holidays 

Don't let the upcoming holidays get you down. Instead, take precautions and prepare ahead of time to deal with stress, sadness, and grief that can coincide with the holidays.  Be proactive!  Discover what stresses you out around the holidays and what you can do about it.  You may have a happy and peaceful Christmas season with just a little preparation and planning. 

Does Daylight Savings Time make you SAD?

Fall & Winter Are Coming!  So is SAD for some    people.  Let’s get prepared by learning about it!

Does Daylight Savings Time make you SAD?

The majority of the US observes daylight saving time. Every year, starting on the 2nd Sunday of March, clocks are advanced by one hour. Then, they are reset to normal on the 1st Sunday of November. 

Since its implementation by Congress around 1918, daylight saving time has been a source of contention. Some say that it cuts energy usage while also improving the economy. Others argue that there may be health and safety concerns, such as a higher risk of heart problems or road accidents.

However, one developing issue is its impact on mood disorders such as Seasonal Depression.

What is Seasonal Affective Disorder (SAD)

As the seasons change and the days get shortened and darker, many people experience seasonal affective disorder (SAD). This is because reduced exposure to sunlight disturbs our circadian cycles, resulting in a dip in serotonin and a surge in melatonin, which may contribute to tiredness and despair.

 This is a distinct mood disorder since the weather and place cause it. The frequency of seasonal affective disorder is relatively low in southern states but much more significant in northern ones such as Alaska. This is because we rely on sunshine for physical and emotional wellness.

Seasonal affective disorder is a mood illness that happens particularly during certain times of the year.

Seasonal depression is more frequent in the autumn and winter months. However, some people experience seasonal depression throughout the summer and spring seasons.

Seasonal depression leads to symptoms such as:

• Sadness or depression

• Losing interest in previously loved activities, eating more, particularly carbs

• Sleeping excessively

• Feeling tired or feeling exhausted

• Feeling restless or slowed down

• Feeling guilty or useless

• Having difficulty making choices or focusing

• Contemplating death or suicide

Seasonal sad people tend to follow the same pattern year after year, feeling depressed in the autumn and winter or even spring and summer but feeling OK the rest of the year.

If you've had this trend for at least two years, you may suffer from seasonal depression.

Unsure if you may have SAD?  Check out the SAD Calendar attached to track for yourself.

What factors contribute to Seasonal Affective Disorder (SAD)?

Our bodies contain an internal clock, or circadian, that alternates between periods of sleep and alertness throughout the day.

Our exposure to sunshine establishes our internal clock. When light reaches our eyes, it signals our brain that it is time to get up. When it becomes dark outside, our brain receives a chemical signal that it's time to sleep.

Our biological clock may get interrupted throughout the autumn and winter months owing to a lack of exposure to sunshine. This might result in the symptoms of seasonal depression.

Some recommendations provided by Timmons-Mitchell and Hoffmann that may help you lower your risk of seasonal depression include:

• Start your therapy early. Light treatment may both cure and ward against seasonal depression. Use it before any symptoms show up.

• When most susceptible to depression, try to schedule your trip to a place with more sunshine. Individuals often go to brighter regions, like the French Riviera, to cure seasonal depression in certain nations, like Norway, where it is widespread. Snowbirds flock to Florida in the wintertime for this reason.

• Walk outside in the early morning sunshine. A practical substitute for light treatment is to spend at least an hour outside in the sunshine.

• Get your vitamin levels checked-especially Vitamins B and D. Proper supplementation of these vitamins can make a big difference!

• Never be embarrassed to ask for assistance if you need it. You shouldn't be ashamed of or scared to discuss SAD with your peers, family, and PCP since many individuals experience it.

• Get some counseling or therapy if needed for professional support.

• Make sure that you are eating well balanced diet that includes whole grains, good fats (omega 3’s), lean protein, non-starch vegetables and whole fruits.

The effects of Daylight Saving Time on Mental Health

According to a statement published by the American Academy of Sleep Medicine, both the entry and exit from DST have been linked to sleep disruption, mental disorders, and suicide.

For instance, 2017 research examined over 185,000 hospital encounters with depression. It showed that the change from Daylight Saving Time to Standard Time increased the rate of hospital visits for depression by 11%. According to the research, this may be because people are upset over an earlier sunset.

According to Dr. Merrill, who also notes that the time change might worsen or increase cases of seasonal affective disorder, "this shift in time can provoke an episode of sadness or anxiety, especially for persons sensitive to being anxious or depressed" (SAD). The National Institute of Mental Health describes SAD as a seasonal form of sadness that might correspond with the shortening of the days.

This week's end of daylight-saving time may cause any sleep issues or mood changes you've experienced, so you should be on the watch for SAD. A kind of seasonal sadness that mainly manifests in the winter is known as a seasonal affective disorder, or SAD. People may feel a change in their circadian rhythms when the seasons change, and SAD has been related to brain imbalances brought on by less sunshine and shorter daylight hours. Find out more about the causes, symptoms, and treatments of SAD.

The good news is that there are two first-line SAD treatments: cognitive-behavioral therapy and light therapy, which have been demonstrated to be equally effective in reducing SAD symptoms. CBT is a treatment that has been modified to treat SAD patients. CBT is intended to assist individuals in learning to deal with it.

A local resource with 30+ years of experience where light boxes can be purchased is The Sunbox Company on 201 Broadway Street, Suite B, Frederick, MD 21701. www.sunbox.com.

Amazon.com is another resource where light boxes may be purchased.

LEARN MORE:

https://www.nimh.nih.gov/sites/default/files/documents/health/publications/seasonal-affective-disorder/seasonal-affective-disorder.pdf

Your Weight AND Your Mental Health- Pills, Diets, Surgeries Won’t give you SKILLS

Your Weight AND Your Mental Health- Pills, Diets, Surgeries Won’t give you SKILLS

Losing weight is a mind game. The body follows mind-no ifs, ands, or buts! I have been a Mental Health professional since 1988 and specialize in helping people with obesity using Cognitive Behavioral Therapy and related approaches. I don’t treat eating disorders; I treat people that struggle with obesity. 

I see the impact that obesity has on people-Mind/Body/Spirit. The list is long, and maybe you can identify with some of these, if not many of them:

• Physical Health and Mortality Issues (High Blood pressure, Diabetes, Cancer, Chronic Pain, mobility issues, Sleep Apnea, gastrointestinal problems, Inflammation everywhere, Type 3 DM- Alzheimer’s Disease?)

• Depression and Anxiety

• Yo-Yo Dieting, Diet pills, Surgery procedures

• Social Isolation

• Social Anxiety

• Disordered Eating Behaviors

• Poor self-esteem and confidence

• Substance Abuse (alcohol, drugs, prescription medications)

• Addictive Behaviors (excessive shopping, gambling, sexual addictions, binge eating)

• Relationship issues

• Sexuality Health (impacted by poor body image, medication side effects, social anxiety, health issues)

• Occupational Impact and choices

• Quality of Life (impacted by chronic disease, mobility issues, ability to do activities of daily living, as well as recreational activities, are limited)

• Suicidality

• Feeling spiritually defeated

Mental Health professionals use many different therapeutic strategies to help people struggling with obesity. While I work with clients one-on-one in Maryland, where I am licensed, I have found it more beneficial to work with clients in groups using Cognitive Behavioral Therapy (CBT) methods and resources. Why groups? Because you realize that you are not alone and you can support each other through the process of making mind and body changes as you practice what you learn in the CBT group. Have you ever heard that it takes one to know one? I believe that is 100% true!

I teach effective and powerful CBT group programs over ZOOM, which empower clients to harness the mind to achieve their end goals. Some of my FAVORITE CBT groups for weight loss that I have been doing for many years are: 

11 Weeks to Self Esteem, The Beck Diet Solution, and Food Addiction. The latter 2 groups I do with a Dietician. Clients love our engaging, no-judgment zone, confidential online groups. 

Remember-YOU ARE NOT ALONE! You just need to learn WHAT to effectively do about it, and we believe you can.

Stay tuned for the next post on HOW the 11 Weeks to Self Esteem program is spot on for helping people with obesity issues-Surgery or not. Check out Kristen’s YouTube video about her experience doing the 11 Weeks to Self Esteem Program. https://youtu.be/xYuCz4QxXs0

What is Anxiety/Depression Here is are need to know?

What is Anxiety/Depression Here is are need to know?

As a result of feeling nervous, your body goes into overdrive, searching for potential danger and triggering your fight and flight reflexes. Because of this, some of the most typical signs and symptoms of anxiety include trembling, restlessness, or tenseness. Apprehension, fear, or dread.

In the United States, depression and anxiety are the most frequent and ubiquitous mental illnesses. For more least two weeks, a person has depression if they have persistent sadness, hopelessness, apathy, or uninterest in everyday activities.

What's the Connection between Anxiety and Depression?

Anxiety is much more closely linked than you would imagine, even though they are often opposites. Anxiety is common in people with depression, and it may even lead to panic episodes.

A person with anxiety disorder suffers from symptoms beyond usual apprehensions and worries. Their ability to inflict a sense of dread on something that most people wouldn't even consider is astounding. When it comes to their thoughts, many people with anxiety disorders know they're unreasonable. However, they are unable to stop them. They are haunted by feelings of inadequacy. Depression may be triggered by feelings of angst.

What Are the Common Causes of Anxiety and Depression?

There is no way out, explains LCSW and therapist Sally R. Connolly. When you're nervous, you tend to constantly think about an issue or a concern. You feel sorry for yourself. Afterward, you'll feel like a failure. Depression sets in."

Anxiety and depression have a tangled connection. Having an anxiety problem increases the risk of developing depressive symptoms. In addition to significant depression, anxiety disorders affect over half of all people.

Anxiety and worry are everyday experiences for those suffering from depression. Unfortunately, in many cases, anxiety comes before depression and vice versa.

Depression is more likely to strike those suffering from a mental illness such as post-traumatic stress disorder (PTSD).

A person's struggle with one of these illnesses is often rooted in a genetic predisposition. Anxiety disorders seem to be more susceptible to this than depression. Those folks "simply worry and pass it on," says Connolly.

What are the Causes of Anxiety?

The fight-or-flight area in these people's brains is triggered even when there is no genuine danger, only partially understood today. Constant anxiousness is like being pursued by an ominous predator that you can't see. The fear of being at risk will always be present.

It's natural to feel a little nervous from time to time. Individuals often feel apprehensive, whether it's a quarrel in a relationship, an issue at work, an upcoming exam, or a crucial choice. On the other hand, anxiety disorders are characterized by a long-term state of concern or dread. Anxiety will not go away for persons with an anxiety condition. Over time, it might get so bad that it interferes with their everyday lives.

What are the Causes of Depression?

According to current studies, a mix of genetic, biochemical, environmental, and psychological variables have been linked to depression. Adulthood is the most common period in which it occurs. A more common symptom of depression than a depressed mood is irritability, as it does with many forms of anxiety.

By the time one is an adult, depression usually manifests as feelings of hopelessness, despair, and rage. Low energy makes it difficult for those who suffer from it to keep up with the day-to-day responsibilities and connections that are so important in life.

Anxiety disorders may lead to depression if they are not addressed.

Depression and anxiety are often brought on by the same things:

It's not uncommon for depression and anxiety problems to coexist. Some of the underlying causes might be related to a person's diet, mental health, physical well-being, emotional well-being, the environment, society, or spiritual beliefs.

Anxious and depressed guy resting against a wall in his apartment.

Are you experiencing any of these signs and symptoms?

It's not unusual for persons with depression to suffer from anxiety, including symptoms like irritability and insomnia. Anxious persons might also suffer depression, fatigue, and a general lack of enthusiasm for life.

People who suffer from depression or anxiety might experience various symptoms, from moderate anxiety and depression to severe anxiety attacks and severe sadness. When it comes to the severity of symptoms, they might also change.

What about anxiety and depression treatments?

When it comes to anxiety, there is a range of therapies and coping mechanisms that may be used to alleviate symptoms. Health-promoting lifestyle modifications, evidence-based holistic treatments, healing practices, and mainstream interventions like psychosocial therapy and the prudent use of prescription medicine.

Depression and anxiety have specific therapies in common, so it's good to brush up on your knowledge of both.

How you may begin to cope with anxiety and sadness in a healthy way:

To help reduce your anxiety and despair, here are some tips on how to take better care of your brain and body. However, be careful to review all of your therapy choices before making a decision, as given below:

• AlphaStim - a non-medication way to relieve your stress, anxiety, and depression

• Relax your body and mind by breathing slowly and deeply.

• Activate your body!

• Spend time in nature.

• Make sure you're getting enough sleep to recharge your energy.

• Spend time with people who are supportive of you.

• Be tolerant of blemishes

• Drink plenty of water and eat healthful meals.

• Take frequent time for personal practice or sit/move meditation.

• Forgiveness takes practice.

• Gratitude is a daily practice.

Are there any standard treatment methods for this dual diagnosis?

Anxiety and depression should be treated together, according to scientific evidence.

The following are some tried-and-true methods for dealing with these two problems at the same time:

• People with both of these diseases may benefit from cognitive behavioral therapy. Anxiety disorders and depression may be treated by identifying and addressing the fundamental causes of the problem. Patients learn to take emotional control and their lives once they are exposed.

• Both diseases may be treated with antidepressant medication and cognitive-behavioral therapy.

There are new antidepressant medications with fewer adverse effects than their predecessors, serotonin-norepinephrine reuptake inhibitors.

• Both illnesses benefit significantly from regular physical activity. Feel-good chemicals are released into the body as a result of physical exercise. This promotes a sense of calm and well-being.

• Meditation or mindfulness are standard methods of relaxation. Both illnesses and quality of life may benefit from using these strategies.

THE COUNSELING CENTER FOR CHANGE INTENDS FOR THIS INFORMATION FROM THIS ARTICLE TO HELP USERS LEARN ABOUT DEPRESSION AND ANXIETY. IT IS PROVIDED FOR INFORMATIONAL AND REFERRAL PURPOSES ONLY. THE ARTICLE SHOULD NOT BE USED AS A SUBSTITUTE FOR MEDICAL ADVICE, COUNSELING, OR OTHER HEALTH-RELATED SERVICES OR AS A REPLACEMENT FOR THE SERVICES OF A TRAINED MEDICAL OR MENTAL HEALTH PROFESSIONAL. FOR MEDICAL OR MENTAL HEALTH ADVICE, SERVICES, AND TREATMENT, CONSULT YOUR PRIMARY CARE PHYSICIAN OR A QUALIFIED MENTAL HEALTH CARE PROFESSIONAL.

PLEASE REACH OUT TO US IF YOU HAVE ANY QUESTIONS OR WOULD LIKE TO SCHEDULE A CONSULTATION.

Best tips for suicide prevention – Here is all you need to know

Best Tips for Suicide Prevention – Here is all you need to know

People who are suicidal in the vast majority of situations are coping with depression that will eventually improve if they get the support they require. Family and friends may do a lot to aid those sad or considering suicide while they wait for help.

Do you know someone who may be at risk?

Teenagers & young adults have thought of suicide in the last year. One of them may be familiar to you since so many individuals. Your friend or classmate; a member of your sports organization, dance class, or theater group; a member of your community center, chapel, or place of worship; or someone you know from social media sites such as Facebook, Twitter, Snapchat, or online multiplayer games could be the person you're talking about. Identifying someone who is in danger may be done by anybody. In many cases, a concerned family member or friend is the first one to notice if anything is amiss.

Observe the Symptoms

Detecting the warning indicators of suicidal behavior is the first step toward prevention.

• Mood swings of the extreme kind

• Disillusionment with the future

• donating one's belongings

• Losing interest in the things you used to like

• Discussing suicide or death

• Having to say farewell to loved ones

• Suggesting that they really are a burden on you

• Withdrawal from close relatives and friends

Any attempt or threat of suicide should be regarded very seriously. Suicide Prevention Helpline recommends the following strategies for preventing suicide.

Don't Ignore Their Emotions

Although you may believe their difficulties aren't severe enough to justify suicidal thoughts or actions, what counts is how painful they think they are. If it is essential to them, suicide may seem to be a viable alternative in their minds. Listen without passing judgment on what they're saying. Don't brush off their feelings or experiences.

Above all, don't dismiss suicide attempt talk or threats. If someone makes statements that imply that they are despondent or contemplating suicide, you should take them seriously.

Consider suicide to be a cry for help.

Even when someone tries suicide, it does not always indicate that they wish to die. Instead, it is a sign that they are experiencing severe emotional distress and are unsure of coping with it effectively. Suicide has begun to seem like their only alternative for escaping a circumstance that they are ill-equipped to deal with on their own. If they were still alive, however, they may be urgently seeking an alternative to death, and that attempted suicide is their way to reach out and express their need for assistance.

Be an Active Listener

Talking with a supportive friend and unburdening yourself from your problems may go a long way toward alleviating the intolerable build-up of stress that might lead to attempted suicide.

Being a great listener does not need the acquisition of any unique abilities. Be patient and tolerant, but avoid engaging in a heated debate or offering simple answers to the problem at hand.

It's best to avoid remarks like "Have you attempted X, Y, or Z?" or anything that focuses on fast "solutions." Such efforts may come off as insensitive and minimize the difficulties that a person is through in their life. Simply being there and demonstrating your concern is sufficient.

Advising Them to Seek Assistance

Even though some suicides seem to have occurred out of nowhere, it is quite probable that the individual had already been depressed for an extended period prior to taking their own life. Therefore, to avoid suicide, it is essential to seek professional help when you see indicators of depressive symptoms.

When we work together to remove the stigma associated with depression and encourage those suffering to get assistance as soon as they can, we can save more lives because the issue is addressed before it becomes too severe.

Inquire about their suicidal thoughts

While you may be frightened of giving people ideas by bringing up the subject of suicide, the truth is that such thoughts and sentiments occur regardless of what one says. By bringing up the issue, you are effectively giving people an opportunity to set up with you & allow you to assist them.

Don't Leave Them on Their Own

Do not let them alone if they appear to be at immediate risk of harming themselves. Take precautions to keep them away from every weapon or medicine they may use to harm themselves.

Encourage them to seek the services of a professional

Encourage them to set up an appointment with such a psychological health professional, even if it takes time and patience. Then, once they have scheduled an appointment, stay in touch with them to urge them to keep their appointments and follow through with their treatment plans.

Also available for more information are mental health groups, which may be contacted directly.

Recognize that secrets may be lethal.

If someone begs you not to tell anybody, you may have to breach your commitment to assisting them. It is better to keep your family member or close friend alive, even if they are upset with you, than to honor a commitment that leads to their ending their own life.

The Counseling Center for Change intends for this information from this article to help users learn about suicide and suicide prevention. It is provided for informational and referral purposes only. The article should NOT be used as a substitute for medical advice, counseling, or other health-related services or as a replacement for the services of a trained medical or mental health professional. For medical or mental health advice, services, and treatment, consult your primary care physician or a qualified mental health care professional.

If you or someone you know is experiencing suicidal thoughts or a crisis, please reach out us during normal business hours. For immediate assistances, please call 911 or the Suicide Prevention Lifeline at 800-273-8255. These services are free and confidential.