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Showing posts with label Isolation. Show all posts
Showing posts with label Isolation. Show all posts

Wednesday, October 23, 2019

“Self-Care and Recovery After Trauma”



Surviving a Traumatic Experience: If you’ve ever been through a highly stressful event or series of events, you’ve been through a traumatic experience. A feeling of helplessness, horror, and in some cases, the challenges of a serious injury (or the threat of one) are common after these events. There are many ways you can help yourself get through it.

Don’t Isolate Yourself: Reach out to friends and family. If others have had the same experience, talk to them. They may be having some of the same feelings that you are. Open the lines of communication as soon as possible after your traumatic event. It’s an important part of your recovery.

Seek Professional Help: The stress that comes with a traumatic event can be crippling. Sadness, fear, grief, and depression can take hold. If your feelings in the first month after the event are so severe that they interfere with your regular life, find a mental health expert in your area who can help.

Join a Support Group: Talking over what you’re going through with others who’ve had the same experience, or are still going through it, can be helpful after a trauma. Not only will groups like these lift you up, they can give you tips on how to deal with what’s happening. Your doctor or mental health expert can point you to local support groups, or you can find one online.

Face It (Don’t Avoid It): As tempting as it may be to try to ignore or forget a traumatic event, a key ingredient in recovery is learning to be OK with your memories of it and the things that trigger them without trying to avoid them. Facing your feelings head-on is important because you want to be able to take care of them in a way that helps you move forward.

Exercise: Get out and move. Experts say it’s one of the most effective ways to handle the aftereffects of a traumatic event. Deep breathing, gentle stretching, and walking are all good choices. If you want your exercise plan to be a bit more challenging, that can help, too. Don’t force things, though. If you’re tired, it’s OK to rest.

Listen to Your Body: Your body (and mind) will tell you what to do to heal. Eat healthy meals. Rest when you get a chance. Do things that make you happy. Take a bath. Work toward a regular sleep schedule where you go to bed and wake up at about the same time each night in a cool, dark, quiet room. Read. Do something with friends. Go for a nice stroll. Watch a ballgame. Go to a play. Whatever makes you feel good, take the time to treat yourself.

Stay Away From Alcohol: A drink to bring on sleep or to take off the edge is one way some choose to go through the stress of a traumatic event. They’re trying to numb the emotions or forget things. It may feel like it’s working in the short term, but it can do damage in the long run. The problem is, if the stress continues, alcohol (or drug) use may continue, too. That could lead to mental and physical problems and long-term dependence.

Get Back Into Your Routine: Regular life can be interrupted by a traumatic event. A goal for those trying to get past the stress of trauma is to return to a day-to-day schedule as soon as possible. Getting your groove back can help you re-establish a sense of normalcy and regain a sense of control over your life.

Fix the Little Things: Take the time to resolve small conflicts in your life so they don’t build up and add stress. If you have large tasks, break them into little ones, set some priorities, then tackle them when you can. Checking those off your list will let you focus on the bigger battles.

Take Stock: You can ease the stress of traumatic events by stepping back, taking stock of your life, and concentrating on what’s important. Strengthen bonds with family, friends, and community. Reassess personal goals and come up with a plan to reach them. Volunteer and give a little more to charity. All of these things can help overcome the stress of trauma.

Meditate: Even if you’re unfamiliar with meditation, turning inward to ease stress can help. Deep breathing or focusing on your exhale can help ease your mind and relax you. Focus your attention on breathing or on parts of your body while you meditate. That can keep your brain from thinking about your stress. You may want to repeat a mantra or pray. Mindfulness, tai chi, and yoga are also great ways find your calm.

Celebrate Life: It’s important to realize that it’s OK to feel joy, to celebrate successes, and revel in the warmth of your family and friends even after a traumatic event. It’s all part of the road to recovery.

Turn Up the Tunes: A recent study found that cultural events like sports and the arts can help communities recover from a shared trauma. Music, too, can be integral to communities and individuals, whether it be music therapy, making music, or just listening. Meditating while hearing a favorite song can help, too.


Reviewed by: Arefa Cassoobhoy, MD, MPH on November 27, 2018

Sources:

CDC: “Coping with a Traumatic Event,” “Helping Patients Cope with a Traumatic Event.”
American Psychiatric Association: “Coping After Disaster, Trauma.”
University of Notre Dame: “Taking Care of Yourself After a Traumatic Event.”
National Alliance on Mental Illness: “Find Support.”
Substance Abuse and Mental Health Services Administration: “Tips for Survivors of a Disaster or Traumatic Event,” “Tips for College Students: After a Disaster or Other Trauma,” Trauma-Informed Care in Behavioral Health Sciences, 2014.
National Center for Victims of Crime: “The Trauma of Victimization.”
National Institute on Alcohol Abuse and Alcoholism: “The Link Between Stress and Alcohol.”
National Institute of Mental Health: “Post-traumatic Stress Disorder.”
Mayo Clinic: “Meditation: A simple, fast way to reduce stress.”
Seery, M. Journal of Personality and Social Psychology, 2010.

Much Love, Dr.Shermaine, #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit #IWantYou2LiveWell

The Goal is to Always Make You Aware of What Concerns Your Body, Soul and Spirit, So You Can Have Open, Honest and Frequent Discussions With Your Physicians and Counselors. You Can’t Treat or Cure What You Don’t Know is Sick.

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)


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Wednesday, September 20, 2017

“Ways We Sabotage Our Mental Health and Tips to Turn it Around!”





Our Own Worst Enemy: Our mind and mood are keenly sensitive to the world around us. Distressing life events—a bad breakup, unemployment, the death of a loved one—often leave us rattled or sad, of course, but our daily routine and patterns of thinking also have a big impact on our mood. Bad habits like skimping on sleep, drinking too much, or nursing grudges can undermine our mental health, whether that means a brief episode of the blues or full-blown depression and anxiety. Happily, many of these mental pitfalls can be avoided. We break down 12 of the most common and provide tips for how to steer clear.

Avoiding Exercise: Why It's Harmful: In addition to keeping your body in shape, physical activity plays a key role in propping up mood; it can even help ease the symptoms of depression and anxiety, research suggests. Regular exercise appears to have a positive effect on brain chemicals and mood-related hormones, and it may confer psychological benefits (such as increased confidence) that foster better mental health. What You Can Do: If you struggle to stick to a workout schedule, it might be too ambitious. To start, try setting aside 15 to 20 minutes per day for a brisk walk. Studies have shown that even modest exercise routines are associated with improved mood.

Ignoring Clutter: Why It's Harmful: Even if your pack-rat tendencies don't rise to the level of hoarding, unchecked clutter in your home can be a subtle source of psychological distress. "Clutter makes us feel weighed down, both literally and figuratively," says Dawn Buse, PhD, a health psychologist at Montefiore Medical Center, in New York City. "It has been shown to be related to depression, anxiety, and even weight gain." What You Can Do: If you haven't used something in 12 months, give it away, Buse suggests. And instead of spending your money on more stuff, consider saving up for a special dinner or vacation. Research shows that these so-called experiential purchases actually buy us more happiness than material goods do.

Not Sleeping Enough: Why It's Harmful: Anyone who's missed out on sleep thanks to a deadline or bawling infant is familiar with the irritability, stress, and gloom that can set in the next day. If sleep deprivation and disturbances become chronic, they increase a person’s risk of developing depression or anxiety disorders. What You Can Do: Prioritize sleep and practice healthy bedtime behaviors, such as limiting caffeine and alcohol in the hours before bed. It's also important to curb your computer, tablet, and smartphone use late at night, Buse says; the blue light emitted by these devices suppresses the sleep hormone melatonin and can disrupt your circadian rhythm.

Drinking Too Much: Why It's Harmful: Alcohol depresses the nervous system, slowing you down and potentially dragging your mood down as well. What's more, drinking too much alcohol in the evening—though it may initially make you sleepy—tends to cause nighttime waking and less refreshing sleep, Buse says. What You Can Do: Limit your intake to "moderate" levels, which doctors define as one drink per day for women and two drinks per day for men. If it's a special occasion and you do choose to exceed those limits, be sure to pace yourself, count your drinks, and alternate alcoholic beverages with water. (Or as my usual disclaimer, avoid alcohol altogether!)

Keeping Up With the Joneses: Why It's Harmful: Constantly comparing our income or possessions to those of others is "one of the reasons Americans are not as happy as people in other countries," Buse says. Coveting your neighbor's riches tends to breed dissatisfaction, and it's also a bit irrational, since the relationship between income and happiness is actually much weaker than we think. What You Can Do: Focus instead on being grateful for what you do have. Studies have shown that simple exercises—such as keeping a "gratitude journal," or writing a letter to a loved one—are associated with greater satisfaction, optimism, and happiness.

Obsessive Thinking: Why It's Harmful: Turning the same thoughts over and over again in your mind sends your body and brain into the stressed-out state known as fight or flight, Buse says. Your breathing and heart rate quicken, and your body releases the stress hormones adrenaline and cortisol, all of which takes a toll on both your physical and emotional health. What You Can Do: Learn to recognize the thoughts you dwell on most, and train yourself to avoid those obsessive pathways. Deep breathing helps, as does snapping yourself out of it—literally. "Put a rubber band on your wrist as a reminder and every time you're ruminating, pull it back a little," Buse advises. "It's a reminder to stop ruminating and change your train of thought."

Bottling Up Anger: Why It's Harmful: Anger and frustration are completely normal reactions to life's inevitable challenges. But when you suppress those feelings and let your grudges and grievances fester, it can backfire. Several studies, in fact, have found that suppressed anger and angry brooding—a type of obsessive thinking—are associated with depression symptoms. What You Can Do: It's important to express negative emotions, but only in appropriate ways. If you can communicate your anger in an assertive but calm manner, you're likely to feel better afterward. If that's not an option, your best bet might be to just let it go: Research suggests the act of forgiving confers mental health benefits.

Working Too Much: Why It's Harmful: When our work-life balance is out of whack, we tend to get stressed-out and we increase our risk of more serious mental health problems. A 2011 study of British civil servants found that working 11-plus hours a day (versus a more reasonable 7 or 8) more than doubled a person's odds of sliding into depression. What You Can Do: Think carefully about your values and priorities and make sure your schedule reflects them, Buse advises. And set aside time for family, friends, and hobbies the same way you'd commit to a meeting at work. "It sounds kind of funny to plan for fun or relaxation, but making it protected time is really important," Buse says.

Staying Inside: Why It's Harmful: Holing up inside deprives us of two mental-health essentials: vitamin D, which is produced by the body in response to sunlight and has been shown to protect against depression, and nature itself, which appears to soothe us on a subconscious level. In a recent study, brain scans showed that people who walked through parks were calmer and less frustrated than when they walked on busy city streets. What You Can Do: Get outside! If you work in an office, take a walk—in a green space, if possible—or sit outside during your lunch break. "Even a pretty small amount of sunlight—15 minutes—can really, really help," Buse says.

Social Isolation: Why It's Harmful: Although withdrawing from friends and family is a common symptom of depression and anxiety, social isolation—and especially accompanying feelings of loneliness—also increases the likelihood of experiencing those mental health problems. By the same token, strong relationships tend to protect against depression and promote happiness. What You Can Do: Even if you're preoccupied or not in the mood, make an effort to connect (or reconnect) with friends and loved ones, even for just a few minutes over coffee. Social interactions like this are uplifting—and they often end up being more fun than we expect, experts say.

Perfectionism: Why It's Harmful: Trying to meet an unattainably high standard of perfection in everything you do, be it tonight's dinner or tomorrow's work presentation, is a recipe for disappointment and low self-esteem. So it's not surprising that perfectionism has been linked to a suite of mental health problems including depression, anxiety, and eating disorders. What You Can Do: Instead of perfectionism, aim for what mental health experts call healthy striving. That means setting more attainable goals, welcoming mistakes as avenues for learning, and, most of all, enjoying the journey, not just the destination.

Pessimism: Why It's Harmful: How hopeful and upbeat you are about the world is something of a self-fulfilling prophecy. Pessimists who consistently view the glass as half empty appear to be more vulnerable to depression, anxiety, sleep disorders, and other health problems. Optimism, on the other hand, seem to help with coping and protect against those same conditions. What You Can Do: Practice focusing your thoughts on positive things. (A gratitude list can be a powerful tool here.) And if you're not feeling happier, fake it till you make it. "Studies have shown that smiling can actually make you feel happier and more optimistic about the present and future," Buse says.

Depression-Fighting Tips:


Medication Can Help Depression. But a type of therapy called cognitive behavioral therapy (CBT)—which focuses on changing behavior, rather than talking about your childhood, for instance—can be an effective adjuvant to or even substitute for drugs. “It’s much more focused on what you seem to be doing and thinking that is keeping you depressed,Simon Rego, PsyD, director of psychology training at Montefiore Medical Center in New York City. Some of its methods can be practiced at home, on yourself, with no special training. So here are some tips for breaking the cycle of negativity.

Don't Catastrophize: One way to sabotage yourself is to take a single event and treat it as an ongoing source of negativity. "People who are unemployed do this a lot," says Rego. "They've lost their job because of the economy and they personalize it." It's also unhealthy to catastrophize—focus on the worst imagined outcome, even if it's irrational. For example, don't let concerns about money escalate into the conviction you'll soon be homeless. Instead of thinking, "I'll never get another job," try to say to yourself: "I will get another job. It just may take some time."

Stop Ruminating: Ever clash with a colleague or fight with a friend and then keep obsessively thinking about it, amplifying the anger, stress, and anxiety associated with the memory? Known as rumination, this type of thinking is linked to a greater risk of becoming or staying depressed. While reflection is a good thing, and may help you solve problems, rumination does the opposite. If you catch yourself ruminating, studies suggest it may help if you try to distract yourself, meditate, or redirect your thoughts. Cognitive behavioral therapy often targets rumination because it can be so damaging to mental health.

Retire Your Crystal Ball: Very few (if any) of us are blessed with the ability to predict the future. But depressed people will often convince themselves they know what will happen a day, a month, or a year down the line. And it's usually bad, if not downright catastrophic. Fortunately, our dire predictions rarely come true. Try to stay in the present. It's much more manageable and you're less likely to blow things out of proportion.

Don't Dwell on the Past: It's pretty pointless to tell yourself you should have done this or shouldn't have done that. You can't change the past, but you can live in the present. Just accept that you made the best decisions you could have made with the information or resources you had at the time. Hindsight is always 20/20, so best to try to just let it go and don't beat yourself up for perceived missteps. And do a rumination check; ruminating about the past can generate anxiety, just as worry about the future.

Reach Out to Others: A hallmark of depression is isolation. It can happen easily if you're not working, or you're avoiding people because you're depressed. But reinvigorating or expanding a social network provides an opportunity to get support, perhaps even from people in the same or a similar situation, says Rego. "Once you start reconnecting with people, you get a sense they understand," he says. "You get positive advice and encouragement and it's often done in activities that end up being fun." Staying home alone will perpetuate the depression. Getting out with other people—even a little bit—will lift your spirits.

Stick to a Structured Routine: Even if you don't feel like it, make sure you get up at a set time, eat meals at the same hour every day (even if you're not hungry), and avoid lounging on the couch during the day lest it prevent you from sleeping well at night. "People who are depressed tend to eat or sleep inconsistently," says Rego. "Even if you're unemployed or feeling down, it's really important to set and establish a daily routine as best you can. This gives you a sense of regularity that can help with a depressed mood." If you can incorporate socializing into your routine, all the better.

Avoid Black and White Thinking: Black and white is great for zebras, but not thoughts. Depressed people tend to think in extremes: I'm a loser. No one loves me. I'll never get a job. But your thought patterns could put you in a rut or keep you there. "Being depressed or sad is going to color the way you think about yourself in a negative direction," says Rego. These thoughts can paralyze you and stop you from doing the very things that will get you out of a lousy situation. Try to think in shades of gray, says David R. Blackburn, PhD, a psychologist with Scott & White Hospital in Temple, Texas. Instead of "no one loves me," try "lots of people (if not everybody) loves me."

Reality Check Your Thoughts: If you're depressed, negative thoughts go with the territory. However, they are rarely grounded in reality. Once you've identified a negative thought, ask yourself, "Where is the evidence that I'm the most despicable human being on the entire earth?" There probably isn't any. "You can't just be rattling these thoughts back and forth and saying they're true," says Blackburn. "You have to come up with some solid evidence." And if you're worried about what people are thinking about you, go ahead and ask them.

Choose Smart Goals: Select a few simple, straightforward goals you can easily set and follow, suggests Rego. Those goals should be SMART, which stands for "specific, measurable, attainable, rewarding, and time-limited." So for example, deciding you will have a job by the end of the week is unrealistic. But deciding to post two resumes online by the end of the week, on the other hand, is SMART. "It's specific. It's attainable. It's not that much effort to do and it could be rewarding," says Rego.

Fake it a Bit: Write down all the things you used to like doing that you've stopped doing because you're sad and depressed, suggests Rego, who is also assistant professor of psychiatry and behavioral sciences at Albert Einstein College of Medicine. That could be going to the movies, socializing with friends, or simply going to the corner coffee shop with a newspaper. Then, one by one, start reincorporating these activities into your life even if you're feeling unenthusiastic about it. Also, focus on tasks that can give you a sense of mastery or accomplishment, whether it's tidying up the apartment or paying the bills. That can help ease the depression as well.

Don't Deny Depression: If your present situation, well, sucks, denying it will only make things worse. "Some people don't accept they're depressed and instead beat themselves up or think they're crazy or weak," says Rego. This may only drive you deeper down, while acceptance can relieve the suffering, he says. In general, knowing and accepting that you're depressed can allow you to take steps to make it better or get treatment, rather than pretend that everything's just fine.

Treat Yourself Well: Take a look at the language you use when you think about or talk to yourself and compare it to the way you talk to everyone else. If there's a disconnect, try to treat yourself in a kinder, gentler way. "We're often kind to everybody else but we beat ourselves up. That's a double standard," says Blackburn. "It would be preferable to use a single standard: Don't beat everyone else up, but get off your own back, too."

 By: Amanda Gardner, Health Magazine

"Your Mental Health is More Important Than the Test, the Interview, the Lunch Date, the Meeting, the Family Dinner, the Soccer Game, the Recital, and the Grocery Run! Take Care of Yourself" (Naked With Anxiety)
 
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on this Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

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