Depression and Its Relationship to Type 1

Are depression and diabetes related?

The simple answer: yes.

Research shows that if you have diabetes, your risk of developing depression more than doubles. In fact, some studies show, that it could be as high as four times more likely.

And while this information may seem like just one more thing to worry about, it’s important to address and discuss, because doing so has the potential of improving your quality of life. And who doesn’t want that?

Someone once said, “Diabetes is a full-time job that you didn’t apply for, you can’t quit and there’s no vacation or pay.” (We’re nodding.) Agreed — no one lined up for the diabetes merry-go-round or the diabetes loop-dee-loop, because diabetes isn’t fun. Actually, it’s a royal pain. And you never get a break.

You know the drill: count carbs,  administer insulin, (factor in activity, stress and consider what’s happened before),  monitor blood sugars, rest, eat or compensate.

And no matter how vigilant you are and how meticulously carbs are counted and insulin accordingly dosed, you’ll get the rogue BGL, the unexpected zinger that just makes you feel like chucking that juice box or screaming or crying or crawling into a ball and giving up because sometimes you can’t be perfect — no, you aren’t perfect and this diabetes thing is hard, really hard and just when you think you got it right and you’re really hitting your stride … you’re tested, you’re thrown and have to try again then again and again. It’s no wonder the chronic condition can cause anxiety, feelings of frustration and even hopelessness.

Diabetes isn’t just a physical challenge with serious implications; it’s also emotionally demanding and can be extremely difficult to navigate mentally. That’s why the most effective treatments for Type 1 include medical care as well as psychological care.

Everyone at some stage of their life will experience “feeling down.” It’s important to note though, that depression is more than feeling “bummed out.” It’s a persistent feeling (lasting more than two weeks) of sadness or loss of interest, among other symptoms. It can be debilitating, life-altering and throw you down the rabbit hole of self-doubt. It also can be subtle. Perhaps you hadn’t really noticed, and it’s a loved one who’s mentioned the changes, has noted that things aren’t “okay”. Whichever way, don’t worry; take heed! You’ve made it here and you aren’t the first.

If you’re experiencing symptoms in at least three of the following categories, you may be depressed:

Things you may do …

  • Stop doing things you used to enjoy
  • Have trouble getting things done
  • Are unable to focus
  • Remain in your home for long periods of time
  • Pull away from loved ones
  • Use alcohol or sedatives excessively

Things you may think …

  • “I’m worthless”
  • “I’m not good enough”
  • “I deserve to feel like this”
  • “I will never be happy”
  • “This is my fault”
  • “Life is not worth living”

Things you may feel …

  • Guilt
  • Irritability
  • Anger
  • Frustration
  • Unhappiness
  • Indecisiveness
  • Disappointment
  • Sadness

Things you may experience physically:

  • Lethargy
  • Feeling sick and run down
  • Having headaches and body pains
  • Having an upset stomach
  • Irritabile bowels
  • Insomnia or excessive sleeping
  • Extreme weight changes and appetite changes

Note: This is just a short list of symptoms you may be experiencing if you’re depressed. Consult a mental health professional for proper assessment and treatment.

Did you say, yes to all of them? Say, yes to none? Either way: keep reading.

Your mental health affects how you deal with your physical health, so if you become depressed, you’re less likely to manage your diabetes well, which can lead to complications and poor health in general. Essentially, both aspects of care are paramount and affect your well-being in tandem, so don’t neglect either today or tomorrow!

Dr. Diana Naranjo, Assistant Professor of Psychiatry & Behavioral Studies and Dr. Korey Hood, Professor of Pediatrics at Stanford University, work exclusively with diabetes patients and believe that in terms of having optimal mental health with diabetes, depression prevention is key. If you know you are at a higher risk of developing depression or an anxiety disorder, being proactive can also improve your quality of life in the long run.

Planning ahead is all a part of self-care and can include reaching out to the support sources of friends, family, community groups and your credentialed diabetes educator or therapist.

If you have diabetes, it’s normal to experience a wide range of emotions as well as suffer physical setbacks. Especially right after diagnosis, many people report grieving for their health from before and the life they had previously. This is also true for parents or caregivers of those diagnosed with Type 1 diabetes.

The bottom line is that your mental health matters — early in the game and later on — so talking to a health professional can help. Treating your depression or anxiety may require more than talk therapy though. Some people are genetically predisposed to developing mental illness while life circumstances and stress can bring the onset of symptoms. Treatment could include short-term or long-term medication in conjunction with other forms of therapy.

Be sure to ask your therapist if he or she has had experience with clients who have Type 1. If not — and this is most likely the case — you can provide your mental health caregiver with additional information to help her or him understand what Type 1 is and the difficulties you face daily.

“Remember, you’re interviewing and hiring your therapist,” says Dr. Korey Hood. “And the discussion of mental health should not be separate from the discussion about your diabetes.”

In addition to working with a mental healthcare provider, try implementing the following in terms of self-care to help maintain a healthy mental state:

  • Join a community, reach out to other T1D groups and share your story
  • Ask questions of others, learn more about diabetes and depression
  • Perform moderate physical activity (consult your doctor about what would be a healthy level of exercise)
  • Eat healthy foods
  • Maintain a healthy weight
  • Limit your alcohol use

If you think you or someone you know might be contemplating suicide, reach out for additional help here:

Suicide Prevention Lifeline Or call 1 (800) 273-8255 (United States)

Just as much as blood glucose levels are important information in managing your diabetes successfully, so are feelings. Remember that you aren’t alone and there are people out there who understand and have been there. Reach out. Be proactive. And talk about it. There is a wide range of mental health treatments available, so consult a expert today to learn how you can improve your quality of life.

Verified by Dr. Mark Heyman, Director of the Center for Diabetes and Mental Health (CDMH) in Solana Beach, CA. Mark received his PhD in Clinical Psychology from The George Washington University and completed his clinical training at UCSD School of Medicine.

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3 Major Ways to Tackle Stress in Your Life

Everyone agrees: Stress is terrible. It’s the thing that keeps you awake at night and unable to enjoy your day. Sometimes stress helps us prioritize the things that need doing now, but more often than not, it’s a terrible feeling that sucks the life out of you. At its worst, stress can increase your chances of heart attack, harm your immune system, decrease sexual function, and wreck your digestive system. Stress can come from your work, your personal life, or your environment, and it can manifest in a multitude of (not great) ways.

Battling stress is a part of caring for yourself and your body.  How do you get out from under the crushing weight of stress and get your life back on track?

The Art of Self-Care

The best way to combat stress is to practice the art of self-care. Self-care can be hard for a lot of people, especially those with busy lives who are used to putting work and the needs of others ahead of their own needs. Moms are especially prone to struggling with putting themselves first. Self-care is as much a part of thriving as eating and sleeping. It’s caring for yourself mentally, replenishing that spring of mental wellness and energy so that you’re able to do the things you need to do. When you’re busy, schedule time for self-care the way you would a doctor’s appointment.

So what counts as self-care? Anything that leaves you happy, satisfied, and rejuvenated: massages, time spent with a friend or romantic partner, watching a movie you enjoy, or anything that makes you laugh. Examine the things that make you genuinely happy and fulfilled, and when you find yourself lagging, indulge.

Practice Changing the Way You Think

Getting out of a funk is hard to do. When you’re super stressed, it’s easy to fall into a black hole of negative thinking. Practice changing the way you think. If you’re plagued by negative thoughts, flip them around into something positive. It’s hard to do, especially when you feel buried by worry. The more you practice, the more you’ll lean towards positive thinking naturally. You’ll be happier in the long run.

Kick Social Media

There’s a ton of evidence that social media is bad for us. Deleting Facebook from your phone, or drastically reducing your time on Facebook, can lower your cortisol levels (that’s the hormone associated with stress). Increased cortisol can lower your immune system, encourage obesity, and impair memory. Excessive social media use has been linked with anxiety and depression. That’s a lot to put up with just to see what your cousin had for lunch.

Take a 24-hour break from all the noise and pressure from social media. If your hands are still twitching to use your phone, replace Insta with an app designed to help you reduce stress and anxiety. Some apps walk you through mindfulness or meditation. Others help you breathe, or they play soothing sounds.

Take Care of Your Body

There’s definitely a connection between mind and body — just ask anyone who has experienced being hangry. When you’re stressed, taking care of your body can absolutely help get you back to balanced. If you’re working under a deadline, you might be tempted to forgo eating healthy for something quick, like vending machine food. Sugar bursts and crashes can exacerbate stress. Take some time to eat food that will give you energy without burning out quickly, like protein.

Physical activity can help you work through feelings of stress. It’s as simple as taking a quick walk to clear your head. A walk can help you calm down, catch your breath, and head back into a stressful job or project with a much clearer head.

Sleep is a powerful tool to relax and unwind. Follow practices that lead to a good night’s rest:

  • Don’t eat before bed
  • Give yourself time to settle
  • Prime your bed for comfortable sleep
  • Keep distractions or stimulating objects (like your cell phone) far away from your bed.

Like a lot of the other suggestions in this article, they’re small changes. Those small changes can lead to a big difference in your life — one that will leave you more relaxed, fulfilled, and able to take on your goals with increased gusto.

 

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7 Ways You Can Improve Your Concentration

Concentration and memory are the two key focus points for every individual. When you are concentrated, your memory automatically improves as you are able to retain the information for a longer period of time.

Having a sharp memory and good concentration power is useful to people of all ages and all professional domains, whether a student or a CEO. Do you not wish that you could have the memory of an elephant who never forgets anything? So, in this article, we are going to discuss some similar tricks and methods that you can use in your daily life to improve your concentration power and in turn, memory.

1. Play Mind Games

Before you plan to beat me up, listen. Mind games are an amazing method to improve your concentration.

Moreover, it is more effective when you are playing these games offline rather than opening a new tab and searching for the best mind games to improve concentration.

2. Creating a To-Do List

A to-do list is probably the simplest thing that you can do. With the availability of almost everything over the internet, we are now the people who take out the phone and ask Google everything right then and there. But, what about after that?

Also, have you ever noticed that once you ask your Google assistant what’s the weather like tomorrow, you are browsing through your Instagram feed before you realise it?

So, create a to-do list that you can paste right in front of you. Keep it in your view and you will be saved from getting distracted.

3. Meditate

You don’t need to be a sage almighty or you don’t need the peace of nature with a waterfall and chirping birds so that you can meditate peacefully.

Meditation can be done right at your home, at your desk! You just need to calm and focus. Play relaxation music, but take care to not fall asleep. Close your eyes and focus on the one thing that motivates you to go on about your day.

It can be anything, some fictional character, your girlfriend, your parents, money or any other thing. You don’t need to pack your bags and depart for the Himalayas but work here and now.

4. Exercise

A lazy body is the devil’s abode. You should not even cry that you have such a poor concentration when all you do the entire day is eat pizza, drink beer, watch tv and sleep.

The first step to a healthy mind is a healthy body. Dust off the shoes in the shelf, put ‘em on and go jogging. Watch yoga tutorials on YouTube and learn the techniques that will open up the jammed parts of your body.

When you start exercising, you will not restrict your energy to your body but channelise it and allow it to flow. Hence, it will improve your concentration and your memory significantly.

5. Avoid Multitasking

I know it hurts but this is actually a way you can improve your concentration power and your focus.  It is natural that the person want feels the need to juggle so many tasks at once and try to complete them all at once. Though the capabilities of the human brain are not fully known, we do not know very well that how can multitasking become more efficient.

Hence, for the time being, avoid multitasking and focus on one thing at a time. Rather than trying to complete 5 different works with your 20% efficiency, allow your 100% efficiency on one single task.

6. Reduce Dependency on Gadgets

There is a phrase I am fond of – phones are getting smart and humans dumb. This is really true. If you ever look around yourself, you will see that everyone is busy with their necks down and thumbs moving.

These smartphones and other gadgets affect our brain directly and hamper with our decision making capability, our judgment and our concentration.

Whatever be the thing, we simply ask Google assistant to save a reminder. We ask Alexa to create our to-do list for the day. We need to set birthday reminders for the people who are close to us! Such dependency on technology should be reduced and the brain should be made to function more and more.

Trust me, your concentration will improve significantly after a couple of weeks when you start remembering everything and not your phone.

7. Identify Your Learning Style

Every human has a preferred learning style with which they learn everything. Whether you remember better and focus more during a video or by hearing something. Once you identify this, your concentration will improve.

What happens is that you will be able to identify which style of learning suits you more. As a result, you will automatically strive to focus more when your preferred learning style is available. See, your concentration improved.

These 7 tips are easy to incorporate in your daily lives as a way to improve your concentration.

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The Power of a Morning Routine

By Laura Greenstein

It’s early. You don’t want to move, let alone get up and start the day. You feel drained. You’re cozy, all wrapped up in blankets. Thoughts about all that you should accomplish today floods your mind. You feel overwhelmed, so you hit “SNOOZE” one more time.

Uh oh, now you’ve overslept. You’re running late. Time to get up and rush into the day.

Sound familiar? Mornings are hard, right? Actually, mornings aren’t definitively hard—they can be made easier.

The key to an easier morning is to keep your first waking hour as consistent as possible throughout the weeks. The more we struggle to make decisions, the more energy we deplete. When first starting the day, it’s important to avoid “decision fatigue” by having a set morning routine.

Having a morning routine can increase your energy, productivity and positivity. It also generates momentum, building up to the brain’s peak time for cognitive work (late morning). Here are a few suggestions to include in your morning routine.

Ease Into The Day

It’s easier to lull yourself out of sleep when you’re not rushing into the day. You feel more motivated to open your eyes and let your body properly wake up when you have a little bit of time to lounge in bed without jumping up. After a few minutes of lounging, follow these steps:

  1. Open your curtains and let the natural light energize you. Exposing yourself to sunlight in the morning can improve your alertness and energy during the day.
  2. Put some upbeat tunes on—music lights up the entire brain.
  3. Do some light stretching to get your blood flowing.

These small things can help you start the day in a positive mood, rather than feeling stressed to get up and out the door.

Eat Breakfast

Research shows that those who eat breakfast have more energy than those who wait until lunch to eat. While coffee will help jolt you awake, your body will eventually crash without food. You don’t need to feast first thing in the morning—a healthy snack and lots of water is all that’s needed to start the day off right.

Read

There are many ways to stimulate your brain, but one of the most recommended methods is reading. Reading a book in the morning can start your day in a richly detailed story, “how-to” or narrative, as opposed to a stressful, overflowing to-do list.

Reading is considered a “mental break,” because the brain is only focusing on one thing rather than the usual eight things. You can’t multitask while reading a book, and what you’re focusing on causes you to think, use imagination and create your own visual imagery. It’s this type of focus that gets our minds more nimble and creative. As the saying goes: “Reading is to the mind what exercise is to the body.”

Stimulate Your Body

Speaking of, you should also exercise in the morning. Exercise increases production of the neurotransmitters serotonin and norepinephrine, which enhances the body’s ability to deal with stressors and creates a post-workout feeling of bliss. Research shows that you are more creative and productive for the two hours following exercise. It also shows that people who exercise regularly are less stressed at work and more able to maintain work-life balance.

Begin Work With A Proactive Mindset

Psychologist Ron Friedman explains in an interview with Harvard Business Review that our usual start to the work day—checking email, answering questions or listening to voicemails—is, as he says, “cognitively expensive.” Starting the day this way puts you into a “reactive” mindset, and while switching from a proactive mindset to a reactive mindset is easy, the reverse is much more challenging. Instead, he suggests starting the workday with a brief planning session: strategize first, execute second.

Using these tips, here’s an example of what a healthy morning routine could look like:

6:55-7:00 – Slowly wake up, and open your eyes.
7:00-7:15 – Open the curtains, put on energizing music and do some light stretching.
7:15-7:30 – Eat some fruit and almonds for breakfast.
7:30-8:00 – Read and drink tea or water to get the mind stimulated and the body hydrated.
8:00-8:30 – Shower (don’t forget to sing!) and get ready for work.
8:30-9:00 – Walk to work to get in some moderate exercise.
9:00-9:15 – Begin work with a planning session to strategize your day.

As you can see, this routine takes two hours from the time you wake up until you get to work. While it may be difficult to find the extra time, you will find yourself reaping only benefits throughout the day. Many people don’t like getting up early, but this is the type of routine that can help you actually enjoy mornings.

 

Laura Greenstein is communications coordinator at NAMI.

https://www.nami.org/Blogs/NAMI-Blog/August-2017/The-Power-of-a-Morning-Routine

Preventing Mental Health Effects Of Divorce On Children

By Michelle Manno

 

Researchers have found that teachers and other school personnel may show bias against children in divorced families without even realizing it. This bias can impact expectations about a student’s academic, social and emotional functioning. Even though children are amazing in their ability to navigate the changes and challenges of life, students who experience this type of bias can be at increased risk for long-term mental health struggles later in life.

Recently, Counseling@NYU released a guide to help with this issue because it is essential for educators and parents to work together to ensure the effects of divorce on a child do not become permanent. Educators can use the guide to identify misconceptions about divorce that may impact their behavior and bias and to better understand their role in working with families going through a divorce.

Sometimes, it can be difficult to assess whether a divorce is negatively impacting a child or whether problem behaviors are just an expected part of the growing process. Knowing the signs of struggle according to age can help parents and educators identify whether a child needs additional support:

Grades K-3:

  • Blame themselves or their “bad behavior” for the divorce
  • Complain of headaches and/or stomach pain
  • Experience separation anxiety and/or emotional outbursts
  • Regress to younger behaviors, like needing a pacifier, wetting the bed or throwing tantrums

Younger children may lack the ability to communicate their thinking about the divorce. Parents should ensure young children that no bad behavior will ever make them leave or stop them from loving their child. In addition to seeking professional support, educators and parents should create space for children to express their fears and worries about the divorce.

Grades 4-6:

  • Most likely to show anger, embarrassment or frustration
  • Might stir up conflict with peers
  • Could show frequent tearful distress and/or lack of interest in activities

Children of this age may feel pressure to “pick a side,” keep both parents happy or take personal responsibility for one parent’s emotional well-being. Educators should work with parents to encourage students to try out new activities that can direct their attention toward play and creativity.

Grades 7-12:

  • Experiment with new and risky behaviors (i.e. substance use)
  • Display extreme moodiness or negativity
  • Begin demonstrating poor school performance and/or disinterest/distraction from their future

Teenagers experiencing the effects of a divorce might feel guilty about leaving home or feel that they have to change or sacrifice their plans. Parents can support teens’ mental health by encouraging them to pursue their goals and to plan for the future. Educators can do the same by listening to their students’ college goals, for example, and helping them plan.

At any age, individual professional counseling can be a useful space for children to express their frustrations outside the home and to get help for extreme changes in behavior. Educators and school counselors can also set up counseling groups for children in changing families so students know that they are not alone. With thoughtful and engaged parents and educators, children can maintain good mental health and healthy relationships later in life, despite divorce.

 

Michelle Manno is the education editor at 2U. She works with programs such as Counseling@NYU’s online master’s in school counseling and online master’s in mental health counseling from NYU Steinhardt to create resources that support K-12 students. Say hi on Twitter @michellermanno.

 

https://www.nami.org/Blogs/NAMI-Blog/August-2017/Preventing-Mental-Health-Effects-of-Divorce-on-Chi

Mental Health In The Workplace: The Value Of Rest

By Jennifer W. Adkins, Ph.D.

 

Earlier this week, I found a scrap of paper while cleaning that stopped me in my tracks. On it, I had written “take a year off” followed by a short list of commitments in my personal and professional life. The list included things I had entered into with excitement—like training other people in my profession and organizing community events—but didn’t have the time or energy needed to continue.

At the time I wrote the list, exhaustion was my norm. I was living with episodic and unpredictable pain, and my work was suffering. I didn’t have the energy to do all the things I normally do. I was keeping my commitments but performing poorly, which made me feel miserable.

What I didn’t know when I wrote that list was that depression would soon be a part of my life. I missed some of the early signs, but eventually it became clear that I was not well. The first clear sign came when I felt no joy during the Night to Shine Prom, an event my friends and I had spent months planning. It’s something we always consider to be “the happiest night of the year.” I thought something might have been “off” with the event, but as I saw joy on everyone’s face except my own, I realized something was “off” with me.

It was then I realized I needed a period of rest for my mental health. And along the way of implementing that rest, I learned a few helpful tips:

It Can Take A While

Some commitments are easy to take a break from, while others require more planning. After the Night to Shine Prom, I let the planning committee know that I wouldn’t be able to help plan the next prom. It was emotionally difficult, but it was quick. However, some of my other commitments took time to transition away from, as I had to identify and train a replacement before I could step down. It took months to fully cross off everything on my list, but each time, I felt a weight lift.

You May Second-Guess Yourself

Each person will face different challenges when preparing for a period of rest. I felt like I would be judged, I felt guilty for being less involved, I worried that important things would be left undone, and I didn’t want my relationships to suffer. These thoughts were common in the beginning, and I had to keep reminding myself how important it was for me to rest and recover.

People May Not Support You

Your colleagues, friends and family probably aren’t fully aware of the reasons rest is necessary for you. If their initial responses aren’t as supportive as you’d hoped for, it might mean they’re just surprised, or they rely on you and will miss your contributions. You may find it helpful to explain why you need to take a break. In some instances, though, the best thing you may be able to do is to quietly try to understand things from their perspective.

Stepping Away Is A Surprisingly Positive Process

Maybe you realize how important it is for you to cut back and have fewer responsibilities. What you may not realize is how positive it can be for other people. During the process of transitioning my responsibilities, I got to see people step up who were just as passionate about these roles as I had been. Almost immediately, the energy they brought to the roles resulted in growth and improvement I hadn’t been able to fully offer for a long time.

Rest Is Hard…

Rest is not accomplished by simply taking time off and then going back to your busy schedule. Rest occurs when you allow yourself to be fully inactive. A period of stillness and rest may be a necessary precursor to a more active mental health recovery. After a period of rest, you may find that you are more motivated to engage in activities like exercise, reading, crafting, praying, journaling or spending time with loved ones. You will be more likely to benefit from those wellness-promoting activities if you have taken time to rest first.

But The Results Are Worth It

When you’re rested, you’ll have energy to enjoy the things you love again. You’ll know you’re on the right track when your response to your personal and professional opportunities changes from “Oh no” to “Heck yes!” Even before I considered myself fully rested, I found I had more energy to be a mom, to be a wife and to commit to my work. After resting for a month, I was thrilled with the quality of my work. I even had energy left over to spend on myself and the things I enjoy.

You May Not Have All The Resources You Need To Rest

I am blessed to have the support of family and friends—and access to paid sick leave. I know these are not resources everyone has and sometimes paying the bills, getting your kids to school or taking care of your loved ones may not be things you can readily disengage from. My advice if you cannot commit several days—or, dare I say, weeks—to rest is to take advantage of whatever opportunities you can. Do what you absolutely have to do and then rest the remainder of the time. Maybe instead of committing a month to complete rest, you start by committing a month to only doing the things you need to, letting non-essential projects wait and accepting help from others when it’s offered.

I am grateful to have experienced firsthand the profound impact rest can have on mental health and work. Its positive impact has influenced me to incorporate continued rest into my regular schedule. I feel great, and I am proud of the work I am doing. I know if I want things to stay this way, I will need to intentionally make time for rest.

Coming across the slip of paper that started my journey toward rest was a shock. As soon as I saw it, memories of how physically and emotionally exhausted I was rushed in. I cried as I recalled all the moments and days I lost to pain and depression. Then I realized how much better I feel now and the role that rest played in me getting to a better place. Seeing that slip of paper strengthened my resolve to rest when I need it.

 

Jennifer Adkins is a wife, a mom, and a psychologist. Her professional interests include treatment of anxiety disorders, improving family relationships, and reducing stigma associated with mental illness. 

 

https://www.nami.org/Blogs/NAMI-Blog/August-2017/Mental-Health-in-the-Workplace-The-Value-of-Rest

Strategies For Living And Working Well With ADHD

By Alexis Anderson

 

More than three-fourths of adults who had attention deficit hyperactivity disorder (ADHD) as children, still experience symptoms—and no matter the setting, it’s a challenge every day.

Starting from childhood, it’s critical for school counselors to use evidence-based interventions to help students with ADHD stay organized and manage their time. And those skills can translate into the workplace as adults. According to Counseling@NYU, which offers an online master’s in school counseling from NYU Steinhardt, small steps to manage a child’s time in the classroom efficiently and minimize distractions can make a big difference in the long run.

As an adult, you can use similar practical tactics that school counselors would use to manage your ADHD. You might not struggle with all these issues, and all these solutions may not work for you, but these tips may help boost your productivity at work.

Minimize Distractions

  • Start work earlier or stay later when it’s quieter.
  • Keep your desk clear of clutter.
  • Put a “Do Not Disturb” sign on your office. If you don’t have an office, find an empty office or a conference room.
  • Position your desk away from office traffic.
  • Ask if you can work from home on certain days.
  • Use noise-canceling headphones or listen to music (this can help the brain concentrate).

Track Time

ADHD means you may take longer to finish projects. So, it’s important to get help staying on track.

  • Bundle tasks. If you can, answer your phone, check your email and scan Twitter only at set times of the day. Otherwise, let your calls go to voicemail and stay off the Internet.
  • Clock yourself. Use an alarm or your phone to keep from veering off to another task. prematurely. A beeper also can be handy if you’re prone to hyper-focus and lose track of time.
  • Enlist your supervisor. Your boss may be able to help you stay on top of your deadlines with reminders and regular feedback.

Get Moving

If you’re prone to hyperactivity, you already know that moving any part of your body can bring relief. Turns out even tapping your fingers can help raise levels of dopamine and norepinephrine brain chemicals that help sharpen focus and attention, so:

  • Move around. If you’re restless, find an appropriate excuse to get up and walk. Grab a coffee from the cafe. Go to the bathroom. Take the stairs. Chat with a coworker down the hall.
  • Fidget. If you’re trapped at your desk or at a meeting, look for unobtrusive ways to release physical tension. You can discreetly wiggle your toes, tap your pen on your thighs, doodle, take sips of a drink or squeeze a stress ball.
  • Work out. Exercise can be a powerful antidote for hyperactivity. Just pick something you enjoy—whether it’s yoga, walking, biking or team sports—and get moving.

Don’t Forget Self-Care

It’s a myth that you can treat ADHD only with medications or professional therapy. Self-help strategies can also help corral your attention and energies, so you can focus and be productive. Here are some ways to help yourself:

  • Get out. Being outdoors, especially when the sun’s out, can boost your mood.
  • Eat right. Fuel your body with lean proteins, whole grains and vegetables.
  • Sleep well. Make getting quality shut-eye a priority. Avoid caffeine in the evenings, put away the phone and stick to a restful bedtime routine.
  • Chill out. Destress your mind and body with meditation, yoga, tai chi or mindful walking.

ADHD may be a well-known condition, but it’s often misunderstood. You may help yourself if you educate your loved ones and coworkers about how it affects your life and job. Then make these productivity and self-help tips your habits, and you might just turn chaos into calm.

 

Alexis Anderson is a Digital PR Coordinator covering K-12 education at 2U, Inc. Alexis supports outreach for their school counseling, teaching, mental health and occupational therapy programs.

 

https://www.nami.org/Blogs/NAMI-Blog/December-2017/Strategies-for-Living-and-Working-Well-with-ADHD

How Do I Know If My Therapist Is Effective?

By Laura Greenstein

 

It can be a challenge to find the “right” therapist for you. You might come across someone who has a degree from an impressive school, writes extensively on psychology and mental illness, gives lectures and talks, and still isn’t an effective therapist. And while it is important for therapists to be educated, trained and up-to-date on current practices, there is so much more to a good therapist than just their background and education.

Because the science of therapy is subjective, it can be challenging to tell if your therapeutic relationship is truly “working.” Here’s a list of how effective therapists practice to help you determine whether you’re receiving the best possible care.

Do They Guide You To Your Goals?

Be wary of any therapist who makes promises like: “I can get you to recovery in six months” or “I can help you get rid of your anxiety.” Therapists should guide you towards reaching your goals, not make guarantees about when and how you will reach them. How you improve should be at your own pace. Additionally, they are not there to set your goals for you. This is your treatment—you’re in the driver’s seat.

Do They Show Acceptance And Compassion?

It’s one thing for your therapist to show concern or recommend against certain behaviors, but you shouldn’t feel judged or ashamed after a therapy session. Christine, a young adult living with Borderline Personality Disorder (BPD), tells a story of when she felt shamed by a therapist:

“I went to a therapist to talk about a relationship I was having a hard time getting over. I told her I would do outlandish things to keep this relationship alive, even though this guy made it clear he wanted nothing to do with me. This therapist responded by saying, ‘Christine, men don’t like clingy women. You need to be coy and play hard-to-get.’ She completely invalidated that my fear of abandonment had been triggered; to her, this situation had nothing to do with BPD, I was just making myself too available.”

The most effective therapists make you feel accepted and validated, showing understanding and sympathy/empathy for whatever you’re going through. They will approach you with compassion and kindness, and build enough trust for you to share your darkest thoughts and memories with them.

Do They Challenge You?

It’s important to recognize that therapy is not synonymous with friendship. An effective therapist will challenge you and help you see things from a different perspective, even if it’s hard to hear. They will give you homework that you may not like. For example, when I feel anxious, my reaction is to try to get rid of that anxiety any way that I can. So, my therapist often tells me to “sit with anxiety, accept that anxiety has visited you and observe how you feel.” She pushes me out of my comfort zone to help me overcome my fears and work towards my goal of managing anxiety.

Do They Check-In With You?

It’s important for your therapist to check-in with you about how you think therapy is going. After giving me challenging homework, my therapist will often ask me how it went or if I found it helpful. Since each session is tailored to you, a good therapist should adjust treatment based on your feedback. For instance, if you feel like they pushed you to do something you weren’t ready to do and you say you want smaller, more achievable steps, your therapist should take this into consideration for future exercises.

Do They Help You Learn?

An effective therapist offers different ways to help you learn skills (such as managing difficult emotions, handling stressful situations or practicing acceptance), understand yourself better and encourage healthy communication with the people in your life. “One therapist helped me see that when I like a person, whether it’s a relationship or a friendship, I have a hard time seeing red flags,” says Christine. “She helped me realize this about myself, and now I push myself to see people in a more realistic way.”

At the same time, this doesn’t mean telling you what to do each step of the way. Rather, they help you learn how to handle the stressful situations life throws at you. It’s problematic if you feel dependent on your therapist.

Do They Practice Cultural Competence?

Therapy should be tailored to your specific culture, background and needs. A good therapist is understanding of any cultural barriersyou face and should keep those in mind while advising you. “When I met with my therapist in the first couple sessions, they were interested in learning about my culture and how it has impacted my experience,” says Ryann, a person with lived experience. “Culturally competent therapists say validating statements rather than questioning my upbringing.”

Do They Treat You As An Equal?

An effective therapist works with you and supports you. They’re your partner in bettering your mental health. They’re not the teacher instructing the “right ways” to behave or the parent asserting discipline over a child. There shouldn’t be any kind of power struggle or “doctor-knows-best” attitude in their demeanor. While it is important to respect their wealth of knowledge, you shouldn’t feel inferior to your therapist.

Therapy is one of the few parts of life that is all about you. Therapists are not there to express their own needs—they are there to help you reach your goals. Like any other worthwhile endeavor, the benefits of therapy don’t happen overnight, but over time you should feel like your therapeutic relationship is nothing but beneficial to your well-being.

https://www.nami.org/Blogs/NAMI-Blog/February-2018/How-Do-I-Know-If-My-Therapist-is-Effective

When Parents Read to Kids, Everyone Wins

from Psychology Today

It’s no surprise that when parents read to their kids, it helps them succeed in school.

Three separate systematic reviews of what educators call dialogic reading—essentially engaging in a conversation with young children as you read to them—found positive effects including improved language skills, literacy, and school readiness.

Now a new body of research is finding even more benefits of reading to children—for both the kids and the parents. A systematic review published last month in the journal Pediatrics looks at broader benefits of intervention programs designed to encourage parents to read to their children.

Researchers looked at how reading interventions affected both kids’ and parents’ psychosocial functioning – essentially their physical and mental wellness and ability to interact in society. (Psychosocial functioning is typically measured by indicators of depression and stress, behavior problems, quality of life and personal skills.)

The reviewers found 18 studies of interventions that included more than 3,200 families. The interventions provided structured training to show parents the best ways to read with their children, and then followed up with the children and parents. The shortest duration was one month and the longest was 48 months.

Eleven of the interventions focused on parents with low levels of educationand 13 focused on families with a low socioeconomic status.

The reviewers found, on the whole, that these reading intervention programs had a significant positive impact on both child and parent psychosocial functioning. Specifically, children showed improvements in social-emotional skills and their interest in reading and reported improve quality of life. And parents experienced better attitudes toward reading, improved relationships with their children and improved parenting skills.

The benefits extend to babies and toddlers, as well as children up to age 6 and apply equally to boys and girls.

While it’s clear that reading is great for kids, the evidence also shows that some parents need guidance in engaging with kids and books. The Reading Rockets project, sponsored by the U.S. Department of Education, provides some practical tips. Among them, use fun voices for different characters, ask your child questions about the story as you go, and connect what you are reading to real-life experiences whenever possible.

If there are any small children in your life, sit down with them for a regular story time. The evidence shows it’s great for kids, and might just benefit you as well!

For more information on our work solving human problems, please visit Cornell University’s Bronfenbrenner Center for Translational Research’swebsite.

References

Xie, Q., Chan, C. H., Ji, Q., & Chan, C. L. (2018). Psychosocial Effects of Parent-Child Book Reading Interventions: A Meta-analysis. Pediatrics,141(4). doi:10.1542/peds.2017-2675

https://www.psychologytoday.com/us/blog/evidence-based-living/201804/when-parents-read-kids-everyone-wins

Do Violent Video Games Make Kids More Violent?

from Psychology Today

If you know a tween, teenager or avid gamer, you have probably heard about the latest video game phenomenon: Fortnite. In the game’s Battle Royale mode, up to 100 players parachute into a small island, scavenge for armor and weapons, and then kill or hide from other players in an attempt to be the lone survivor. The game’s cartoonish violence and quirky features–including costumes and custom dance moves–have attracted more than 125 million players across all the globe since its release last September.

While not overly gory, the premise for Fortnite is inherently violent; the primary goal is to kill other players. The popularity of these types of games, and this one in particular, raises clear questions about the effects of violent gaming. Specifically, do violent video games lead to real-life violence?

The research on this question is mixed. For decades, researchers have conducted studies to find out whether violent video games lead to problems such as aggression, lack of empathy and poor performance in school. Many studies have found that people who play violent video games are more likely to engage in aggressive behavior. In fact, there was enough researchleading to this conclusion that the American Psychiatric Association (APA) published a policy statement in 2015 concluding that playing violent video games leads to more aggressive moods and behaviors and detracts from the players’ feeling of empathy and sensitivity to aggression.

But a large contingent of researchers focused on pediatric and adolescencehealth disagree. In fact, a group of 230 scholars from universities across the globe published an open letter in 2013 calling the APA’s stance of violent video games “misleading and alarmist.” And many of those same scholars spoke out after the 2015 policy statement.

Last summer, a division within the APA focused on the media published their own statement advising government officials and the news media to avoid attributing acts of violence to video games or other violent media. Here’s why:

  • Large analyses of violent crime and video violent game use find no evidence that increased sales of violent video games leads to a spike in violent crimes. Researchers make the case that if violent games directly led to violent behavior, the data would show increases in violent crime on a large-scale as more people played violent games. In fact, there is some evidence that as more youth play video games, rates of youth violence have decreased.
  • A recent analysis finds that research on video games is prone to false positives and false negatives, which leads to faulty conclusions.
  • Another review finds that much of the research on violence and video games is affected by publication bias; essentially, studies that concluded that video games lead to aggression and violence are more likely to be published than studies that find violent video games don’t have an effect on violence. As a result, large reviews of the data conclude violent video games lead to aggression without considering research to the contrary.
  • There is emerging research that finds no link between violent games and negative outcomes, such as reduced empathy, aggression and depression.

That’s a lot of conflicting perspectives, so what’s the take-home message here?  First, there is not solid, irrefutable evidence that violent video games lead to aggressive behavior. That does not mean that every game is for every child. Certainly, many violent video games are scary and inappropriate for some kids. Understanding each child’s needs and creating a plan that sets out rules for media use and monitors kids’ activities on screens is a sensible way to approach video games.

Please visit Cornell University’s Bronfenbrenner Center for Translational Research’s website for more information on our work solving human problems.

 

https://www.psychologytoday.com/us/blog/evidence-based-living/201807/do-violent-video-games-make-kids-more-violent