Teaching Kids About Mental Health Matters

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Trigger Warning: Suicide

One November day in Gaston County, NC, traffic was at a stand-still on I-85. It was unfortunately caused by a 16-year-old who took her life on the highway. As cars grinded to a halt, a pick-up truck was rear-ended by someone not paying attention. The driver of that truck lost his life.

If someone had recognized the warning signs of suicide in this young girl and gotten her help, two deaths could have been avoided that day.

This incident really affected me. I’m from Gaston County and with all the advocacy work I do in Charlotte as a member of NAMI Charlotte and as a new state board member of NAMI NC, I felt that I had neglected my hometown as a mental health advocate. Also, I know what it’s like to feel the pain of wanting to take your own life.

I felt that way twenty-two years ago on Valentine’s Day, 1995. Thank goodness, my aunt heard my cry for help, knew the warning signs and saved my life. When you go through something like that, I feel you are obligated to turn around and help others who are dealing with the same pain.  I knew I had to do something in my hometown.

Starting The Conversation In School

I went to Ami Parker, Director of Counseling Services for Gaston County Schools, and told her, “I don’t want to see what happened to the young lady on the Cox Road Bridge happen to another child.” I asked her to consider a Mental Health Awareness Week in the Gaston school system. And Ami didn’t hesitate. She even took it a step further, planning for the children to take the lead.

She knew kids would respond better to kids and the conversations they would start amongst themselves—and they did. They went online and got information to present to other students that would get them involved. Because of this, kids from middle to high school were truly engaged in the week-long Mental Health Awareness Week. They created posters and banners from everything that said, “See the person, not the illness” to “Our school is StigmaFree.”

I can’t tell you how proud I am of the kids being so engaged and involved. One middle schooler told me that she rode the bus with a boy who cut himself. She had told him to “quit cutting” himself, but he didn’t. In this teachable moment, I told her that she did the right thing, but he needed more help than she could give. And she needed to let someone know he needed help. The young girl agreed that she would.

This is exactly why events like these are so important. It starts conversations among children. If we can start conversations with children, maybe those conversations can spread to parents.

Steps To Spread Awareness To Schools

If you want to have a Mental Health Awareness Week in your local school, start with the school’s counseling department, like I did. Make sure you’ve done your research on mental health, stigma and suicide, so when you talk to a counselor they’ll see you’ve done your homework. Most counselors would be glad to help you bring this deserving cause to the attention of the principal and teachers. I am so proud of and thankful for Ami Parker and her willingness to be proactive with bringing awareness to mental health. And I’m sure there are more people like her out there. We dedicated our event to the young girl who died by suicide in November, in hopes to stop others kids from going down the same path.

Kids are our next generation. We should be teaching them about the importance of mental health and the warning signs of mental illness. If we teach them well enough, maybe stigma won’t exist once their generation grows up. Maybe they will know when to ask for help and when to offer someone support. Maybe lives will be saved. With the looks of things, I think Gaston County schools are off to a very good start.

By Fonda Bryant

Fonda Bryant is very active in the community bringing awareness to mental health. She has been a volunteer with NAMI Charlotte for over three years and recently was elected to the state board of NAMI NC.  She also volunteers with MHA of Central Carolinas and with the AFSP. She speaks to the rookie classes of CMPD, and is vocal about mental health, whether on television, in the newspaper or radio, her passion for mental health knows no boundaries.

https://www.nami.org/Blogs/NAMI-Blog/May-2017/Teaching-Kids-About-Mental-Health-Matters

Attention Spans in the Age of Technology

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It seems like kids today are not as good at concentration as we might remember being at their age. If your child seems to be having trouble focusing or finishing simple tasks without getting distracted, you may be wondering if it’s because of a mental health condition, such as attention-deficit/hyperactivity disorder (ADHD). It’s natural to be concerned when you see your child struggling. Before jumping to conclusions, though, take some time to survey your child’s environment. Today’s world is vastly different from the one we grew up in.

In the current age of fast-paced modern technology and social media, it’s no wonder that adults—let alone children—are unable to focus their attention easily. Think about how much stimulation we’re exposed to daily, and how much it impacts your world. Between smartphones, iPods, email, TV, DVRs, the internet, social media and more, our brain’s neurons are firing on all cylinders all day long.

Our children are experiencing the same stimulation, while developmentally they’re also learning how to organize information and pay attention. Bombarded with excessive stimulation and distraction, they are expected to focus on subjects that may not hold their interest the same way other stimulating, instantly gratifying subjects do. The brain is trained at a young age to multitask to such a high degree that it is often incapable of focusing on one task or thought at a time. In 2010, the Kaiser Family Foundation found that of students ages 8 to 18, half of them watch TV, surf the internet or use some other form of media while doing their homework.

Dr. Richard Restak’s book The New Brain: How the Modern Age Is Rewiring Your Mind covers this topic in depth. He discusses how we are all capable of reaching a breaking point where we lose our ability to focus due to overstimulation. This is what could be happening with many of our children. A child who is seen as “having difficulty focusing” or “bright, but not working to his full potential” may be unable to keep up with the demands of a stimulus-filled environment.

ADHD Or Technology Overload?

I know that in my own practice over the last few years, electronic usage has greatly contributed to various difficulties for my adolescent clients. These include problems with executive function, such as concentration and focus, as well as insomnia, mood swings and anxiety. However, there is a distinction between a child who is struggling with ADHD and a child who is struggling to focus due to technological overload.

Children living with ADHD need mental stimulation and arousal, which is why they are given stimulants to help them focus in the classroom. They can focus easily on certain things such as video games and television because these things provide them with instant gratification, are thrilling and dynamic, and give them a “hit” of dopamine that keeps them enthralled.

On the other hand, children who simply spend large amounts of time with their electronics have trained their brain to receive heightened stimulation and the accompanying dopamine boosts. They are therefore susceptible to similar symptoms as a child with ADHD—as he or she may also begin to have difficulty focusing on classroom instruction or chores.

ADHD is the most commonly diagnosed behavioral disorder for kids in the U.S., with at least 4.5 million diagnoses among children under age 18. In 2011, the Centers for Disease Control and Prevention reported that the prevalence of ADHD in children ages 4 to 17 years was 11%. These findings represent a dramatic increase from more than 30 years ago, when the rate of ADHD was estimated at between 3% and 5%. What is more concerning is that the prevalence of ADHD increased by about 35% from 2003 to 2011 alone.

Does this mean 11% of our children have always had ADHD and we’ve just never noticed? Or are we overdiagnosing what is really simple technology overload and exhaustion? Before putting your child on any medications, try these few simple modifications to your child’s environment.

Monitor “Screen Time”

How much time does your child spend on a smartphone, the computer or watching TV? Those screens are overloaded with information, movement, color and hyper-stimulation. Set strict daily time limits, such as 30-45 minutes a day, after homework and chores are done. Once your child reaches the limit, spend time with your child. Try reading a book together, painting, taking a walk, baking/cooking or playing a board game, or help him or her find a hobby.

Relax The Mind

Teach your children relaxation and deep breathing to increase focus and mind control. When they are doing homework, try playing soft music in the background at a low volume to help their brain learn to focus. You could also engage in mindfulness while engaging in ordinary activities, purposefully focusing your attention together on your tasks.

Make The Bedroom A Stimulus-Free Zone

A lot of teens relax before bed by texting on their phones, which causes sleep deprivation and fatigue. Sound sleep is one of the most effective tools for improving attention and focus. Take the TV, computer and smartphone out of the bedroom. Set a strict time for your child to wind down and help them by lowering noise levels, dimming lights and doing relaxing activities.

Teach Delayed Gratification

Nowadays, kids want immediate satisfaction, and when they don’t get it, they lose focus and attention, and grow impatient. Delayed gratification is a life skill that will help your child persevere and remain focused on goals for which the returns are not immediately experienced. It is an essential ability that will help your child gain success in life. Identify both short- and long-term goals with your child, and encourage your child to work toward them.

Remember that while these interventions may be met with resistance, the long-term benefits—both intellectually and emotionally—have been found to contribute to improved focus, attention, sleep and mood.

Dr. Jyothsna Bhat is a licensed clinical psychologist with a private practice in Newtown, Pa., and Princeton, N.J. Learn more at www.bhatpsych.com.

https://www.nami.org/Blogs/NAMI-Blog/August-2017/Attention-Spans-in-the-Age-of-Technology

When Betrayal in a Dream Leads to Real-Life Conflict

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I don’t recognize the bedroom. The walls are black and bare, except for a chaotic painting hanging in a random corner. From the doorway, I see two people laced together on a bed. I’m embarrassed, because they’re naked, but I don’t think they know I’m here. There’s a woman whose voluptuous silhouette is blurred by shadows — apart from her hair. Even against the dark contrast of the room, her cascade of long, black curls stand out. There’s a man too. I can see him clearly, but … that can’t be … oh, god.

For the past few months, I’ve had a vivid, recurring dream that I catch my husband being unfaithful with some mysterious woman, always the same one.

Every time, I wake up shaking, almost in tears, and immediately want to lash out at my husband — even though he is fast asleep, drooling away on one of our overpriced down-filled pillows. He’s done nothing wrong, but I still can’t help but hope that a stray feather drifts up his nose and makes him sneeze. The emotions I have in this dream are different — deeper, more painful — than anything I’ve felt in dreams past. And they linger.

The next morning, behind red, swollen eyes, I try to shake off the hurt and anger that have been plaguing me all night. But lately, things haven’t ended so well. While eating breakfast the other day, my husband mentioned running into a girl from high school at a local convenience store. An innocent story, except that I’d just had the dream again the night before. In my mind, I saw her face on the unidentified woman — and stormed off, leaving behind a man who was incredibly confused.

Later in the day, I apologized and we carried on — but somewhere deep inside, I continue to hold a tiny grudge. Yes, it’s unfair, and I know the whole thing makes me sound slightly unhinged. How can I stay mad at someone over a hypothetical situation? Besides, I’m not normally the jealous type, and I know my husband would never cheat. So, why is a dream affecting my reality so much?

“Typically, dreams that are troubling to us or that have particularly intense emotions tend to stick with us more than neutral or less intense dreams,” explains Alexis Conason, a clinical psychologist based in New York. Most people dream at least four to six times per night — that’s generally about two hours total, adding up to a twelfth of our lives — but remember only a tiny sliver of what they’ve dreamed about. And most of the time, the dreams they remember are the emotionally shocking or difficult ones, filled with anxiety, fear, guilt, shame, helplessness, or confusion.

In part, the explanation is straightforward — negative experiences are generally more emotionally charged, and easier to remember, than positive ones. Timing also plays a role: The majority of our dreams — especially our most vivid dreams — happen during REM sleep, which is also when the limbic system, a collection of structures in the center of the brain that deals with emotion, is especially active.

While researchers still aren’t sure why we have nightmares, one theory is that they provide a safe, low-stakes space to work through difficult emotions or situations that might be troubling us in waking life. “Dreams are the number-one way in which we process emotions, particularly emotional tensions that we are experiencing in waking life,” said psychologist and dreaming expert Ian Wallace. “They are part of the same problem-solving processes that we use during the day.”

This might explain why I keep having the same recurring dream. “Generally speaking, we dream about whatever it is that is going on in our lives as we are falling asleep, or it’s the most prevalent stressful situation that’s going on in our world,” explains psychologist and sleep specialist Michael Breus. “If you have a situation where you are thinking about something that is very, very stressful on a fairly regular basis, then it will show up as a dream or in your unconscious.” And that same dream can replay over and over again during stressful periods.

That’s not to say that the dream scenario is a literal representation of what’s bothering you in waking life — it can just be an indication that something is wrong. Breus, for instance, has a recurring “stress” dream of his own: “I’m in high school, the bell rings, and I run to my locker to get my books for the next class,” he says, but “it’s a combination lock and I cannot remember the combination. I sit there and I spin the dial and I get more and more stressed out.” He wakes up in a cold sweat, he says, but understands it’s a sign that there’s something going on that he needs to think about.

Infidelity dreams, similarly, often have a lot to do with stress. “This has more to do with insecurity or self-esteem that’s going on with you personally than with your husband,” Breus says. And Wallace, who studies dream interpretation, suggests that I may conjure up the affair dream when I’m disappointed with myself. (Ironically, I’ve struggled with writing a novel this year, despite my husband’s support.)

And, as my husband unfortunately already knows, dreams can also impact our relationships. One 2013 study in the journal Social Psychological and Personality Science found that the mood-altering effects of troubling dreams can last throughout the following day or even longer, negatively affecting intimacy and communication.

The good news, as Breus is quick to highlight, is that there’s no predictive value to dreams. And there are ways to stop the emotions of a bad dream from bleeding over into regular life: One approach is to give dreams better outcomes in our waking lives. “Prime your brain right before bed. And what that means, is to think about things that are positive before you go to sleep,” Breus recommended. Deep breathing and relaxation exercises can help. So can a technique called Image Rehearsal Therapy, in which a person writes out the entire content of their dream and then gives it a different ending. The idea, developed by sleep-disorder specialist Barry Krakow, is that over time, the exercise can alter the dream with the new outcome.

For now, I need to find a quiet corner and reflect on what stressors in my life could be causing my recurring nightmare. It might be the unfinished novel, or it might be something else. Until I find an answer, I’m hoping the mystery woman remains faceless and the pillows stay in one piece. And as far as my husband knows, my red eyes in the morning aren’t necessarily caused by the dream, anyway. I think I’m allergic to down.

By Crystal Ponti

http://nymag.com/scienceofus/article/when-betrayal-in-a-dream-leads-to-real-life-conflict.html

9 Signs You Should Break Up with Your Therapist

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But let’s say, for example, you picked your therapist while you were in the midst of a crisis and now you feel like you’re too far into your treatment to leave. Or maybe you’ve gone a few times but you’re not really sure that you’re getting what you need from the interaction.

There are many reasons people find themselves in an established relationship with the wrong therapist or seeing someone they’ve outgrown. We asked experts for red flags that indicate you need to break up with your therapist and find a new one. Here’s what they had to say:

1. Your therapist fell asleep on you

Believe it or not, this actually happens.

“I have had more people than I can count come to my office and tell me that they’re coming because their previous therapist fell asleep,” Chloe Carmichael, a clinical psychologist based in New York City, told The Huffington Post. “And they’ve told me that it’s happened more than once.”

If your therapist ever falls asleep on you in session, take that as a sign that he or she is not fit to be working with patients and you should find someone new.

2. You feel like your therapist doesn’t support your goals

It is important that you feel supported. Carmichael gives the example of a troubled relationship: If your therapist thinks you should break up with your partner but you are seeking help to repair the relationship, have a conversation with your therapist about this, she advises.

“I would encourage the person to say, ‘I want to clarify if we should continue working together, because I want to clarify that we have the same goals. I want to stay with my boyfriend and sometimes I feel like you want me to break up with him. Is that true?’” Carmichael said.

This kind of conversation provides the opportunity to see if you and your therapist see eye-to-eye, learn about potential red flags he or she might be noticing and agree about the direction in which your life is going.

“You do not want to be with somebody who comes across as judgmental,” agreed Liana Georgoulis, a clinical psychologist and director of Coast Psychological Services in Los Angeles.

On the other hand, sometimes you won’t always hear what you want to hear, Georgoulis said. The right therapist won’t always agree with you. And, of course, any therapist has a responsibility to intervene if you’re in an abusive or otherwise dangerous situation.

3. The therapist claims he or she is an expert in every condition

Beware of therapists who say they’re able to help with everything or market themselves as a “Jack of all trades.”

Many therapists know which conditions they can help with, and also where they can’t, Carmichael notes. A good therapist will refer you to someone else if your condition falls out of his or her scope.

4. You’re not sure why you are in therapy

Therapy can provide tools for coping with everyday stress or a mental health condition. Make sure you are working with your therapist toward mutually agreed-upon and clearly defined goals.

“Sometimes there might be differences in what that work is or how to get there,” Georgoulis said. But ask the professional you’re seeing to outline the treatment plan so you have a good sense of what it is you’re doing together.

5. Your therapist needs reminders

You should not feel like you need to brief your therapist on events or facts you’ve already covered in previous weeks.

“If that happens every session, that might be a sign that you want to get a therapist that’s more organized or more attentive,” Carmichael said. “You shouldn’t have to lead the therapist.”

6. You don’t feel like you’re getting anywhere

Let’s say you went into therapy for anxiety and you’ve learned tools to help you cope better each day. So rather than talk about anxiety, you bring up other issues that you need help working out. But session after session, you just don’t see any progress in these areas.

“Sometimes you’ve just gone as far up the mountain as you can with somebody, and it’s justifiably time to say goodbye,” Carmichael said.

Georgoulis agrees. If you’ve been in therapy for a long time but the needle hasn’t moved on certain issues, bring this up to your therapist. If you are still in pain, or not feeling good, it may serve you to find another person to talk to, she said.

7. You know too much about your therapist’s life

When therapists tell patients information about their own lives to make a point or illustrate an idea, it’s called disclosure. Researchers have been debating where the line is when it comes to this technique for ages ― even Sigmund Freud grappled with it, The New York Times reported.

Here’s how Carmichael suggests approaching it: If the therapist is telling you things about his or her own life for an obvious reason and it feels helpful, it’s probably fine. But if you can’t figure out why the therapist is sharing certain stories, or if he or she is taking up your valuable therapeutic time, it could be an indicator that this therapist is not the right fit.

Carmichael suggests finding a therapist who expresses him or herself quickly and distinctly during your time together.

“There’s not room for long winded answers,” she said.

8. You go to therapy just to vent

A core component of good therapy is the therapist’s ability to connect a patient’s thoughts, find patterns and then trace it all back to concrete changes in thinking, Georgoulis said.

“If a therapist is just letting you come in and ‘vent’ each week, that’s not a good sign,” she said.

Find a therapist who does more than just make you feel better in the moment or provide advice for particular situations.

9. You feel good after every session

“There’s a misconception, I think, that people are supposed to walk away from a therapy session feeling great and I don’t think that’s true,” Georgoulis said. “The work is hard and sometimes you leave therapy sessions feeling challenged or drained. Stuff gets stirred up.”

If you are always leaving therapy feeling like everything is perfect, Georgoulis urges you to ask yourself if you are truly doing the work. It could be a sign that you need a different therapist who can help you process challenging emotions.

So, what should you do?

Both experts say the best route to securing the right therapist from the outset is to interview several of them, be straightforward about why you need counseling and ask about specific treatment methods he or she uses.

Bottom line, there are many excellent reasons to go to therapy. But once you’re there, consider if the therapist is really the right fit for you. If it’s not the right match, do what you need to do to find the right person.

It’s worth it.

Therapists work for you. Read these signs to determine if you need to “shop around” a bit more to get the help that you deserve!

https://www.huffingtonpost.com/entry/signs-you-should-break-up-therapist_us_58ed18f0e4b0ca64d919dd01?utm_hp_ref=mental-health

5 No-Phone Zones for Parents and Kids Alike

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Places like the dinner table can be designated phone-free for the whole family.
Marie D. De Jesus/Houston Chronicle, via Associated Press

 How can we get our kids to put down their phones when they see us on ours so often?

A 2016 survey by Common Sense Media, a nonprofit children’s advocacy and media ratings organization, asked almost 1,800 parents of children aged 8 to 18 about screen time and electronic media use by the parents. The average amount of time that parents spent with screen media of all kinds (computers, TVs, smartphones, e-readers) every day: 9 hours and 22 minutes. And on average, only an hour and 39 minutes of that was work-related; 7 hours and 43 minutes were personal.

Maybe that’s one reason you hear more and more often the recommendation that families delineate specific screen-free times and places in their lives. James P. Steyer, the chief executive of Common Sense Media, cited the idea of “sacred spaces” advocated by Sherry Turkle, a professor at the Massachusetts Institute of Technology and author of the 2015 book “Reclaiming Conversation: The Power of Talk in a Digital Age.”

It’s just as important to regulate our own use of devices and put them aside for screen-free periods as it is to ask our children to disconnect. And it certainly adds spice to family life if children understand that the same rules apply for all ages: that Dad will get grief for surreptitiously checking his phone under the dinner table and Mom has to park hers in the designated recharging zone for the night just as the children do.

Here are my own top five sacred spaces, but I’ll tell you frankly that they’re very much “aspirational” for me; I have a long way to go before I’m a good example.

1. In the Bed

Keeping TVs out of children’s bedrooms and bedtimes is an old pediatric recommendation from back in the day when TV was the screen we worried about most. Now we also stress keeping smartphones out of their beds, but many of us as adults also struggle with this imperative, which pretty much everyone agrees is critical for improved sleep and therefore improved health. Those of us with children out of the home, of course, tell ourselves that the phone has to come into the bedroom in case a child needs to call — but the phone can sleep on the other side of the room, not on the night stand.

2. At the Table

If the family gathers around the dinner table, basic table manners dictate no digital participants. And yes, that means parents get in trouble if they lapse, and you don’t get to use the old let-me-just-Google-this-important-and-educational-fact strategy to settle family debates and questions of history, literature, or old movie trivia, because everyone knows what else you’ll do once you take out the phone.

3. Reading a Book

I don’t read books well if I’m toggling back and forth to email. That’s O.K. for other kinds of reading, maybe, but not for books. If you made a New Year’s resolution to read more books or you’re going to try for family reading time, you can allow e-readers, but you might keep other screens at a distance.

4. In the Outdoors

It’s definitely worth picking some outdoor experiences that are going to be screen-free. One of the dangers of carrying our screens with us wherever we go is that wherever we go, the landscape is the same — it’s a conscious decision to go outside and see what there is to see, even if that means losing the chance to take a photo now and then. It may also work to put phones on airplane mode for travel and family activities, so they can be used only as cameras – or for maps or emergency calls if needed.

5. In the Car

This is a tougher one for many families, since screens in the car can be so helpful on long rides, especially with siblings in proximity. But time in the car can also be remarkably intimate family time (yes, I know, not always in a good way). Some of the most unguarded conversations of the middle school and adolescent years take place when a parent is chauffeuring, so it’s probably worth trying for some designated screenless miles. I assume that I don’t have to say that the driver should not be looking at a screen — but the parent riding shotgun in the front also has to play by the rules.

Mr. Steyer said his organization’s survey showed that parents are paying attention to the ways that their children use screen media, and that they see it as their responsibility to monitor and regulate their children’s use of technology. In fact, two-thirds of the parents felt that such monitoring was more important than respecting their children’s privacy.

Parents’ role has to include awareness and also a willingness to “use media and technology together whenever you can,” Mr. Steyer said; “it’s good for parents to watch and play and listen with their kids and experience media and technology with them and ask them questions about what they see and hear.”

In a new policy on screen media use by school-age children and adolescents released last October, the American Academy of Pediatrics suggested that families develop and regularly update a family media use plan, using an online tool that takes into account the individual family’s patterns and goals and lets you designate screen-free times and places. That can be helpful for screen-loving children and for their screen-loving parents as well.

Your Mental Health Is Just As Important As Your Physical Health

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Your Mental Health Is Just As Important As Your Physical Health

A new year means New Year’s Resolutions.

What are your New Year’s resolutions?

The three most popular resolutions are to lose weight, get organized, and spend less/save more. No big surprises there. Come January, most of us are ready to hit the gym. We’ve put on a few pounds over the holidays or just lazed around the house for the past couple of weeks. I’m feeling a bit like a slug myself. It’s time to get our bodies healthy!

And if you struggle with organizing  your time, space, and finances, it’s wise to get things in order and stick to a budget. These are all valuable pursuits.

But what about your mental health?

In my opinion, your mental health is just as important as your physical health.  Do your New Year’s resolutions ever include getting yourself mentally  healthy?

Mental health matters. If you don’t attend to your mental and emotional needs, your quality of life suffers; your work suffers; your relationships suffer; your physical health suffers.

Mental health is easy to take for granted. It’s not like a broken arm or a heart attack. There’s nothing visible to alert you that your mental health is suffering. Of course, there are signs, but you have to be paying attention. In fact, often people don’t recognize their mental health problems until they manifest as physical symptoms.

Common mental health problems such as depression, anxiety, and stress often show up as physical health problems, including headaches, fatigue, muscle tension, stomach aches, heart burn, heart palpitations, changes in appetite, or trouble sleeping.

Often we try to deny our emotions and mental health problems. Unfortunately, there’s still a stigma that makes it hard for many of us to acknowledge and seek help for these issues. Sometimes we have a hard time accepting our own emotional pain, fearing it’s a weakness, and instead we push it down, drown it in food, drink, or other compulsions.

Practice preventive mental health care

We all know the importance of preventative healthcare. You probably get a physical exam and some blood work every year or two to make sure your body is functioning properly. Unfortunately, most people don’t take the same approach with their mental health. Rarely do people go to a therapist as a preventative measure or talk to their primary care doctor about their emotional well-being. But it doesn’t have to be this way.

There are also many ways you can practice preventative mental health care on your own.

How can yoResolve to Improve Your Mental Health, New Years Resolution to focus on emotional health and wellnessu resolve to improve your mental health?

  • Get enough sleep
  • Pay attention to your feelings
  • Spend time in nature
  • Pursue a hobby
  • Laugh often
  • Grieve your loses
  • Accept yourself, imperfections and all
  • Only try to change yourself, not others
  • Ask for help; you’re not superman or superwoman
  • Spend less time in front of electronics
  • Connect with friends and family
  • Try to do things because you want to, not out of obligation
  • Practice gratitude daily
  • Express your feelings
  • Surround yourself with positive people
  • Exercise
  • Remember it’s healthy to say “no” sometimes
  • Forgive yourself when you screw up
  • Limit alcohol, caffeine, and other drugs
  • Spend some time alone
  • Get to know yourself
  • Listen to your instincts
  • See a therapist
  • Practice deep, calming breathing
  • If you’ve been prescribed psychiatric medications, take them as prescribed

Your mental health is essential. All positive change is built one small bit at a time. Choose one way to prioritize your mental health and practice it until it’s a way of life. The pay off will be worth it.

https://blogs.psychcentral.com/imperfect/2016/12/your-mental-health-is-just-as-important-as-your-physical-health/

How to influence the way other people see you

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Oliver Burkeman

Few facts about daily social life are quite as troubling as this one: you don’t really have the faintest idea how you’re coming across to others. Reading Heidi Grant Halvorson’s new book, No One Understands You And What To Do About It, you start to feel it’s a miracle that two humans ever manage a successful conversation, let alone a friendship or a marriage.

Studies reveal only minor correlations between how you think you’re viewed and how people view you; if those around you aren’t falling victim to the “false consensus effect” (assuming you’re just like them), then they’re falling victim to the “false uniqueness effect” (assuming you couldn’t possibly be as clever, or busy, or unhappy as them). Or maybe it’s you who’s falling victim to the “transparency illusion”, assuming your words and facial expressions are a dead giveaway for your feelings, when usually they’re not.

Halvorson notes that Barack Obama, after his disastrous first presidential debate of 2012, was convinced he’d done brilliantly. If arguably the world’s best living orator can’t read his audience, what hopes for you or me?

It gets worse. We chronically forget how much difference it makes that we have access only to our own thoughts and emotions; we don’t realise how many assumptions we’re forced to make about other people’s. Plus, we’re “cognitive misers”: life is so complex that we instinctively conserve our mental processing energy, spending it only when we must. That partly explains racial and gender stereotypes – they’re an effort-saving short cut – and a host of other hasty judgments.

Finally, there’s ego bias: what matters about you, to someone else, is whatever has most meaning for them, not for you. Thus, when evaluating candidates for a job, average-looking people penalise attractive applicants, while good-looking people don’t, because the average ones feel subconscious “social threat”. It’s always about the perceiver, not the perceived.

Can others ever see us the way we intend? Halvorson says yes. Many of her suggestions involve nudging people from gut judgments to more effortful, reflective ones. Show a little vulnerability, for example, and the resulting bond of empathy should prompt people to see you more clearly. Compliment someone on their fairness or accurate judgments and, research suggests, it may become a self-fulfilling prophecy.

But her most useful observation might be this: when it comes to judging how people see you, trust the numbers. Our individual encounters with each other may be distorted by bias and egocentrism, but in aggregate, patterns emerge. If people regularly back away from you at parties, it’s unlikely to be a coincidence: you’re coming off as boring. If you keep being handed high-responsibility projects at work, maybe you seem far more competent than you’d imagined. It may be true that nobody understands you, but when they all don’t understand you in exactly the same way, there’s probably a lesson lurking there.

oliver.burkeman@theguardian.com

https://www.theguardian.com/lifeandstyle/2015/apr/17/influencing-how-others-see-you-oliver-burkeman

How to Peacefully Teach and Set Clear Limits, Boundaries and Consequences with Your Child

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Kids do all kinds of things that we don’t like, things that drive us nuts. Sometimes they do things that are dangerous, things that scare us half to death. They cross lines and test boundaries. My oldest son climbs on everything. My second son is overly aggressive with his affection, especially with his baby sister. My third son struggles with hitting, pinching or biting when he becomes angry.

This is all part of growing up. This is all part of being a parent. These little people we call our kids are trying new things and trying to figure out the world around them. In order for them to do this successfully requires that we set and help them understand limits, boundaries and consequences.

I love the way that Genevieve Simperingham explains our kids process of learning how to interact appropriately and empathetically with the world around them. She says,…

“Children mostly learn that they’ve crossed a line through the feedback of others. The image comes to mind of travelling in another country, there’s a lot of strict cultural rules about what’s okay and not okay and we only learn that we’ve been inappropriate when we get the feedback – how scary! We’d truly hope they had compassion for our lack of prior immersion into their culture and see our clumsiness as lack of awareness rather than lack of care or respect.

Children learn about empathy mostly through the direct experience of being empathized with and feeling how that helps them feel better.”(Setting Limits with Love, Genevieve Simperingham, www.peacefulparent.com )

Limits, Boundaries and Consequences, Oh My!

Limits, boundaries and consequences all work together with love and empathy to teach and help our kids perceive and interact with the world in positive ways. In this article I’ll address each concept of limits, boundaries and consequences and some practical ways to understand and utilize them in positive, peaceful ways.

Setting Limits: A limit is an imposed request or restraint on our child, and is most often coupled with stating a clear consequence. Sometimes the natural consequence is simply built into the limit itself. Some examples may include…

  • Lead with a positive, empathetic response: “You may go play as soon as your room is clean.” In this example, play is limited on conditions of the child completing his chore. The natural consequence is that he may choose when he will do the chore and thus postpone or move him toward his playtime.
  • Set limits with love and firmness: Tell them how you feel and what you don’t like as well as what you do like. Then reassure them of your unconditional love and regard for them. An example might include, “I know you’re frustrated right now. I don’t like when you hit me. I like it when you ask me for the things you need.” When your child asks to do something, for example, “Mom, can I go to Jimmy’s house?” You could respond with, “That sounds like a great idea another day. Right now we are getting ready for dinner.” If they continue to protest and ask why simply and empathetically say, “I know you really want to go. Sorry that’s not going to happen tonight.” If it still continues, just state the famous Love and Logic phrase, “I love you too much to argue.”

[Tweet “Set limits with love and firmness”]

  • Don’t limit emotions, limit behavior: Stop the behavior through direction, separation and redirection. It’s okay for your child to be upset about it, but it’s important to separate the emotions from the negative behavior we wish to limit. For instance, it is okay to be angry, but hitting is not okay. “No throwing toys, because that hurts people and the toys.” It may require that we take the toy or separate our child from the situation, but no punishment or further action is required.

Setting Boundaries: A boundary is a statement or action of personal limits. It communicates, “This is where I end and you begin. This is what I am willing to do and what I am willing to allow you to do or not do to me. Dr. Henry Cloud describes it like your own fence around your personal property that keeps the bad stuff out and your personal treasures in. This doesn’t mean we never let anyone inside our boundary, it simply means that there is a clear boundary and a gate by which you can let others come and go in a way that is comfortable and wise.

  • When kids make demands or requests of us. My kids often make demands at the dinner table. They say things like, “Dad, get me some water” or “I want a different glass or plate or utensil.” These demands are often made of my wife or me when we are busy preparing one of our small children’s food or finally sitting down to eat our own meal. Sometimes, parents respond simply by not responding. They ignore the request. Sometimes parents snap back at the kids, “Can’t you wait a minute? I’ll do it, just wait!” Sometimes parents just give in to the demand against their will. There is a better way that acknowledges the child’s request but asserts our own personal boundaries as well. We can say, “I would love to get that for you as soon as I done fixing your sister’s plate or after I am done eating. If you don’t want to wait, you are welcome to get it yourself.” If you are not willing to do the task for your child at all you can say, “Thanks for asking. I’m eating right now. If you would like water, you are welcome to get it yourself. Thanks.”
  • Use “yes” as a boundary setting tool. When a child asks you to buy something for them at the store, say “Yes, you are welcome to buy that with your own money if you would like to earn the money and bring the money with you when we come to the store.” In essence we are saying, “no, I’m not going to buy that for you with my money” but we are not putting a limit on what they can do with their own money. This can artfully place appropriate boundaries out of what we are willing to do while also teaching them and motivating them to do things for themselves.
  • When a child hits or is aggressive. We can firmly state our own personal boundaries. “I will not let you hit me.” This may include backing away to get out of arm or leg range, putting a hand out to stop hits and kicks or gently holding a child if they are receptive and need you to help them calm themselves.

Establishing Consequences: A consequence is simply the effect that follows any given action. Consequences are inevitable. They are natural and constant. There is no action that does not have a consequence. Kids sometimes struggle to see and understand the natural consequences of their actions and definitely struggle to anticipate consequences. It can be helpful for parents to teach kids about consequences and help them anticipate consequences that will arise, whether natural or imposed consequences.

  • Educate them about positive and negative consequences: Consequences are not necessarily something we have to impose upon our children. It’s not something that I do to my children but it’s just part of living. Consequences are best learned as they are woven into our limit and boundary setting. It’s important to teach our kids that consequences are not just negative things, but that all of their choices have consequences. Positive choices also provide positive consequences. I’m not referring to rewards that parents give but just regular everyday benefits of making good choices.
  • Allow natural consequences: Too often parents jump in and either overshadow the real life natural consequences of a situation by either giving a harsh punishment or unnecessary reward instead of simply letting them experience the natural consequences. If they choose not to complete their homework, poor grades or other consequences at school may follow. If they refuse to get shoes on before it is time to leave the house (when age appropriate), they get to carry their shoes with them to the car or go without shoes. When they refuse to go to sleep, they get tired. On the other hand, they feel good when they do something kind for a brother or friend and they get to move on to play time when they complete their chores. We all experience consequences in our everyday lives and we learn from them without any lectures or punishments.
  • Follow through with realistic, rational consequences: When people think of consequences, they most often think of groundings, taking privileges away, spankings, lectures and other punishments, but these are neither necessary or effective for teaching positive skills and values. The more natural, realistic to life and related to their behavior the consequence is, the more effective it is in teaching the desired lesson. When a child makes a mess, the logical consequence is that he cleans up after himself. When a child damages something, a natural consequence is that they replace it. As referred to in the limits section, the natural consequence of a child refusing to do chores is that they postpone their own play time. When we follow through with natural consequences and show empathy we take the focus off of us and allow our child to learn from the consequence. It give us opportunity to help our child learn to solve their problems rather than causing them to blame us and see us as the problem.

5 Important principles to remember when setting TRU limits, boundaries and consequences:

It can be helpful to evaluate the limits, boundaries and consequences we set and how we set them in accordance with the principles of TRU parenting. Do our limits and the way we deliver them teach our child what we want them to learn? Do they build on our relationship? And do they allow me to upgrade myself and improve my own boundaries? The following are 5 specific guidelines to help set limits, boundaries and consequences that meet the principles of TRU parenting and promote positive ongoing cycles rather than simply demanding immediate compliance only.

1. Lead with the positive and with empathy: The connection and relationship between parent and child is one of the most important elements of setting positive, clear limits, boundaries and consequences. When we approach a limit with understanding and with words that ignite positive, agreeable feelings, we find that kids are much more cooperative. My wife’s cousin recently shared the following story with me about my wife and second son. She reported…

“Eli (my 6 year old son) was teasing and upsetting Emma (my 2 year old daughter). Camille (my wife), was watching and recognized what was going on. Instead of saying “Eli stop” or “Don’t tease your sister” she kindly said “Eli, I don’t think we have hugged today come over here and give your mom a big hug” He happily jumped up and gave her a big hug for a few seconds and then magically he went about playing and NOT teasing his sister.”

I thought this was so awesome! This is such an incredible example of empathy and my wife recognizing my son’s underlying need. She set a limit by redirecting his behavior to a more appropriate avenue and left the formal teaching for a later time. The need was met and the behavior stopped, all in a way that taught positive principles, built the relationship and Upgrading my wife’s state of mind and being. I know, my wife is amazing!

2. Don’t be afraid of “NO” but don’t overuse it: Sometimes the best way to define or set a limit is with a good old fashion “no.” However, I’ve found that when “no” is overused on every nitpicky little irritation, it loses its value and creates a negative atmosphere.

3. Don’t set limits while sitting: Be actively engaged. When we sit back and bark out limits and orders from our arm chair, our limits have no power. Move toward your kids and reach out to them. Deliver limits and boundaries at their level both physically and developmentally.

4. State what you will do or not do and do or don’t do it: Try to focus on what you will do rather than on what they should do. Mean what you say and say what you mean. Be a Mom or Dad of your word. For example, if your child wants a different color cup than was placed on the table you can say, “I would love to get it when I’m done eating if you would like to wait. I’m fixing food right now and eating my dinner. You are welcome to either get it yourself or wait for me to be done with my dinner.”

5. Teach and plan during the good times: Use weekly family nights, play time or other fun and positive times to be together to teach and plan appropriate social boundaries and show them what consequences might come in different situations. Use role plays and games to help them learn limits, and cause and effect relationships. It doesn’t have to be a struggle to set clear limits. It really can be fun.

Other great resources on setting limits with our kids…

Aha Parenting: How to Set Effective Limits for Your Child

Peaceful Parenting: Setting Limits with Love

http://truparenting.net/peacefully-teach-set-clear-limits-boundaries-consequences-child/

‘Magic 6 hours’ could dramatically improve your relationship

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 When John Gottman talks, I listen.

Actually I’ve never heard him talk, but when he writes, I read.

So when a newly revised edition of his best-selling “The Seven Principles for Making Marriage Work” (Harmony Books) hit my desk this week, I cracked it open immediately.

Gottman is a psychology professor at the University of Washington and the founder/director of The Gottman Institute, a marital research and counseling center in Seattle.

Maybe you’ve read about his theory on “master couples” versus “disaster couples.”

Co-authored with Nan Silver, “Seven Principles,” which has sold a million-plus copies, was first released in 1999 — before Tinder, before Facebook — heck, before some of us even had cellphones.

The updated version (out next week) offers tips for dealing with digital distractions, including Gottman’s suggestion to agree on rules of tech etiquette: How much are you comfortable with your partner sharing on social media? When is texting/posting off-limits (mealtimes, date nights)? Do you create cyber-free zones in your home?

Most compelling of all, though, is Gottman’s “magic six hours” theory, based on interviews with couples who attended marital workshops at The Gottman Institute.

“We wondered what would distinguish those couples whose marriages continued to improve from those whose marriages did not,” Gottman writes. “To our surprise, we discovered that they were devoting only an extra six hours a week to their marriage.”

If your first thought is, “Only? Where am I going to find an extra six hours in my week?” — I hear you.

If that was not your first thought, forget I said anything.

Anyway, back to the winning formula.

Couples who saw their relationships improve devoted extra time each week to six categories.

First up: Partings

“Make sure that before you say goodbye in the morning you’ve learned about one thing that is happening in your spouse’s life that day,” Gottman writes. “From lunch with the boss to a doctor’s appointment to a scheduled phone call with an old friend.”

(Two minutes per day for five days, for a grand total of 10 minutes per week.)

Second: Reunions

Gottman recommends greeting your partner each day with a hug and kiss that last at least six seconds and ending each workday with stress-reducing conversation that lasts at least 20 minutes. (About 1 hour and 40 minutes per week.)

Third: Admiration and appreciation

Spend five minutes every day finding a new way to communicate genuine appreciation for your spouse, he says. (35 minutes per week.)

Fourth: Affection

“Show each other physical affection when you’re together during the day, and make sure to always embrace before going to sleep,” he writes. (Five minutes per day, seven days a week: 35 minutes.)

Fifth: Weekly date

For two hours once a week, Gottman recommends one-on-one time, during which you ask each other open-ended questions. “Think of questions to ask your spouse, like, ‘Are you still thinking about redecorating the bedroom?’ ‘Where should we take our next vacation?’ or ‘How are you feeling about your boss these days?'” (2 hours per week.)

Sixth: State of the union meeting

Spend one hour a week talking about what went right that week, discussing what went wrong and expressing appreciation for each other. “End by each of you asking and answering, ‘What can I do to make you feel loved this coming week?'” he writes. (1 hour per week.)

All of it adds up to six hours per week.

Some of these suggestions sound a tad awkward. “What can I do to make you feel loved this coming week?” reminds me a little too much of the last time I bought a car. (“What can I do to earn your business today?”)

But I like to think of marital advice like the food pyramid: You’re not going to adhere to it every day, but it’s an instructive guide to shape your habits around.

http://www.chicagotribune.com/lifestyles/ct-improve-relationship-in-six-hours-balancing-20150430-column.html

Loving a Trauma Survivor: Understanding Childhood Trauma’s Impact On Relationships

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Survivors of childhood trauma deserve all the peace and security that a loving relationship can provide. But a history of abuse or neglect can make trusting another person feel terrifying. Trying to form an intimate relationship may lead to frightening missteps and confusion.

How can we better understand the impact of trauma, and help survivors find the love, friendship and support they and their partner deserve?

How People Cope With Unresolved Trauma

Whether the trauma was physical, sexual, or emotional, the impact can show up in a host of relationship issues. Survivors often believe deep down that no one can really be trusted, that intimacy is dangerous, and for them, a real loving attachment is an impossible dream. Many tell themselves they are flawed, not good enough and unworthy of love. Thoughts like these can wreak havoc in relationships throughout life.

When early childhood relationships are sources of overwhelming fear, or when absent, insecure or disorganized attachment leaves a person feeling helpless and alone, the mind needs some way to cope. A child may latch onto thoughts like

  • Don’t trust, it’s not safe!
  • Don’t reach out, don’t be a burden to anyone!
  • Don’t dwell on how you feel, just move along!

These ideas may help a person cope when they hurt so badly every day and just need to survive. But they do not help the emerging adult make sense of their inner world or learn how to grow and relate to others. Even if the survivor finds a safe, loving partner later in life, the self-limiting scripts stay with them. They cannot just easily toss them and start over. These life lessons are all they have (so far) to survive the best way they know how.

Noticing Trauma’s Impact On Behavior and Mood

Many times, trauma survivors re-live childhood experiences with an unresponsive or abusive partner (an important topic for another article). This often happens without the ability to see the reasons why they feel compelled to pursue unhealthy relationships. Beneath awareness is a drive to revisit unresolved trauma, and finally make things right. Of course, childhood wounds cannot be repaired this way unless there are two willing partners working on changing those cycles. But if these forces remain unnoticed, survivors can get caught in a cycle of abuse.

Even with a safe partner, a trauma survivor may

  • Experience depression
  • Develop compulsive behavior, an eating disorder, or substance dependence to try and regulate their emotions
  • Have flashbacks or panic attacks
  • Feel persistent self-doubt
  • Have suicidal thoughts
  • Seek or carry out the adverse behavior they experienced as a child

Partners of trauma survivors may want desperately to help. But partners need to “be clear that it is not your problem to fix and you don’t have the power to change another human being,” says Lisa Ferentz, LCSW in a post for partners of trauma survivors. Rather, know that both of you deserve to connect with resources to help you find comfort and healing.

Seeing Trauma’s Impact On Relationships

It is important to recognize unhealed trauma as a dynamic force in an intimate relationship. It can super-charge emotions, escalate issues, and make it seem impossible to communicate effectively. Issues become complicated by:

  • Heightened reactions to common relationship issues
  • Emotionally fueled disagreements
  • Withdrawal or distant, unresponsive behavior
  • Aversion to conflict and inability to talk through issues
  • Assumptions that the partner is against them when it is not the case
  • Lingering doubt about a partner’s love and faithfulness
  • Difficulty accepting love, despite repeated reassurance

In a relationship, a history of trauma is not simply one person’s problem to solve. Anything that affects one partner impacts the other and the relationship. With guidance from therapy, partners begin to see how to untangle the issues.

Many people do not even realize that they have had traumatic experiences. Trauma-informed therapy works by helping couples begin to see how they experienced traumatic abuse or neglect, and how it still affects them, and impacts their current relationships. This approach enables the therapist to provide specific insights to help couples separate past issues from present ones. Progress often comes more readily through a combination of individual sessions and work as a couple.

Trauma-informed therapy helps partners give each other the gift of what I and other therapists call psychoeducation – learning to understand each individual’s story, how it impacts their relationship, and how to process thoughts and emotions in healthier ways.

The Importance of Self-Care For Trauma Survivors and Their Partners

Trauma survivors and their partners have different needs for support. How can one respond when the other is grappling with mental health issues? How do you calm things down when overwhelming emotions get triggered?

It takes therapy for couples to find answers that are most healing for them. But some general tips for trauma survivors and their partners that can help are:

  • Have a really good support system for each of you and the relationship. Make time for family and friends who are positive about your relationship and respect you and your loved one.
  • Find a trauma-informed therapist to guide you as a couple or as individuals in your effort to better understand yourselves and each other.
  • Find resources outside of therapy such as support groups or other similar activities
  • Take time for psychoeducation. Learn about the nature of trauma, self-care and healing techniques like mindfulness. For example, one helpful model is Stan Taktin’s “couple bubble.” This is a visual aid to help partners see how to become a more secure, well-functioning couple. Surrounding yourself and your partner with an imaginary bubble “means that the couple is aware in public and in private they protect each other at all times. They don’t allow either of them to be the third wheel for very long, at least not without repair. In this way, everybody actually fares much better.” See More Helpful Resources below.

Communication Tips for Partners of Trauma Survivors

Building a healthy bond with a trauma survivor means working a lot on communication. Grappling with relationship issues can heighten fear and may trigger flashbacks for someone with a history of trauma.

Learning how to manage communication helps couples restore calm and provide comfort as their understanding of trauma grows. For example, couples can:

  • Use self-observation to recognize when to slow down or step back as feelings escalate
  • Practice mindfulness to raise awareness and recognize triggers for each of you
  • Develop some phrases to help you stay grounded in the present and re-direct your dialog, such as:
    • “I wonder if we can slow this down.
    • “It seems like we’re getting triggered. Can we figure out what’s going on with us?”
    • “I wonder if we are heading into old territory.”
    • “I’m thinking this could be something we should talk about in therapy.”
    • “I wonder if we could try and stay grounded in what is going on for us – is that possible?”

Communication can also help a partner comfort a loved one during a flashback. Techniques include:

  • Reminding the person that he or she is safe.
  • Calling attention to the here and now (referencing the present date, location and other immediate sights and sounds).
  • Offering a glass of water, which can help stop a flashback surprisingly well. (It activates the salivary glands, which in turn stimulates the behavior-regulating prefrontal cortex.)

Healing childhood wounds takes careful, hard work. But it is possible to replace old rules bit by bit. Finding a therapist who can recognize and acknowledge the hurt, which the survivor has carried alone for so long, is key to repairing deep wounds.

Partners may decide to work individually with their own trauma-informed therapist, while working with another as a couple, to provide the resources they need. When a survivor of early trauma can finally find comforting connection with a therapist, and then with their partner, the relationship between the couple can begin to support deep healing as well.

The more we understand about the impact of trauma, the more we can help those touched by it to go beyond surviving, and find the healing security of healthier loving relationships.

More Helpful Resources

Articles and Websites

“Helping a Partner Who Engages in Self-Destructive Behaviors” by Lisa Ferentz, LCSW

“Trauma-Informed Care; Understanding the Many Challenges of Toxic Stress” by Robyn Brickel, M.A., LMFT

Sidran Institute (resources for traumatic stress education and advocacy)

Books

Wired for Love: How Understanding Your Partner’s Brain and Attachment Style Can Help You Defuse Conflict and Build a Secure Relationship by Stan Tatkin, PsyD, MFT

Allies in Healing: When the Person You Love Was Sexually Abused As a Child by Laura Davis

Trust After Trauma: A Guide to Relationships for Survivors and Those Who Love Them by Aphrodite Matsakis

Mindsight: The New Science of Personal Transformation by Daniel Siegel

http://brickelandassociates.com/trauma-survivor-relationships/