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Long-Term Social Distancing May Be Traumatic. Here Is What To Expect And What To Do

Passover, Easter and Ramadan are occasions that typically bring families together to pray, reflect and celebrate – fellowship needed, perhaps, now more than ever – will look different this year as the coronavirus pandemic continues.

The loss of those traditions is added to a growing list of losses that North Americans are facing as they endure at least another month of social distancing and with it an extended departure from routines, habits, social circles and normalcy.

The protracted disruption to life as it was, mental health experts say, could bring feelings of anger, depression, anxiety and even grief.

“There is literal grief like losing loved ones,” said Dr. Vaile Wright, the American Psychology Association’s director of clinical research. “But there is a grief of experiences that we are losing right now. There can feel like there is a lot of loss right now, a loss of freedom, a lot of things we took for granted.”

The next few months may take a toll on the nation’s mental health, experts say, but it is possible to mitigate the stress.

North Americans’ collective trauma

Extended isolation and stress from the pandemic can affect everyone differently, said Dr. Dana Garfin, a health psychologist.

It could put strain on families, send children home to abusive situations, make those living alone feel isolated and threaten people’s sense of purpose by keeping them from work, Garfin said.

And those experiencing financial insecurity in the midst of the pandemic have an added stress that is difficult to resolve, said Dr. Baruch Fischhoff, a psychologist at Carnegie Mellon University.

Despite those differences, the experience of staying home together through a pandemic can be considered a collective trauma, said Garfin, who studies collective traumas such as hurricanes, terrorist attacks and earthquakes.

Collective traumas start at some point of impact and then ripple out to loved ones of the afflicted, witnesses to the devastation and people whose lives are disrupted.

In this case, many Americans fall into one or more of those categories. People in quarantine show signs of confusion, depression and anger, Garfin said.

“We necessarily run much of our lives by habit,” said Fischhoff. “We know what we have for breakfast, we know how to prepare the kids for school, and that enables us to get through the day reasonably well.”

But now that many North Americans aren’t waking up and going to school and work, it can be difficult to know how to restructure even the most rote daily habits that won’t be coming back for weeks yet.

What life might look like on the other side of coronavirus

How long the pandemic and the isolation continue will dictate how severe the effects are on people’s mental health, Garfin said.

Prolonged exposure to the traumas of coronavirus can activate the fight or flight response, which over time can cause cardiovascular problems, anxiety, depression and PTSD, Garfin said. And the extended isolation can contribute to fear, anxiety, headaches, muscle tension and difficulty concentrating, said Wright.

For some groups, like health care workers, those in the media and people in newly deemed “essential jobs,” the end result may be guilt, grief and PTSD, said Wright.

But, Wright and Garfin agreed, humans are resilient.

Some may forget everything they just went through and go back to their daily lives when it is all over, Wright said, but many can come out of this with stronger relationships and a better perspective on what is important.

How to get through it

The future is uncertain, but life will be different for at least the next month and that knowledge can be the first step to making this new, temporary reality as good as it can be.

Now that it is clear the change is for more than a couple of weeks, it is important to create a new routine – one that includes showering, getting dressed and maintaining family meals — not treating the time as an extended snow day or spring vacation, Wright said.

There is an opportunity for people to develop new habits around the disruption, which can relieve the stress of feeling like starting from scratch every day, Fischhoff said.

And all three say it is important to use social media to be social, not to feed the anxiety that conflicting coronavirus information on the platform stokes.

They also agree that this experience is difficult, and it is important to acknowledge that and not be too critical of what one could have done before or could be doing now.

“I think that we need to recognize that this is totally unprecedented, and we really are just doing the best we can – and that’s OK,” Wright said. And for people doing the best they can but struggling to work, study or care for their families, virtual mental health resources may be a crucial next step.

And for those who are lonely and isolated, Garfin suggests reframing for a feeling of community within that experience.

“We aren’t in our houses alone, we are doing something for each other for our community,” Garfin said. “It’s a shared effort, something that we are all a part of and something we are all contributing to.”
“It’s going to be difficult, but it’s not permanent.”

 

By Madeline Holcombe, CNN       Thu April 9, 2020
source: www.cnn.com
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Take A Breath:
How The Simple Act Of Meditative Breathing
Helps Us Cope

A global pandemic causes so much worry, concern and fear. There’s the pressure of suddenly being a homeschooling parent and trying to create structure around newfound chaos in your home.

A lot of us are adjusting to working from home, all while tending to worries about the state of the world. Maybe you fret over the health of aging parents or feel anxious over the ever-changing news cycle.

Psychological stress can damper your overall health, affecting your ability to remain resilient in the face of challenges. It can also thwart a strong immune system, which is needed to keep from getting sick.

“Living through a pandemic can be scary,” said CNN Chief Medical Correspondent Dr. Sanjay Gupta in the March 18 episode of CNN’s “Coronavirus: Fact vs. Fiction” podcast.

The good news: Meditation is one tool that can help our immune systems functioning optimally, according to a recent study.

One of the easiest ways to reduce stress is by simply focusing your attention on your breath, according to Harvard Medical School, since it’s a form of beginner level meditation that anyone can do.

Alternative medicine advocate Dr. Deepak Chopra, in Dr. Gupta’s podcast episode titled “Pandemic Panic,” walks us through how to do a breathing meditation to ease our stress, thus calming our minds.

Breathing through the stress of a pandemic

According to Harvard Medical School, breathing meditation requires either sitting comfortably, standing or walking in a setting with minimal distractions. Many people prefer to sit.

If you’re sitting, focus first on your posture: You should sit with your spine erect.

As you become aware of the space you’re in and sit comfortably, observe your breath without manipulating it for a few seconds, Chopra suggests.

Then, slow your breath down by inhaling deeply to the count of six.

Pause for two seconds.

Exhale to the count of four. Then repeat this six-two-four breathing method for two minutes.

“Then, when you’re done with that, bring your awareness into your body and wherever there seems to be any discomfort, just bring the awareness there without manipulating it,” Chopra said. “Awareness by itself heals. Awareness without conceptual intervention restores self-regulation.”

“The goal is really to breathe from your diaphragm,” as opposed to shallow breaths from your chest, said Vaile Wright, a psychologist and director of clinical research and quality at the American Psychological Association.

“And the way to know whether you’re doing that or not, or a trick at least, is to place your hand just below your ribs on your stomach.” When you inhale you should feel your body expanding, then contracting when you inhale.

If the initial peace is interrupted by your thoughts, the meditation isn’t a failure. Though breathing meditations are simple to begin with, they can take practice before you’re able to maintain focus for an extended period of time, Wright said. Just acknowledge the thought and try to let it go.

You don’t have to concentrate on any format, but some people find that adding some sort of mantra or visualization to it helps, Wright said.

“For example, when you’re breathing in, telling yourself [in your head that] you’re breathing in love. When you’re exhaling, telling yourself you’re exhaling anxiety. Or, breathing in positive energy, exhaling negative energy or visualizing negative energy coming out of your mouth and out of your body.”

Chopra starts his day with three or four intentions: “I’m going to maintain a joyful, energetic body today; a loving and compassionate heart today; a reflective and quiet and creative and centered mind today; and lightness of being and laughter today, whatever it takes.”

By doing these intentions, you can start to feel better, he said.

Modern technology offers up apps and smart watches that can help guide you through a meditation if you have trouble staying focused.

“Slow your breath, your thoughts will slow down as well,” Chopra said.

breathe
try this for 2 – 5 minutes

Benefits for your overall health

Breathing meditations can contribute to a state of mindfulness by bringing your focus to one thing and only thing only – your breath, Wright said.

“The goal of that is to draw your attention away from maybe worry thoughts you’re having or sort of the catastrophic thoughts or maybe depressing thoughts about feeling alone,” she added. When you’re focusing, those thoughts can be pushed aside, helping you to control your emotions.

Mindfulness has been found to influence two stress pathways in the brain, altering brain structure and activity in regions that regulate attention and emotion, according to the American Psychological Association.

In a 2015 review of studies on the effects of mindfulness-based stress reduction and mindfulness-based cognitive therapy (MBCT), researchers found that people who received this therapy were less likely to respond to stressful situations with negative thoughts or unhelpful emotional reactions.

Those participants were also more likely to focus on the present moment and less likely to experience ruminating thoughts.

Breathing meditations can also reduce muscle tension and your heart rate, which are signs of stress, Wright said.

Carrying yourself through a hard time

Breathing meditations are another tool you can add to your coping toolkit, which may also include journaling, baking or virtually connecting with others.

“What’s great about breathing is you can do it anywhere,” Wright said. “If music is your way of relaxing, what happens when you don’t have access to it? You always have access to your breathing, so in that sense [breathing meditations] are really portable and very accessible. We really need a variety of different coping skills in order to get through particularly unprecedented situations like this one.”

Mindfulness may not make everything go away, Wright said, but it can bring you to a “calmer state so that you’re better able to deal with all the stress that’s going on.”

By Kristen Rogers, CNN      Fri March 27, 2020
source: www.cnn.com


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How to Stay Calm and Healthy During a Pandemic

The coronavirus pandemic is understandably causing panic in many people. Yet, fear doesn’t help anything. So how can you remain calm—and healthy—and help others in the process? How can you be a positive emotional contagion that helps not only yourself but others feel better about the global situation?

Buying six months’ worth of toilet paper, paper towels, cleaning goods, and food won’t help. Really.

Yes, it might give you a little peace of mind. I know my full pantry, refrigerator, and freezer (and large package of TP) do, indeed, provide me with a sense of security during this pandemic.

But purchasing more than what you need for a week or two, stockpiling as if the world were ending…that isn’t helpful. First, it leaves others without supplies—ones they might actually need. (Some people are out of toilet paper and just want a few rolls!) Second, the buying frenzy only adds to the emotional upheaval, panic, and overwhelm you and others feel.

So, let’s talk about what will help you stay calm and healthy during a pandemic.

Act Wisely
In North America as in most parts of the world, we are focused on taking precautions and acting wisely. We are practicing social distancing by staying home more, not gathering in large groups, and washing our hands and using hand sanitizer…a lot.

We are also doing other things. My acupuncturist closed his clinic to do a deep clean. My husband is being interviewed virtually for a gig (rather than in person). Companies have asked employees to work from home. My 96-year-old mom’s new doctor told her not to come to the office for a routine visit.

The key is to avoid potential exposure—from you or someone else, like eating out, attending large events, spending time in crowded places, or flying. Yet, you also want to live your life to the fullest extent possible.

How can you live fully while stuck at home? It’s not as hard as it seems.

Stay focused on your priorities and take action in ways that are appropriate and safe. For example, you can hunker down and write your book, shoot and share videos to promote a product, conduct virtual meetings, build the website you never have time to create, declutter, and exercise from the comfort of your home.

Or be a positive force for good. A friend of mine said she had started calling those people she knows who live alone. A neighbor of mine that goes into town daily offered to shop for those in our community who can’t or don’t want to leave their homes.

4 Ways to Stay Calm During a Pandemic

See yourself as a leader and role model. Your job is to be calm and centered amidst the chaos. That means you have to quell your own fear and panic.

Here are four ways to remain calm:

1. Limit your intake of news. I’m not saying you shouldn’t remain informed. Of course, you want to do so! But don’t watch the news incessantly.

I remember after 9/11, I watched identical CNN broadcasts for hours waiting for a new report. I have found myself doing the same in the last few days…watching or listening to the news to hear updated news about the pandemic.

Constant consumption of news just feeds your panic and fear. Watch the news only once or twice per day. In this way, you remain informed without allowing yourself to obsess all day long. I, too, have begun to limit how much I watch the news or consume information about the coronavirus via social media or the Internet.

2. Stay busy. If you have nothing to do, you will find your mind trained on fearful thoughts. Or you will seek out other panicky people on social media or television.

Focus on your agenda. What did you want to get done today? What projects could use your attention? Take action on these things so your mind and body remain busy…and calm.

Plus, being productive will make you feel better in general.

3. Increase your mental, emotional and physical self-care routines. These will provide you with a more peaceful countenance no matter what is going on around you.

Now is the time to increase or start a meditation practice. Try meditating twice daily.

Make sure you exercise daily. Exercise makes you happier and reduces stress. Plus, it helps you remain healthy. Try a quick walk outside to boost your mood.

Train your brain on the positive. What might you gain by staying home for a few weeks? How might you make being housebound a pleasant experience? What might be the outcome of a self-quarantine—for yourself and others?

4. Have faith. It’s been said that faith is more important than fear, and in the case of a pandemic, that’s true.

We know that “this, too, will pass.” So focus on a positive future, one where no one gets the coronavirus, travel bans are lifted, large gatherings are safe, and you no longer need to stay at home.

7 Ways to Take Care of Yourself During a Pandemic

Now is a great time to take a serious look at your health routines. Are you taking good care of yourself? Not only do you want to increase your level of emotional and mental health by staying calm, but you also want to improve your physical health.

To help you boost your immune system and ward off illness, here are seven common-sense things you can start doing today.

1. Wash Your Hands (and More)
You’ve heard this ad nauseam and seen all the cartoons as well, but it’s sound advice. Wash your hands for more extended periods and more often—especially after touching surfaces, shaking hands, handling any items made of plastic, glass, or cardboard. Wash your hands also after opening mail, receiving packages, or putting away groceries.

Along with hand washing comes the following advice: avoid touching your mouth, nose, and eyes (especially if you haven’t washed your hands first).

If you feel unwell or have a compromised immune system, consider wearing a mask, too.

2. Use Hand Sanitizer and Sanitizing Wipes
I know these can be difficult to find right now, but if you have some, use them to clean surfaces and to cleanse your hands after touching anything. Don’t forget to wipe off the plastic or cardboard boxes of food you purchase at stores or any packages your receive via mail delivery services—or wash your hands afterward.

The Internet has a host of articles on making your own hand sanitizer and wipes. So, if you can’t purchase any, make your own.

3. Sleep Enough
If you are working from home or quarantined for any reason—sick or not, sleep needs to become your priority. Actually, even if you are still working, sleep should be non-negotiable.

To boost your immune system, sleep eight hours per night…or more. Sleep helps fight off infectious diseases. In fact, there are studies that show that sleeping less than seven hours increases your chances of getting sick considerably. This is not the time to be sleeping only five or six hours per night!

4. Eat a Healthy Diet
Help your body fight off illness and stay strong by eating healthy foods rather than sweets and junk. You’d be amazed at how much difference a nutrient-rich diet makes on your immune system.

And cook healthy meals at home for the time being. Stop frequenting restaurants, salad bars, and fast-food places. Even take-out or delivery could introduce a source of infection.

5. Boost Your Immune System
If you don’t already take multi-vitamins, start doing so. I could go into a long discussion of what supplements to take, but I’m not an expert or doctor. Find a herbalist or nutritional counselor who can help you determine what supplements are best for you.

There are also a host of herbs that boost your immune system. Of course, check with your doctor before adding anything new to your diet.

Some people will claim that supplements and herbs are effective only because of their placebo effect. It doesn’t matter why they work; all that matters is that they help you stay healthy.

6. Lower Your Stress Level
The immune system reacts badly to stress. Fear and anxiety put your body into the flight-or-fight mode, which is driven by your sympathetic nervous system. This response is your body’s reaction to danger and helps you survive stressful and life-threatening situations.

According to the Cleveland Clinic, “During the fight or flight response, your body is trying to prioritize, so anything it doesn’t need for immediate survival is placed on the back burner. This means that digestion, reproductive and growth hormone production, and tissue repair are all temporarily halted. Instead, your body is using all its energy on the most crucial priorities and functions.”

The article goes on to explain, “Living in a prolonged state of high alert and stress can be detrimental to your physical and mental health.” Indeed, chronic stress is known to suppress immune function and increase susceptibility to disease.

So…again…stay calm! Meditate. Pray. Exercise. Watch funny movies. Go for a walk in the woods or on the beach. Take a nap. Read a book.

Don’t watch the news or engage in conversations about the pandemic that raises your level of stress.

7. Focus on the Positive
Drop the end-of-the-world mindset. Be a positive emotional contagion. Guide conversations toward something other than the pandemic. Be happy and upbeat and help others stop feeding the negative emotional cycle.

And think positive thoughts. Feel grateful for whatever you can—the rain, the sun, your elderly parents’ safety, the paycheck you just received, the spring flowers in bloom, the call from your friend or child, the extra time to read a book, or the new opportunities coming your way.

While you are at it, stop complaining about things that are out of your control, like empty shelves at the supermarket, the kids being home from school, not being able to attend a concert or the theater, or anything else. Complaining doesn’t help you or anyone else.

You will find it easier to stay positive and grateful if you remain present. Stop focusing on the past or the future. Stay in this moment.

This, Too, Shall Pass
Finally, remember, this pandemic will pass. It may take a little while, but the coronavirus will peter out. When it does, you and I—and the entire world—will be more prepared next time, if there is a next time. And we will find that the aftermath provides new opportunities, deepened relationships, and a different view of what it means to be part of a global community.

While you wait for the situation to change, be a force for good—a positive emotional contagion that infects everyone you encounter. By staying positive, calm, and healthy, you keep those around you calm and healthy, too.

If you have helpful advice to add to this post, please share it in a comment below. And share this post with anyone you feel might benefit.

Note: It’s important to stay informed about the state of coronavirus for the health and safety of your friends, family, and co-workers. Please visit the World Health Organization and the Center for Disease Control websites for up-to-date information. Also, be sure to check out your local health agencies and authorities for updates about your area.

 

pandemic

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Staying Healthy During a Pandemic: 10 Immune-Boosting Tips

During the current coronavirus outbreak, you’re probably (very rightfully so!) concerned for your health and that of your family. The CDC has several recommendations for preventative action against coronavirus, including social distancing, hand-washing, and clean frequently touched surfaces daily.

We 100% agree with all of these recommendations, but additionally believe it’s prudent to do everything possible to boost your immune system to decrease the likelihood of getting sick (with coronavirus or any other seasonal bug, for that matter!)

Here are 10 easy ways you can help strengthen your immune system.

Eat immune-boosting foods.

​Examples include: ginger, turmeric, honey, garlic, lemon, mushrooms, and bone broth.

Take immune-boosting supplements.

​Try elderberry, zinc, vitamins A, C, and D, spirulina, and selenium.

Raise your core body temperature. Studies have found evidence that higher body temps help certain types of immune cells to work better, and thus make it better able to fight infection. Your body knows what it’s doing when you have a fever while sick! It’s thought that you can encourage the same benefits by proactively raising your body temp.

Try a sauna, steam bath, or move your body to break a sweat.

Get your veggies on: eating lots of veggies, especially leafy greens which are full of antioxidants, can help your body fight viruses and other free radicals.

​The more diverse your diet (and especially veggie intake), the better!

Take antiviral supplements. 

Some good ones include echinacea, colloidal silver, licorice root, apple cider vinegar, and probiotics.

Prioritize sleep: studies show that sleep can help build your immune system and fight infection.

Aim to get at least 7 hours of sleep a night. Need some help getting a good night of rest? Check out these tips!

Get your exercise on! Exercise has many great benefits and one of those is that it builds a stronger immune system.

The American Heart Association recommends at least 150 minutes of exercise a week – we say shoot for at least 20 minutes a day, every single day. Check out this 7-minute at-home workout that works – do it 3x for bonus points.

Ditch bad habits such as smoking and excessive drinking, as they can decrease ability to fight infection.

Reduce stress. The hormones released when you are stressed have been shown to have a negative effect on the immune system.

Try going for a walk, meditating, doing a YouTube yoga flow, or gratitude journaling.

Get some sunshine. A natural dose of vitamin D from the sun can do wonders not only for your mood but also your immune system – studies have shown that it can even decrease the length and severity of infections.

​Go outside for at least 15-20 minutes a day even if it’s just on your patio or backyard.

Have any other immune-boosting best practices? We would love to hear them! Please share them at hello@cleanfitbox.com. 

Stay healthy, friends!
March 17, 2020    by  Rene


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20 Ways To Be A Happier Person

20 Ways To Be A Happier Person In 2020, According To Therapists
If you’re going to make a resolution for the new year, it may as well be improving your mental health.

Looking to make 2020 your happiest, most fulfilling year yet?

If your mental and emotional wellness took a backseat in 2019, there’s no better time than right now to prioritize it. (If anything, it’ll make the election year just mildly more bearable.) Your mood affects everything in your life ― your relationships, your work, your self-care ― so improving it should be at the top of your goal list.

That might feel like a huge and lofty task, but small, actionable habits can help you get there, according to experts. Below are the most common happiness tips therapists recommend. Maybe they’ll sound challenging or unrealistic (more on that later), but maybe they just might change your life.

1. Conquer one anxiety

Give yourself a motivational benchmark to start conquering your biggest fears this year.

“Single out the goal of selecting an anxiety that is holding you back, and thoroughly commit yourself to obliterating that fear,” said Forrest Talley, a clinical psychologist. “Hold nothing back in your assault; treat that fear as though it is enemy number one.”

Perhaps you’ve been worried about signing up for a half marathon. Maybe you’re afraid to reach out to book agents because you don’t want to be rejected. Perhaps you’re fearful of having a difficult conversation with a toxic friend or family member and you’re putting it off. Set the goal, pick a reward you’ll get when you complete it, then get to it.

“The thing to keep in mind is that very often happiness is found just on the other side of a doorway guarded by our anxieties,” Talley said. “And the new year is a great time to start kicking down some doors.”

2. Lock down a sleep schedule that works for you

You may think you’re doing OK on sleep, but take a closer look at your schedule. Are you really getting optimal hours? Are you maintaining relatively the same bed time every night?

“Getting a [consistent] good night’s sleep is vital; chronic sleep deprivation is a huge problem, especially for those who work late or are extremely busy,” said Joanna Konstantopoulou, a psychologist and founder of the Health Psychology Clinic. “It’s not just the 40-hour marathons without sleep which can be detrimental to your psychological health, but simply losing an hour or two on a regular basis can have a significant impact on your mind and well-being.”

That last bit is important. If you’re constantly shaving off an hour here or there ― thinking you can get by on five hours a night ― it’s time to reevaluate that sleep schedule.

“Start with small steps by giving yourself a sensible and realistic bedtime,” Konstantopoulou said. “Try to go to bed half an hour before your usual bedtime and stick to it. Evaluate this new habit every day by having a journal and writing down your progress.”

She noted that this new routine will improve your memory, reduce anxiety, and “transport toxins out of the brain” to potentially prevent chronic illnesses.

3. Find one small self-care act that works for you and prioritize it

Pick a you-centric activity and engage in it regularly, said Elena Touroni, co-founder of The Chelsea Psychology Clinic.

“The most impactful mental health goal a person can set is the commitment to balance workload and responsibilities alongside activities that bring them a sense of well-being and enjoyment,” she said. “When there is an imbalance in what we’re giving out to the world, and what we’re taking for ourselves, that’s when our psychological resources get depleted.”

Her suggestions to get you started? Try beginning each day with a five-minute mindfulness meditation session. Want to go further? “Go to therapy to unravel a lifelong pattern, get a personal trainer, or make time for reading,” she said. “This commitment can be broken down into specific and concrete goals, depending on your personal preferences, but it all comes down to making self-care a priority.”

4. Spend 10 minutes a day outside

Go for a walk during your lunch break, spend a few minutes drinking your morning coffee outside or pick up running. It doesn’t even have to be for a long period of time.

“This year, resolve to spend less time inside and more time outdoors in natural settings,” said Michael Brodsky, a psychiatrist. “Research in multiple countries show that spending time in green spaces can lift your mood and relieve anxiety in as little as 10 minutes.”

5. Regularly practice a simple mindfulness exercise

“Many of us spend our days worrying about the future or ruminating about the past, thus, missing a great deal of what is happening in the here-and-now,” said Anna Prudovski, the clinical director of Turning Point Psychological Services.

Making an effort to be more present “increases the sense of well-being, promotes vitality, heightens our awareness, helps train our attention, improves the quality of our work, and enhances interpersonal relationships,” she said. Sounds pretty nice, right? “Be more present” can feel a little vague, so here’s how you can get started:

Each day, spend five minutes noticing your surroundings and how you feel. Do this by naming five things you see, four things you can physically feel, three different sounds you hear, two things you can smell, and one thing you can taste. It’s OK if you point out something far away from you. Then take a second to label how you’re feeling in the moment (like, “I’m frustrated,” “I’m bored,” or “I’m excited”). This is known as a grounding exercise, which experts say helps with anxiety.

6. Say nice things about yourself

Roseann Capanna-Hodge, pediatric mental health expert and psychologist, suggested an adjustment to your everyday vocabulary, both in your thoughts and out loud.

“Instead of always focusing on the negative, flip your dialogue to only positive outcomes. For example, instead of saying, ‘If I get that job,’ switch it to, ‘When I get that job.’ Those subtle changes in using positive language helps to change your mindset to a glass half full instead of a glass half empty.”

You can also increase your positive thoughts by stating one thing you like about yourself when you look in the mirror each morning. Cheesy, but worth a shot.

7. Give up or cut back on one unhealthy habit

We know when things are bad for us, which can cause stress. You can curb that by reducing them or giving them up entirely, said Sarah C. McEwen, a cognitive psychologist. Think activities like high alcohol consumption or excessive caffeine consumption.

Getting those things in check “will all help to manage stress levels,” McEwen said.

8. Find a physical activity you love

“Exercise plays a large role in mental health,” said physician Jena Sussex-Pizula. “While studies are ongoing, a review article found consistent beneficial effects of exercise on depressive symptoms across multiple studies.”

How often? McEwen suggests 30 minutes a day if you can. “This [amount] has been shown to produce the most benefit for improving mood and reducing stress levels,” she said.

The most important part is finding something you enjoy. It doesn’t matter if it’s pilates, martial arts, spinning, running, dancing or lifting weights ― just make sure the activity is something that excites you.

9. Try meditation

Haven’t jumped on the bandwagon just yet? Now is as good a time as ever. McEwen suggests meditation for those who want to improve their level of stress resilience.

“A mindfulness meditation practice will have a tremendous positive effect longterm,” she said. “I recommend allocating at least 30 minutes daily, which can be divided into morning and evening.”

Feeling intimidated by the concept? McEwen suggested trying a local class or an app like Headspace, Waking Up or Insight Timer.

“Research has shown that the regular practice of meditation can actually improve your health because it lowers the negative effects of not only high cortisol, but also high cholesterol and high blood pressure,” she said. “Other great benefits of regular meditation include mental clarity and focus, improvement of memory and overall higher level of mental performance.”

10. Stop negative thoughts in their tracks

“Our thoughts are not always reality,” said Judy Ho, a clinical and forensic neuropsychologist and author of ”Stop Self Sabotage.” “And we need to get into the routine of challenging them and changing our relationships to our thoughts.”

You can do this by asking yourself a simple question when you’re beating yourself up. Next time you have a negative thought, ask yourself: Does this completely and accurately capture what’s going on?”

Ho said from there, you can transform the thought using one of two tactics. One is called “yes, but” and one is called “labeling.”

“‘Yes, but’ involves recognizing a not so great thing, and [adding] something that is positive or shows progress,” she said. “Example: I did eat three cupcakes while trying to cut down on sugar, but I have been doing a great job with healthy eating and can start fresh tomorrow.”

And as for labeling, try mentally recognizing or acknowledging that the thought you’re having is toxic. According to Ho, this “takes the wind out of the sails of a negative thought and reminds you that a thought is just a mental event, and nothing more.”

11. Invest in a quality relationship

“If you want to have good long-term mental and physical health, you need to first see if you have meaningful, loving relationships,” said clinical psychologist Kevin Gilliland. “Who knows you better than anyone and who do you know better than anyone? Have you invested in that relationship by staying in touch and talking on the phone (not just texting)? And when was the last time you got together?”

Gilliland suggests picking one person close to you this year, and planning to spend quality time together.

“If we’re not careful, we will end up giving our best in places that aren’t good for our mental health,” he said. “Study after study finds that loving meaningful relationships are good for our mental and physical health.”

12. Read self-development books

“Read at least one book on someone you admire, and how they have dealt with the struggles in their life,” Gilliland said. “There are a lot of ways to learn about your mental health, from therapy to self-help to the lives of other people.”

You can pick up many tips and find a lot of inspiration in these motivational books, whether they’re memoirs or expert-backed advice. Need a specific suggestion?

“I have so enjoyed Bruce Springsteen’s autobiography and recent album ‘Western Stars’ where he talks about his struggle with depression and family issues,” Gilliland said. “It’s powerful and encouraging … You can’t help but see yourself in some of his stories, he can paint with words like very few people can. It’s a wonderful way to learn about your mental health without feeling like its work.”

13. Cut back on your social media use

So often we view people’s highlight reels on social media. This can lead to feelings of inadequacy in our own lives, according to experts. And given that research shows spending too much time online is linked to poor mental health, now’s the perfect time to cut back.

“External validation is temporary; it’s difficult to maintain the pressure to chase ‘likes,’” said therapist Jennifer Musselman. “Build your self esteem from competence of something important to you, and by being of service to others.”

14. Set better boundaries

Did you find yourself feeling chronically overwhelmed and stretched thin in 2019? Time to reel that in and make more space for you by setting boundaries.

“This one is more important than people realize, and they have way more control than they realize,” Gilliland said. “If you don’t want to go, then don’t go!”

Consider: Is it something you think you “should” do? If so, then why? In the words of a popular therapist joke, stop should-ing yourself. Set those boundaries to thrive in 2020.

15. Make a progress list each week

Expecting perfection guarantees you’ll feel like a failure at least part of the time, and can lead to serious anxiety.

“Learn the art of progress, not perfection,” Musselman said. “We are setting ourselves up for failure from the get-go [when we expect] to ‘have it all’ perfectly balanced. In other words, we will always feel like we are failing.”

From “doing it all” as a mom to building your entrepreneurial business to perfecting your talent, it’s time to let go of that expectation that things are always going to be perfect. Instead, try writing down the incremental improvements you made each week. Celebrate small successes that eventually will lead to big ones.

17. Get a therapist if you’re able to do it

If you were trying to get in physical shape and had no idea where to start, you might turn to a coach or personal trainer. Mental health works the same way.

There are so, so many benefits to seeing a therapist. And there are affordable options, too: Attend group therapy at a local mental health center, seek free options in your community, opt for a sliding-scale psychologist, find a provider through your health insurance or try an app like Talkspace to get started.

“Getting a therapist in 2020 would be a good goal if you need a therapist and have been putting it off,” Talley said.

18. Write in a gratitude journal

Practicing gratitude “is so essential for a full and happy life,” Talley said.

Instead of allowing your brain to go to a place of anxiety and stress, Talley says to arm yourself with grateful thoughts. Writing them down helps.

“If you wake up and focus on that which you have to be grateful for, your brain becomes better at finding even more [gratitude],” Talley said.

19. Turn your phone off

It’s been shown in many studies that too much tech time can negatively impact mental health.

Become less available via text and email so you don’t feel emotionally tethered to your phone, and spend more time off your devices. Opt for screen-free activities ― especially at night ― that help you disconnect from certain social and work stressors.

“While it’s unclear if sedentary screen time is a marker for or risk factor for depression (as all that has been shown is a correlation), there appears to be a consistent association of increased screen time in patients with depression and anxiety,” Sussex-Pizula said.

20. Reduce food shame and stress through mindful eating

Have thoughts around food, calories, dieting, etc. been weighing on you in 2019? Lisa Hayim, a registered dietitian and founder of food therapy program Fork The Noise, said it’s time to kick this to the curb.

“When we feel nervous, scared, anxious, or even unsure of what to eat or how much, our stress hormones begin to fire,” she said. “Our sympathetic nervous system becomes activated, and we’re no longer making empowered decisions.”

Does this sound like you? Are you constantly thinking about what a food choice might “do” to your body?

“Breathe. Your body knows what it wants and how much it wants, when it wants it,” she said. Listening to it is called intuitive or mindful eating: enjoying whatever you want and taking cues from your body when it’s hungry and full.

“Decreasing stress around food choices is not just good for the body, it’s good for the mind and the soul,” Hayim said.

 

By Dominique Astorino   12/30/2019
wellness@huffpost.com.
happiness-comes-from-within-and-is-found-in-the-present-moment-by-making-peace-with-the-past-and-looking-forward-to-the-future

 

6 Things To Let Go Of
If You Want To Be A Tiny Bit Happier This Year

Examining the toxic thoughts and behaviors that you should kick to the curb and advice on how to do it.

Most people kick off January by creating resolutions that drastically aim to add healthy habits to their daily lives (which doesn’t always work, by the way ― and that’s OK). But sometimes the best thing we can do for ourselves is to let some things go instead.

“The new year offers a fresh opportunity, while the weight of the past keeps us in a place of inaction,” said Olecia Christie, a certified life coach and owner of Optix Communications in San Antonio, noting that it’s important to discern when to release the things that no longer serve our own growth and happiness.

With that in mind, here are a few things you should consider leaving behind in the new year, according to Christie and other experts:

Comparing your life to others’ on Instagram

In this era of social media, it always appears that everyone is living their best life — that is, everyone except you. Ibinye Osibodu-Onyali, a licensed marriage and family therapist at The Zinnia Practice in California, said you should remember that social media is a highlight reel. Comparing your daily life to a single picture capturing a perfect moment isn’t the best use of your time.

Instead, Osibodu-Onyali suggested engaging with the people you admire in 2020.

“Rather than spending so many hours per week scrolling mindlessly, begin to actually connect with people you admire on social media. Send them a DM, ask for advice, seek out actual mentorship,” she said. “You’ll be surprised how many new friends you will acquire just by reaching out, rather than being a jealous onlooker.”

Letting fear hold you back from something you want to do

Anthony Freire, the clinical director and founder of The Soho Center for Mental Health Counseling in New York, said in order to release fear, shame and guilt, you must first “shine a spotlight” on them.

“On your deathbed, you don’t want to be kicking yourself for not having completed your bucket list for any reason, but especially because of feelings like guilt, fear and shame — which are only problematic feelings because you’ve told yourself that you should feel that way,” he said.

Worrying about things you cannot control

It’s unrealistic to suggest giving up worry or stress entirely ― these feelings are a normal part of life. Instead, try to focus just on the worries you can take action on.

“Focus your thoughts on things you can change. When you have a list of worry thoughts, write out what you can change and what you can’t. Work on the situation that you can change, and just release the rest. It takes a lot of time and practice to learn this skill, but once you get the hang of it, you’ll find that you’ll worry less,” Osibodu-Onyali explained.

For some, this is easier said than done. If you find that you’re unable to manage your excessive worrying ― especially over things out of your control ― it might be worth seeking advice from a professional. This could be a sign of an anxiety disorder, which is a very real and common condition.

Old grudges or grievances

Research shows holding onto a grudge or anger for longer than necessary can be toxic for your physical and mental health. Right now is the perfect opportunity to work on letting go of some old baggage “by either working on repairing strained relationships or closing the chapter on relationships that cannot be salvaged,” Osibodu-Onyali said.

This doesn’t apply to people who have severely damaged or hurt you, but could be useful for someone you’ve grown distant with or just no longer envision as a healthy part of your life. You can either choose to move forward or let go.

“Although saying goodbye to a relationship can be tough, the closure can be very freeing,” Osibodu-Onyali said.

What other people think of you

There’s a saying that goes “what other people think of you is none of your business.” It’s important to know what your values are and to be grounded in them, so that you’re not swayed by the thoughts of others. Osibodu-Onyali said she often challenges her clients by asking: “So what if they don’t like you? What happens next?” She said more often than not, the answer is usually “nothing.”

“The truth is that the world doesn’t end and you don’t have to be liked by everyone,” she said. “Stick to your core group of supporters who truly love and respect you, and don’t spend time worrying about the people who don’t quite get you. If they don’t get you, that’s OK. You can’t be a part of every group.”

The need to be right in every conflict

We’ve all strived to win arguments; however, that can cause more stress than it’s worth. Freire said letting go of the need to win “takes up enormous energy because people tend to want to be right.”

“How many times do we fight with someone and we’re simply fighting to be right?” he said. “We say things we can’t take back and later we apologize and think to ourselves ‘I overreacted’ or ‘We fought over something so stupid.’ Sometimes we don’t even remember why we were fighting to begin with. Sometimes trivial things we get stuck on are just smaller manifestations of larger underlying issues.”

These kinds of interactions can often lead to “negative self-talk and anxiety as [we] overanalyze the situation and stress about the impact of the interaction,” according to Elise Hall, a licensed and independent clinical social worker in Massachusetts.

Instead, try looking at a fight as a problem to be solved (experts say there’s one phrase that can easily help you do this with a partner). This can help you let go of the need to be right and put your focus on a solution.

This all might be challenging, but it could be worth it to increase your joy — even just by a fraction.

By Stephanie Barnes      01/02/2020


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9 Ways to Promote Gratitude in Your Life

Gratitude is good for us every way you look at it.

According to Sonja Lyubomirsky, PhD, professor of psychology at the University of California in Riverside, gratitude boosts our happiness levels in a number of ways: by promoting the savoring of positive life experiences; by bolstering self-worth and self-esteem and thereby helping to cope with stress and trauma; by building social bonds and encouraging moral behavior; and by diminishing negative emotions and helping us adjust to new situations.

Gratitude has a number of physical health benefits as well. “Research suggests that individuals who are grateful in their daily lives actually report fewer stress-related health symptoms, including headaches, gastrointestinal (stomach) issues, chest pain, muscle aches, and appetite problems,” says Sheela Raja, PhD, an assistant professor and clinical psychologist in the Colleges of Medicine and Dentistry at the University of Illinois in Chicago.

But how do we get there? For some folks, gratitude is much easier than for others. I, for one, have to work really hard at it because my cup usually appears one-third full. With a few exercises, though, I can become a more grateful person and promote gratitude in my life, which brings many emotional and physical gifts.

1. Go Ahead and Compare
I constantly compare myself to people who are more productive than I am (have more energy and need less sleep), who go to a doctor once a year, and who are resilient to stress. “Why can’t I be like her?” I ask myself. And then I remember Helen Keller’s quote: “Instead of comparing our lot with that of those who are more fortunate than we are, we should compare it with the lot of the great majority of our fellow men. It then appears that we are among the privileged.”

Her wisdom forces me to go back and remember all the people I know who can’t work at all because of their chronic illnesses, those with unsupportive spouses who don’t understand depression, and the folks I know who can’t afford a monthly pass to Bikram yoga or kale and dandelion greens to make smoothies. Suddenly, my jealousy has turned to gratitude.

2. Write Thank-You Letters
According to University of California at Davis psychologist Robert Emmons, PhD, a powerful exercise in cultivating gratitude is to compose a “gratitude letter” to a person who has made a positive and lasting influence in your life. Dr. Emmons, who also wrote Thanks! How the New Science of Gratitude Can Make You Happier, says the letter is especially powerful when you haven’t properly thanked the person in the past, and when you read the letter aloud to the person face-to-face. I do this as part of my holiday cards, especially to former professors or teachers who helped shape my future and inspired me in ways they might not know.

3. Keep a Gratitude Journal
According to Dr. Lyubomirsky, keeping a gratitude journal (in which you record all the things you have to be grateful for once a week) and other gratitude exercises can increase your energy, and relieve pain and fatigue. A study published in the Journal of Research in Personality documented a group of 90 undergraduate students. Divided into two groups, the first wrote about a positive experience each day for two minutes, and the second wrote about a control topic. Three months later, the students who wrote about positive experiences had better mood levels, fewer visits to the health center, and experienced fewer illnesses.

In my daily mood journal, I make a list of each day’s “little joys”: moments that I would fail to appreciate if I didn’t make myself record them, such as a gorgeous, 70-degree day in winter; a supply of dark chocolate; the feeling of exhilaration I have after completing a 90-minute class of Bikram yoga; and an afternoon with only one meltdown from my kids.

4. Ask Yourself These Four Questions
Byron Katie’s bestseller, Loving What Is, is helping me analyze my thinking in a way that is unique to the tools I’ve learned in other self-help books. I am much more aware of the stories I weave in my mind without much analysis as to whether or not they are true. You need to read the book to fully understand her process called “The Work,” but here’s the Reader’s Digest version:

For every problem you’re having, or every negative rumination you can’t let go of, ask yourself these four questions: Is it true? Can you absolutely know that it’s true? How do you react when you think that thought? Who would you be without that thought?
You have to record the answers on paper for the exercise to be fully effective. After going through the process a few times, I realized the thoughts I had about certain people and events were causing the suffering I had, not the people and events themselves. This enables you to embrace those people and events with gratitude — to cultivate an attitude of gratitude, in general — because you know that they aren’t the problem. Your stories are.

5. Shift Your Language
According to Andrew Newberg, MD, and Mark Robert Waldman, words can literally change your brain. In their book, Words Can Change Your Brain, they write, “a single word has the power to influence the expression of genes that regulate physical and emotional stress.” Positive words, like “peace” and “love,” can alter the expression of genes, strengthening areas in our front lobes and promoting the cognitive functioning of the brain. They propel the motivational centers of the brain into action, explain the authors, and build resiliency.

Lately I’ve been trying to catch myself when profanity or something negative is about to come out of my mouth. I’m not all that good at this, but I definitely believe that words have power, and that by making a few subtle shifts in our language, we can promote gratitude and can generate better health for ourselves.

gratitude

6. Serve
Service promotes gratitude more directly than any other path I know. Whenever I’m stuck in self-pity or depression, feeling personally victimized by the universe, the fastest way out of my head and into my heart is reaching out to someone who is in pain — especially similar pain. That’s the reason I created my online depression support groups Project Beyond Blue and Group Beyond Blue. For five years, I couldn’t get rid of debilitating death thoughts after experimenting with almost every therapy that both traditional and alternative medicine had to offer. By participating in a forum where folks are in more pain than I am — and where I can share my hard-earned insights and resources — I am made aware of the blessings in my life that I had forgotten or simply took for granted.

7. Hang With Positive People
Motivational speaker Jim Rohn says, “You are the average of the five people you spend the most time with, including yourself.” Research confirms that. In one study conducted by Nicholas Christakis, MD, PhD, of Harvard Medical School, and James Fowler, PhD, of the University of California in San Diego, individuals who associated themselves with happy people were more likely to be happy themselves.

Another study by psychological scientists Gerald Haeffel, PhD, and Jennifer Hames of the University of Notre Dame, showed that risk factors for depression can actually be contagious when our social environments are in flux. So there’s a better shot of your becoming a more grateful, positive person if you surround yourself with grateful people.

8. Make a Gratitude Ritual
One family I know has a gratitude ritual every night at dinner. After prayers, each person goes around the table saying something positive that happened to him or her that day — one thing for which he or she is grateful. In our home, we’re lucky to get everyone seated without a meltdown, so I’ve filed this exercise for down the road a little — maybe after hormones are stabilized. But I thought it was a really nice way of cultivating gratitude as a family and teaching that value to non-hormonal kids.

9. Try a Loving-Kindness Meditation
In a landmark study published in the Journal of Personal and Social Psychology, Barbara Fredrickson, PhD, and her team showed that practicing seven weeks of loving-kindness meditation increased gratitude as well as a host of other positive emotions. The benefits intensified over time, producing a range of other health benefits: increased mindfulness, purpose in life, social support, and decreased symptoms of illness. Sociologist Christine Carter, PhD, with University of California Berkley’s Greater Good Science Center, gives a nice overview of how to do a simple loving-kindness meditation in five minutes a day on her blog. She writes:

Because research demonstrates the incredible power of loving-kindness meditation: No need to be self-conscious when this stuff might be more effective than Prozac. Also called metta, loving-kindness meditation is the simple practice of directing well-wishes towards other people.

 

By Therese J. Borchard
Associate Editor
8 Jul 2018


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This Year, Consider Giving Presence Instead Of Presents

During the holiday season, many of us feel pressure to find our loved ones the “perfect” gift. Why? Because gift-giving has long been considered a prime way to express love. However, recent research suggests that gestures don’t need to be large or have a hefty price tag to feel meaningful. The study, published this summer in The Journal of Social and Personal Relationships, suggests that small acts of kindness, not grand overtures, make people feel most loved and supported.

“Our research found that micro-moments of positivity, like a kind word, cuddling with a child, or receiving compassion make people feel most loved,” says Dr. Zita Oravecz, a professor in human development and family studies at Pennsylvania State University and one of the study’s researchers.

In the study, 495 men and women between the ages of 18 and 93 completed a questionnaire evaluating 60 possible ways that people can feel love. Each question began with, “Most people feel loved when…” The scenarios included situations like spending time with friends, receiving gifts, and spending time in nature. The survey also included negative interactions, like being controlled and criticized by others. Oravecz says the findings highlight the psychological benefits that intimate relationships can offer. In fact, study participants ranked human interaction as a more significant expression of love than receiving material items, like presents. Connecting with others was also rated more highly than getting positive feedback on the internet, indicating that people derive the most support from personal human contact. In fact, other studies suggest more time on social media leads to increased feelings of isolation. Yet despite the findings that spending time with friends and family makes us feel good, during hectic times like the holidays, these social interactions can feel burdensome instead of fulfilling. Fatigued from an overload of shopping, spending, and travel, most Americans describe this time of year as stressful instead of magical. In fact, a telephone survey conducted by the American Psychological Association showed that compared to other times of the year, 44 percent of women and 31 percent of men (out of 786 individuals polled) feel more stress during the holidays. In addition, 51 percent of women and 42 percent of men said purchasing and giving gifts added to their distress.

Esther Lui for NPR

Small acts of kindness are what make us feel loved.
 

Any kind of stress can strain relationships and cause us to withdraw from others, but small stressors can be just as trying as larger burdens. A 2015 research study found that daily hassles like working, running errands, and money troubles negatively impact romantic unions, causing people to feel less satisfied and more alone in their relationships. When we’re anxious and fatigued, it can also be more challenging to see someone else’s point of view, which might explain why family feuds seem more likely to arise during the holidays. While prioritizing one’s self-care during the months of November and December may be difficult, adopting a mindset of being present in the moment may help lessen the stress of the season.

“During the holidays, anxiety rises, making it harder to remain present with ourselves and others. However, the power of spending time with another person is a gift we can give at any moment,” says Dr. Carla Naumburg, a mindfulness coach and social worker in Newton, Mass.

While we may associate presence with mindfulness meditation, we don’t need to be Zen masters to create a calmer holiday. Naumburg says we can cultivate presence by cutting back on social media (which helps limit distractions), getting plenty of rest, and taking a pause (and remembering to breathe).

“For everyone, breathing is a small but powerful act that can keep us connected to ourselves by shifting our awareness to the present moment,” she says.

According to The American Institute of Stress, focused breathing elicits the body’s “relaxation response,” slowing one’s heart rate, lowering blood pressure, and helping muscles relax. This physical process aids in repairing an overactive nervous system, helping us to enter a calmer physical and emotional state. Although it can be challenging to forgo doing extra errands during the holidays, Naumburg suggests balancing party planning and online shopping with moments of human connection. Activities like reading to a child, meeting a friend for a walk, or taking a moment to call a family member, are ways to express love and care and can keep us emotionally grounded. While the idea of offering loved ones the gift of our time may pale in comparison to giving them a lavish present, recent empathy research shows shared human experiences can tighten social bonds. Oravecz and her colleagues also found that despite personality differences, most people agree on what makes us feel loved — the presence of our loved ones.

Juli Fraga is a psychologist and writer in San Francisco. You can find her on Twitter @dr_fraga.
December 9, 2017    JULI FRAGA
 
source: www.npr.org


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Just 10 Minutes of Meditation Boosts Mood and Focus for People With Anxiety

It also prompted a shift away from future-oriented worrying and helped people focus on the present. 

People who suffer from anxiety are often plagued by repetitive thoughts, which can distract from the task at hand and affect mood and productivity. But a new study suggests that just 10 minutes of daily meditation can help reduce episodes of mind wandering, especially for people who report high levels of emotional stress.

Previous research has found that meditation can help prevent “off-task thinking” in healthy individuals, but this study, published in the journal Consciousness and Cognition, aimed to determine the benefits of mindfulness specifically as they relate to anxiety.

Researchers from the University of Waterloo asked 82 college students, all of whom met the clinical criteria for anxiety, to perform a monotonous computer task that measured their ability to stay focused. At random points throughout, the participants were asked to reveal their thoughts “just prior to this moment.”

Then they divided the participants into two groups: One listened to an excerpt from The Hobbit, and the other listened to a 10-minute meditation that instructed them to focus on breathing and “remain open-minded to their experience.” (You can listen to the same recording, called Mindfulness of Body and Breath, here.)

The groups then repeated the computer task. This time, 43 percent of thoughts in the meditation group were considered “mind wandering,” meaning they weren’t related to the task or to things going on around them, down slightly from 44 percent in the pre-test.

In the group that listened to the audio story, the percentage of mind-wandering thoughts actually increased—from 35 percent in the pre-test to 55 percent in the post-test.

The meditation group also reported a significant decrease in “future-oriented thoughts,” from 35 percent before the mindfulness exercise to 25 percent after. This could indicate a shift in thinking from internal worries (about tomorrow’s exam, for example) to things going on around them in the moment (say, a dirty computer monitor or a flickering light), the authors say. That’s important, because stressing about future events is a hallmark of anxiety.

And while meditation didn’t reduce all forms of off-task thinking in the study (like being distracted by external stimuli), it did appear to lessen performance disruptions associated with those thoughts. Both groups also experienced a decrease in negative emotions between the pre-test and the post-test.

“In short, meditation is beneficial in both improving mood and helping people stay focused in their thoughts and also behaviors,” says lead author and PhD student Mengran Xu. “The two do go together.”

Mind wandering accounts for almost half of humans’ daily stream of consciousness, Xu adds. It can cause us to make errors on everyday tasks, like mailing an envelope without its contents, but it’s also been associated with an increased risk of injury and death while driving, difficulties in school, and impaired performance in everyday life.

By Amanda MacMillan        May 3, 2017


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Personal Music Playlists May Reduce Medication Use With Dementia

Nursing home residents with dementia who listen to a personalized music playlist may need less psychotropic medication and have improved behavior, a recent study suggests.

The individualized music program designed for nursing homes, called Music and Memory, didn’t improve mood problems, but patients who listened to music tailored to their tastes and memories did need less anti-anxiety and anti-psychotic medication, researchers found.

“Alzheimer’s disease and related dementias can result in aggressive or other difficult behaviors, which affect people’s lives and take a toll on their caregivers,” said lead author Kali Thomas, an assistant professor at Brown University in Providence, Rhode Island.
“We think that familiar music may have a calming or pleasurable effect and reduce the need for caregivers to use medications to control dementia behaviors,” Thomas told Reuters Health by email.

The potential of this kind of intervention was illustrated in the 2014 documentary “Alive Inside,” which shows nursing home residents with dementia moving, singing and engaging with others while listening to their favorite music, the study team writes in American Journal of Geriatric Psychiatry.

But the effects have never been tested to see if the intervention is evidence-based, the authors write.

To determine what the program accomplishes, the researchers implemented Music and Memory in 98 nursing homes with a total of about 13,000 residents with Alzheimer’s disease or non-Alzheimer’s dementia and followed a roughly equal number of residents with dementia in 98 nursing homes without the program for comparison.

In the Music and Memory program, nursing home staff are trained to create music playlists for residents based on each patient’s personal history and music preferences.

At the start of the study in 2012, the researchers used records to assess patients’ behavioral problems, depressed mood and their use of ant-anxiety and anti-psychotic medications. The same assessments were done in 2013, after the experiment was over.

Among the facilities included in the music program, the typical proportion of residents who discontinued anti-psychotic medications in a six-month period was 17.6 percent prior to the program’s implementation, and rose to 20.1 percent after the program. In the comparison homes without the program, this proportion remained stable at about 15 percent.

Similarly, the proportion of people discontinuing anti-anxiety medications rose from 23.5 percent to 24.4 percent, while in the comparison group discontinuation rates dropped from 25 percent to 20 percent over the same period.

Nursing homes using the music program also reported greater improvements in residents’ behavior. The proportion of residents with reduced dementia-related behavioral problems rose from 51 percent to 57 percent, while the comparison group remained the same.

The cost of the program depends on the size of the facility and ranges from $250 to $1,000 for staff training, plus $200 per year for program support, the authors note. Some participants also receive a “starter kit” including an iPod for their music, or ask family members to provide them with an iPod to use in the program.

The benefits of music for people with dementia go beyond behavior management, said Orii McDermott, a senior research fellow at the University of Nottingham in the UK, who was not involved in the study.

“Sharing favorite music or taking part in music activities offer social opportunities for people with dementia,” said McDermott, adding that social interaction is extremely important because the progression of dementia often leads to isolation.
“For busy care home staff, finding out each resident’s preferred music may feel like a time consuming task,” McDermott said. However, “people with dementia find individualized music interventions meaningful and improve their quality of life – so it will be a time well spent in the long run,” she noted.
“The population of older adults with dementia, in particular those residing in nursing homes, is large and is growing,” Thomas said. “This study suggests that Music and Memory may be one intervention that holds promise.”

By Madeline Kennedy     Fri May 19, 2017     Reuters Health
SOURCE:    bit.ly/2pEIEhN       American Journal of Geriatric Psychiatry, online April 14, 2017          www.reuters.com