Caring for Yourself in Times of Fear and Illness

This week has been a stressful one for many people.  The combination of the coronavirus, the stock market, the grey skies and rain, school and college closures, and the world news each day has been very hard.  But . . . in all of this, did you catch any of the good news?  It’s a bit hard to find, I learned, as I went to locate some for you to try to balance the week.  I did finally find a couple of pieces: 

            The La La Land Kindness Café in Dallas has hired 9 foster kids who aged out of the foster care system and were having trouble locating jobs.

            How about the House and the President agreeing, within just a couple of days, to relief legislation for victims of the coronavirus? 

            The Dow started a rebound today – that’s very good news for most!

            All of the fast action employers and schools/universities are taking to protect their employees and students – it seems unprecedented to me, although it may not be.  From Amazon in Washington to ASU to Ford to many others many are limiting exposure by providing employees with laptops and having them work and study virtually.  

All of these are truly ideas that are very positive news – and get covered in the anxiety so many are feeling, and the care for family that is often at the root of this.  Just tonight I learned one of my sisters-in-law may have been exposed to it, and her father likely has it.  Yet of the 16 members of my family nearby, she is the only one, which is good news thus far. (Edit 3/15/20: Good news! Her father’s test results reflected negative results.) See how we can flip it?  In psychology it’s called reframing the bad or difficult situations by looking at life a bit differently, without denying the hard does exist as well.

We sent out notices about Covid-19 procedures for our office this week.  Now it’s time to also offer some concrete help along with the above reframe tool.  The American Psychological Association and the National Association for the Mentally Ill are the two sources I’m using for the ideas that follow.  I wanted you to have some resources to print or click for the coming weeks.  What I know from 911 and other events is that when we are faced with being bombarded on social media and news media with information that is difficult, we tend to seek out more information and stay focused on the difficult situation.  This merely drives fear and anxiety up further.  We do need to know what we can do to try to protect ourselves; but once we know, i.e.:  wash hands to count of 20, do not shake hands and stay a further distance from others, and isolating someone with clear symptoms including fever, cough, and shortness of breath, we need to also look at how we care for our family and selves in a way that minimizes the fear and focuses on good things in life.  And, in the situation we have right now, we also need to know how we can cope with isolation whether from working at home, not going out for social events, not being able to travel to family or friends on trips we have had to cancel, or other reasons.  And we must have a method to deal with the uncertainty, fear, loneliness, depression, resentment, and challenges we face trying to secure things we may need.  So, here goes!

  1.  Make sure you have some games to play that are age appropriate for you and your family, and especially if you have children.  If isolated, the family will need ways to entertain themselves, laugh, enjoy each other’s company, and get through the days together.  We know that closeness breeds irritation, so have some things that can break up the days and draw you together, not apart.
  2. Have a plan with your doctor.  My physician sent out a text announcement to all of his patients tonight just letting us know he’s there, where to go for trustworthy medical information on the virus, and what to do if we are having symptoms.  Reach out to your pediatrician, cardiologist, pulmonologist, or primary care to know ahead what to do and how their office is managing this.
  3. Use the tools that help your mental health on a regular basis.  So…do:
  4. Keep up your physical activity – there are some great YouTubes on how to do yoga, walk along with you to keep your steps up (I like Leslie Sansome’s https://www.youtube.com/watch?v=m9yI2LGZRE0), and many others depending on what you prefer to do.
  5. Make sure you have enough medication or supplements like Rescue Remedy, Vitamin C and B, and other things around to keep you feeling better and less anxious. 
  6. Stay on a schedule.  We can get very loosey-goosey when at home too long or too much.  So make sure you keep an agenda to normalize your life and not fall into the doldrums too much.
  7. Make sure you can connect with Messenger, FaceTime, and the others available.  It helps for you to actually see friends, not just text.  We’re learning that the more texting that is done, the lonelier people are becoming.  So, in this time of increased stress – reach out even more and if you can’t touch one another, at least see one another.  I know someone who was separated from a loved one for quite some time, and they would watch a favorite show while connected on Facetime.  Another dad who was away who would play checkers with his children.  Get creative in your connection!
  8. I know you get tired of it – but remember to breathe when anxious.  Or start a mindfulness app during this time.  The website has a number of these on the Links page, and this is a great time to learn to do it and practice.
  9. Listen to music that uplifts you – for me that might be one thing – but what is it for you?  Listen!  Music does a lot to impact our moods.
  10.  Keep some numbers available if you need to reach out to a warm line, i.e.:  you’re not suicidal but you are feeling isolated and need to connect.  See SAMSHA’s line for disasters at 1-800-985-5990 or locally at 602-347-1100.  And remember AA, Al-Anon, and many other groups have online and phone meetings.  Take care of your sobriety as well! 
  11.  Pay attention to your spiritual practices.  I love labyrinths and downloaded the Mount Mojo Labyrinth Journey app to my cell phone quite some time ago.  I can walk it by finger on the phone even if I have only 5 minutes and can’t get to one locally.  Or, call a friend to pray.  Watch a Joel O’Steen, Beth Moore, or even your own pastor or rabbi may have something online to watch or even just listen to. 
  12. Humor, humor, humor!  You have to laugh!  I go to Bob Newhart videos, Carol Burnett, or Tim Conway as well as Friends and Frazier.  My mom loved SpongeBob Square Pants (I did not ever figure that one out!)  How about funny movies often free on Amazon Prime, Netflix, and other places you may have membership. 

All of these are tools – now you just need to use them.  As I said in my letter to current clients, I’m here and I am available.  Feel free to call and schedule an in-person or video therapy session.  The teletherapy appointment is on an encrypted service that meets HIPAA standards, we don’t use FaceTime or other things that might seem easier – but don’t offer the privacy.  So, if you can’t come – we’ll walk you through how to set it up. 

May you find these ideas helpful – and know there is a hand to reach out to.  And keep reaching out to friends as well.  Do you have other ideas?  Let us know and we can share those on our Facebook page. The disasters end.  The illnesses come to an end in such large proportions.  The blue skies come out again.  Something my mama told me growing up is that “it’s always darkest before the dawn”.  Obvious, right?  But it kind of normalizes problems and difficult times.  And reassures us – that “Joy will come in the morning!” (Psalms 30:5).  And so it will!

Take good care of yourself!

Dr. Beth

Yoga and Your Brain

Yoga. It can feel like an intimidating word for the uninitiated, can’t it? Visions of perfectly chiseled bodies in spandex holding positions that look impossibly difficult. But yoga is so much more than that. I’ll leave it to the countless experts who explain that the physical movements of yoga are only a tiny part of the whole practice (google will lead you to lots of resources if you’re interested). But the physical piece which ties into the mental component and so many other benefits is a great way to move forward and “deepen” your healing.

After an accident or an acquired brain injury the sheer volume of appointments of follow up care can feel like a full-time job. But yoga is a practice that can be added at any time in the recovery process and shows great promise at helping those who have sustained a brain injury with balance, balance confidence, range of motion, pain control, strength and mobility. Studies have shown the practice to improve balance by 36%, balance confidence by 39%, lower extremity strength by 100%, and endurance by 105%. Those statistics speak volumes for the benefits of such a gentle exercise and practice. In addition, it can be helpful to so many who suffer from anxiety related to post-traumatic stress disorder after an injury or even a car accident without injuries. One study done at two centers involving a Canadian location and Brigham and Women’s Hospital in conjunction with Harvard University found a 10% reduction in PTSD anxiety symptoms following only an 8-session program of Kundalini Yoga.  Another study through Boston University and the Trauma Center found significant reduction in PTSD symptoms after 5 weeks of yoga, and individuals held an improvement for at least another 5 weeks.  So, it seems that we should be thinking about yoga much more frequently in the field of PTSD and brain injury!

There are studios throughout the country which offer yoga classes geared toward those with brain injury through the Love Your Brain Foundation and rehab centers. You can find some resources online at https://www.loveyourbrain.com/yoga though if you do a search right now you’ll find that in AZ, classes are not yet available (check back soon as a provider training is happening in April and is already full—so we should see some offerings coming!) The other place to check is the outpatient rehabilitation program through your local TBI hospital. In the Phoenix area, Barrow has some yoga classes with details found here. Although they have no specific yoga offerings at this time, Ability 360 is also a great resource for those with brain injuries and changes. A recent search of google for trauma and yoga in Phoenix brought up several studios with classes specifically for traumatic stress or PTSD. So, there appear to be some options, but take caution with these studios, doing homework to ensure their credentials are what you’re looking for and are the best choice for you.

These in-person classes are a great resource and whenever possible, I do recommend that people attend with an instructor present. That hands on advice and adjustment to a position can be very beneficial, but if it can be intimidating to try something new, can’t it? A big barrier to entry for an untried activity is the lack of understanding what the cultural norms are, what’s to be expected, and not wanting to look foolish doing something for the first time. Rest assured, the classes that are geared towards beginners, and specifically for those with brain injury, are not going to include the difficult poses that you see highlighted in yoga articles or images. Everyone in the class will enter with about the same level of expertise, that’s why there are classes for a variety of different audiences. Also, there are modifications that can be made to make this gentle stretching available to anyone, in any condition. If you’d like to see what a class may include, or would like to try something at home without an audience, there are some videos of classes for brain injury you can try at your own risk (check with your physician first to be sure you’re ready for these). Love Your Brain says it best, and I agree with their statement, “I cannot assume responsibility for any exercise and/or subsequent injury you may incur, “Yoga is for everyone. However, when online, it is up to you to assess whether you are ready for the class you have chosen. The techniques and suggestions presented here are not intended to substitute for medical advice. LoveYourBrain assumes no responsibility for injuries experienced while practicing these techniques.” And we cannot assume any responsibility for injuries experienced either through their program or others. That’s why it’s best to check with your doctor or physical therapist first. Classes online are an option for you to try if you cannot find anything available near you and once cleared by your medical health provider. Take a look at https://www.loveyourbrain.com/yoga-videos for some classes geared toward healing from a brain injury.

As we move through 2020 and we continue to explore our word for the year, deepening, I hope you’ll give some of the ideas I propose a try or use these suggestions to look for ways to incorporate new ideas into your life. I will be offering a workshop for you and your partner or spouse in April that will discuss the changes brain injury has on your work and home life. For more information, click here, and together let’s incorporate strategies to help you heal to be the very best you can be.

Unfolding: From Shame to Praise

I’ve been sitting here looking at a blank piece of paper, interspersed with time searching for ideas of what to write about for this blog released to be released on Ash Wednesday, the first day of Lent for Christians.  I’ve had a few thoughts pass through my head:

  • The childhood years of eggs and noodles for Friday dinner and tuna fish for lunch – no meat on Fridays was required. 
  • Grade school years of giving up chocolate, candy, cookies, or something else and putting a penny in the missions’ box to collect money for those in need.
  • Junior year religion class when we were challenged to show love to someone each day instead of forgoing a favorite treat (a la Fr. Martin’s blog last year – Be Kind at https://www.americamagazine.org/faith/2019/03/01/fr-james-martin-sj-be-kind-lent
  • Looking out the window this morning and wondering at the cloudy sky and my cold feet while considering how to make this day into something growth-inspired.  This afternoon revealed a bright blue sky, clean and shiny leaves from yesterday’s rain, and beautiful pink and purple flowering shrubs. And this evening it is followed by dark clouds.  Such a metaphor of life – constant evolution.
  • Finley’s facial expression, as I showed in an Instagram post and below – full of joy and expectation.  Which brought me to thoughts of C.S. Lewis via a blog by Dawn Klinge where she talks about  Lewis’s view of joy.  (You can check it out here https://www.dawnklinge.com/abovethewaves/7-thoughts-on-joy-from-cs-lewis).
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  • Searching and finding a book recommended for Lenten journeys by one of my favorite authors related to growth spiritually, Sue Monk Kidd.  She recommended Gifts from Within, written by a group in Texas at Brigid’s Place.  Interestingly, this is also tied back to my ancestral motherland of Ireland. 

What is the common thread in all the musings I’ve had?  I believe it to be there is no perfect way through Lent, or preparation for Easter or Passover.  In reality, no perfect way to reach and experience joy, resurrected hope, true presence in our own lives of and with God.  But it does take preparation, time, energy, and choices daily. 

So, whether it is by 1) sacrifice, i.e.: fasting or giving up something; or giving something like love and kindness; or 2) reading the thoughts of others as shared in Gifts from Within; or 3) reading for my Jewish friends Kurshan in her first person article in The New York Jewish Week, “Preparing for Passover Physically and Spiritually” that reminds us that the history of Passover “begins with shame and ends with praise”  (see https://jewishweek.timesofisrael.com/preparing-for-passover-physically-and-spiritually/); or 4) stretching and committing to really look at something around you (or within) each day like the change in the day from dreary to spring-like to stormy; or 5) watching the joy around you that comes from hope and expectation – they all count.  Each one can take you farther along your spiritual path.  And your psychological healing.  And isn’t this really unfolding – opening up to more of what you want to be, hope to be, are within; but perhaps are unaware of because of something blocking you?  Moving from shame to joy.  So, start thinking – has one of the above ideas struck you as one to use?  I’m using the book recommended by Sue Monk Kidd and a daily thought prompt from another group.  One person I know is using a specific book with a goal of reading the complete book by Easter.  Another person is writing her prayers daily.  And another is just working on breathing – with reminders to himself in his calendar to work on decreasing his anxiety. 

Pema Chodron said, “Nothing goes away until it teaches us what we need to know”.  Carolyn Myss said it a bit differently, “Always go with the choice that scares you the most, because that’s the one that is going to help you grow”.  Lent and preparation for Passover are times for such growth for all.  So…choose wisely this year.

Take care,

Dr. Beth   

“Silence the mind to hear the whisper.”

I was at a meeting recently with a guest speaker, the topic unknown to me prior to attending. On my way, music on in the car, I found myself turning it down so I could let my mind wander, mulling over a few of life’s stressors. Due to some scheduling changes, I was going to be walking into the meeting just before the speaker began, not having my typical time to say hello to everyone and chat before the meeting. I sat down just before she was introduced, and among the first couple of sentences about her, she was quoted, “Silence the mind to hear the whisper.” It felt like such a timely topic for me, a divine intervention of sorts, putting the reminder directly into my stream of consciousness that I had been subconsciously working towards on my drive. The use of such a simple yet powerful sentence by way of introduction –our speaker caught the attention of all of us in the room. The concept of quieting the mind has been around for a long time and while meditation is something I practice routinely, there is always room for learning, improving, changing the practice for oneself and so, I listened, and I learned.

Mindfulness is a topic I’ve been wanting to write to all of you about for some time. The word of the year for the practice is “deepening”, as I’ve shared before. We are working towards that with greater and different offerings from the practice based on the feedback from you, wanting to offer services that are relevant and meaningful to each of you. But also, deepening is creeping into my subconscious and my own life. I want to embrace this time of evaluation and growth and would like to share some reminders with you on how to be a better steward of your mental focus and energy.

Online you’ll find a wealth of meditation resources, several apps you can download with a click, a few of which I’ve even featured under the links tab of my website and in previous blogs. But. Did you know that taking a walk can serve as a meditative experience? Taking a bike ride, being outside, a scenic drive, gardening, laying in the sun or the shade of a tree, a round of golf, going to the batting cage, going to the practice green or driving range are all activities that can promote mindfulness and meditation. It doesn’t take sitting in a pretzel shaped position on a rubber mat to qualify as meditation. It can take place wherever you feel moved to practice as long as it’s in an environment in which you feel you can relax and unwind. The idea is not the act of stillness, it’s about quieting the noise of the demands of life and taking moments of quiet.

Beginning isn’t as hard as you may make it out to be. Set low expectations for yourself, planning to spend 3-5 minutes at your first attempt–you’ll increase your level of focus and lengthen the duration with routine practice. Begin in the space of your choosing, allowing any thoughts that enter your mind to simply move past your attention as if they were a billboard you pass on a highway. Notice the thought and allow it to move on. Practice breathing exercises. Deep inhales, lungs full, holding the breath and a slow, deliberate exhale. There are exercises that guide you to count your way through breathing and those can be helpful but generally, if you exhale for longer than you inhale you are lowering your blood pressure. These breathing exercises alone are a way to calm yourself and even can be used to drift off to sleep.

A drive that previously may have brought stress due to traffic I’m now looking forward to. The forced time alone in the car is a good time for me to quiet my mind. To listen for the whisper—of intuition and my higher power which is such a help to me in times of growth. “Be patient with yourself. Self-growth is tender; it’s holy ground. There’s no greater investment.” – Stephen Covey. As a part of mindfulness and deepening, let these ideas be a start for you. I’ll be sharing more on this topic in blog posts to come as well as in an upcoming workshop. Stay tuned!

PS: Looking for a great way to open relationship discussions and mindfully listen to loved ones? These would be a great way to start: https://www.shopsundaypaper.com/Sunday-Paper-Table-Topics-p/tabletopic.htm

2020: Goals and Goofing Off

I was thinking about the new year and recall recently hearing someone say, instead of resolutions that we often set ourselves up to break, think of the beginning of the year as a time to set one goal. And, while it feels like a blank slate and a good time to start something, I also wondered if we take a moment to pause and renew, would we all be more likely to hold to the new goals we’re trying to form? We go through the holiday season and it’s a blur. How often do we look back and wonder where 30, 60, 90 days or more have gone? We are so busy with the hustle of preparing that starts in October, maybe earlier, that when the new year comes it’s no surprise we’re all feeling ready for a new leaf. But is there room to be more mindful about how we go about all of these new practices? Instead of starting January at the gym doing more than our bodies have in weeks/months/years and going home sore, energy depleted, and looking into a refrigerator stocked in an optimistic moment with all the foods we “should” be eating is it any wonder that by the end of that week or the end of January we already feel we’re failing at what we set out to do? Here’s an idea it’s not too late to start on, the timetable is your own. Let’s bring in this new year with intention and balance.

Happy January, welcome new year, new decade! I’m going to choose my activities and set goals that are achievable, because I don’t need guilt over self-imposed ideas that make me feel a failure. And I’m going to learn to play, alone, with friends, and with my family.  Join me? Here are a few things to get you started but remember this is not an inclusive list, just inspiration:

  • Meal plan and prep on weekends. It sounds simplistic and it is, but this is the way to get the foods I want in the house. This is not the start of a strict diet; this is making healthier choices than I made during the holiday rush.
  • Create set work hours. It’s easy to allow myself to let my work spill into my evenings during times I don’t have plans or distraction, but everyone needs down time to recharge each day. It’s not a luxury, it’s what enhances productivity during the day and if I don’t consciously make this choice, I will let myself stay at my computer longer than I should.
  • Read, listen to audiobooks, listen to podcasts, or watch TV. Getting myself enmeshed in a good book is an escape nearly like a vacation. And for all the bad TV out there, there’s plenty of good to watch as well.
  • Pray or meditate. Quiet time for consideration and reflection is soul enriching and an amazing stress reducer that has been shown many times over to reduce blood pressure and improve brain health.
  • Move my body. This doesn’t mean I have to join a spin class or train for a marathon (though if those things lift you up, wonderful!) this just means a walk with my dog, or yoga at home or in a studio, a bike ride on the greenway. Again, stress reducing, heart and brain healthy, blood pressure reducing, and an aid in depression and anxiety management. 
  • Schedule physicals or check-ups. Annual exams are important to be sure any changes in blood work, blood pressure, vision, mammograms or PSA checks, etc. can be addressed before a possible issue becomes advanced.
  • Call and schedule time for coffee with a friend.  Often, we do not give our friendships the time they need, and we don’t benefit from the recharge that time will give us.  (And moms – I just read today that in order to be the healthiest mom possible you need two girlfriend outings a week.  Two!  So perhaps start with one and work it slowly up to two.)
  • Make an activity list with your family.  Have everyone list what is fun for them.  And then use this to plan your vacations, time together, and year. 

Remember, not every minute of the day is meant to be about productivity.  It’s also meant to include time for relationships, recharging our batteries, learning, and balancing our lives.  So, this year, rather than adding a list of 5 must-do’s to your daily schedule, how about taking care of you – in any of the above ways or another way you might want to embrace and enjoy.  Brene Brown reminds us that “adults goof off”, they play, and defined this as spending time doing things that are not productive but are fun.  Several of the ideas above are not “productive”, but they may be fun for you.  So, my challenge is – go have some fun this year.  Play. Meditate. Spend time with friends.  Read a novel that pulls you in.  After that – perhaps get back to the one or two goals for your year.  But don’t take the “fun” time off your calendar to get the goal met. Instead, balance both in your time.  And have a great 2020! 

Deepening: Thoughts to Consider

Deepening…the word for 2020 that we are using at The Wholeness Institute.  Angie and I spent a good deal of time on brainstorming and planning what we want to accomplish in 2020, and deepening resonated with our goals and, hopefully, with yours.  Deepening has many meanings…

            ~To become more profound

            ~To enhance

            ~To strengthen

            ~Powering up

            ~Living more deeply into something – a relationship, spirituality, one’s inner self

            ~Living with purpose

            ~Leaning into experience

            ~Result of transformation.

When I think of it in terms of my counseling practice, I think of it as being present to others as they grow, as they go within themselves more to the discover who they are. Witnessing each person transform parts of him or herself that may no longer fit or has caused pain.  It’s being privileged to be with a person as they are leaning into their gifts, owning them, allowing themselves to become better acquainted and experience life more deeply as well as broadly.  Broadly alone isn’t enough, though, if we want to feel connected with others, with those most special to us, to ourselves.  This isn’t so new, if you go back to the Quakers, the mindfulness writers, those who are Jungian in thought, there are many books and articles written.  We hope that at the end of 2020, the first year of our new decade, you feel that you have received direction or ideas from me that have resulted in deepening your life and experiences more completely. 

Toward that we are restarting, adjusting, and adding some offerings, and welcome you to ask questions, reach out as you are called to deepen in during this year, or share with me how we can help you in your process throughout the year.  We are still working with many of the same populations and with similar issues, but with a slightly revised focus as we walk into 2020.  Rather than just teaching, or counseling, I hope to experience a deepening of my practice, and Angie’s work here, so that you are able to find a deeper sense of who you are and perhaps how things have moved forward in your life. So, we will be working in the next month to begin adjusting things in the following ways:

~ We will offer two blogs a month – one about a change or addition to your knowledge or understanding of what the field of psychology and spirituality are understanding today.  So perhaps an update on how yoga is used; a new treatment method for brain injury or depression; or even just a new idea to try to keep life balanced. The second will offer deeper content such as journaling exercises, ways to make your growth more experiential, and allow you the opportunity to move a tiny or larger step forward.

~As some of you know I have a new puppy – Finley.  We are going to add Instagram back with a focus on Finley’s Corner, lessons he is learning, that we also can learn from.  As an example, a lesson he learned after Christmas family celebrations? We all need rest after a long day. Look for an Instagram link soon!

~More days of retreat and mornings of information.  There are two we are looking at now, in addition to two in conjunction with others we have been invited to or are co-offering.

March 7 – Unfolding to Yourself:  Understanding Self and Spirit

May 16 – Professionals with Brain Injury:  Couples Facing Change

~Watch for the addition of concierge counseling services soon both for brain injury and personal growth clients – with special information pages, some case management built-in for no additional charge, consults with other professionals on your behalf, priority scheduling to meet your schedule, and other tips or help.

~More teletherapy appointments available to you.

So, as you are beginning your new year, here’s a deepening question for you to consider and write about:  What do I need to do to lean into my own life more fully? Write for 10 minutes and stop. Step away from the writing for a few moments.  Reread it and write down one action step to take or new awareness you have.  It might be set a reminder to write tonight before retiring for 10 minutes.  It might be to spend 5 minutes of your walk in silence, not talking with anyone with you, but taking in what you are seeing.  It might be saying a prayer or writing a prayer to your Higher Power tonight at bedtime.  Then go – live your life as it is unfolds today (including football and friends).  Begin each day with this – and just watch your life transform and deepen this year.

With care and encouragement to dare to dive more deeply into who you are,

Dr. Beth

In my own deepening understanding of myself
find my capacity to serve others is deepened as well.
The 
better I am at selfcare
the more 
genuinely nurturing of others I am able to be.
– 
Mary Anne Radmacher

A Search for Gratitude

As I’ve been pondering this blog the last few days I’ve found myself wondering about how to approach it-spiritually, psychologically, mentally?  Speak about the family perspective of Thanksgiving? Or something more related to gratitude. I’ve always thought of both thankfulness and gratitude as the same thing. But GK Chesterton’s proposition was that “thanks are the highest form of thought, and that gratitude is happiness doubled by wonder.” That very much spoke to me, the balance of thought and feeling.

So often at Thanksgiving we are celebrating food, football, and family. In that combination we are actually often only engaged in the thought of being thankful, occasionally feeling some happiness; but, how often is that thankfulness actually imbued with wonder? Wonder generally comes from something beautiful, unexpected, or inexplicable.  This is the key to much of why we likely experience actual changes in our brain when we have a gratitude journal.  Our thoughts of what we are thankful for, combined with the emotion of gratitude, is what causes both sides of our brain to process the experiences. As we cross the corpus callosum of our brain, we are changed.  Try an experiment, think of the most recent experience of a beautiful sunset, a puppy playing, or a special message of love from your best friend.  As you recall this, do you feel joy, relaxed or peaceful, or warmth deep in your heart? Then, as you consider that view, do you begin to think about how lucky you are to have that pup or thankful to have found your anam cara (see an article on anam cara here) friend? There you have it, thought and feeling, building in intensity as you allow the feelings to bubble up and impact you.  The life-changing moment of gratitude.

This Thanksgiving, enjoy the festivities and folks around you, whether solo awareness of others who are in your life or at a larger get together. But in addition to enjoying the day, I challenge you to not simply go through the motions. Instead, take some time to really consider what you are grateful for in life. Use the barometer of feeling gratitude to the point of an emotional reaction of joy, wonder, or amazement. For me it will include true joy in my experience of my new puppy Finley; deep peace that comes from memories of moments with my best friend; and heartfelt love for my dear sisters with whom I am spending this holiday. I want to cherish these thoughts and feelings along with the memories that triggered them. I choose to do as Brene Brown suggests: “[not chasing] extraordinary moments to find happiness, but paying attention and practicing gratitude” in its’ deepest sense.

Take care, and may the wonder of this holiday be yours.

Dr Beth

The Grip of Anxiety: How to Find Relief

The room is too hot. I’m worried. I just need to go back to sleep. But I’m so anxious. Is that the sun peeking up already? I feel like I’m a ball of nerves. My pillow needs fluffing, my neck is sore. Should I just get up and try to be productive? But I’m so tired, and my mind won’t stop. Is the air working? It’s really quiet in here. Mind, why won’t you let me sleep? I’ll roll over and see if that helps…. Maybe I should paint my bedroom. But what color? Shhh brain, tomorrow. Let’s sleep tonight.

It can be a battle, can’t it? You enter your bedroom and catch sight of your bed and instead of seeing it as an inviting place you can’t wait to retire to, it looms large in your mind, knowing that with nightfall your worries invade the space that needs peace and rest. Something small can become large in the darkness of night; causing you worry and angst that in the light of day you realize is manageable and not something worth the cycle of sleeplessness.

“My life has been filled with terrible misfortunes, most of which have never happened.”

-Mark Twain

Sleep is one of the biggest areas affected by anxiety, but it can wreak havoc on your whole day, not only because of the exhaustion but other times it takes you by surprise, a simple text, email or phone call is enough to set you spinning. Other times that pit of fear and worry holds you by the hand all day each day. So how to get through it? Read on about a few ways to help regain control of our minds and the way we process perceived trouble or worries.

Breathing. It seems like such an automatic process, that we shouldn’t have to think about it. And we don’t for mere survival, but for optimal health this needs to be step one. But does it really work? Truly, it does, it’s proven. The studies are out there, and they are numerous, a quick google give you plenty of hits, among them is this one if you’d like to read more: https://www.health.harvard.edu/blog/stress-raising-your-blood-pressure-take-a-deep-breath-201602159168 The breathing exercise I most often recommend is by Dr. Andrew Weil called the Relaxing Breath or 4-7-8 breathing. The process is illustrated here, https://www.drweil.com/videos-features/videos/breathing-exercises-4-7-8-breath/. The idea behind this breathing, and others, is to slow down the heart rate, and reset the body. It also stops the panic and anxiety attacks. If you can’t breathe out as long as 7 or 8, start lower and work your way up. Whatever exercise you choose to follow, the idea is—if the exhale is longer than the inhale, the heart rate slows, and your blood pressure lowers. I encourage you to try this and let me know how it works for you.

Meditation. It’s regarded as a big word that packs plenty of punch. Often thought of as too ‘out there’, the practice is simply about quieting the mind. And, in an anxious state, quieting the mind is exactly what we are trying to do. The easiest way to start? An app. There are plenty to choose from for your phone or tablet that will walk you through the techniques. My favorite at the moment is called Insight Timer because it is free. There is a membership you can purchase but there are lots of tools that come with the free usage, including a specific ‘coping with anxiety’ section. This is only one of many, to find a few others too consider, take a look at my website under ‘links’ to see them listed.

These are just two ideas to get you going. Other ideas I strongly encourage as they support brain changes are coloring mandalas, walking a labyrinth, or doing a finger labyrinth. There is a simple app for this called Labyrinth Journey by Mount Mojo.  These allow spirituality to enter your processes as well to calm your anxiety. And for a few outside of the box ideas, these suggestions could be fun, and would be an experience you’re unlikely to forget. Cuddling a cow? Who would have guessed? See: Cow cuddling. Or: Cat cafes. Therapy dogs. Hug therapy. And don’t forget the outdoors and how great it is for the mind: Head out on a hike.

The moral of this story? If you’re feeling anxiety, there ARE ways to help yourself. Try one or more of the ideas above, talk to a friend, family member, or therapist.  If none of these ideas work, including therapy, then know that there are also excellent homeopathics and medications with minimal side effects that do help.

Wishing you a restful night’s sleep and anxiety-free days,

Take care,

Dr. Beth

Help Your Kids Make Good Choices—Special Edition Blog on e-Cigarettes

If you haven’t seen the headlines in the last couple of days and didn’t see a surge on social media a couple of weeks ago, this may surprise you. Reports are showing early data that the usage of e-cigarettes contributed to the first lung related death, and more widespread, is causing substantial damage to lungs and the numbers are alarming.

The market has exploded with e-cigarettes, Juuls, and other vaping devices to supply candy and fruit flavored nicotine to interested users. Per Juul’s website, “JUUL was developed as a satisfying alternative to cigarettes. Learn about our mission to improve the lives of the world’s one billion adult smokers by eliminating cigarettes.” More reading of the website leaves a reader feeling that switching from cigarettes to this vaping device is a cleaner, safer choice.

The Juul itself is tiny, shaped like a USB drive, and with the enticing flavors, the market of users is not just cigarette converts, it’s also our teens. School districts nationwide are holding parent and child education events to provide information on this new smoking trend to teach and also encourage an open dialog among families about such nicotine usage.

But the reality is, vaping has been too new for us to have a lot of clinical data showing the toll it takes on one’s body. There are anecdotal reports of these electronic vaping devices exploding—and graphic images can be found of people who have had them in pockets, in their hands, and worse, in their mouths at the time the device ruptured and exploded causing substantial tissue damage. But what about the lungs? It’s been surmised that vaping can contribute to popcorn lung, but beyond that it was all supposition until recent weeks.

Earlier this month, a teen came forward on social media posting pictures of his hospitalization and subsequent recovery of a lung collapse. It is believed his use of a Juul for the past year and a half caused the lung issues he experienced. As his posts went viral, he launched the campaign #lunglove encouraging people to give up their electronic vaping devices in an effort to prevent more hospitalizations and deaths. https://www.cbsnews.com/news/teen-blames-vaping-after-his-lung-collapses/ Today it is being reported that the first death has been linked to e-cigarettes in Illinois and dozens more have been hospitalized for conditions similar to the teen mentioned above. https://www.cnn.com/2019/08/23/health/vaping-lung-disease-death-illinois-bn/index.html

These headlines are important, your teen knows about these devices and based on statistics alone, has likely tried one. They are present in every high school and likely every middle school in the country. Local teens are reporting they aren’t even able to use the restrooms because they’re so heavily used for vaping during breaks. Vaping devices can deliver nicotine, flavorings, and other additives; but some can also include THC—the psychoactive substance in marijuana—and other substances. Inform yourself and inform your teens. For information about vaping and marijuana, see: https://drugfree.org/parent-blog/know-kid-vaping-marijuana/  If you need suggestions on how to start a conversation with your kids, a number of resources have been written on this topic. Follow this link to a google search with a number of credible organizations that have tackled just this situation. https://www.google.com/search?q=start+conversation+with+teens+on+ecigarettes&ie=utf-8&oe=utf-8&client=firefox-b-1-e

And lest we forget, it’s not just teens who vape, UCLA reports that adults, too, are buying into this and many believe it is safer than cigarettes.  That’s yet to be proven.  And even for teens, scientists are still considering how vaping impacts the development of the brain – remember that the young person’s frontal lobe does not stop developing until about 25 years of age.  So with cardiovascular, lung, and brain impact we do need to be aware for our youth first, but for all adults as well (http://newsroom.ucla.edu/stories/how-safe-is-vaping)

Open communication about the dangers of these devices is one of the best ways you can help your teen make good choices. And remember, the listening—and hearing—what your kids have to say can be even more important than doing the talking.

On an aging mind.

I recently opened a drawer and was surprised to see an article of clothing I had no memory of buying. It is a swimsuit. A dreaded article of clothing for me to put on any given day to begin with, I remembered it but I could not remember where I’d gotten it. Was this a memory issue I should take note of? It got me thinking about a recurring theme I’ve had come up in my practice and in my personal life with friends, not only as we ourselves age, but as parents and siblings and other loved ones do too. What IS normal brain aging and what are the signs something more serious is happening and needs attention?

As we age, our brains shrink. Years of studies have shown this to be the case but it’s not always a bad thing. For the vast majority of us, aging only means some forgetfulness—a haziness of past events, not recalling names of old schoolmates (but cueing helps), the need for a grocery list, occasionally forgetting what we walked into a room to get, word finding difficulty at times. You may also find you have less ability to concentrate and pay attention. All of these are typical to the aging brain. Add stress to the mix and the above problems are exacerbated, as is the case when you are only half paying attention to someone because your mind is already on something else.

So when is it time to pay attention and get some cognitive testing done, even as a baseline? I read an article not long ago that had a great list—I’ve pulled from it a few guidelines to follow (for more of the article, see: https://www.verywellhealth.com/is-it-forgetfulness-or-alzheimers-98574). Take a look at the list below and if you see some areas of concern, don’t be frightened about getting testing, the earlier the condition is found, the better we can prepare and treat for it.

  • Recent memory poor, and cueing and context don’t help
  • Can’t remember the order of things and who said what
  • Repetitiveness becomes obvious; memory intrusions occur
  • Unaware that a memory problem exists
  • Day-to-day functioning declines along with memory
  • Frequently demonstrating poor judgment and decision-making
  • Not being able to handle paying bills regularly
  • Often being disoriented to time and place
  • Difficulty with familiar tasks, such as making coffee every day
  • Getting lost on your way home from your daily job

Whether your memory slips are typical and bothering you or something more and you need to do some testing and work with a neurologist, talk to me. I have some things I can recommend that may help. And if you have a brain injury, your process may be a bit different– see our website at: https://www.thewholenessinstitute.com/braininjurytherapy.html for additional information. As I routinely say, there IS hope and I’m happy to help you find your way back to it.

As for me? A couple of cues helped. I knew I must have ordered the swimsuit so I looked at my older emails and found the order—as soon as I saw it I realized I bought it at a time life was extremely chaotic and it was one of many things I was handling at once. I’d been doing too much at one time and as a result, my mind automatically filtered what I needed to retain and what wasn’t important. A relief to me, for certain!