By: Daniel R. George, Ph.D., M.Sc. | July 7, 2022 "This post is authored by Mariam Shalaby, a 4th-year medical student at Penn State College of Medicine"
"It is a tumultuous time in the U.S.—politically and socially—and many of us in the field of mental health are additionally tasked with the responsibility of caring for the emotional needs of others. This can be taxing, even for someone like myself who is a medical student training in psychiatry. What are practical steps we can take to maintain a productive and caring presence amidst national turmoil? A day in the life of a mental health trainee As a fourth-year medical student, I spend a month at a time training in different locations. Recently, I have been training at the local psychiatric hospital, where patients are cared for when their mental illness leads them to be at risk of harm to themselves and/or others, or unable to care for themselves. Waking up on a recent Wednesday morning, the first thing did was check my phone. Texts from loved ones working through personal problems flooded my screen. I sent a quick reply — “Thinking of you” — before switching apps to scroll through cute cat videos interspersed with passionate 30-second video clips about baby formula shortages and another school shooting. I clicked my phone screen off before taking a deep breath and getting ready for the day. Driving to the hospital, I noticed the fluffy clouds and the blue sky above me. It was a pretty June day—a peaceful morning. Merging onto the highway, I noticed the car in front of me. Pink paint emblazoned on its trunk exclaimed: “PAWS OFF ABORTION! STOP CONTROLLING WOMEN.” My chest tightened. I walked into the hospital and sat down for rounds, which is when the team meets with every patient to talk about how they’ve been and discuss their treatment plan. We interviewed eight patients in a row. When I asked one patient what led her to attempt suicide, she looked at me in the eye and said, matter-of-factly, “I was sexually abused by my father as a child, I have struggled with cocaine use for many years, and I am dealing with unresolved grief from the loss of my husband due to overdose.” I gulped, and said, “I’m so sorry to hear that.” Inside, I panicked: What is going on, and how are we going to fix it? Finally, we finished rounds. I took a break for lunch at the neighborhood Italian bakery and noticed an enormous plywood sign in front of one of the houses across the street: “FROM IRELAND TO PALESTINE, OCCUPATION IS A CRIME” it screamed at me in black spray paint. I took a deep breath and tried to notice the taste of my pizza and the sound of the birds. The time passed too quickly, and soon it was time to return to work. When I finally arrived home at the end of the day, I felt drained. I had little energy to do anything at all. And it was only four o’clock; I had gotten home early. I resorted to looking at my phone, and found myself once again watching silly videos that left me feeling just as tired as when I got home. Taking stock I’m grateful that, like many other professional Americans, my basic needs for food, water, and safety are met. And I’m grateful to serve in a role that helps others find stability in their lives. But these days, a sense of vigilance and worry often consumes me. Many of us wake up daily to an overstimulating digital atmosphere, a turbulent sociopolitical landscape, and an emotionally taxing job. I walked through the day on edge, alert for threat. While there are practical ways of responding to outside threats to our senses of security and calm, such as participating in activism about causes we care about and doing our best to care for patients, addressing inner sensations of stress in response to those threats isn’t always so clear. Simply telling myself to “calm down” doesn’t work. Trust me, I’ve tried. That said, here are a few things that I have found to be helpful:
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"1. Involve Everyone
When the whole family is involved in planning fun activities, you'll have more opportunities to experience special moments. "Family glue" is what Pat Tanner Nelson, professor of Human Development & Family Studies at University of Delaware, calls those moments that connect your family and build deep, healthy relationships. "Spending time together as a family takes planning, but it's a good investment," Nelson says. "When children feel close to their parents, they try harder to please them and make them proud, which then makes the whole family stronger." It doesn't have to be complicated—with a little bit of effort, you can turn bonding into a lifetime of funny, sweet stories and lasting memories. 2. Plant a Family Garden Encourage everyone to get their hands dirty by digging a patch to plant flowers or vegetables in the backyard. Tuck tender seedlings into the ground and watch them grow and blossom—like your kids are doing every day. As they witness green shoots turn into stunning plants, your whole family will gain a new respect for the natural world, all while learning patience and perseverance as you divvy up the tasks of keeping the garden weed-free, well-watered, and strong. And if someone squeals upon discovering a squirmy garden worm? That's a hilarious family moment for the scrapbook! 3. Plan a Family Vacation Together You can set the budget and a suggest geographically convenient location but let your kids research attractions, coordinate travel times, and check the weather forecast. If you live in the Mid-Atlantic, for example, you might suggest Colonial Williamsburg, and your children's itinerary could include an archaeological dig, meeting farm animals at the Peyton Randolph Yard, viewing 19th-century toys at the Rockefeller Folk Art Museum, and kid-centric tours of the former capital and royal governor's palace. They'll feel proud, trusted, and independent as they take on a leadership role in the family, and you'll be proud to spend a wonderful day together with the children at the helm. 4. Conduct Family Interviews Members of your family's older generations, like grandparents, great-aunts, and great-uncles, have many fascinating stories of growing up in different eras. Have your kids ask them what life was like in yesteryear and use a voice, or video recorder to capture their tales, voices, and expressions. Then turn the microphone around and encourage older family members to take turns interviewing someone, including the kids. By collecting personal anecdotes and memories, you'll have a time capsule of family history. As kids learn about their heritage, they can start thinking about their own legacies. Transcribe the interviews to create a book or digital file of photos for a slideshow to accompany the interviews. 5. Plan a Family Photoshoot There's no better way to make and preserve family memories than by planning a family photoshoot. You can schedule a portrait session at a local studio, but to capture those real candid moments that will make you smile when looking back on them, seek out a photographer with a photo-journalistic style who knows how to handle kids during lifestyle shoots. If you're shooting in your neighborhood, pick a spot for the shoot that your family already loves, like a local park or playground. Another option is to book a photographer while on vacation to capture your family's adventure. That's right: You can get the whole family into a good picture, no selfie stick required! To find a great photographer out of town we suggest using Flytographer's booking service— they work with photographers in more than 250 destinations who can help direct your photoshoot to get real smiles from you and your kids. Book an hour session to capture a family of 4 in two locations in your vacation town. [Use the code Parents25 for $25 off your shoot, Flytographer.com] 6. Cook (and Eat) a Family Meal The benefits of eating dinner as family are multifold. Studies show that kids who dine frequently with their parents have improved academic performance, increased self-esteem, and a reduced risk of obesity. Regular dinnertime conversations are also linked with more open communication between kids and parents. "The more you can get into the habit of really listening to your kids and having these conversations from early ages, the more likely it is that kids are going to talk to their parents in adolescence about issues that are troubling them," says Richard Weissbourd, a Harvard psychologist and the author of The Parents We Mean to Be. Start with a collection of recipes and then assign everyone an age-appropriate job (no knives for toddlers!). Get creative with ingredients and techniques to forge delicious memories." "If you were warned that a perfect day at the beach would end with you soaking wet and miserable, under dark storm clouds, would you still pack your bag and go?No one expects perfection to end in gloomy weather—especially when it comes to love.
Love stories gone bad can be addicting. I have a growing to-do-list and a neglected pile of laundry to prove it. The infamous Amber Heard and Johnny Depp defamation trial has left many people around the world hypnotized by testimony warning us about the dangers of entertaining toxic love too long. In over 27 years as a therapist and mental health educator, I have not seen anything tie human beings into more complex knots than love turned ugly. A former client stated, "I'm a shell of what I used to be. I'm fighting to get back to normal." He talked about his divorce as if it were as fresh as farmer’s market organic milk. Surprisingly the divorce had happened over seven years ago. Yet he was still having flashbacks about the emotional abuse that took place in the relationship and problems sleeping some nights. He commented, " Sheila, I follow her on social media. She is living with this guy and looks no worse for the wear. I haven't been right since it ended." I invited him to step into a deeper level of healing during several therapy sessions. He confronted himself and acknowledged there were a number of signs that pointed to a doomed relationship from the start. He recalled, "She had a nasty temper and could ignore me for days without flinching. I suffered when we fought. It bothered me when we did not talk. She seemed to revel in the dysfunction." When I asked him why he ignored what was happening, his answer made sense—in a dimly lit way. He shared, "She had a sweet side and I wanted things to work out." The desire to see a relationship work out despite clear signs that it may not leads many people to turn a blind eye to information that could be the difference between finding happiness or fleeing misery. In nearly three decades of supporting men and women through healing journeys, brought on by the fallout of traumatic relationships, I’ve counseled individuals to be mindful of the five following behaviors that may predict a relationship will go dark: 1. Cheating early in the relationship. Cheating, particularly early on in a relationship, is an indication of poor boundary management and signals a lack of self-control. Looking the other way when your partner cheats is a form of reinforcing disrespectful behavior. 2. Taking no responsibility when the relationship derails. Relationships hit rough patches. When a partner says or does something that is hurtful to their significant other, the ability to say "I’m sorry" and assume responsibility for the injurious behavior is part of healthy communication and establishing trust. When someone lacks the ability to do this, he or she is announcing, "I can do what I want, and don’t expect me to apologize when I’m wrong." This relationship dynamic can be emotionally damaging because genuine healing is not possible absent trust and accountability. 3. Cruel fighting, that hits below the belt. Words are powerful and they can be almost as painful as physical injuries. I recall a former client sharing, “When we argue he brings up deeply painful and personal things I’ve shared about my past. He mocks me and makes jokes about my suffering.” Cruel fighters lead with the intention to use what they know to emotionally wound their partners. It’s a dangerous dynamic that can lead to long-lasting psychological scarring. 4. Abandonment in times of distress. Emotional security and grounding inside a relationship is made possible when you feel as though your partner has your back. Emotionally unavailable people often leave their partners to fend for themselves in times of distress, such as losing a job, the death of a loved, or illness. When cycles of abandonment continue unchecked, the relationship erodes and becomes toxic due to stress and high levels of resentment." Susan Newman Ph.D. | Posted October 17, 2017 "Who hasn’t had her child-rearing choices questioned—by family, friends, your spouse, or a stranger? Who in your circle is most judgmental?
As a parent, you are subject to comment on a host of parenting decisions: Whether you decide to breastfeed or not; to co-sleep or not, go back to work or stay home with your children, what you let your children eat for breakfast; how you discipline or dress them, the bedtime you set or the time you allow or don’t on “screens”…Often, the “advice” or “suggestion” is completely unsolicited and makes you feel guilty or uncertain. On social media, even benign parenting practices are subject to criticism. Unlike the rest of us, celebrities are publicly “mom-shamed” more frequently on the Internet. Mariah Carey received a wave of criticism for posting a photo of her 4-year-old son still using a pacifier. Several stars, from Mila Kunis to Chrissy Tiegen to Maggie Gyllenhaal, have been targeted online for breastfeeding in public. Actress Olivia Wilde was berated for posting a picture kissing her young son on the lips. A new poll finds a majority of American mothers are being judged, some on the Internet, some in person. The University of Michigan’s C.S. Mott Children’s Hospital conducted a national poll surveying 475 mothers of children aged 5 and younger. They were asked if they’ve ever had their parenting questioned. Sixty-one percent responded that they have been criticized for their child-rearing decisions. The most common topic of criticism: Discipline. Seventy percent of criticized moms reported this. The second-most-cited denunciation concerned diet and nutrition; the third, sleep; the fourth, breast versus bottle-feeding, fifth, child safety, and sixth, childcare decisions. Although sometimes the criticism is intended to be constructive, 62 percent of those sampled said they believe mothers receive “a lot of unhelpful advice from other people”; 56 percent said mothers “get too much blame and not enough credit for their children’s behavior.” Family More Likely to Judge According to the study, family members comprised the top three groups of “mom shamers.” The moms who felt criticized said their own parents (37 percent), co-parent (36 percent) and in-laws (31 percent) were the most frequent to pass judgment. “This may reflect the high volume of interactions with family members, or that mothers may interpret family criticism as an attack by those who should be more supportive,” the researchers noted. Remarking on the stress and overwhelming choices of new parenthood, the study points out that 42 percent of the criticized mothers said the judgment “made them feel unsure about their parenting choices.” As a parent, you have the ultimate say—even if you’re conflicted about your choices. 10 Tips for Standing Up To Mom-Shaming When it comes to standing up to those who judge you, it can be tricky to assert your parenting authority and keep conflicts at bay. Here are 10 insights and suggestions to help bolster you against those who believe they know what you should be doing and how to do it.
By Jeff Bogle and Karen Cicero | Updated on February 10, 2020 "Want to wow your big kid? From cities and swanky resorts to nature trails and national parks, these are the top family vacation destinations to hit while your children are still young.
Once your child stops needing a nap and a stroller, a world of new vacation possibilities awaits. But you have only so many school breaks before your kid flees the nest. Here, travel experts share their top iconic places you've just got to visit as a family while your children are still young, plus planning tips to ensure your kid has the best time ever. #1 Paris Book the earliest ticket you can (usually 9 or 9:30 a.m.) to ascend to the top of the Eiffel Tower. Show up 90 minutes ahead of time to take pics at the base when it's relatively uncrowded. (Grab breakfast at a nearby café before returning close to your assigned time.) When you're done, walk along the Seine River to the Musée d'Orsay, an art museum in a former railway station. Kids who love ballet will delight in the paintings of Degas, while Dr. Who fans might recall the Van Gogh gallery that was featured in an episode. It may be a little mobbed, but it's still worth going to the Musée du Louvre to see the Mona Lisa and so much more. "If you have time, spending a day at the Palace of Versailles, a quick train ride from Paris, is wonderful," says Catherine McCord, author of Smoothie Project, who took her 8-year-old daughter to Paris. "Walk through the mazes before you go inside." Feel like a local: Book a walking tour with a local guide to explore off-the-beaten-path areas. Look at GetYourGuide.com for options that focus on neighborhoods (like the Latin Quarter) and themes (such as vintage shopping, chocolate tastings, or secret passages). #2 New York City Reserve a ticket to visit the Statue of Liberty's crown—climb 377 steps to the top via a winding staircase—because same-date spots are rarely available. In Times Square, Broadway shows beckon—Wicked, The Lion King, and Aladdin are good picks for kids who haven't reached double digits (ask for the free "My First Broadway Show" sticker sheet at the theaters), while Dear Evan Hansen, Mean Girls, Beetlejuice, and Hadestown will enthrall high-schoolers. And head over to Central Park to sail remote-controlled boats and climb on the Alice in Wonderland statue, suggests Beth Beckman, founder of LittleKidBigCity.com. Feel like a local: Venture outside of Manhattan! Beckman, who has a 7-year-old, suggests Brooklyn's Prospect Park for its catch-and-release fishing clinics and paddleboats. #3 London Take a goofy selfie squeezed into a red telephone booth with your kid, while explaining that once upon a time people actually stood inside those things to make calls. "My kids were also amused by the black taxis and how the seating arrangements inside were so different from everywhere else," says Sajay Garcia, a travel blogger who posts YouTube travel videos at Growing Up Garcia. "The Changing of the Guard and the historic carriages near Buckingham Palace also kept my kids entertained." Feel like a local: Sit alongside Londoners at the open-air theater in The Regent's Park. "Buy food from a neighborhood grocer and have a picnic at the park before the show," suggests Emily Goldfischer, an American mom of two living in London. "And if you're going to The British Museum, check out the adventure playground at nearby Coram's Fields," she says. #4 St. Louis Ride to the top of the Gateway Arch, then check out the renovated visitors' center. It houses America's largest terrazzo floor map, showing North America's historic rivers and trails, so you can trace pioneers' journeys to the West. (Sneak in that learning!) Burn off steam on the walking and biking trails along the banks of the Mississippi River. Nearby, the new St. Louis Aquarium at Union Station features 80-plus sharks and stingrays in an exhibit that extends overhead. Feel like a local: Head to City Museum, a playspace with more than two dozen slides constructed from repurposed materials. Even tweens who think they've outgrown playgrounds will have a blast. "My 9-year-old loved zipping down a ten-story spiral slide into a cave," says Brandon Billinger, who blogs at TheRookieDad.com. #5 Turtle Bay Resort, North Shore, Oahu, Hawaii Great for kids who: Love dogs As if it weren't already rad enough to learn how to stand-up paddleboard in Kawela Bay, where The Hunger Games: Catching Fire was filmed, Turtle Bay Resort gives kids a trained surf dog to keep them company on the board during their lesson. Afterward, they can make a TikTok with a centuries-old banyan tree in the background. Can you imagine the likes?" By: Steven Ing MFT | June 7, 2022 "As children, we hated when our parents fought, when the ugliness of domestic conflicts boiled over into yelling, name-calling, door slamming and crying. For some of us, it got a lot worse than that. So it's perfectly understandable that, as children, we came to believe that conflict in a relationship was a problem to be avoided.
Later, in our adult lives, this experience from our earlier years translated into an active effort to avoid engaging in conflict with the ones we love. You may have found yourself saying something like, "Can we not fight about it, please?" or "Let's never fight, okay?" This may sound very appealing, to never fight and live in peace with the ones we love. However, the conclusions we came to as children might need a tweak or two. The Truth About Conflict As kids, many of us confused conflict, or fighting, with the abuse that accompanied it. We equated the notion of two people having a problem they needed to resolve with yelling, name-calling, crying, throwing objects, and, in some instances, hitting. The fact that most everyone confuses conflict with abuse is rather obvious because we see conflict become abusive in business, politics, religion, and, of course, relationships. This leads many of us to conclude that the real problem is conflict, but it's not. Abuse Is the Problem, Not Conflict No matter how many times you may have witnessed or experienced conflict with abuse, the fact remains that other people have learned to engage in conflict without abuse. Instead of all that yelling, they have learned to confront one another in a way that allows them to address their issues with their loved ones, resolve them in a peaceful and respectable manner, and move on. Now, you have to realize that, if they can do it, so can the rest of us. Think About It If you hate arguing, there are probably two reasons why:
This last idea refers to the fact that often, even two highly successful individuals, after forming a strategic alliance, suck at becoming an effective team. Upon encountering a problem, they are unable to resolve the problem that has each person unhappy. These two people don't technically suck as people; what sucks is their skill in resolving conflict. Abuse Is Optional Abuse, at the end of all the confusion, anger, and hurt, is optional. We can all learn to fight without being abusive to those we love. Conflict resolution, or as I prefer to call it, "fair fighting," is a learned skill. We are not born knowing how to do it, but we can learn it and get better at it with practice. If we want to have successful loving relationships and teach our children to do likewise, we have to learn how to fight fairly because conflict is an essential and inevitable part of every intimate relationship. Recognize Your Patterns To end the cycle of abuse in your relationships, you (and your partner) must first accept that conflict is an essential and inevitable part of every intimate relationship. Second, you (and your partner) must remove all abusive behaviors during conflict: yelling, door slamming, name-calling, eye-rolling, etc." By: Jason Whiting Ph.D. | June 1, 2022 "Billionaire inventor Elon Musk is known for his stated desire to change the world. He has developed technology that aims to get humans off fossil fuels and up to the stars and is the CEO of Tesla and SpaceX. By many accounts, he is intelligent, driven, and uncompromising. His successes have earned him respect and money, but he has publicly struggled in his romantic pursuits.
His first marriage to author Justine Wilson was reportedly rocky, with fights about money, work, and the raising of five young sons. Justine reported that Elon acted as an “alpha male,” and criticized what he perceived as her flaws. She pushed back and aired marital grievances on her blog. “I am your wife,” she told him, “not your employee.” His response was that if she were his employee, he “would have fired her.” Their marriage ended in 2008 after eight years. Soon after, Elon met British model and actress Talulah Riley at a London party. They had a whirlwind romance and became engaged within weeks. Their marriage appeared to be a battle of wills. Talulah described it: “I remember him saying, ‘Being with me was choosing the hard path’... It’s quite hard, quite the crazy ride.’” The couple divorced in 2012, and Musk tweeted to her, saying: “It was an amazing four years. I will love you forever. You will make someone very happy one day.” He soon presumably decided that he was the one she would make happy, as they remarried in 2013. Despite their apparent desire to be together, the problems continued, and the couple divorced a second time in 2016. Next, he dated Amber Heard for a year, and after they split, he became involved with Canadian musician Grimes, with whom he had a baby boy, named “X Æ A-Xii Musk,” in May of 2020. Later they stopped living together, but remained in a “fluid” relationship, and had a daughter, “Exa Dark Sideræl Musk” via a surrogate in 2022 (his seventh child, her second). Despite Musk’s business successes, then, it appears to an outside observer that he has had a rocky ride in his intimate relationships. He is not alone in this challenge. Signs of DeteriorationEven the brightest and most passionate marriages can get derailed. Some relationships are planted in rocky soil from the start, but others develop weeds or die from neglect. Certain problems are particularly important to root out before they do permanent damage. Here are six research-based warning signs that indicate a relationship is heading in the wrong direction and may need professional help. 1. Distance or Lack of Emotion It is natural for the initial headiness of love to wear off. However, it is possible to revive emotional sparks that have gone dormant. One study showed that couples who went on interesting dates, such as rock climbing or taking Italian lessons for about eight weeks, experienced greater feelings of closeness and affection than those who stuck to traditional dinner dates. Other studies have shown that meditations focused on appreciation of a partner strengthen affection. If you have lost that loving feeling, do things together, act kind, and the love may rebound. 2. Sarcasm and Disrespect It is fun to laugh, and humor bonds couples together and keeps things fresh. However, if jokes turn sarcastic or cutting, they can damage the relationship. All forms of contempt and cruelty harm both partners, and often lead to divorce. If one partner acts disgusted with the other's choice in clothes, or she mocks his parenting, it is time for a gut check. Both partners need to show self-control and be respectful in words and tone. 3. Lack of Trust Couples who are getting to know each other often stretch the truth, especially when trying to impress. They might be falsely enthusiastic (“That is so cool!”) or claim to love the same things (“That movie was my favorite too!”). One study found that strangers lied several times in the first 10 minutes of talking. Chris Rock accurately observed: “When you meet somebody for the first time you are not meeting them. You’re meeting their representative.” As relationships progress, however, people need to be authentic to develop true intimacy. When partners are deceptive, even for “good” reasons like keeping the peace or flattering, it will create distance. Although some fudging may occur in relationships (“I'm fine with your mother coming over for two weeks!”), all lies damage trust, and a willingness to deceive is a red flag. When trust has been lost, it takes time and energy to regain." By Cassie Shortsleeve | May 20, 2022 "Ask any new birthing person about the realities of postpartum life or anyone post-menopausal about menopause and they'll usually say something along the lines of, "No one told me it was going to be like this."
There's a lot no one tells you about the way reproductive transitions impact mental health, say reproductive psychiatrists—doctors who specialize in the historically siloed field of mental health throughout the reproductive cycle, from adolescence through menopause. People have long experienced reproductive transitions and the symptoms and conditions that come with those shifts—like postpartum depression (PPD), for example—but the medical community has not known much about them until recently. While the American Psychiatric Association (APA) has dozens of textbooks on all kinds of psychiatric topics, there has been no comprehensive textbook in reproductive psychiatry—until now. In December, thanks to a volunteer effort by 80 authors from more than 30 different institutions around the country, the APA put forth a textbook: Textbook of Women's Reproductive Mental Health. In the authors' words, it's "the first comprehensive text for understanding, diagnosing, and supporting the unique mental health needs of women and others who undergo female reproductive transitions during their entire reproductive life cycle." Lucy Hutner, M.D., a reproductive psychiatrist in New York and one of the book's co-editors adds: "It's a flag-on-the-moon moment for women's mental health." After all, when she was training to be a doctor, she was told that the field that she specializes in today didn't exist. As recently as the 1980s, doctors and research studies alike suggested falsehoods such as the idea that mood is protected in pregnancy or that "without exception" psychological changes after having a baby were positive. It's ironic, Dr. Hutner says, considering that postpartum depression is the most common complication of childbirth. But when you have patients with symptoms of diseases that exist and a field that doesn't, it's more than just ironic; it's detrimental to the overall health and wellbeing of that population. A lack of legitimacy perpetuates shame, misinformation, silence, and stigma. "This medical textbook is almost symbolically more important than anything else," says Dr. Hutner. "It sort of says, 'Hey, this is as important as any other aspect of medicine.' It validates people's voices. It says, 'We don't need to have this stigma anymore. We're done.'" The Messy World of Reproductive Mental Health There's nothing non-existent or niche about reproductive psychiatry. But today, if you find yourself with something like PPD or postpartum anxiety (PPA), one of your first touchpoints with the medical system is likely your six- or eight-week follow-up appointment with your OB-GYN or a few trips to the pediatrician. If you're lucky, you might land in the office of someone like Dr. Hutner for specialized treatment. But too often new moms wind up in an OB-GYNs offices crying and reporting their symptoms with little to no guidance. Just as this setup fails patients, it fails providers trying to care for those patients, too. The American College of Obstetrics and Gynecologists (ACOG), for example, recommends mental health screening at least once in the perinatal period. But as Dr. Hutner puts it, OBs may not always know what to do with positive screens, or may not know how to treat crying patients. "The training, education, and dialogue around reproductive mental health have been ad hoc. There hasn't really been a standardized way of approaching it," says Dr. Hutner. In short: Some physicians have training; some don't. Some are great at providing resources or spotting symptoms; some aren't. There are also big issues including systemic racism in medicine, as well as lack of awareness of queer health issues. This leads to a lot of patients who inadvertently wind up feeling invalidated and alone, without treatment. Looking Ahead at Reproductive Mental Health Most people recognize the importance of reproductive mental health, and doctors in training are eager to learn more about it. Lauren M. Osborne, M.D., one of the co-editors of the textbook and the director of the Johns Hopkins Center for Women's Reproductive Mental Health, has piloted a new curriculum designed to educate medical trainees in the field. She asked budding psychiatrists to rank six subspecialties of psychiatry—including reproductive psychiatry along with five officially recognized fields. Doctors ranked reproductive psychiatry in the top half, consistently outranking other specialties that are deemed essential knowledge for independent practice and board certification. Yet because reproductive psychiatry isn't yet an official subspecialty of psychiatry, it currently lacks government funding for more post-graduate fellowship programs. And learning about widespread problems such as postpartum depression is elective, not a requirement. This contributes to a lack of faculty to teach reproductive mental health and a lack of providers to treat it." By: Carla Shuman Ph.D | May 13, 2022 "May is Mental Health Awareness Month. As I thought about what to write to promote mental health and resilience, there was no shortage of topics to consider: We are living in turbulent times with a great deal of uncertainty about our personal futures and the future of the world around us. So I decided to write something that would encourage people to take care of themselves and to think about what mental health looks like for them. After all, we struggle with different challenges depending on our circumstances, our relationships, and our desires. We are all fighting different battles at different times in our lives.
However, there are ways we can take care of our mental health that we share in common. Doing these things will help you stay focused on staying mentally healthy, strong, and resilient. 1. Identify what is within your control and what you can change. Many of us tend to focus on what is hard, what we cannot change, and what holds us back. This can quickly become discouraging. We can get stuck in the trenches of despair when we focus on what isn’t possible and why we can’t do certain things. In contrast, identifying what we can control makes us feel empowered. We begin to believe in ourselves and realize that there are things we can do to make our lives better, have better relationships, and take care of our needs. 2. Keep cynical thoughts to a minimum. While sarcasm can certainly have a place as a means of coping with life‘s disappointments, too much sarcastic humor can lead to a cynical attitude as our default. We can then get stuck believing that things will never change and that the world is out to get us. That does not lead to an optimistic viewpoint or to the resilience we need to stay grounded and focused on living our best life. Catch yourself in cynical mode and remind yourself that it isn’t useful as an everyday coping tool. 3. Identify the people in your life who don’t belong there. There are some people who treat us badly, bring us down emotionally, and sometimes even convince us that we can’t achieve our goals or be our best. Focusing on what those people say and do and letting them get the best of us until it reaches a point that we are stuck can be toxic for our mental health. It’s our responsibility to identify bad relationships and then to break free and move forward, not to continue to dwell on what they have done. At the end of the day, it’s up to us to make our own decisions and to create our own paths. Those who love and accept us for who we are will follow us and provide their support and encouragement. 4. Surround yourself with like-minded people who are making their best effort to live a good life. Everyone is influenced by the people in their lives. Our friends, family members, coworkers, and significant others affect our worldview. Behavior patterns and moods can be contagious, whether they are positive or negative. Prioritize time with people who make you feel good and encourage your dreams. Spending too much time with people who are critical or who constantly question your choices and your motives may decrease your self-confidence and make you question your decisions. Being around people who are optimistic, responsible, and who take action on their own goals is inspiring. Their behavior will encourage you to be proactive, and you can support each other in living a good life and taking care of yourselves. 5. Self-advocate. As we walk through life, we will have varying degrees of social support and encouragement from others. There may be times when we do not have as much support, and that’s when we have to be our own best advocates. Recognize if you are being treated unkindly or unfairly, and be assertive in making your concerns or needs known. Sometimes, other people are not aware of how they are affecting us, and their negative influence is not intentional. So we don’t want to draw assumptions about others until we talk to them about what’s going on. Similarly, if we feel as though the way we are treated is creating difficulty for us or has affected our quality of life, we have to communicate so that we can be heard and understood. Sometimes, self-advocacy is as simple as making a request or a desire known to others." By: Austin Perlmutter M.D. | The Modern Brain "There’s just no way around it: our brain health is about the most valuable thing we own. When our brains are unhealthy, we can’t think straight. Our mental health is poor. We simply can’t enjoy life as well. With this in mind, finding ways to prioritize brain health every day is vital. So what are some of the most scientifically sound, easy ways to make sure you’re helping care for your brain? Here are three of the best:
1. Prioritize Good Sleep Why it’s key: You’ve probably heard people diminish the importance of sleep by saying things like, “I’ll sleep when I’m dead.” But if you don’t prioritize sleep, you’re doing your body and especially your brain a great disservice. Pick just about any disease and you’ll find that it’s more prevalent or more severe in people who don’t get good sleep. For example, we now know that people with Alzheimer’s tend to have issues sleeping. Poor sleep may also increase the risk of developing dementia. When it comes to mental health, these same trends hold. Sleep issues are very common in people with mental health issues, and are also thought to increase one’s risk for developing these conditions. Tips for better sleep: Many are seeking quick fixes for sleep issues, especially insomnia. But while some people may benefit from short-term use of drugs, there are mounting concerns about the side effects and efficacy of prescription sleep aids. To this end, finding non-pharmaceutical methods of promoting healthy sleep are likely a better long-term solution for most people. Simple strategies to facilitate better sleep include winding down with a regular routine that minimizes blue light/screen exposure in the hours before bed. Also, consider sleeping with your room a bit cooler, as this may promote better sleep. Try cutting out caffeine after 2 p.m. (or earlier) and consider avoiding alcohol before bed, as this throws off sleep quality. Lastly, consider speaking to your physician about an evaluation for sleep apnea, especially if you are male, overweight, or someone who snores. Sleep apnea is a very common condition that majorly compromises sleep quality and is often missed. 2. Move Your Body Why it’s key: Study after study shows that regular exercise is linked to better brain health. People who move more tend to think better and have better mental health. In fact, a recent review in JAMA showed that exercise may act as an antidepressant. So why is exercise such a brain booster? It may lower inflammation (which damages brain function), increase molecules like BDNF (which promotes healthier brain function and growth of new brain cells), and it does great things for our blood sugar (higher blood sugar may damage brain health). Tips for physical activity: You don’t need to train for a marathon or become a professional athlete to get the brain benefits of exercise. This is all about sustainability, and if you hate or get injured when you’re exercising, it’s unlikely you’ll stick to it. Instead, look for ways to make physical activity enjoyable. A walk with a friend, some yoga, lifting some weights, or going for a swim—it’s all great stuff. The best exercise is the one you enjoy because it’s what you’re most likely to keep doing. So, find something you can look forward to. 3. Clean Up Your Diet Why it’s key: The foods you eat are the literal building blocks for your brain. Food is also what turns into neurotransmitters. Your diet significantly influences your immune and endocrine (hormone) systems that play key roles in your brain health. Food is also one of the best opportunities we have to influence our health on a day-to-day basis because we absolutely have to eat, but we get to choose whether that food is a vote for a healthier or a less healthy brain." By: Alison Ledgerwood | TEDxUCDavis "Alison Ledgerwood joined the Department of Psychology at UC Davis in 2008 after completing her PhD in social psychology at New York University. She is interested in understanding how people think, and how they can think better. Her research, which is funded by the National Science Foundation, investigates how certain ways of thinking about an issue tend to stick in people's heads. Her classes on social psychology focus on understanding the way people think and behave in social situations, and how to harness that knowledge to potentially improve the social world in which we all live."
By: Abby Lindquist "Today I'm sharing all of my tips and tricks for getting through those first few weeks with newborn baby. These are the things I wish I knew when I had my first baby. I hope they are helpful for you! Please give this video a thumbs up and subscribe if you aren't already! Thanks so much for watching!"
Tiffiny Hall | TEDxDocklands | March 15, 2019 "Tiffiny Hall is founder of TIFFXO.com and author of nine books. She is passionate about helping women feel confident and strong. Tiffiny explores the pressures placed on women to bounce back and lose weight after they give birth and shares her experiences in dealing with the bounce back culture after she had a baby. Speaking on the importance of mind over matter during the fourth trimester, Tiffiny shares her tips to help women gradually return to fitness after pregnancy and birth. Celebrity trainer, founder of lifestyle program TIFFXO.com, author, podcaster and martial arts expert, Logie nominated Tiffiny Hall has many titles tucked under her 6th Dan Taekwondo black belt.
Tiffiny Hall is a one-woman fitness business, with over 20 years’ experience as a personal trainer and coach. Expert in HIIT and HIRT, she rose to prominence on TV in many roles from a Gladiator on Gladiators to a trainer on The Biggest Loser Australia and is now transforming devotees – from athletes to new mums – via her very successful health and fitness app TIFFXO.com. She is a mum, mentor and magnate. One of the most qualified martial artists in the world for her age, she’s a 6th Dan Taekwondo black belt and has mixed martial arts workout plans that will kick your butt in the best possible way. She is the Director of Training for the largest global fitness app in the world. A role that has seen her travel the world & work with the most famous and prestigious experts in the wellness space This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx" By: Auburn Harrison | TEDxUniversity of Nevada "It's the most common complication of childbirth, yet PPD is a condition clouded with stigma, shame and guilt for mothers who experience it. According to Postpartum Support International, 15% of women suffer from postpartum depression, yet women are forced to suffer in silence and shame. Based on a personal experience with an extremely severe case of postpartum depression, anxiety and psychosis, Nevada-based nonprofit executive, Auburn Harrison, paints a heartbreaking and harrowing picture of why our society's silence on the topic is hurting mothers. Auburn Harrison serves as a nonprofit executive director for nonprofit dropout prevention program for at-risk youth, Communities In Schools of Western Nevada. Her organization provides basic needs and case management to local students living in poverty, including wraparound student support services such as mentoring, tutoring and resources to help students stay in school, graduate and achieve life success. Auburn has been involved in the Northern Nevada non-profit and philanthropic and nonprofit community for over a decade. Auburn spent five years as an on-air television reporter at at KOLO 8 News Now, and five more years as an enlisted journalist in the US Navy. She holds a master's degree in Writing from University of Nevada, Reno. In 2019, Auburn was named one of the Top Twenty Young Professionals Under 40 by the Reno Tahoe Young Professionals Network. Auburn lives in Reno with her husband and three little boys. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx"
By: CityLine | January 9, 2019 "There is science behind prioritizing your happiness, moms! Dr. Karyn Gordon proves that silencing mommy guilt is important to your family's well-being."
By: TedX Talks | February 4, 2019 "Choosing to marry and share your life with someone is one of the most important decisions you can make in life. But with divorce rates approaching fifty percent in some parts of the world, it's clear we could use some help picking a partner. In an actionable, eye-opening talk, psychiatrist George Blair-West shares three keys to preventing divorce -- and spotting potential problems while you're still dating."
"Check out more TED Talks: http://www.ted.com The TED Talks channel features the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes (or less). Look for talks on Technology, Entertainment and Design -- plus science, business, global issues, the arts and more." By: TedX Talks | May 2, 2018 "Albert Hobohm shares life-altering, personal and professional ideas on how to take charge of your reality. Through alarming statistics and hands-on solutions, Hobohm shows us our critical situation as a species and how to start taking control over our mental operating systems."
"Albert Hobohm is a lecturer and professional operating at the crossing between psychology and business. He has an academic background from The Royal Institute of Technology as well as Stanford University. He has also built an orphanage and lived with Buddhist monks." By: Susan Krauss Whitbourne Ph.D. | March 19, 2022 "Do you and your partner ever spend time deliberately talking about the “good old days” when you first started seeing each other? How about the high points in your relationship’s history, such as a particularly romantic getaway or an action-packed vacation? If you’re not engaging in these conversations on a regular basis, new research suggests you might want to give it a try.
According to the University of Siegen’s Mohammad Reza Majzoobi and Simon Forstmeier (2022), “Memories couples have about their ongoing marital relationship appear to be one of the decisive interpersonal variables in their close relationship” (p. 8). Their study delved into the existing published literature to understand just how decisive these old memories could be in helping partners legally committed to each other become and stay close throughout the course of their time together. How Can Couple Memories Help Improve a Long-Term Relationship? When understanding the role of memory in your own mental health and well-being, it might strike you that aside from helping you function better in the world, your recall of your past life helps stitch together the various events and experiences that shape who you are today. As the HBO Max series “The Tourist” illustrates (with an amnesiac main character), people without long-term memory lose all sense of their identity. Whether accurate or not, your memory of who you were forms the basis for your awareness now of who you are. Indeed, in the words of the German authors, “Just as memory serves as the knowledge database of the self, memories couples have about their close relationship are also expected to operate as their relational identity database” (p. 8). When you are your partner reminiscence about the early days of your relationship, you’re digging into that “database” in a way that can promote the intertwining of your identities as individuals but, more importantly, as a couple. It's possible, of course, that relationship memories can become sources of tension and disagreement. What if your memories of a past shared experience differ not only in the details but also in their emotional associations? That adventurous vacation may have been harrowing for you but exciting and deeply fulfilling for your partner. You might not even agree on when you took the vacation or where you went. Such divergence could either be a symptom of problems you and your partner have in your relationship now, or could start a snowballing process as each of you starts to question how well you understand each other. Relationship Defining Memories and Their Impact on Couples As the term implies, a “Relationship-Defining Memory (RDM)” has the quality of being highly specific, significant, and closely connected to emotions. That awful vacation (from your point of view) might not meet those standards, so it could remain a chronic sore spot unless, or until, it’s thrown into the back of your relational database. The University of Siegen researchers used the technique of meta-analysis (looking at results of previously-published research) to identify, from a pool of 285 studies, a final set of 19 considered acceptable in terms of the study topic, the nature of the sample, and coverage of such topics as autobiographical memory or reminiscence in connection with either positive outcomes of satisfaction or distress. Because the authors chose married heterosexual couples only (for the sake of uniformity among studies), this is something to consider when you interpret the findings. Measuring marital outcomes was a relatively straightforward process for the studies included in the meta-analysis but the qualities used to define an RDM required more imagination. Think about your own RDM’s. If they involve the first time you met, what words would you use to describe them? And what would those words have to be in order to count as a “match” to your partner’s recall of the same event (or perhaps even a different event altogether)?" By: Roxy Zarrabi Psy.D. | March 9, 2022 "Have you ever looked back at a previous relationship and wondered, “What was I thinking?” It may feel surprising to look back and realize how unhealthy a relationship was and wonder how you endured it for as long as you did. That’s why hindsight is 20/20.Perhaps you haven’t been in an unhealthy relationship yourself, but you’ve wondered why a friend or family member stays in a relationship that is clearly making them unhappy. Similar to a smudged windshield, it can be tough to see what’s right in front of you until the gunk is wiped away.
Often, it’s not a lack of awareness that keeps people stuck in unhealthy relationships; deep down inside there is a voice calling for their attention urging them to face the truth but it’s being buried due to underlying fears. If you’re having difficulty letting go of an unhealthy relationship, consider whether any of the following reasons are playing a role: 1. You fear being alone and assume being with anyone is better than being alone. For many, the fear of being alone, and low self-worth, are powerful motivators for remaining in relationships past their expiration date. However, when you’re in a relationship with someone with whom you’re not compatible, you will often feel alone because you’re not being loved and cared for in a way that is aligned with your needs. 2. The relationship is activating an attachment wound, so letting go feels like a significant threat to you and feels impossible (even though it isn’t). Adults raised by an inconsistent caregiver or whose emotional needs were not met during a crucial stage of development are more likely to be drawn to a partner with similar qualities simply because it feels so familiar — as if they’ve known the person “forever.” If you learned early on to associate love with high conflict, volatility, or inconsistency, there may be a part of you subconsciously holding onto hope that maybe this time, things will be different. As a result, letting go of this type of relationship can feel like a threat to your attachment system because it’s forcing you to let go of this fantasy which can bring up a lot of resistance and anxiety. People who have an anxious attachment style may be more susceptible to having a difficult time letting go of an unhealthy relationship. 3. You’ve already invested a significant amount of time and energy in this relationship and fear starting over. The sunk-cost fallacy refers to the phenomenon in which someone is hesitant to quit something they’ve started because they’ve already spent a significant amount of time and energy on it, despite it being in their best interest to change course. The sunk-cost fallacy may be playing a role in your difficulty letting go of an unhealthy relationship if you’ve already spent a significant amount of time and energy on it and a part of you is pushing to see it through due to the fear of starting all over again." By: Kaytee Gillis, LCSW-BACS | February 19, 2022 "Children who experience trauma and dysfunction in their household often struggle to learn the same boundaries and behaviors that so many others seem to take for granted.
As a child is growing and developing, they look to their caregivers as examples of how to interact with the world around them. If those caregivers behave in dysfunctional or unhealthy ways, chances are high that children will learn to mimic these same unhealthy behaviors, even if unintended. “For many, the effects of abuse manifest in dysfunctional interpersonal relationships as the result of attachment disruptions at pivotal points of childhood development.” (Kvarnstrom, 2018) Going back to childhood and adolescence usually sheds some light on adult behavior. The ways in which our caregivers interact with us, as well as each other, shape our view of the world and those around us. This will, in turn, affect three fundamental structures: our sense of self, the way we communicate, and how we form relationships. Unless we do the work to develop more self-awareness of our behaviors, we will usually repeat these same patterns into adulthood. Following are 10 of the ways that childhood trauma manifests in adult relationships: 1. Fears of abandonment. Children who were neglected or abandoned by a caregiver often struggle with fears of abandonment long into adulthood, even if they are unaware of these fears on the surface level. While the underlying fear is that the partner will eventually leave, these thoughts often reveal themselves in everyday situations such as getting scared when a partner goes out by themselves, or being unable to self soothe if a partner leaves the room during an argument. This fear is also often manifested as jealousy, or in extreme cases, possessiveness. 2. Getting irritable or easily annoyed with others. When we grow up in environments where we are frequently criticized, or witness others being criticized, we learn that this is a natural way to express our displeasure in relationships. We learn that our imperfections and quirks are intolerable, and project that intolerance onto our partners or others around us. 3. Needing a lot of space or time to yourself. Growing up in a chaotic or unpredictable environment creates a lot of stress, and often leaves children’s central nervous system in a constant state of hypervigilance. Then they become adults who need a lot of time to themselves in order to calm these symptoms of anxiety, nervousness, and fear. Staying home, where you can control your surroundings, feels safer and allows you to relax. In extreme cases, some adults even have traits of or meet criteria for social anxiety or even agoraphobia. 4. Unequal financial and household responsibilities. Sometimes this can look like a reluctance to rely on a partner at all due to fears of depending on another person. Other times it takes the form of taking complete financial and/or household responsibility in a partnership, or fully taking care of the other person to the point where you are taken advantage of. The opposite — relying too much on them to the point where they take care of you — is also a result of unmet childhood needs. 5. Settling and staying in a relationship much longer than its expiration date. When we grow up in unstable environments, with caregivers who struggle with drug addiction, mental illness, or even illness or death, children often develop a sense of guilt that comes from wanting to end a relationship before we have been able to "fix" the other person. Staying with someone who is not a good fit for us sometimes feels safer than being alone." By: Michael J. Breus Ph.D. | February 25, 2022 "There’s so much we don’t know and can’t control about what will happen over the next weeks and months. Let’s focus today on what we can control, and some simple, effective steps we can take to protect our sleep and maintain the physical and emotional energy we need to weather a difficult season.
Right now, you might be facing a tough, uncertain winter. Here are four realistic, flexible—and, most important, highly effective—steps you can take to sleep well and maintain your energy during another difficult Covid season. Let your sleep routine help protect your emotional energy How many times have you heard me say this: "Consistency is the foundation of a healthy sleep routine." The more regular your sleep schedule, you’ll fall asleep more easily and rest more soundly over the night. You’ll be sharper and have more energy throughout the day. And you’ll strengthen the very circadian rhythms that keep your sleep-wake schedule on track and keep your body functioning at its best. Don’t overlook your sleep routine as a powerful mood protector. The consistency of your sleep has a tremendous impact on your mood. Sleeping on a regular schedule that’s aligned with your chronotype can help you stay positive, grounded, and emotionally healthy through challenging times like the one we’re in. I’ve written in-depth about some of the latest research on how sleep routines can affect mood and emotional health. Here are some key takeaways:
Don’t forget, winter itself can be challenging for sleep routines. The short days and long nights of the season increase daily melatonin production, which makes us feel more tired and sluggish. Hormones produced during daylight hours, including serotonin, decrease, with less of this sleep-and-mood-boosting hormone produced during the dark winter months. All the more reason to double-down on the consistency of your sleep schedule over the next few months. Here’s how you can focus on your home sleep environment to enhance your resting energy: Keep bedrooms clean. I get it—the last thing you probably want to do right now is clean your bedroom. But it is a simple, tangible way to have an immediate and direct impact on how well you and your family sleep this winter. Keeping bedrooms free of dirt, dust, germs, and debris helps avoid irritating allergies that interfere with nightly rest. If you and your family don’t have allergies, a clean bedroom will still protect you from sleep-disruptive irritations to the skin and help you breathe better while you rest. Maintain a sleep-friendly indoor climate. We are biologically hard-wired to lower core body temperature as part of progressing toward sleep. Keeping things too warm in your bedroom—and in the microclimate of your bed itself–can interfere with that important drop in body temperature, and keep you awake. Lift up your eating energy (and supercharge your mental focus) with intermittent fasting. Why is now the time to consider a shift to intermittent fasting? It will boost your mental and physical energy, keep your immune system primed to fight illness, strengthen circadian rhythms that have a major influence over your sleep and your mood. Plus, it’s an excellent aid in maintaining a healthy weight." 5 Secrets to Living Happily Ever After | By Susan Seliger "We've all read the statistics: Fifty percent of marriages end in divorce. Are the lucky couples who continue to love and lust and live in relative harmony just that -- people whom the fates have blessed? Over Cupid's dead body! Love isn't a present that gets handed to you; it's a special kind of learned behavior. WebMD consulted the marriage and relationship experts to learn the best advice for a good marriage - five secrets to long-lasting love.
"We're born with the capacity to have a happy marriage, but we still have to work to develop it," says Howard Markham, PhD, co-director of the Center for Marital and Family Studies at the University of Denver and co-author of Fighting for Your Marriage. "Having a good marriage takes education," Markham says. "We have to unlearn some bad habits and acquire other good ones. Other experts WebMD consulted agree. The couples who remain close and content are the pioneer-spirited among us who share the same secret formula: When problems crop up, they don't give up. They use the following five basic pieces of advice for a good marriage that can help every couple live (more) happily ever after. 1. Listen Up! "Everybody has the need to be listened to and fully understood," says Jack Rosenblum, PhD, co-founder (with his wife of 29 years) of "Loveworks" couples' workshops and co-author of Five Secrets of Marriage from the Heart. You need to make your partner feel heard, even if that means pushing aside some anxiety or sitting on your hands rather than offering advice when your partner needs to talk. Sometimes "mirroring," or simply repeating what your spouse has said, is enough to let him or her know that you've been listening. For example, say something like, "I understand you're upset because I didn't take out the trash." Or "I hear that you want to talk about what happened at the office today." Provide evidence that you're paying attention to your partner's concerns. 2. Set aside regular couple time. "Early on in a relationship couples talk as friends, they do fun things," says Markham. "But over time, those ways of connecting change." Work, family, financial woes, all have a way of overtaking daily life and eroding the sense of fun that brought you two together in the first place. Bring the fun back - even if you have to schedule it in the calendar once every week. Sharing a physical activity, like a bike ride or a walk around the block, is especially good for lifting your spirits along with your heart rate. Activities like going out for an intimate dinner, staying at home and playing music from your college days, or watching a favorite movie (will help you both remember why you chose each other. If cash is in short supply, trade off babysitting with a friend and plan a picnic in the park. There are 168 hours in a week: make a commitment to devote at least two of those hours to your marriage every week. 3. Don't throw things. Of course, you and your partner are not going to agree about everything. But in expressing disagreement to your partner, playground rules apply -- no insults, name calling, or throwing things. "If you disagree, do it in a civil way," says Jack Rosenblum. "Don't make the other person wrong, don't say he's stupid. Instead, say, 'You think we ought to do this. I have another thought about it.'" If your disagreement seems to be escalating, call a mutually agreed upon time-out, and make a plan to continue the discussion after a cooling-off period. Keeping things on a calm, even keel is better for your blood pressure and your marriage. When in doubt, follow Ogden Nash's sage advice for resolving conflicts: To keep your marriage brimming With love in the marriage cup, Whenever you're wrong, admit it, Whenever you're right, shut up. 4. Turn up the heat. "If your sex life is diminishing or you're not having sex as often as one partner in the relationship would like, then you have to make getting your intimate life back on track a priority," says Markham. "It's ironic that when we're wooing our partners, we make this tremendous effort, and after we get into a relationship, we put that on the back burner." Think about your partner as someone you want - and someone you want to entice to fall in love with you over and over again. "Pay attention to your grooming, be romantic, don't take your partner for granted," advises Markham. "Think about your mate as someone you want to end up in bed with at the end of the evening." By: Gary W. Lewandowski Jr. Ph.D. | July 14, 2021 "Decisions are a part of life. You may need to choose the best vacation spot, job candidate, babysitter, or place to live. However, your most important decision may be identifying your best romantic partner. Relationships matter – a lot. They have implications for your health, your reactions to stress and even how you look at the world. How can you determine if your current partner is the best of the best? It’s hard to know what factors truly matter and what to ignore.
Gut Reactions Add Nuance There are two general ways to make assessments: data and your gut feeling. As Malcolm Gladwell famously observed in his book Blink, snap judgments can have surprising accuracy. As a psychology professor myself, one example that always amazes me is that student assessments of a professor based on a 30-second silent video clip matches students’ evaluations based on the entire semester. Relying on gut feelings isn’t perfect. But intuition is an important component of decisions, especially social ones. Clearly, people rely on instincts in a variety of situations, such as deciding which job to take, which daycare is best, and who to date. Trusting your own feelings is sometimes necessary because expert information is hard to access – published research articles are often locked behind paywalls, for example, and not typically written in a way that aids comprehension. And of course, the very nature of science and statistics is to focus on what is most typical in a population, not what’s best for any one individual. Experts also aren’t perfect and research shows that people have a sense of when to value nonexpert opinions over experts. In fact, some experts admit to using intuition themselves: A study revealed that marriage therapists acknowledge using their intuition and consider it a valuable tool in clinical settings. Is Your Relationship Hall of Fame Worthy? Perhaps with the value of instinctive evaluation in mind, famous baseball statistician Bill James created the “Keltner List.” The list is a way to assess a baseball player’s Hall of Fame viability, and it's named for a seven-time All-Star with borderline qualifications. To be truly Hall-worthy, numbers may not tell the whole story; the judgment should be almost visceral. A true Hall of Famer would be clear based on a few key questions. While James is a statistician, his Keltner List is intentionally nonscientific. It’s a collection of 15 questions anyone can quickly answer to help guide an overall assessment of a player’s worthiness for the Hall. (Example: “Was he the best player on his team?”) The answers are not meant to provide a definitive conclusion, but rather to force a careful consideration of the most important information. Back to relationships. A similar process can help you determine whether your current romantic partner is Hall-worthy for you. Inspired by the Keltner List, I’ve put together a list of 15 questions to highlight what matters most. Like James's list, my assessment is intentionally not scientific and has not been tested empirically (though that isn’t a bad idea for future research). That said, I consulted the existing research to ground each question in the science of what contributes to a healthy relationship. Note that this list isn’t about helping you pick the best Tinder date, hookup, or short-term fling. The questions focus on what matters for serious, long-term, sustainable love. To benefit from this exercise, you need to be honest. If you lie to yourself, you won’t gain any insight — or as computer scientists say, “garbage in, garbage out.” A Keltner List for Relationships Consider each question and answer truthfully with a simple yes or no:
"Mothers-to-be don’t spend their entire 40 weeks of pregnancy glowing radiantly; there are also midnight worries, endless shopping lists, and swollen feet. Somewhere around 18 percent of women are depressed during pregnancy, and 21 percent have serious anxiety.
Research is starting to suggest that mindfulness could help. Not only does cultivating moment-to-moment awareness of thoughts and surroundings seem to help pregnant women keep their stress down and their spirits up—benefits that are well-documented among other groups of people—it may also lead to healthier newborns with fewer developmental problems down the line. The research is still in its infancy (pun intended), but researchers are hopeful that this low-cost, accessible, and positive practice could have transformational effects. Here are four benefits for pregnant women. 1. Mindfulness reduces stress Jen, an entrepreneur friend of mine who recently had her first child, was put on bed rest and couldn’t even exercise to keep her stress down. “I had so much anxiety,” she recalls. “Meditation really helped me stay calm and sane.” She isn’t alone. In a small pilot study in 2008, 31 women in the second half of their pregnancy participated in an eight-week mindfulness program called Mindful Motherhood, which included breathing meditation, body scan meditation, and hatha yoga. In two hours of class per week, participants also learned how to cultivate attention and awareness, particularly in relation to aspects of their pregnancy: the feeling of their belly, the aches and pains, and their anxiety about labor. Compared with women waiting to enter the program, participants saw reductions in their reports of anxiety and negative feelings like distress, hostility, and shame. These were all women who had sought therapy or counseling for mood issues in the past, but the program seemed to be helping them avoid similar difficulties during a chaotic and transformative time of their lives. A 2012 study of another eight-week mindfulness program found similar reductions in depression, stress, and anxiety compared with a control group, though only 19 pregnant women participated. In interviews, participants talked about learning to stop struggling and accept things as they are; they remembered to stop and breathe, and then take conscious action rather than acting out of anger or frustration. “I’ve learned to take a step back and just breathe and think about what I’m going to say before I open my mouth,” one participant said. These stress-busting and mood-lifting effects mirror those found in mindfulness programs for the general public, but can mindfulness help with the specific anxieties and fears that go along with pregnancy? Many pregnant women have a loop of worries that easily gets triggered: Will my baby be healthy? I’m scared of labor. Something doesn’t feel right—do I need to go to the doctor? A 2014 study looked specifically at these feelings, called pregnancy anxiety. Forty-seven pregnant women in their first or second trimesters, who had particularly high stress or pregnancy anxiety, took a mindfulness class at UCLA’s Mindful Awareness Research Center. For six weeks, they learned how to work with pain, negative emotions, and difficult social situations. Compared with a control group who read a pregnancy book, participants who took the class saw bigger decreases in their reports of pregnancy anxiety during the duration of the experiment. Mindfulness, perhaps, gave them the tools to navigate complex emotions that wouldn’t budge, even in the face of the most reassuring reading material. “It is inspiring to witness a mother with extreme fear of childbirth cancel an elective caesarian because she now feels confident enough in her own strength to go through the birthing process,” said one mindfulness teacher. “It is humbling to hear how the couple whose first baby died during labour were able to stay present during the birth of their second, observing their fear without getting lost in it.” 2. Mindfulness boosts positive feelings Not all mindfulness involves meditation; you can also become more mindful by noticing the way moods and bodily sensations fluctuate throughout the day. This type of mindfulness can counter our tendency to be “mindless,” when we assume things will be the way we expect them to be—the way they were in the past—and we don’t notice new experiences. For example, pregnant women might expect pregnancy to be exhausting and painful, so they pay less attention to the happy and peaceful moments. In a 2016 study, a small group of Israeli women in their second and third trimesters received a half-hour training in this type of mindfulness. Then, for two weeks, they wrote diary entries twice daily about how they felt physically and mentally, a way of helping them realize how much things change. Compared with groups of women who simply read about other women’s positive and negative experiences during pregnancy, or did nothing specific at all, women in the mindfulness group saw greater increases in their reports of well-being and positive feelings like enthusiasm and determination across the duration of the exercise. Also, the more mindful they were after the experiment (as measured by questionnaire), the higher their well-being, life satisfaction, self-esteem, and positive feelings one month after the birth—a time when women need all the resources they can get. Nurse-midwife Nancy Bardacke developed the Mindfulness-Based Childbirth and Parenting (MBCP) program after training in and teaching Mindfulness-Based Stress Reduction (MBSR), a widely researched program developed by Jon Kabat-Zinn. MBCP takes principles from MBSR and applies them to pregnancy, teaching mindfulness practices alongside insights about labor and breastfeeding. It includes three hours of class per week for nine weeks, as well as a daylong silent retreat. In a small 2010 pilot study, 27 women in their third trimester of pregnancy participated in the MBCP program with their partners. In addition to improvements in pregnancy anxiety and stress, participants also reported experiencing stronger and more frequent positive feelings—such as enjoyment, gratitude, and hope—after the program. “I definitely am aware of trying to be in the moment and that each moment, good or bad, will pass,” said one participant. “When I got really worried about the birth, I would just breathe to stop my mind from going all sorts of bad places.” 3. Mindfulness may help prevent premature birth Among pregnant women’s worries, the possibility of a premature birth looms large. “Preemies” (babies born before 37 weeks) are at risk of breathing problems, vision and hearing issues, and developmental delays. And mothers of preemies have high rates of anxiety, depression, and stress, which often go unacknowledged in the face of the baby’s needs. Here, too, mindfulness may have a role to play. In a 2005 study of 335 pregnant women in Bangalore, India, half were assigned to practice yoga and meditation while the other half walked for an hour per day, starting in their second trimester and continuing until delivery. The yoga group, who took yoga classes for a week and then practiced at home, had fewer premature births and fewer babies with low birthweight. Another indicator of newborn health is the Apgar score, usually measured minutes after birth, which takes into account the newborn’s complexion, pulse, reflexes, activity level, and respiration. In the 2016 Israeli study mentioned above, women’s reported levels of mindfulness after the experiment were linked to their babies’ Apgar scores, even after controlling for socioeconomic status. One 2011 study found that a mindfulness program reduced premature births, but not birthweight or Apgar scores. Here, a group of 199 second-trimester pregnant women in Northern Thailand either got typical prenatal care or participated in a mindfulness program. Two hours a week for five weeks, the mindfulness group learned different meditations and how to cultivate awareness and acceptance of their thoughts and emotions. During and afterward, they were encouraged to meditate for over an hour daily across several different sessions. In the end, only six percent of women in the meditation group delivered their babies prematurely, compared with 16 percent in the care-as-usual group. Could mindfulness help reduce premature births in women who are most at risk for them, including low-income and older women? That’s a question for future research to address." By: American Pregnancy Association "Loving your body image before pregnancy can help you get through the physical and emotional changes during pregnancy. Having a positive body image of yourself is not about what you look like, but how you feel about yourself. This is crucial in pregnancy since there will be body changes that you cannot control. It is also helpful to understand why your body is going through these changes.
According to Ann Douglas, author of The Unofficial Guide to Having a Baby, “A woman who feels good about herself will celebrate the changes that her body experiences during pregnancy, look forward to the challenge of giving birth, and willingly accept the physical and emotional changes of the postpartum period.” Loving Your Body When You Are Pregnant: Knowing that your body’s changes are essential to your developing baby is reason enough to embrace these changes! Understanding what your body is doing for your baby: As soon as your egg is fertilized and implanted in your uterus, your body begins to go through changes. These changes are a result of your baby’s growth and development. Your baby has a fetal life-support system that consists of the placenta, umbilical cord, and amniotic sac. The placenta produces hormones that are necessary to support a healthy pregnancy and baby. These hormones help prepare your breasts for lactation and are responsible for many changes in your body. You will have an increase in blood circulation that is needed to support the placenta. This increase in blood is responsible for that wonderful “pregnancy glow” that you may have. Pregnancy Metabolism: Your metabolism will increase, so you may have food cravings and the desire to eat more. Your body is requiring more nutrients to feed both you and your baby. Your uterus will enlarge and the amniotic sac will be filled with amniotic fluid. The amniotic fluid is there to protect your baby from any bumps or falls. Here are a few things you can do to love your body image during pregnancy: Exercise: Exercise during pregnancy can help you feel fit, strong, and sexy. According to the American College of Obstetricians and Gynecologists, pregnant women are encouraged to exercise at least 30 minutes a day throughout pregnancy, unless your health care provider instructs differently. Before starting any exercise program, ALWAYS check with your health care provider. For more information on exercise throughout pregnancy, check out the Nutrition & Exercise section. Pamper yourself: Treat yourself to a body massage or a makeover. Go shopping, take a warm bubble bath, or go for a walk outside. Focus on activities that make you feel healthy, and make the most of these wonderful 9 months!" |
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