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  • 6 Aspects Of A Balanced Person: A Complete Picture of Well-Being

    6 Aspects Of A Balanced Person: A Complete Picture of Well-Being

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    What are the six aspects of a balanced person? Physical, mental, emotional, social, work/financial, and meaning/spiritual. Learn more about each one and how to improve it!


    In life, there isn’t one single area that we need to focus on that is going to magically fix all of our problems.

    Instead there are multiple dimensions behind every “good life.” Each dimension requires our attention and each contributes to our overall happiness and well-being.

    Here are six aspects of life that come together to create a “balanced person.” By being more aware of these different dimensions in life, we can determine which areas we need to focus on more and work to improve.

    The different aspects of a balanced person include: 1) Physical, 2) Mental, 3) Emotional, 4) Social, 5) Work/Financial and 6) Meaning/Spiritual.

    If we focus too much on any one area, then we risk neglecting another one. For example, if you become solely focused on just work and money, you may end up spending less time taking care of your physical and mental health, or less quality time with family and friends.

    This is a common trap people fall into. They focus all of their energy and effort into one area in life while completely ignoring another. Often they need to reconfigure their core values and priorities before making a meaningful change.

    This is why practicing balance in all things is so important.

    Each of these areas is one piece of a much larger puzzle, and only when you have all of these areas working together harmoniously can you finally build a complete life that serves all of your needs.

    Here’s a detailed breakdown of each aspect of a “balanced person,” along with tips, tools, and practical advice on how you can start improving each one.

    While reading ask yourself, “Which aspect do I need to focus on the most right now? What’s one small change I can make to improve that area?”

    Now let’s dive in…

    1. PHYSICAL WELL-BEING

    health

    The “physical” aspect of life is all about taking care of our health, especially exercise, diet, and sleep.

    This includes what types of foods and drinks we consume on a daily basis, how often we exercise and keep our bodies moving, personal hygiene and cleanliness, as well as minimizing alcohol, smoking, and other harmful habits to our physical health.

    Our body is one of the most precious gifts we have – and without it we can’t exist. If we don’t stay healthy, we often can’t fully enjoy all the other aspects of life such as family, work, traveling, or leisure.

    Our health can often have a spillover effect into all the other aspects of our lives – for that reason, taking care of our physical health is often an essential first step on any road to self-improvement.

    No matter what the current state of our health is, it’s never too late to start changing our habits, even if it’s something small like stretching in the morning, taking daily walks outside, or starting an active hobby like Yoga, marathon running, or playing sports.

    A healthy body is a healthy mind. When we take better care of our bodies, we also feel more confident, motivated, and energized overall. That’s the beginning of bringing out your best self.


    Things to do:

    • Identify small ways to be more physically active. Often our days are filled with opportunities to be more active, we just need to take advantage of them. Try to cultivate an “everything counts” mindset when it comes to exercise, even if it just means taking a walk around the block, or stretching in the morning, or doing push-ups before lunch. Any physical activity is better than none at all – so seek out small and convenient ways to keep your body moving throughout the day. If you find yourself sitting for long periods of time, get up and do chores, take a walk around the office, or make a phone call while standing up. A sedentary lifestyle is one of the biggest risk factors when it comes to poor health, so finding any reason to stand up more is better than sitting.
    • Find exercise that “clicks” with you and your personality. Different things work for different people. Some people need to commit themselves to a gym membership to get themselves off the couch, while others prefer to work out in the comfort of their own homes. Your personality shapes what exercise you like, so it’s important you find activities that resonate and “click” with you, rather than trying to force yourself to do something you really don’t enjoy. All you need is that one hobby to take your fitness to the next level, whether it be finding an enjoyable sport (like Tennis, or Baseball, or Basketball), or even exercising through video games (such as Wii Fit or Dance Dance Revolution). Try to think of physical activities you enjoyed as a kid, that can often be a good place to rekindle motivation.
    • Keep a healthy and consistent sleep schedule. Sleep is one of the most important habits when it comes to your overall physical and mental health. Research shows that those who don’t get sufficient sleep (between 6-10 hours every night) often suffer worse health outcomes like a weaker immune system, higher risk of obesity, lower energy and stamina, and more stress and anxiety. If your sleep habits aren’t healthy or consistent, it will likely have a negative “ripple effect” on almost every other aspect of your day. When you’re tired and fatigued, you’re more likely to make mistakes at work or argue with your spouse. It’s important not only to get between 6-10 hours of sleep each night, but also to maintain a consistent schedule. If you don’t sleep much on the weekends, it’s difficult to “catch up” on those lost hours throughout the week. Try to go to bed and wake up around the same time each day if possible. Here are more important lessons behind a good night’s sleep, including recognizing that some people are natural “early birds” or “night owls,” and that’s something you need to recognize and work with.
    • Pay attention to your food and diet. There are many different diets out there to choose from – and people can have long debates about which one is better – but the most important thing is to not eat too much, especially junk food, fast food, soda, sweets, and lots of processed food. Use your commonsense. Experiment with different diet changes and see what works best for you. Different diets work better for different people – so there’s no “one size fits all” solution to what exactly you should eat or not eat. One simple diet change is to substitute all your soda/juice/sugary drinks with water instead. Drinking plenty of water is never a bad place to start – most people don’t recognize how dehydrated they can be throughout the day and how it effects them. If you’re trying to lose weight, one popular option you can consider is intermittent fasting where you allow yourself to eat for an 8 hour window each day and fast for the remaining 16 hours. You can also try the “One Meal A Day” approach, where you restrict yourself to just one big meal (with minimal snacking). In general, pay attention to how your body responds to the things you eat: What foods leave you tired and feeling like crap? What foods make you energized and feeling good?
    • Take care of personal hygiene and cleanliness. Proper hygiene is another important aspect of physical health. While it can seem like commonsense, basic habits like taking a shower, brushing your teeth, getting a haircut, trimming your nails, and washing your face are are all important things not to neglect. Not only does cleanliness prevent you from catching germs and getting sick, you also feel better about yourself when you present yourself in the best way possible (and smell good). Often we are surprised by how much better we feel after a fresh new haircut, or clean new clothes, or new cologne/perfume. When mental health is low, we sometimes neglect these basic habits out of laziness or apathy, which is why they are a crucial first step in self-improvement if we aren’t paying enough attention to them.
    • Minimize your bad habits. No one is 100% perfect and we all have a couple bad habits, whether it be eating too many sweets, or drinking alcohol, or staying up late, or smoking cigarettes. In general, it’s important to quit (or minimize) our unhealthy habits as much as possible. “Choose your crutches wisely.” Keep in mind the long-term consequences of your habits – while it may not feel like they are hurting you right now, their effects can often catch up to you in the future. When trying to quit any bad habit, identify your triggers and work from there to change to change your patterns. Often by creating more boundaries between you and your bad habits, you can overcome your urge to do them (until it’s no longer an automatic habit anymore). If you find that you have a serious problem with addiction or drug abuse, consider professional help (such as a therapist, psychologist, or counselor) – there are often local resources available in your area if you do a quick search.

    Please don’t underestimate the importance of keeping your body in the best shape possible. As Socrates famously said, “No man has the right to be an amateur in the matter of physical training. It is a shame for a man to grow old without seeing the beauty and strength of which his body is capable.”

    Physical health is about much more than just looking and feeling good about yourself – it’s about living a life of vitality and longevity. You can have everything else in your life figured out, but if you don’t maintain your health you won’t be around very long to use or enjoy it.

    2. MENTAL WELL-BEING

    mental

    If you don’t take care of your body then it will slowly deteriorate – and the same is true for your mind.

    Just because you don’t have to go to school anymore doesn’t mean you can’t keep learning new things, keeping your brain sharp, and challenging your intellect.

    Reading books. Learning about new topics. Having deep conversations. Attending lectures and workshops. Following the news. These are all commonsense ways to keep our minds active and continue to update our knowledge and belief system as we move through life.

    Learning is a lifelong endeavor. Balanced people are always seeking new things to dig into and learn more about like a new hobby, new game, or new skill such as painting, chess, learning a new language, or playing a musical instrument.

    In addition, research shows that continuing to challenge our brain is an important way to prevent cognitive decline as we get older, including lower the risk of dementia and memory loss.


    Things to do:

    • Read more books. Reading is one of the best ways to keep your mind sharp and learn new things. Nonfiction books about science, history, philosophy, or self help can grow your knowledge and broaden your perspective on life; and reading fiction has been shown to have many cognitive benefits such as boosting empathy, creative thinking, and expanding your vocabulary. If you haven’t read a book in awhile, try to make it a goal to read at least one book this year. You can start with a book you already own but never got a chance to read, or ask a friend for a book recommendation, or get a card from your local library and explore countless books for free. Find a topic or subject that interests you and start there!
    • Learn a new skill. Learning multiple skills is a hallmark of being a balanced and well-rounded person. It’s never too late in life to dive into something completely new, such as playing a musical instrument, learning a new language, writing poetry, painting, or playing chess. A jack of all trades mindset can make you stand-out from others in unique ways. Many people have a talent or passion for at least one thing, but when you start combining talents and cultivating multiple interests it shows your range and flexibility as a person. Don’t limit yourself. There’s no pressure to become a “professional” or “expert” in everything you do, just stay on a learning path, have fun while doing it, and enjoy seeing the growth as you go.
    • Watch documentaries. Documentaries are a fun and easy way to explore new topics and learn about interesting things you otherwise wouldn’t experience. Depending on what you like, there are many different subjects to choose from: history, sports, biographies, science, inspirational stories, or nature documentaries (which have also been shown to boost positive emotions like joy, gratitude, and awe). I’ve made a lengthy list of recommended documentaries which I try to keep updated as I discover new ones. Check it out and choose one that catches your eye!
    • Monitor your information diet. Our current world is overloaded with information, including a lot that is wrong, misleading, or straight up lies and propaganda. Now more than ever we need to pay close attention to the information we consume on a daily basis. Try to find trustworthy news and educational sites where you can easily verify what they are saying from other sources. Beware of going down esoteric “rabbit holes” where people only confirm their own biases and beliefs. Actively seek out information from multiple sides so you’re at least aware of different perspectives and counter-arguments. The information pyramid is a great guide on how you should prioritize certain sources over others. In general, a peer-reviewed scientific study should be given more weight than some random influencer on social media. Keep in mind it’s also possible to consume too much and become an information junkie, where you’re addicted to learning new things, but you never act on it or put it into practice.
    • Spend time in active reflection. Give yourself time to think and digest, even if it’s just for 10 minutes while sitting with your first cup of coffee in the morning. You don’t always need to be filling your brain with facts to be a smarter person, you also need to know how to step back and contemplate what you know. Active and engaged minds are always taking advantage of opportunities for everyday reflection when sitting on the bus, taking a shower, or walking the dog. Often your best ideas and insights come in moments when you’re not trying to solve a problem directly but just mulling it over in your mind. Schedule time for solitude every now and then and don’t be afraid to sit alone with your thoughts.
    • Learn how your mind works. One essential component to being a more intelligent thinker is knowing how your mind works. We naturally believe we understand ourselves best, but psychology and neuroscience can sometimes reveal counter-intuitive facts and tendencies. To start, our minds are very susceptible to cognitive biases and logical fallacies that can muddy our thinking and understanding of reality. One of the most common errors is black and white thinking, where we believe a situation needs to be either “A” or “B,” but a third perspective, “C,” is the more accurate view. Our minds like to over-simplify things when reality can often be more nuanced and complex. Show intellectual humility. Be open to being wrong and be open to changing your mind in the face of new evidence and experience.

    Take your education seriously. Maintain a healthy and active brain. Even if you were never a good student in school, that doesn’t mean you can’t improve your knowledge and intelligence, especially once you find subjects you are deeply passionate about. Benjamin Franklin once said, “An investment in knowledge pays the best interest.”

    3. EMOTIONAL WELL-BEING

    emotional

    In the “Mental” section we covered how to keep our brains active and be more intelligent thinkers, but there’s also a whole other side of our psychology that we need to pay attention to as well: our “Emotional” side.

    Emotions can often seem like something that we have limited power over, but being a more emotionally intelligent person means becoming more self-aware and learning how to better respond to our emotions in the moment.

    We can’t ignore our emotions or push them aside forever, they are a necessary facet of life and we must learn to navigate our emotional world effectively if we want to live the best life possible.

    Remember that emotions are a resource, not a crutch. Every emotion serves a function or purpose, and if we channel our emotions in a constructive direction we can make great things happen.

    One important lesson is that even negative emotions like sadness, anger, guilt, or fear are helpful to a better life if we approach them from the right perspective.


    Things to do:

    • Learn the basics of emotional intelligence. There are 4 fundamental pillars of emotional intelligence that we need to cultivate: 1) Self-awareness (recognizing our emotions when they happen), 2) Self-regulation (knowing how to respond to our emotions and channel them in a positive direction, 3) Empathy (being aware of other people’s emotions and internal states), and 4) Social Skills (knowing how to respond to other people’s emotions in a healthy and constructive way). Certain people may be strong at some of these and not for others. For example, someone may be really empathetic and caring, but not know how to regulate their own mood and emotions, leading to burnout and emotional fatigue. An emotionally intelligent person must work on all four of these pillars.
    • Improve body awareness. All emotions have a physical component to them. When you learn how to identify the physical sensations behind each emotion, you’ll be much more attuned to your feelings in the moment as you’re experiencing them. This helps you to be more aware of your feelings before acting on them, and to recognize how emotions often want to push or pull you in a certain direction (“do this” vs. “don’t do that”). Every feeling serves a different function depending on its emotional valence (“positive” vs. “negative”) and arousal level (“high energy” vs. “low energy”). With practice, this improved body awareness can also boost your intuition, making you a better reader of your “gut feelings” and what they are telling you.
    • Learn to channel negative emotions. Negative emotions can serve a positive function if you know how to respond to them in a constructive way. If you struggle with any specific negative emotion (sadness, fear, guilt, or anger), then create a plan for how you will respond to it the next time it arises. For example, “If I’m angry, then I’ll go exercise,” or “If I’m sad, then I’ll write in my journal.” Emotions are energy that can be channeled in multiple directions. Write a list of the many ways you can respond to any negative emotion. Remind yourself you have a choice, and you don’t have to keep following the same pattern between negative emotion → negative behavior. One popular technique is opposite action, where you intentionally do the opposite of what a feeling is telling you to do (to reverse the cycle of negativity).
    • Practice meditation and daily mindfulness. Meditation is a great avenue for better understanding and regulating your emotions. It teaches you how to step back and just observe your thoughts and feelings without needing to immediately react to them. This space between “feelings” and “actions” is crucial for being a more emotionally intelligent person; it’s the main principle behind discipline, willpower, and self-control. Never forget that just because you feel a certain way doesn’t mean you need to act on it. If you’re completely new to meditation, start with the 100 breaths meditation – a simple exercise where you just focus on your breathing. It’s also helpful to learn grounding techniques for when you feel overwhelmed, such as mindful stretching or a 5 senses meditation.
    • Embrace creative expression. It’s difficult to describe many emotions with only words so it’s important to embrace other ways of expressing yourself, such as through music, photography, dance, painting, drawing, acting, or film. Often when I meet people who don’t feel fully connected to their emotional self, they usually lack ways of expressing themselves through art and creativity. A creative outlet is often a prerequisite to better understanding and navigating your emotional world, even if you don’t typically think of yourself as a “creative person.”
    • Savor all of your positive experiences. Life is filled with many joys and pleasures throughout the day and we should try to savor them as much as possible. We have many positive emotions to choose from – joy, gratitude, peace, awe, excitement, laughter, and wonder – and there are a variety of activities that can lead to more positive emodiversity in our lives. Don’t just chase after the same positive experiences over and over again, seek new experiences, new hobbies, and new ways of enjoying life. Learn how to savor happiness as much as possible by being more present in the moment, creating positive memories, and reminiscing on good times.
    • Relax and manage daily stress. Last but not least, it’s necessary we cover stress management as an essential component to mental health and emotional intelligence. Stress is a normal part of everyday life, but if you don’t know how to manage it in a healthy way it can often have a negative influence on your thoughts, feelings, and behaviors by making you more sensitive, irritable, angry, and bothered (even by little things that don’t really matter). Recognize when to push yourself vs. when to step back and recharge. In the complete guide on daily stress, you’ll find a great framework for reframing your “fight, flight, or freeze” response by viewing stress as a signal to pay attention to and guide you throughout the day. Don’t underestimate the importance of your comfort zone and use it as a place to recharge after a challenging or overwhelming day.

    Emotions can “make us” or “break us” depending on how emotionally intelligent we are. They are a fundamental part of life, but we often have more power over them than we realize. Learn how to channel your emotions in a healthy and constructive way – become a master of them, not a slave to them.

    4. SOCIAL WELL-BEING

    social

    Healthy and positive relationships are an essential ingredient to happiness and well-being.

    No matter who you are, you crave some type of social connection; even the most introverted person on the planet will have a tough time finding happiness all by themselves.

    There used to be a time when I believed “I don’t need people to be happy, all I need is myself.” But over the years I’ve learned more and more that having social support and a sense of belonging is a basic human need that can’t be avoided.

    How strong is your current social circle? Here’s advice to get you started.


    Things to do:

    • Stay connected with friends and family. You should try your best to stay in touch with people who you already have a strong relationship with, especially family and old friends. There’s a simple power in checking in on people and preserving social connections you’ve already established. It doesn’t take much time or effort to show you’re thinking about someone: a simple text, email, or phone call is all you need to let people know you still care and value your relationship with them. You’d be surprised by how much other people appreciate you reaching out to them, even if you haven’t spoken to them in a really long time.
    • Embrace small social interactions. Every time you leave your home, there is opportunity for social interaction. To build your social muscles, embrace the power of 10 second relationships, such as saying “Hi,” to a neighbor or coworker, small talk with a cashier or cab driver, or sparking up a quick conversation while waiting for the train or bus. Research shows even super tiny social interactions can boost positive emotions and feelings of social connectedness. This can also be a great exercise for people who are very introverted (or have a lot of social anxiety) and want to start being a more social person. Make a plan to have a pleasant interaction with at least one new person every day.
    • Learn how to have endless conversations. One big concern for people when it comes to meeting new people is, “What do I say? What if I run out of things to talk about?” One popular technique known as conversation threading provides an excellent framework so that you never run out of topics to talk about. The basic idea is that every sentence contains multiple “threads” we can go down, and often the art of good conversation is being able to 1) Listen to what people say, and 2) Choose a thread to talk more about. Rinse and repeat and a conversation can go on forever. Also consider improvisation exercises so that you can be a faster and more creative thinker in the moment.
    • Improve communication and conflict resolution. It’s a cliché, but communication is everything in relationships. If you don’t know how to express your thoughts and feelings in an honest and constructive way, you’ll have trouble building genuine and healthy connections with others at home, work, or wherever you need to cooperate and work together with people. In romantic relationships, it’s important to know how to communicate your feelings without manipulating or being dramatic. In family and work environments, it’s important to know how to defuse heated arguments before they spiral out of control. The truth is people can be difficult and you’re not going to like everyone’s company. That’s natural. Conflicts have the potential to arise in any social situation, because people have different beliefs, values, and personalities that may be incompatible with each other. What’s most important is to teach yourself the best methods for conflict resolution so you can better navigate the complexities of your social world.
    • Find opportunities to meet new people. Most people make friends through work or school. Once we get older, it can become more difficult to find new connections or become a part of new social circles. Recent research shows that most adults claim to have “less than 5 close friends.” If you’re looking to expand your circle, there are many opportunities available to you. Depending on your likes, hobbies, and interests, consider going out more to music shows, bars, coffee shops, workshops, church/religious services, bowling leagues, adult education classes, sports events, or book clubs. Seek out local groups in your area or volunteer somewhere. You can also take advantage of websites like Meet Up to connect with like-minded people who live close-by. All it takes is one new friend to introduce you to an entirely new social circle. Be patient and don’t worry if you don’t initially hit it off with the first couple people you meet. Finding the right relationships that fit into our lives can take time.
    • Use social media and the internet to connect. The internet can be a great place to connect with like-minded people who we’d never meet in the real world. Online communities on social media, message boards, or video games can often provide a valuable source of social interaction, especially for people who don’t have many “real life” friends. The internet can be particularly helpful for connecting with others who have rare or eccentric hobbies, such as fans of a specific author, athlete, music genre, or comic book franchise. Unfortunately, many online communities can also become negative, competitive, and toxic (see the online disinhibition effect), so it’s necessary you build a positive digital environment that works for you. That doesn’t mean hiding in your own “echo chamber,” but it does mean cultivating a feed and followers who ultimately add value to your life and don’t subtract it. First focus on topics you’re naturally interested in such as science, technology, sports, or movies. Try not to be a passive consumer of information, actively enter conversations by asking questions or sharing knowledge with others. Often times we can build meaningful connections with people online that are just as important as those we find in the real world. However, while online relationships can have many benefits, we shouldn’t see them as a substitute for real world “face to face” interactions.

    Always remember that quality of relationships > quantity of relationships.

    You don’t need to be super popular or the life of the party to have a healthy social life. All you need is a couple really close friends who support you, trust you, and enjoy your presence. That’s everything you need to be socially satisfied.

    Healthy relationships are a fundamental aspect of happiness and well-being for everyone. Our need to belong to a “tribe” or group is hardwired into our brain, biology, and evolution. Like every other aspect of a balanced person, it can’t be ignored.

    Are your daily social needs being fulfilled?

    5. WORK / FINANCIAL WELL-BEING

    work

    Another fundamental aspect of a balanced person is work, money, and material concerns.

    At the most basic level, we depend on food, clothing, shelter, healthcare, and other necessities so we can live a healthy and dignified life.

    People that struggle to make a living can often hurt in many other areas: physical health (can’t afford good foods, healthcare, or medicine), relationships (can’t support family, no money for dating), as well as our mental and emotional well-being (stress, anxiety, and low self-esteem).

    Unless you win the lottery or have someone else to provide for you, finding a steady job or career is often one of the most focused on areas in life. From childhood up until we finish high school or college, we are constantly asked, “What do you want to do for a living?”

    A few people find jobs they love, many find jobs they like, and most find jobs they can at least tolerate. Balancing psychological needs with financial needs can be a difficult task depending on your current situation.

    While we don’t always get a choice in what we do for a living, there are important ways to give ourselves more power over our work life and financial life. Here are important guidelines to keep in mind.


    Things to do:

    • Focus on your strengths. Everyone has a place in this world where they add value. Before you decide what type of work you’d like to do for a living, it’s important to know what your natural strengths, skills, and talents are. If you’re friendly and good with people, you may excel at managing, customer service, or human resources type jobs. If you’re more introverted and creative, you may want to focus on writing, graphic design, computer programming, or freelance work. What type of activities are you typically good at (or at least above average)? What were your best subjects in school? What do you enjoy doing and why? Complete the strengths worksheet to discover more about your natural skillset. Ultimately, knowing your strengths will influence what types of jobs or career choices will suit you best – including where you contribute the most value.
    • Value education and experience. No matter what your job is, there are always new ways to learn and improve. The best workers in life are those who are always growing and mastering their craft. College is still an important part of education, but what’s even more important is to stay self-motivated and continue learning after school. Many people I know have landed successful jobs that had virtually nothing to do with what they studied in college. In several cases, they were people who taught themselves coding/programming, built a portfolio to show their work to potential employers, and climbed their way up the company ladder from there. All self-taught. You can also consider going to trade schools, workshops, mentorships, internships, and other forms of gaining knowledge and experience that are outside of the traditional college model. Any work experience is better than none at all – you just need to start somewhere and begin building yourself up.
    • Make the most of your job. While it’s rare for any of us to get our “dream job,” we can always make the most of our work life by being a good employee and doing our best. Use nudges to keep yourself motivated and productive throughout the day, learn mental strategies for getting things done that you normally “don’t like” doing, and make friends at work with bosses, coworkers, clients, or customers, because those are the people you’re going to be spending a lot of time with and it’s crucial you have healthy and functioning relationships with them. No matter what your job is try to see the underlying purpose or meaning behind it. What value does it add to the world? Are you proud of the work you do?
    • Live within your means. Regardless of how much money you make, one of the most commonsense rules for financial well-being is living within your means. This includes keeping a budget that you can maintain (for food, rent/mortgage, bills, gas, clothes, and leisure expenses), and not buying too much stuff you can’t immediately afford. Debt can be common at some point in our lives (due to student loans, credit card debt, medical emergencies, etc.), but try to be mindful to not put yourself in a hole that you can’t climb out of. Avoid luxury expenses that put you at financial risk. We sometimes over-extend ourselves due to social comparison and a “keeping up with the Joneses” mentality. We think if our friend or neighbor gets a brand new car or goes on an expensive trip, then we need to “one-up” them with a similar purchase. Many times people fall into massive debt because they are trying to chase status, fame, luxury, or exorbitant pleasures. In general, keep track of all your monthly expenses and find ways to cut back on spending that isn’t necessary. Learn about spending biases that can lead to overconsumption (like the allure of “FREE!,” the “Relativity Trap,” and “One Click” purchases). Big corporations are masters of psychology and persuasion. If we aren’t vigilant about our spending habits (especially if you enjoy retail therapy), then we’ll often fall for tricks that cause us to spend more money than we should.
    • Create a healthy relationship with material things. This article is about being a balanced person. Work and money are very important aspects of life, but materialistic beliefs can also backfire to hurt us. No one lays down on their deathbed wishing they spent more time in the office. Work-a-holics can end up focusing so much on their career that they neglect giving enough attention to their family, health, and well-being. Never forget that there is a lot more to a good life than just money and material things, despite what you may see glamorized in movies, TV shows, or commercials. Psychology research shows that after a certain point, increased wealth and income has very little effect on our overall happiness and life satisfaction. Being rich sounds awesome, but it won’t necessarily make you any happier than if you earned less with a stable and secure life. Take the materialism quiz to see if you have a healthy relationship with money and stuff.

    Remember, money is important but it isn’t everything.

    Financial well-being will often look radically different depending on the person. Certain people may be content with modest and minimal living, while others crave more luxury, adventure, and pleasure. Whichever lifestyle you choose, it’s necessary that money finds the proper role in your life without being completely consumed by it.

    One succinct way to define true financial well-being is “not needing to think about money all the time.”

    6. MEANINGFUL / SPIRITUAL WELL-BEING

    spiritual

    The meaningful or spiritual aspects of life can often be overlooked.

    We may occasionally ask ourselves big questions like, “Who am I?” “Why am I here?” or “What’s my purpose?” but we rarely translate these questions into our daily lives through action.

    For many people, religion is their main source of spirituality and meaning. Attending church, being part of a local community, prayer, and volunteering or giving to charities are common ways people boost meaning in their daily lives. Religion has been shown to improve happiness and well-being by creating a strong sense of purpose and community.

    However, we don’t need religion to have a meaningful life. There are many other sources of meaning, including art, culture, philosophy, literature, music, relationships, activism, introspection, and creativity.

    Where do you get your meaning in life?


    Things to do:

    • Learn the pillars of a meaningful life. One excellent guide on how to live a meaningful life outlines five different pillars to focus on, including 1) A sense of belonging (having healthy relationships with those around you), 2) A sense of purpose (feeling that you contribute to a larger whole), 3) Storytelling (the life story we tell about ourselves, as well as stories and myths about the world we live in), 4) Transcendence (experiencing “awe” and “inspiration” in the presence of great things), 5) Growth (having a sense that you are evolving and moving forward as a person). All five pillars contribute to a rich and meaningful existence.
    • Spend more time in nature. Nature reminds us that we are part of something larger than ourselves, a whole process known as “life.” Nature is a fantastic source of meaning because it continuously inspires positive emotions like joy, amazement, gratitude, and awe. The best part is that nature is all around us – we don’t need to plan a weekend camping trip to experience it – instead just pay attention to everyday nature that is all around you: trees on the drive to work, birdwatching in your backyard, or spending time in your garden over the summer. Having pets to care for is another easy and wonderful source of nature and connection, even if it’s just a small fish tank to maintain. Nature also includes enjoying the beauty of a nice view such as sunrises, sunsets, mountaintops, storm watching, and star-gazing.
    • Take a complete picture perspective. Finding meaning requires being able to look at things from a big picture perspective. What influence do your actions have in the long-term? What type of impact will you leave on the world after you die? When you keep the complete picture in mind, you recognize that even super small actions can add up and have big results in the future. Your life doesn’t begin at birth nor end at death, you are part of an intergenerational chain of cause-and-effect that has stretched thousands of years. That’s a powerful thought if you can see the true significance behind it.
    • Embrace art, music, and culture. Artists are the creators of new meanings, especially famous painters, musicians, filmmakers, photographers, authors, playwrights, and dancers. Pursuing a creative hobby of your own is one fantastic way to infuse new meaning into your life. You can also embrace art and culture more by going to museums, art galleries, music concerts, and theaters. A lot of beautiful art is archived in online art and cultural exhibits, so you can discover a lot of new inspiration by just sitting in the comfort of your own home. Artists of all forms teach us how universal the human condition is. It’s a huge inspirational boost when you realize a book written over a hundred years ago resonates exactly with how you feel today. One of my strongest memories is attending a music concert of my favorite band with thousands of others listening and singing along. Creativity is one of humanity’s greatest gifts and there’s a lot of wisdom, beauty, and feelings of universal connection it can offer us.
    • Signs, symbols, and synchronicity. A meaningful life can be more about feeling inspiration and empowerment rather than thinking only logically and factually about the world. Embrace things you can’t always explain. If you feel like you’re getting a “sign” from the universe, accept it. Our minds often think unconsciously through the power of symbols, especially through reoccurring dreams or nightmares that may be trying to tell you something important. Meaning can be created anywhere if you have the right perspective. Many of my favorite moments in life are when I experience synchronicity, which is finding a connection between two things that seem completely unrelated at first. For example, if I start reading a book and then someone brings up the same book randomly the next day, I try to see that as a sign that I’m on the right path. It may or may not be true, but it is a simple and easy way to add more meaning to the little things in life.
    • Have faith that life is good. Faith may not have any role in science, but it does play an important role in good living. At the end of the day, one of the most important beliefs we can have is that “life is good” and things will generally work out in the end. One of my personal favorite quotes is, “Pray to God, but row to shore.” It shows us to have hope and faith in life, but still take action and try our best in the moment. Both faith and action are necessary ingredients to a happy and fulfilling life. A belief in God or a higher power can make this whole process easier. However, even if you can’t bring yourself to accept “metaphysical” or “supernatural” ideas, at least try to sense the oneness and interconnectedness of all things. These ideas are an endless source of power, strength, and resilience, even in the face of incredible hardships and tribulations.

    A “meaningful life” can be one of the most difficult areas of life to improve, especially while living in a world that is filled with nihilism, hedonism, and materialism.

    However, once you build a strong spiritual core you can withstand almost any difficulty or hardship. It can empower you to a whole new level that non-spiritual people don’t usually have access to.

    CONCLUSION

    To sum things up we must invest time and energy in all six of these aspects if we want to live a happy and balanced life.

    Once again, these six aspects of a balanced life include: 1) Physical, 2) Mental, 3) Emotional, 4) Social, 5) Work/Financial, and 6) Meaningful/Spiritual.

    Which area are you the strongest in? Which area are you the weakest in?

    Keep this framework in mind as you embark on a lifetime of self-improvement. Try the Daily Routine (PDF) exercise and use this resource as a guideline.


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    Steven Handel

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  • 6 Common Factors Behind All Successful Therapy

    6 Common Factors Behind All Successful Therapy

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    According to “common factors theory,” the essence of successful therapy lies in shared core elements, and the differences between therapeutic approaches are often less important than fulfilling these fundamental criteria.


    One frequent question people ask themselves when they first decide to seek therapy is, “What type of therapy should I get?”

    There are many different types of talk therapy to choose from. Often specific types of therapy are geared toward specific mental disorders. Cognitive-Behavioral Therapy is common for depression and anxiety disorders, Dialectic Behavioral Therapy is common for bipolar and mood disorders, and EMDR is common among those with PTSD.

    How much do these therapies differ? How much does it matter?

    One interesting idea in psychology is “common factors theory.” The basic premise is that effective therapy isn’t necessarily based on any specific type of therapeutic tool or technique, but rather there are underlying factors behind all therapies that make them successful.

    Many therapeutic systems have been invented over the past century. Today, every popular therapist or coach has their own trademarked brand that’s sold as the absolute best approach to mental health.

    The less glamorous truth is that most successful therapies aren’t special. There’s significant overlap between different approaches, with a couple extra bells and whistles. However, at the end of the day the biggest reason they are successful is because they all meet fundamental criteria.

    Below you’ll learn more about these “common factors” behind successful therapy, including: collaboration, empathy, alliance, positive regard, genuineness, and individual differences.

    6 Common Factors Behind All Successful Therapy

    One interesting study identified 6 common factors behind all “evidence-based” therapy. They also calculated estimates on how much each factor contributed to the overall variability of therapeutic outcomes.

    Here are the 6 common factors behind all successful therapy:

    • Goal consensus / collaboration (11.5%) – The most important factor is that both the therapist and client share the same goal and they’re willing to work together to achieve it. A goal can be anything from managing negative emotions, to stopping bad habits, to improving communication skills. If their goals mismatch (such as the client not wanting to change or the therapist wanting to go in a different direction), then it’ll be difficult if not impossible to make any progress. Both people need to be on the same page.
    • Empathy (9%) – The therapist must have a clear understanding of who their patient is and where they are coming from. This means being aware of their current thoughts and feelings, but also learning a comprehensive history of that patient’s past experiences and background. We build empathy by seeking knowledge and understanding about another person. Don’t try to guess, label, or project where someone is coming from. Ask questions and learn. A therapist must treat each person as their own individual case. A scientific study of n=1. Every person has a unique story and a therapist’s job is to learn each person’s story.
    • Alliance (7.5%) – Both therapist and client must see their relationship as a partnership where each puts in equal effort to realize their shared goal. For the therapist, this means providing advice, encouragement, compliments, and constructive feedback. For the client, this means putting in work outside of the therapy session (in everyday life) so they actually see changes and results. A healthy alliance requires three main components: 1) A shared bond between therapist and client, 2) Agreement about the goals of therapy, and 3) Agreement about the tasks to achieve it (practical advice, tips, suggestions, exercises, homework). Therapy has to be viewed as more than just talking once per week, but rather an impetus to work together, create a plan, and achieve real progress.
    • Positive regard / affirmation (7.3%) – It’s important that the therapist treats the patient with optimism, positivity, compliments, and encouragement. While a therapist sometimes needs to provide critical and constructive feedback, they should generally promote the patient’s self-esteem and core values. If a therapist tries to fundamentally change something about a person that they don’t want to, there’s naturally going to be conflict and difficulties. One idea known as unconditional positive regard was popularized by the humanistic psychologist Carl Rogers. He highlighted the importance of being agreeable and respectful toward the patient’s core beliefs, values, and goals (even if you disagree with them). Rogers saw therapy as a tool to encourage self-discovery and self-awareness, not tell a patient exactly how they should live their life.
    • Congruence / genuineness (5.7%) – Both the therapist and patient need to be open, genuine, and authentic. If the patient feels the therapist is just “putting on an act” or “pretending to be nice,” they are going to want to pullback and disengage from the process. A good therapist needs to be just as vulnerable as the patient. This means sharing relevant thoughts and feelings, being honest and matter-of-fact, and being willing to express emotions when appropriate. One telltale sign of incongruence is when there is a mismatch in body language (including posture, facial expressions, or tone of voice). If a therapist’s words don’t match their body language, the patient likely won’t develop any trust or rapport.
    • Therapist differences (5%) – The last important factor, which may be beyond our control, is personality differences between the therapist and client. Not everyone is designed to get along with everyone, and sometimes the therapist and patient are just too different when it comes to attitude, temperament, background, or lifestyle. Many therapy sessions don’t work out simply because the therapist/patient relationship doesn’t seem to mesh right. This is why it’s recommended that a person tries out multiple therapists when first starting out. Then they can find someone that fits with their personality and a therapist to commit to long-term.

    These are the 6 most common factors behind successful therapy. They account for ~50% of the total variability in therapeutic outcomes, so there are still many other factors at play.

    In truth, different types of therapies have their advantages and disadvantages, and certain approaches may work better for some and not at all for others.

    Regardless of the system, successful therapy often needs to meet the basic requirements listed above. Without these common factors being met, no technique or approach is going to work.

    A Warning on Overspecialized Therapy

    A therapist needs to be flexible in their approach and try not to force fit everyone into their preferred model.

    The more a person is trained and/or educated on a specific field in psychology, the more they seem to be “locked in” to only one way of observing the human condition. They don’t talk to people as human beings at face value, but instead think, “How does this person fit into my cognitive/behavioral/psychodynamic/evolutionary model?”

    Expertise (and overspecialization) can narrow vision. A certain element of beginner’s mind is the best approach to therapy. Start with the basic questions, “Who is this person? What do they care about? What makes them tick? What do they want to change?”

    Assume nothing and ask questions. Learn about the person from scratch. Connect to them human-to-human and see where it goes.

    More concerning, certain therapies have become popularized and over-hyped in recent years. They’ve turned into commercial brands. “Cognitive-behavioral therapy” has become a buzzword in many circles because the average person associates it with the only “evidence-based” therapy.

    Of course I’m not against specific therapies. I’ve learned a lot of helpful tools and techniques from various systems (including CBT) that I still practice today.

    At the end of the day, I’m a pragmatist, so there’s almost no therapy, treatment, medication, or technique I’m 100% for or against. If it helps just one person, then it’s that much effective.

    However, in general, a good therapist needs to have a comprehensive understanding of how humans work. Tools and techniques can be in your back-pocket, but first and foremost you need to approach people as individual human beings seeking growth.

    Successful therapy can’t be reduced to a checklist.

    The Gloria Tapes: 3 Therapeutic Approaches

    This topic reminds me of an old series of videos known as the Gloria Tapes.

    It was an educational film made in the 1960s to teach psychology students the differences between therapeutic approaches.

    The series follows a single patient, Gloria, who receives therapy from three distinguished psychologists of the time: Carl Rogers, Fritz Perls, and Albert Ellis.

    The therapy is limited since it’s only one session each, but you can get a good understanding of the radically different approaches by each therapist.

    You can watch each of the sessions here:

    Each of these videos reveals a different approach to therapy.

    Albert Ellis is most aligned with modern cognitive and rational-based approaches. Carl Rogers has a more gentle and humanistic approach. Fritz Perls has a direct and provocative approach (almost to the point of bullying).

    If I remember correctly, the patient Gloria felt the most comfortable with Rogers, but she actually went for a second session with Perls. I don’t know how to interpret that – it’s possible she felt “unfinished business” with Perls or she simply enjoyed arguing with him.

    None of this says anything about “successful therapy.” Just one session isn’t adequate to measure “success” vs. “failure” when it comes to a long-term process like self-growth. However, these examples will give you a taste for the different types of therapies out there.

    Ultimately, successful therapy depends on both therapist and patient. The most important factor is to have a healthy, working relationship and a “build together” attitude. Once you have that foundation, anything is possible.


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    Steven Handel

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  • Happy 2024, I Have a Few Things for You | Love And Life Toolbox

    Happy 2024, I Have a Few Things for You | Love And Life Toolbox

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    2023 was quite a year.  To say there have been some challenges is an understatement but my hope for you is that you are finding some inspiration and optimism for the New Year.  There were highs, lows and transitions for many.  LoveAndlLifeToolbox.com was about experimentation and change in 2023.  The site has gone through a number of shifts in the over 10 years of its existence.  I continue to be a working therapist in private practice in Marin County, California while maintaining this site.

    I am very proud that LoveAndLifeToolbox.com remains a trusted emotional health and relationship resource with a global audience, offering education in many related areas including happiness, family of origin issues, unhealthy relationship patterns, emotional safety and self-help tools to supplement your growth.

    In celebration of the upcoming New Year, enjoy my 3 offerings:

    Top 3 Relationship Articles of 2023

    Unhealthy Relationships? Break Your Relationship Pattern

    People who continually get in bad relationships can benefit from understanding their role and how it’s linked to prior their prior experiences.  Then, change can occur.

    Rock Solid Marriage

    An assortment of views from several relationship experts on how to have the most stable, secure and loving relationship.

    Healthy Relationships: Assessing the Emotional Safety

    A look at one of the most critical aspects of well functioning intimate relationship and a mini assessement.

    Top 3 Emotional Health Articles of 2023

    What is Family of Origin Work?

    The role of family of origin issues and functioning, individually and in your relationships.

    Addressing the Problem of Feeling Unlovable

    Help to understand why people feel badly about themselves, rooted in core belief systems developed a long time ago.

    I’m a Therapist. Here’s What Happened on the Day I Met With Both an Arab and a Jew (Dr. Carl R. Nassar, Ph.D., LPC, CIIPTS)

    Guest post by a therapist, reflecting on a unique day for him seeing his clients.

    50% off all of my digital products through January 2024

    An opportunity to improve your emotional health and/or relationships at a deep discount.  I created my “Therapy-At-Home Workbooks” brand to help you “think like a therapist” as you address your areas for desired growth.  Perfect for those on a self-help path interested in education from a licensed and practicing therapist.  Enter the code G4FERDYU at checkout.

    Break Your Unhealthy Relationship Patterns

    The Marriage Refresher Course Workbook for Couples

    The Premarital Counseling Workbook for Couples

    Family of Origin: Untangle Your Unhealthy Roots

    Looking ahead…

    > May 2024 bring you inner peace, joy and quality connections with the people you care about.

    > Put intention into your relationships.  Treat friends, family and lovers as you would like to be treated.

    > Put intention into your personal happiness.  Do therapy work if needed to remove any obstacles that hold you back.

    > Practice self-care to be able to have the bandwidth to do all of the above.

    Warmly,

    Lisa Brookes Kift, MFT

    LoveAndLifeToolbox.com

    MarinTherapyAndCounseling.com

     

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    Lisa Brookes Kift, MFT

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  • 20 truth-bombs we all needed to hear from a therapist

    20 truth-bombs we all needed to hear from a therapist

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    Making the decision to see a therapist is hard enough. Digesting the information and advice that they give you, and using it to better yourself is something different altogether. It’s always a process, and it definitely doesn’t happen overnight.

    As harsh as some of these may sound, therapists are usually spot-on when it comes to pointing out things that we ourselves maybe can’t (or don’t want to) see.

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    Zach Nading

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  • The CRISPR Era Is Here

    The CRISPR Era Is Here

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    When Victoria Gray was still a baby, she started howling so inconsolably during a bath that she was rushed to the emergency room. The diagnosis was sickle-cell disease, a genetic condition that causes bouts of excruciating pain—“worse than a broken leg, worse than childbirth,” one doctor told me. Like lightning crackling in her body is how Gray, now 38, has described the pain. For most of her life, she lived in fear that it could strike at any moment, forcing her to drop everything to rush, once again, to the hospital.

    After a particularly long and debilitating hospitalization in college, Gray was so weak that she had to relearn how to stand, how to use a spoon. She dropped out of school. She gave up on her dream of becoming a nurse.

    Four years ago, she joined a groundbreaking clinical trial that would change her life. She became the first sickle-cell patient to be treated with the gene-editing technology CRISPR—and one of the first humans to be treated with CRISPR, period. CRISPR at that point had been hugely hyped, but had largely been used only to tinker with cells in a lab. When Gray got her experimental infusion, scientists did not know whether it would cure her disease or go terribly awry inside her. The therapy worked—better than anyone dared to hope. With her gene-edited cells, Gray now lives virtually symptom-free. Twenty-nine of 30 eligible patients in the trial went from multiple pain crises every year to zero in 12 months following treatment.

    The results are so astounding that this therapy, from Vertex Pharmaceuticals and CRISPR Therapeutics, became the first CRISPR medicine ever approved, with U.K. regulators giving the green light earlier this month; the FDA appears prepared to follow suit in the next two weeks. No one yet knows the long-term effects of the therapy, but today Gray is healthy enough to work full-time and take care of her four children. “Now I’ll be there to help my daughters pick out their wedding dresses. And we’ll be able to take family vacations,” she told NPR a year after her treatment. “And they’ll have their mom every step of the way.”

    The approval is a landmark for CRISPR gene editing, which was just an idea in an academic paper a little more than a decade ago—albeit one already expected to cure incurable diseases and change the world. But how, specifically? Not long after publishing her seminal research, Jennifer Doudna, who won the Nobel Prize in Chemistry with Emmanuelle Charpentier for their pioneering CRISPR work, met with a doctor on a trip to Boston. CRISPR could cure sickle-cell disease, he told her. On his computer, he scrolled through DNA sequences of cells from a sickle-cell patient that his lab had already edited with CRISPR. “That, for me, personally, was one of those watershed moments,” Doudna told me. “Okay, this is going to happen.” And now, it has happened. Gray and patients like her are living proof of gene-editing power. Sickle-cell disease is the first disease—and unlikely the last—to be transformed by CRISPR.


    All of sickle-cell disease’s debilitating and ultimately deadly effects originate from a single genetic typo. A small misspelling in Gray’s DNA—an A that erroneously became a T—caused the oxygen-binding hemoglobin protein in her blood to clump together. This in turn made her red blood cells rigid, sticky, and characteristically sickle shaped, prone to obstructing blood vessels. Where oxygen cannot reach, tissue begins to die. Imagine “if you put a tourniquet on and walked away, or if you were having a heart attack all the time,” says Lewis Hsu, a pediatric hematologist at the University of Illinois at Chicago. These obstructions are immensely painful, and repeated bouts cause cumulative damage to the body, which is why people with sickle cell die some 20 years younger on average.

    Not everyone with the sickle-cell mutation gets quite so sick. As far back as the 1940s, a doctor noticed that the blood of newborns with sickle-cell disease did not, surprisingly, sickle very much. Babies in the womb actually make a fetal version of the hemoglobin protein, whose higher affinity for oxygen pulls the molecule out of their mother’s blood. At birth, a gene that encodes fetal hemoglobin begins to turn off. But adults do sometimes still make varying amounts of fetal hemoglobin, and the more they make, scientists observed, the milder their sickle-cell disease, as though fetal hemoglobin had stepped in to replace the faulty adult version. Geneticists eventually figured out the exact series of switches our cells use to turn fetal hemoglobin on and off. But there, they remained stuck: They had no way to flip the switch themselves.

    Then came CRISPR. The basic technology is a pair of genetic scissors that makes fairly precise cuts to DNA. CRISPR is not currently capable of fixing the A-to-T typo responsible for sickle cell, but it can be programmed to disable the switch suppressing fetal hemoglobin, turning it back on. Snip snip snip in billions of blood cells, and the result is blood that behaves like typical blood.

    Sickle cell was a “very obvious” target for CRISPR from the start, says Haydar Frangoul, a hematologist at the Sarah Cannon Research Institute in Nashville, who treated Gray in the trial. Scientists already knew the genetic edits necessary to reverse the disease. Sickle cell also has the advantage of affecting blood cells, which can be selectively removed from the body and gene-edited in the controlled environment of a lab. Patients, meanwhile, receive chemotherapy to kill the blood-producing cells in their bone marrow before the CRISPR-edited ones are infused back into their body, where they slowly take root and replicate over many months.

    It is a long, grueling process, akin to a bone-marrow transplant with one’s own edited cells. A bone-marrow transplant from a donor is the one way doctors can currently cure sickle-cell disease, but it comes with the challenge of finding a matched donor and the risks of an immune complication called graft-versus-host disease. Using CRISPR to edit a patient’s own cells eliminates both obstacles. (A second gene-based therapy, using a more traditional engineered-virus technique to insert a modified adult hemoglobin gene into DNA semi-randomly, is also expected to receive FDA approval  for sickle-cell disease soon. It seems to be equally effective at preventing pain crises so far, but development of the CRISPR therapy took much less time.)

    In another way, though, sickle-cell disease is an unexpected front-runner in the race to commercialize CRISPR. Despite being one of the most common genetic diseases in the world, it has long been overlooked because of whom it affects: Globally, the overwhelming majority of sickle-cell patients live in sub-Saharan Africa. In the U.S., about 90 percent are of African descent, a group that faces discrimination in health care. When Gray, who is Black, needed powerful painkillers, she would be dismissed as an addict seeking drugs rather than a patient in crisis—a common story among sickle-cell patients.

    For decades, treatment for the disease lagged too. Sickle-cell disease has been known to Western medicine since 1910, but the first drug did not become available until 1998, points out Vence Bonham, a researcher at the National Human Genome Research Institute who studies health disparities. In 2017, Bonham began convening focus groups to ask sickle-cell patients about CRISPR. Many were hopeful, but some had misgivings because of the history of experimentation on Black people in the U.S. Gray, for her part, has said she never would have agreed to the experimental protocol had she been offered it at one of the hospitals that had treated her poorly. Several researchers told me they hoped the sickle-cell therapy would make a different kind of history: A community that has been marginalized in medicine is the first in line to benefit from CRISPR.


    Doctors aren’t willing to call it an outright “cure” yet. The long-term durability and safety of gene editing are still unknown, and although the therapy virtually eliminated pain crises, Hsu says that organ damage can accumulate even without acute pain. Does gene editing prevent all that organ damage too? Vertex, the company that makes the therapy, plans to monitor patients for 15 years.

    Still, the short-term impact on patients’ lives is profound. “We wouldn’t have dreamed about this even five, 10 years ago,” says Martin Steinberg, a hematologist at Boston University who also sits on the steering committee for Vertex. He thought it might ameliorate the pain crises, but to eliminate them almost entirely? It looks pretty damn close to a cure.

    In the future, however, Steinberg suspects that this currently cutting-edge therapy will seem like only a “crude attempt.” The long, painful process necessary to kill unedited blood cells makes it inaccessible for patients who cannot take months out of their life to move near the limited number of transplant centers in the U.S.—and inaccessible to patients living with sickle-cell disease in developing countries. The field is already looking at techniques that can edit cells right inside the body, a milestone recently achieved in the liver during a CRISPR trial to lower cholesterol. Scientists are also developing versions of CRISPR that are more sophisticated than a pair of genetic scissors—for example, ones that can paste sequences of DNA or edit a single letter at a time. Doctors could one day correct the underlying mutation that causes sickle-cell disease directly.

    Such breakthroughs would open CRISPR up to treating diseases that are out of reach today, either because we can’t get CRISPR into the necessary cells or because the edit is too complex. “I get emails now daily from families all over the world asking, ‘My son or my loved one has this disease. Can CRISPR fix it?’” says Frangoul, who has become known as the first doctor to infuse a sickle-cell patient in a CRISPR trial. The answer, usually, is not yet. But clinical trials are already under way to test CRISPR in treating cancer, diabetes, HIV, urinary tract infections, hereditary angioedema, and more. We have opened the book on CRISPR gene editing, Frangoul told me, but this is not the final chapter. We may still be writing the very first.

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    Sarah Zhang

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  • Research Shows Science Behind Psychedelics, Psychotherapy’s Ability To Cause Quick Brain Changes | High Times

    Research Shows Science Behind Psychedelics, Psychotherapy’s Ability To Cause Quick Brain Changes | High Times

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    Psychedelic-assisted psychotherapy merges the principles of talk therapy with the effects of psychedelics. Many people seeking help with depression, PTSD, anxiety, or other mental health conditions have tried one or the other. 

    Some notable research includes looking at the use of psilocybin, one of the psychoactive components of magic mushrooms, to treat anxiety experienced by patients with metastatic cancers. Other studies spotlight the use of psychedelic therapy to help patients receiving hospice care cope with feelings of depression and hopelessness. 

    Such studies suggest that people, especially those with terminal illnesses like cancer, experience profound psychological transformations in a single six-hour session involving psilocybin when combined with psychotherapy. This dual approach results in a drastic improvement in mood and acceptance of one’s situation. 

    And now, neuroscientists understand more about how and why these positive outcomes occur. Research indicates that forming new neural connections facilitates assimilating new skills, memories, and attitudes, PsyPost reports. Known as arborization, this process is comparable to the branching of trees, which it’s named after. This happens when neurons create new pathways. This neural growth is crucial in fostering changes in cognition and emotional responses.

    Scientists use a method known as two-photon microscopy to examine this phenomenon in living cells. This technique lets them monitor the development and retraction of spines on neurons. Prepare for some science, reader: These neuron spines comprise one part of the synapses, essential for facilitating communication between neurons. 

    Scientists widely believed that lasting spine formation in the brain required continuous and repetitive mental effort. But, new research from Yale suggests that it could happen quickly and even in one dosage. The scientists observed swift spine formation in the frontal cortex of mice after just a single dose of psilocybin. Obviously, the mice did not receive therapy and integration. But, the study showed that mice administered with psilocybin exhibited around a 10% increase in spine formation. These changes were not fleeting; they were noted one day post-treatment and then persisted for over a month.

    Psychoactive compounds mainly alter brain activity by interacting with receptors on neural cells. Among these, the serotonin receptor 5HT, commonly targeted by traditional antidepressants, exists in multiple subtypes. So, there’s more than one way to use them to prompt positive change. Psychedelics like DMT (the key ingredient in ayahuasca) activate a specific receptor subtype known as 5-HT2A. Researchers believe this receptor also plays a crucial role in facilitating hyperplastic states, periods when the brain undergoes rapid changes. 

    The 5-HT2A receptors, which DMT activates, are found not only on the surface of neuron cells but also within the neuron itself. The famous internal 5-HT2A receptor is key to igniting the rapid changes in neuronal structure. Serotonin is unable to penetrate the cell membrane, which is why people don’t experience hallucinations when taking antidepressants like Prozac or Zoloft (much to many readers taking the mood-elevators distaste). In contrast, psychedelics can cross the cell boundary and influence the internal 5-HT2A receptor, promoting the growth of dendrites and an increase in spine formation.

    Besides being the active component in ayahuasca, as readers may know, DMT is also a molecule naturally produced in mammalian brains — including humans. 

    The fact that our brains make DMT suggests that human neurons can generate their own ‘psychedelic’ molecules (albeit in minuscule amounts). It’s conceivable that the brain employs its own endogenous DMT as a mechanism for adaptation, such as forming dendritic spines on neurons to embed crucial mental states. Ideally, a patient would use therapy in conjunction with these molecular changes for the best possible outcome when seeking help for a mental health condition. 

    While the brain only makes small amounts of DMT, you may have heard that when we die, there’s a massive burst of it, explaining some of what folks claim to see during near-death experiences. The hypothesis that the brain releases DMT in large quantities at death is a favorite in the psychedelic community; however, it remains a hypothesis without solid scientific backing. Research in this area is challenging not only to any drug laws but also to the ethical and practical difficulties of studying the brain at the moment of death.

    However, the psychedelic community must remember that bad trips do happen, and that’s not something you want happening to you or someone that you love in the final days of your life. As PsyPost points out, in “These Precious Days,” a collection of essays by Ann Patchett, she recounts an experience of consuming mushrooms with a friend who was battling pancreatic cancer. Her friend underwent a spiritual and transformative experience, emerging with a heightened connection to her loved ones. Patchett, however, describes her experience differently, likening it to spending eight hours in a dark, nightmarish scenario, akin to being in a cauldron of lava at the Earth’s core, where she felt as if she was constantly battling snakes. 

    While there’s evidence that psychedelic therapy can do miraculous work, explained by even more miraculous science, even all the Yale researchers and psychonauts in the world can’t prevent with complete certainty the risk of battling snakes in a cauldron of lava at the Earth’s core. 

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    Sophie Saint Thomas

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  • The 5 Most Common Back-To-School Concerns That Parents Bring Up In Therapy

    The 5 Most Common Back-To-School Concerns That Parents Bring Up In Therapy

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    Back-to-school season is full of anticipation for both kids and parents. New teachers, new routines and new friends are all exciting but can also provoke anxiety for everyone involved.

    HuffPost asked therapists who work with parents about what issues they tend to bring up this time of year. Here’s what they said:

    Kids’ Learning Needs

    Though few pandemic-related educational shifts were positive, one potentially helpful development was that when students learned at home, parents got a chance to see what was going on in their classrooms and how well their particular academic needs were being served. Post-pandemic, many parents’ awareness of these issues — and their stress levels — is still heightened.

    “Parents got to see: This is how my child learns. This is how my child engages with their classroom,” Mercedes Samudio, a licensed social worker and author of “Shame-Proof Parenting,” told HuffPost.

    As a new school year begins, some parents may worry that their children will run into issues they’d faced in previous years or that a teacher won’t be attentive to their child’s particular learning needs. Though it’s important to keep in mind any issues a child has had at school, it’s also critical to give each new relationship the benefit of beginning with a blank slate. A different teacher or a different mix of students may bring out a side of your child you haven’t seen before. Also, don’t underestimate how much your child matures and changes from one year to the next. Just because something was an issue in first grade doesn’t mean it will continue in the second grade.

    Since you won’t be at your child’s side listening to what the teacher has to say, the best way to stay up-to-date with how things are going in the classroom is to have regular check-ins with your child.

    “I’ve always encouraged family meetings. But I think having weekly check-ins, especially during the beginning of the school year, helps everyone to feel supported and set up,” Samudio said. Your child will know they have this space to let you know about any issues, and you will also be able to identify other people they can turn to, such as a school counselor or nurse, if they need help during school hours.

    Samudio suggests adding the check-in to the calendar, just like any doctor’s appointment or athletic practice.

    During these check-ins, try to ask open-ended questions — but stay away from the well-worn and often useless “How was your day?” That will often elicit a rote, one-word response (“Fine”). Here is a list of the kinds of questions that might help you get a sense of what your child’s days are like.

    You want to give them an opening to express “a whole spectrum of emotions at the beginning of the school year,” not simply happiness, Samudio said.

    She added that parents should try not to make assumptions about what their kids may be anxious about when it comes to milestones, such as the first day. Instead, ask, “What are you most looking forward to?” and “What are you least looking forward to?”

    Neha Navsaria, a psychologist consultant with the Parent Lab and professor of psychiatry at Washington University School of Medicine in St. Louis, suggested using a “I wonder what/how…” phrase with children.

    This phrase, she told HuffPost, “is very inviting to young children because it is an indirect way to pose a question, but it comes out as a statement of curiosity (‘I wonder what it was like to be in a new classroom with a different teacher?’).”

    The Return Of Homework — And Homework Struggles

    One of the best things about summer for kids is forgetting about homework completely. This is often an equal relief for parents, who may feel pulled into a cycle of nagging and fighting over homework as soon as school begins.

    “Keeping kids on-task with their school work can be a source of battles and power struggles between parents and children,” Navsaria said. Conflict becomes more likely “when parents and children have different learning styles and organizational methods. This is further exacerbated when children have specific deficits in learning and organization, such as ADHD, learning disabilities and developmental delays.”

    She recommends that parents try to set aside their own assumptions and sit down for a moment to calmly problem-solve with their child.

    “Parents can easily fall into a trap of assuming that their child isn’t taking something seriously at school and the parent is the only one thinking about it —which creates a burden on the parent and increases their stress. By opening up the discussion with your child, you may hear that he or she has plenty of thoughts about the situation, but they needed a sounding board and some guidance to move forward.”

    For example, rather than assuming that a child doesn’t want to complete a project, a parent might be able to help them break tasks into manageable steps and schedule time to complete each one — with ample breaks between work sessions.

    The Specter Of School Violence

    It’s unlikely that there will be a shooting at your child’s school (their odds of being shot at school are about 1 in 10 million), but it’s almost certain that they will take part in a lockdown drill and rehearse hiding in the corner of a darkened classroom. Such practices have come under criticism for a lack of effectiveness and the potential psychological effects they have on children, but they remain a regular occurrence in American schools.

    Samudio said she has heard a number of parents worrying about the ways violence in our society will, directly or indirectly, affect their children. “The kind of violence that we have in the world — kids can’t be shielded from that anymore,” she said. In generations past, we might have assumed that schools were a safe space, but parents and kids today can’t rest in that comfort.

    If you hear that there has been a lockdown drill (or an actual lockdown) at your child’s school, you’ll want to talk to them about it. But, again, don’t make assumptions, and let your child lead the conversation. Ask questions like, “What did you do?” “Why were you doing it” and “How did you feel?” You don’t want to add any distress to their interpretation. At the same time, you want them to know that you’re open to hearing about any fear they may have.

    The Transition From Summer To The School Year

    Though it’s natural for parents to be concerned about their child’s academic performance, there’s actually not much they can do to assess or improve their child’s skill level on their own. School readiness, on the other hand, comprises lots of skills, many of which you can give your child the opportunity to practice at home. Being able to complete tasks like using the bathroom and opening their lunch box by themselves “help them feel autonomous and competent and independent in the school setting,” Sarah Bren, a psychologist in New York, told HuffPost.

    Emotional regulation skills are also key, Bren said. “If a kid is feeling really anxious all day at school, you’re not going to take in anything even if you’re academically super ready.” Helping kids practice emotional regulation can begin with simply helping them recognize and name their emotions. You can encourage this by offering labels for their feelings: “You seem angry right now. Are you feeling angry?”

    Another way that you can help facilitate a smooth transition is to gradually move mealtimes, bedtimes and wake-up times so that the new schedule of the first day back doesn’t come as such a shock to the system. “You’re just taking the changes you have control over and moving them up in the schedule a little bit [so they’re] not all happening at once,” Bren explained.

    “You are transitioning from a more care-free and less scheduled lifestyle to a back-to-school mode, which is more regimented and scheduled,” Navsaria added.

    “Without the daily structure of school anchoring a family, it is easy for parents to become lax with some of these rules [in summer]. This is not a bad thing, consistently reinforcing routines can be exhausting for parents, but it is important to acknowledge that it then makes the transition back to school routines more challenging,” she said.

    Moving bedtimes back by 10- to 15-minute increments over a number of days can make this process easier.

    Feeling Overwhelmed

    One thing most parents confront at some point during the back-to-school transition is a feeling of being overwhelmed: open houses, lunch boxes, musical instruments, team uniforms and an endless series of online portals, each requiring a new user name and password.

    “This means more coordination of schedules and more communication of
    which to keep track,” Navsaria said.

    “This can often leave parents in this state of high alert, feeling that they are going to miss an important announcement or their child will be left out of an experience,” she added.

    The fear that we’re going to drop one of the balls that we’re juggling is very real — and it can help to admit this.

    Bren likes the following image: “In the air, there’s a million balls. Some are rubber and some are glass.” It can be helpful, she said, to put “a little thought into which are glass and which are rubber because I think sometimes as parents, we don’t let ourselves distinguish those two things.” Forgetting a violin or gym clothes, for example, are slips with minimal consequences — rubber balls that we can just let go.

    But if we don’t allow ourselves the possibility of dropping any ball ever, “we’re much more likely then to accidentally drop a glass one. … It’s not possible to keep all these balls in the air. But if I give myself permission to sometimes drop balls, I’m going to be much more likely to say which are the ones I can drop and which are the ones I can’t.”

    Samudio concurs, saying that one way for parents to reduce their stress levels is to hold themselves to more realistic expectations. An attitude of “everything is gonna go right as long as I planned it to a tee” is unrealistic, she said.

    “Somebody probably will forget their musical instrument. Somebody probably will at the last minute need to do a project and you’ll have to go to Staples and get all that stuff. All of this will happen.”

    “Being honest with yourself at the beginning of the school year” that such things will occur, Samudio said, and then not making a big deal about them when they do, can both lower your stress level and help teach your kids how to handle setbacks.

    The best way to teach them to go easy on themselves is to show yourself a little grace in such moments. “They can see that you’re telling them to be nice to themselves, and you’re beating yourself up all the time,” Samudio said.

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  • What If Therapy Could Be a Walk in the Woods?

    What If Therapy Could Be a Walk in the Woods?

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    There’s a special shade of green—somewhere in between a yellowy chartreuse and a loud neon—that hits the trees in Philadelphia each spring and summer. I had never noticed it before, this green that enthusiastically and bossily announces that it is green, but then again, I had never noticed a lot of things before this year, when I first began wandering into the woods. As soon as the new leaves started to sprout in April, a break from the browns and grays of winter, I could feel myself channeling my former ecotherapist, Lauren Kahn, while staring out into the forested distance. When we used to walk into the woods together, she would ask: “What do you notice? What do you see?”

    Like most local lore, my introduction to ecotherapy came by way of one of those cool friends who are always in the know while we shot the shit late one night. She had been looking for a therapist when she moved to the northwest part of Philly—the area that backs up against Wissahickon Valley Park, a 2,000-acre spread of rich woodlands and trails on Indigenous Lenape territory—and, via Google, happened upon the Psychology Today page for Kahn, whose professional photo was accompanied by several others of the leafy green woods. In her profile, Kahn wrote that she offered outdoor sessions, and that appealed to my friend, so she reached out and began doing therapy in the park with her. For me, after years of in-office therapy, then phone therapy, then my therapist eventually retiring in a waterfalling series of downgrades that came as a necessity of the pandemic, the thought of taking a walk outside with a licensed professional sounded ideal.

    woods nature

    Courtesy of author

    These sessions with Kahn—which my partner and I attended as couples therapy for a year—included short, slow-paced walks or seated sessions among the trees of the Wissahickon, with special attention paid to the natural surroundings. Sometimes, the three of us would wander to specific landmarks in the park—the stables to see the horses, the great beech tree, the rocky patch of land by the creek where people bring their dogs to play. While we walked, we would talk, sometimes loosely on a subject, other times picking up signs from the world around us, like the way the wind was blowing or if the sun was shining brightly. Much like traditional talk therapy, issues of family, partnership, and our relationship to ourselves, each other, and the world around us came up, but with the added benefit of movement, or sitting and literally touching grass. Often, Kahn would stop us for what she called “mini mindfulness moments”—if conversation was stalled or charged in any way, we could pause and take in some small detail of the park, admire a tree, or breathe in the smell of the leaves. Having spent most of my adult life in a constrained, tightly wound urban setting, it didn’t take long for me to learn how out of touch I was from nature.

    “When you take people outside for therapy, it kind of naturally happens that people begin to see nature a little differently. We do this mindfulness work and sometimes we will find interesting things that are occurring in nature, whether it [is] the weather, the change of seasons, the animals, the birds, the life cycle,” Kahn explains in an interview, after my partner and I had decided to pause therapy for a while. “What we think of as life—living to dying—happens in front of us very concretely. You see it. You experience it.”

    woods nature

    Iuliia Pilipeichenko//Getty Images

    Kahn says her practice of bringing patients outside initially began as a small ask a little over 10 years ago. She had a background in wilderness therapy and outdoor courses with children, and so when she began developing her private practice, every so often, she would ask her clients, “Would you like to go outside for your session today? Would you like to take a walk?” Then, she began to dig into more research around nature therapy and learned that there was a growing subset of practitioners in the field of psychology who prioritized the great outdoors. Inspired by and honoring Indigenous wisdom, Kahn began to see the deep promise and possibility of incorporating nature into her practice. When a colleague needed an office for a full day, Kahn decided to designate Wednesdays as the day when she would head outside for sessions. “I would [tell clients], ‘I see people outside on Wednesdays. Is that something you’d like to do?’ Almost everyone would say yes.”

    When the pandemic hit and her office closed, Kahn saw more clients outside than on Zoom. “Then, when our building opened up again, I went back to this tiny space because I had given my larger office to a colleague who was doing more indoor work, and it just didn’t feel right to me. There was a brick wall outside the window. I couldn’t see any trees. There was no good natural light,” she says. By then, Kahn had come to identify primarily as an ecotherapist.

    She sent her clients waivers requesting that they not hold her responsible for acts of nature, said goodbye to the office, and never looked back.

    This is an image

    While it can sound a bit woo-woo to work through emotional pain while clutching a tree, ecotherapy in its disparate forms has a long, entrenched history as a practice. “Indigenous peoples all over the world have been practicing earth-connected healing since the beginning of time, so it is very deep in our bones,” Ariana Candell, an ecotherapist based in California and founder of the Earthbody Institute, explains. “It’s deep in our body [and] deep in our spirit to have a connection with different parts of the natural world and to feel uplifted, to feel held, to feel safe.” Many of these traditions in the U.S. have long been buried, hidden, or remained underground, Candell says. The work that she and other ecotherapists are trying to do now is put people back in touch with how nature can be a source of healing.

    In 2019, a paper published Scientific Reports found that people who spent a minimum of 120 minutes a week in or around nature reported good health and well-being. For J. Phoenix Smith, a Washington D.C.-based ecotherapist and founder of The Alliance for Ecotherapy and Social Justice, that hardly feels like enough. “You have to fight for your nature time,” she says over the phone. When Smith conducts ecotherapy sessions, even over Zoom, she tells clients that their homework is to log 120 minutes of nature time a week as part of their work together. Pointing to research that indicates Americans spend 90 percent of their time indoors, Smith says—as opposed to a $200 massage or the latest wellness trend—getting out into nature can be a low-barrier, low-cost stress-relieving practice.

    The low barrier to entry, though, is still not low enough: therapy is expensive, frequently not covered by insurance, and due to the escalating mental health crisis in America, therapists of all backgrounds are in high demand. Access is one of the reasons that Laura Marques Brown, an ecotherapist based in Maryland, hosts her therapy sessions in partnership with Maryland Therapeutic Riding, a horse farm in Crownsville. “I don’t meet clients at a park or on a trail—because I can’t bill insurance if I do that. Insurance will literally deny claims if you are not associated [with] a location. And so that’s one reason why a lot of ecotherapists are out of pocket,” Marques Brown says. This workaround has helped Marques Brown develop her equine therapy practice, as well as build a relationship with the land that she brings her clients to. She’s familiar with the topography and what to expect when she brings people there, which makes doing the work that much more seamless.

    woods nature

    SusanneSchulz//Getty Images

    There are also questions of accessibility for ecotherapy—taking a walk in the woods might be less accessible than a Zoom call for people with disabilities. “If we are indoctrinated to believe that nature means a park or a trail, then we don’t get to experience the patch of grass in between the parking lot. We start to lose the value of that little tree just right outside my window. Even the power of having a house plant,” Marques Brown says. Many ecotherapists were faced with the challenge of doing their work during the pandemic when they wanted to continue seeing clients who were immunocompromised or preferred to remain virtual. “How can I help my clients do ecotherapy just by facing a window and letting the sun hit their face or by opening their window if they can?”

    These questions are part of the reason J. Phoenix Smith started the Alliance of Ecotherapy and Social Justice in 2020—as a means to have deeper conversations about ecotherapy, ones that go past only extracting from the land to satisfy our human emotional needs. “If we’re continually going to look at nature as something that we use for our own health and well-being and we are divorcing it from the social and political context and the need for climate justice and stewardship, then we are just continuing to repeat the same model that has led to the situation that we’re in today,” Smith says. Her organization focuses on fostering dialogue around accessibility, land stewardship, and political activism, so that this form of therapy doesn’t become prohibitively inaccessible.

    Marques Brown starts every initial session with her clients by acknowledging the land. “A client will come to MTR, and before their first session, I’m always like, ‘Okay, so we are on Piscataway Conoy land. These are people who heavily relied on their relationship to water and we are going to take a minute here to recognize their presence. It’s still here.’”

    Smith says that, while it’s not in the official job description of an ecotherapist to bring up the personal role people may play in Indigenous erasure, it can arise naturally. “I find that people become much more open and relaxed on the land than they do in a office,” Smith says. “Nature does the work for you in many ways. When I ask about their ancestral history and connection to the land, stories start to come out. Eventually, we get to Indigenous people because you’re gonna have to. How’d you come here? How’d they get this land?” Smith says she doesn’t need to belabor the point with people—chances are, if you’re interested in doing therapy on the land, you’re going to be open to talking about your relationship with the land.

    “When people fall in love with the earth, then they start to care more,” she says.

    woods nature

    Getty Images

    I would be lying if I said I didn’t come to ecotherapy originally to process some of the anxious feelings I’ve had related to climate change. For therapists like Candell, this is not uncommon. “It’s still a little bit taboo in our country to say, ‘Oh my god, I’m terrified of what’s happening to our planet,’” Candell says. As we spoke, she began to tear up. Candell is one of the many therapists who have been trained and certified in “climate-aware therapy,” a practice that brings knowledge and background about climate change into their work—no climate deniers welcome.

    “It’s a whole thing, because [certain clients] don’t want to bring children into this planet because they’re worried that it’s going to be so horrible in the next 10, 20, 30, 40, 50 years,” Candell says. “And that’s something that more and more climate-aware therapists are talking about. How do we support people with this? We take people’s concerns seriously.” From teachings learned from elders in the field, particularly Joanna Macy, Candell says that climate-aware therapists can help give voice to these concerns. “Climate grief is real and these feelings need to be talked about. They need to be felt, they need to be honored, validated, supported, because otherwise they’re under the surface. And when we sit on intense feelings, that’s never good for the body or the mind or the spirit.”

    Kahn, my former therapist, finds addressing those fears is even more helpful in nature, when you’re able to actually witness in real time what is currently at stake. “We often start the session talking about the weather—because from week to week it can be so different,” Kahn says. “People often talk about their concerns, their worries, their fears. Where are we headed? [Climate anxiety] often does become part of what people bring to therapy, more than when I was doing this work inside.”

    woods nature

    Courtesy of author

    In one of the last sessions we had with Kahn, she took my partner and I to the Discovery Center, a nonprofit nature-based organization that sits on a reservoir in Philadelphia’s Fairmount Park. There, walking around the reservoir and talking about an issue we had been facing in our relationship, I was struck by the birds gathering on the surface of the water, floating along peacefully. They were together, and I felt a longing to better understand them, in the same way that I was trying to better understand myself and my relationship. Climate anxiety had been occupying a huge part of my psyche for the past few years—in watching the birds gather on the water, I started to see the natural world differently. Like my relationship, I had to see my place in nature as an ongoing project, its own partnership that required investment, patience, and care. Being in nature consistently, while also talking about my feelings, presented me with lessons that I hadn’t ever been available to hear.

    Krista Nelson, a sixth generation Lenape grandmother who practices ecotherapy in Wissahickon Valley Park, says that much of her work deals with grief. Talking in nature helps people confront the constant cycles in life. “We know where we’re at, we know the damage that’s been done, but we aren’t certain about what comes next. And when we feel like there isn’t anything that we can do, we get that sense of hopelessness,” Nelson says. Walking through or sitting in the woods during different seasons teaches people to both love change and recognize its inevitability. “We talk about the illustration of death and dying and breaking down and new life coming out of death—life in the midst of death. There’s an opportunity for acceptance, and in the midst of that acceptance, a sense of hope and possibility.”

    For Nelson, honoring Indigenous wisdom is an essential part of loving the land. “Learning to speak the language, thinking, oh my gosh. Lenape lived here. In Pennsylvania. In the Wissahickon,” Nelson says of her experience sharing the Lenape language with her ecotherapy groups. “I’m still learning, but I allow for it to speak through me, to come to me—especially in the woods.”

    Lettermark

    Freelance Writer

    Dayna Evans is a writer in Philadelphia. You can read her work here.

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  • 11 Natural Depression Treatments

    11 Natural Depression Treatments

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    Being depressed can make you feel helpless. You’re not. Along with therapy and sometimes medication, there’s a lot you can do on your own to fight back. Changing your behavior — your physical activity, lifestyle, and even your way of thinking — are all natural depression treatments.

    These tips can help you feel better — starting right now.

    1. Get in a routine.If you’re depressed, you need a routine, says Ian Cook, MD. He’s a psychiatrist and director of the Depression Research and Clinic Program at UCLA.

    Depression can strip away the structure from your life. One day melts into the next. Setting a gentle daily schedule can help you get back on track.

    2. Set goals. When you’re depressed, you may feel like you can’t accomplish anything. That makes you feel worse about yourself. To push back, set daily goals for yourself.

    “Start very small,” Cook says. “Make your goal something that you can succeed at, like doing the dishes every other day.”

    As you start to feel better, you can add more challenging daily goals.

    3. Exercise. It temporarily boosts feel-good chemicals called endorphins. It may also have long-term benefits for people with depression. Regular exercise seems to encourage the brain to rewire itself in positive ways, Cook says.

    How much exercise do you need? You don’t need to run marathons to get a benefit. Just walking a few times a week can help.

    4. Eat healthy. There is no magic diet that fixes depression. It’s a good idea to watch what you eat, though. If depression tends to make you overeat, getting in control of your eating will help you feel better.

    Although nothing is definitive, Cook says there’s evidence that foods with omega-3 fatty acids (such as salmon and tuna) and folic acid (such as spinach and avocado) could help ease depression.

    5. Get enough sleep. Depression can make it hard to get enough shut-eye, and too little sleep can make depression worse.

    What can you do? Start by making some changes to your lifestyle. Go to bed and get up at the same time every day. Try not to nap. Take all the distractions out of your bedroom — no computer and no TV. In time, you may find your sleep improves.

    6. Take on responsibilities.When you’re depressed, you may want to pull back from life and give up your responsibilities at home and at work. Don’t. Staying involved and having daily responsibilities can help you maintain a lifestyle that can help counter depression. They ground you and give you a sense of accomplishment.

    If you’re not up to full-time school or work, that’s fine. Think about part-time. If that seems like too much, consider volunteer work.

    7. Challenge negative thoughts. In your fight against depression, a lot of the work is mental — changing how you think. When you’re depressed, you leap to the worst possible conclusions.

    The next time you’re feeling terrible about yourself, use logic as a natural depression treatment. You might feel like no one likes you, but is there real evidence for that? You might feel like the most worthless person on the planet, but is that really likely? It takes practice, but in time you can beat back those negative thoughts before they get out of control.

    8. Check with your doctor before using supplements. “There’s promising evidence for certain supplements for depression,” Cook says. Those include fish oil, folic acid, and SAMe. But more research needs to be done before we’ll know for sure. Always check with your doctor before starting any supplement, especially if you’re already taking medications.

    9. Do something new. When you’re depressed, you’re in a rut. Push yourself to do something different. Go to a museum. Pick up a used book and read it on a park bench. Volunteer at a soup kitchen. Take a language class.

    “When we challenge ourselves to do something different, there are chemical changes in the brain,” Cook says. “Trying something new alters the levels of [the brain chemical] dopamine, which is associated with pleasure, enjoyment, and learning.”

    10. Try to have fun.If you’re depressed, make time for things you enjoy. What if nothing seems fun anymore? “That’s just a symptom of depression,” Cook says. You have to keep trying anyway.

    As strange as it might sound, you have to work at having fun. Plan things you used to enjoy, even if they feel like a chore. Keep going to the movies. Keep going out with friends for dinner.

    11. Avoid alcohol and other drugs. Substance misuse is common in people who have depression. You may be more likely to turn to alcohol, marijuana, or other drugs to deal with the symptoms of your depression. It’s unclear if drinking and using drugs causes depression. But long-term drug use could change the way your brain works and worsen or lead to mental health problems.

    When you’re depressed, you can lose the knack for enjoying life, Cook says. You have to relearn how to do it. In time, fun things really will feel fun again.

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  • Care Counseling Hosts Virtual Session Discussing Teen Mental Health Amid Rising Concerns About Anxiety and Depression

    Care Counseling Hosts Virtual Session Discussing Teen Mental Health Amid Rising Concerns About Anxiety and Depression

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    Press Release


    Apr 7, 2023 09:00 EDT

    During National Mental Health Awareness Week, CARE Counseling is partnering with Newport Healthcare to raise awareness about adolescent mental health by hosting a free virtual event on Wednesday, May 10, 2023, at 6:00 p.m. CST.

    Dr. Heidi Bausch Ryan, Psychologist and Clinical Director of Training at CARE Counseling, along with Ryan Federoff, M.Ed., Vice President of Education at Newport Healthcare, will speak on key signs of mental health concerns in high school students and how to talk with teens about seeking help. They will also provide helpful tools for supporting teens struggling with mental health.

    Studies show anxiety and major depressive episodes are on the rise in teens. Reportedly, six out of 10 high school students will have a major depressive episode. Teaching parents and educators how to recognize the signs and help support students is crucial to deescalate depressive episodes. During the informational awareness session, Dr. Heidi and Ryan Federoff will also share how to connect teens with mental health services and explain the process of finding care, scheduling services and what the first few care sessions may entail.

    All are welcome to attend! This informational event is designed for parents of high schoolers, high school counselors, high school administrators and high school teachers seeking ways to understand and support adolescent mental health and well-being. Registration is available for this free event at https://care-clinics.com/teenevent

    ***

    CARE Counseling operates out of seven locations in the Twin Cities and virtually serves the entire state of Minnesota. It staffs over 250 highly trained professionals, serving the mental health needs of the community with hour-long talk therapy sessions. Learn more about CARE and the services they provide: CAREcounseling.com 612-223-8898

    Currently, CARE Counseling supports the community with one-hour talk therapy for all Minnesotans. They believe therapy should be accessible for all, which is why they accept all major Minnesota insurance brands and strive for same-week availability to see a clinician.

    Source: CARE Counseling

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  • Talking With Your Child About CPP

    Talking With Your Child About CPP

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    Some kids seem to grow up faster than others. That’s even truer if your child has central precocious puberty (CPP). That’s sexual maturity that starts before age 8 in girls or age 9 in boys.

    Puberty can affect how your child looks, feels, and acts. And when it happens too early, kids may get confused or embarrassed. You and your doctor can help talk them through the process.

    Here are some topics to bring up. 

    Body Changes

    Often, it’s not a medical problem that causes CPP. It’s just an early start to a natural part of life. Jami Josefson, MD, an endocrinologist at Ann & Robert H. Lurie Children’s Hospital in Chicago, says that’s something you should tell your child.

    “They may be the first one to have some body changes, and that’s OK,” Josefson says. “Let kids know there’s nothing wrong with them, this is just the way it goes. Soon, everybody else will have these changes, too.”

    Josefson suggests parents read about puberty with their child. There are lots of books to choose from, but she likes the Care & Keeping of You series by the American Girl doll company.

    Alla Vash-Margita, MD, chief of pediatric and adolescent gynecology at Yale Medicine, agrees that your child should know what’s happening to their body. You can tailor your talks based on your child’s level of maturity and age.

    In her practice, kids who are 7 or older usually understand the word puberty, but a 4-year-old may not. So for younger children, she’ll say they’re going through a “transition” from their childhood to teenage years.

    Vash-Margita, who treats girls and some transgender boys, says she also explains everything from breast development and growth spurts to pubic hair and periods. Sometimes she’ll use teaching aids.

    “I have lots of pictures in my office, so I show them what a body of a child looks like and the body of a girl who has had puberty.” 

    Medication

    It’s pretty common for kids with CPP to take drugs known as puberty blockers, Vash-Margita says. One of the main reasons is because early puberty shortens the window kids have to grow taller. Treatment can stop the brain from telling the pituitary gland to make the sex hormones testosterone and estrogen. If taken before puberty ends – something doctors figure out based on bone growth – medication can pause or reverse the maturing process until your child is older.

    Medical tests and treatments can be a little scary for kids. So Vash-Margita tells them why their puberty is early and why they’ll stop it. She uses illustrations to show how the brain, ovaries, and uterus all work together.

    Then she points out, “In your case, the brain started sending signals to your ovaries, and your ovaries started producing another hormone, and this hormone is making all these changes in your body, and we can give you medication to block that process.”

    It can be hard for really young children to grasp all that. So Vash-Margita sometimes just tells kids that medicine will slow some body changes down and “allow you to look just like your classmates and friends.”

    Emotional Challenges

    Girls who develop earlier than their friends may become self-conscious. “Developing breast buds when you’re 4 or 5 is stressful,” says Vash-Margita.

    On top of body changes, kids with CPP might have mood swings.

    Talk to your doctor if your child isn’t ready for puberty.

    “One of the goals of therapy is to keep girls from having a monthly menstrual cycle,” Josefson says. “Which, when girls are really young, can be a challenge to understand emotionally and also from a hygiene perspective.”

    Josefson says puberty blockers can “put everything on pause to prevent kids from developing and appearing older than their age.” 

    And let your child know they can come to you if they’re feeling low. Make sure to ask them how their schoolwork and friendships are going, too. Reach out to a mental health professional any time you or your child needs some extra help. Josefson says a social worker or therapist can help your family talk through some of the fears and anxieties around CPP.

    Keep in mind that CPP might be a little tougher on transgender children – those who don’t identify with the sex they were assigned at birth. Josefson says most kids with CPP are comfortable with their gender identity. But early puberty can be extra confusing or unwanted for those who aren’t.

    Talking to Others About CPP

    It’s important to have honest talks with your child and their doctor. But this kind of information is private, Josefson says, and you don’t have to share details with anyone else.

    If your extended family or child’s teachers bring the subject up, “you just say the child is tall for their age or this is how development runs in our family,” she says. “It’s kind of none of their business.”

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  • What’s Seasonal Affective Disorder? (Defeating SAD!) | Nerd Fitness

    What’s Seasonal Affective Disorder? (Defeating SAD!) | Nerd Fitness

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    Winter is approaching and with it comes SAD.

    No, I don’t mean the emotion (although that’s part of it).

    I’m talking about Seasonal Affective Disorder.

    Luckily, we have some tips and tricks for treating SAD that our Online Coaching Clients use. Today, we’ll share them with you too.



    Here’s what we’ll cover:

    Disclaimer: We’re going to be discussing some issues that may be difficult for some going through a tough time. If you (or someone you know) aren’t coping so well, PLEASE see the links at the bottom of this article with some resources from all around the world. Obviously, we recommend discussing this information with your health professional – none of this is a diagnosis, but rather a starting point for discussion.

    BUT, armed with the right weapons, we can ward off the winter monster, or even keep it in full hibernation.

    From here, mental health wizard and resident NF Family Rebel Correspondent, Dan Schmidt, will take it away:

    What is Seasonal Affective Disorder?

    As Coach Jim mentions in the video above, Seasonal Affective Disorder (SAD) is a mood disorder that, spoiler alert, has a seasonal pattern. 

    (Plus, it’s a really clever acronym.)

    It’s also known as:

    • Winter depression
    • Winter blues
    • Seasonal depression.

    In a nutshell, SAD makes people with ‘normal’ mental health experience depressive symptoms at a specific time each year – most often winter.

    Charlie Brown saying "I always end up feeling depressed."

    SAD can be a cruel, powerful, and damaging arctic foe.

    But armed with the right weapons, we can ward off the winter monster, or even keep it in full hibernation.

    How Do I Know if I have SAD?

    This picture shows Mario acting a little SAD

    Most of us feel a little glum in winter…it’s natural to feel a little down.

    Cold mornings, less time outside, and often it’s not as easy to get out and do our favorite things:

    A gif of an RV outside

    So for a lot of us, winter just sucks a little. 

    We’ve known something was up since the 6th century, but SAD remained a mythical creature until the 1980s in the West when it became officially recognized as a mood disorder. While we’re still not 100% sure of how it works; it’s pretty clear to see that SAD especially thrives in cooler, darker climates.

    For example, studies show[1] SAD’s prevalence in the U.S. ranges from around 1% in Florida to 9% in Alaska. Looking around the world, in Oslo, Norway, around 14% of the population will be impacted by SAD,[2] while us lucky buggers Down Under are barely impacted at all, with estimates that only around 1 in 300 Aussies (0.33%)[3] will experience SAD during the “winter.”

    A picture of a sand "Snowman" that says "meanwhile in Australia"

    Yes, SAD can occur for some people during summer and other seasons, but this is particularly rare compared to winter prevalence.

    Common SAD symptoms include:

    • low mood for most of the day.
    • loss of interest in your usual activities.
    • drowsiness and low energy (lethargy).
    • fatigue, irritability, and severe mood swings.
    • Irregular sleep patterns (too much and/or too little)
    • eating more than usual, especially craving sugar and carbohydrates, leading to weight gain.
    • loss of interest in things you normally enjoy doing.
    • intrusive or disturbing thoughts.

    Depression is not just a fancy word for feeling “bummed out”, and SAD is just as serious as any other depression and needs to be dealt with promptly and effectively. (See the end of the article for a list of mental health services links.)

    “But how do I know the difference between general winter glumness, or if I’m being mauled by the SAD beast like Leo in the Revenant?”

    This gif shows a man being attacked by a Bear, cartoon style.

    Ask yourself these questions:

    • “Do you feel like you can’t get yourself out of this rut?”
    • “Have you lost an interest in things that you usually enjoy?”
    • “Have you felt this way for more than two weeks?”

    If so, then it could be time to have a chat with a professional and perhaps seek treatment. Once again, SAD is just as real and can be just as devastating as Major Depressive Disorder; the only difference is the yearly regular onset.

    This bitter beast can take over someone’s entire well-being, and if left untreated, the consequences can be devastating.

    So let’s learn how we can slay the SAD, or even better, keep it in hibernation this year, so we nerds can continue to conquer all year round.

    What is the best treatment for Seasonal Affective Disorder? (Slaying the SAD Beast)

    A picture of a Games of Thrones bobblehead, who is about to slay the SAD monster.

    As with any injury or illness boss battle, you need to use the right medicine weapon to save the day. And there are many weapons you can equip yourself with to slay SAD.

    Here is how to treat Seasonal Affective Disorder: 

    #1) GET SOME LIGHT

    Light helps the body produce serotonin (hormone that affects mood) and reduces the production of melatonin (hormone that makes you sleepy).[4]

    Starting with natural light is best, even though it’s not always easy. If the sun happens to be peeking out from the clouds, try and get outside for a nice walk. Even on cold or cloudy days, outdoor light can help, particularly in the morning. Just make sure you bundle up properly. The Norwegians have a saying “There is no bad weather, only bad clothing!”

    Also, making your work and home environments as light and airy as possible and sitting near windows can help too. 

    A gif of someone opening a window to help with SAD

    If you feel you’re just simply not able to get enough natural light, ‘Light Therapy’ is generally one of the first weapons picked up to slay SAD.[5] It can start alleviating symptoms in just a few days. It’s incredibly simple, and sitting under bright fluorescent globes or in front of a therapy lamp (again, particularly in the morning) has shown to be effective against SAD[6] (Anecdotal, but I once met a young woman who started to feel better just by increasing the wattage of her bedroom light globes).

    Be forewarned that Light Therapy is not appropriate for everyone, including people with bipolar disorder – talk to a professional if this is a route you want to take.

    #2) EXERCISE AND DIET

    Surprise, surprise, our old friends come to the rescue once again. It’s clear[7] that exercise is key in keeping the blues at bay, so rug up and take a long walk, and be sure to work out when possible.

    Gonzo knows he has to eat protein to match his strength training goals, but he doesn't eat chicken, for obvious reasons.

    Exercise and other types of physical activity help relieve stress and anxiety, both of which can increase SAD symptoms.

    If you’re really keen to take on winter, try the Winter Is Coming Workoutand start building that summer body early. For those who don’t like the freezing weather, that’s cool (get it?), you can always do Steve’s 20-minute hotel room workout (pro tip: you don’t actually need to be staying in a hotel room to do the workout… that was $250 I’ll never get back).

    As for nutrition – while there is no well-established link between healthy nutritional practices and a reduction in SAD symptoms. BUT, studies HAVE shown links between healthy eating – like the Mediterranean diet – and a decrease in general depression.[8]

    So anything we can do to eat healthy this time of year may certainly help.

    Plus, Steve has already highlighted that if you’re going to eat unhealthy foods during winter, let’s at least be smart about it and negate the impact the holidays have on our waistlines. Try your best to provide a counterbalance to those comfort foods, and keep your diet as close as you can to what it is the rest of the year.

    #3) GET SOME VITAMIN D

    When exposure to sunlight is low, your body makes less Vitamin D.[9] According to this study,[10] Vitamin D deficiency affects nearly HALF of the world population. It is important for overall health. Our friends over at Examine say that if your diet is decent and there’s only one supplement you’re taking, it should probably be Vitamin D during these upcoming months.

    The research is a little mixed when it comes to Vitamin D’s effectiveness in battling SAD,[11] but some studies[12] do show an improvement to everyone’s depression scale scores (those with or without SAD). Overall, if you aren’t getting enough sunlight in the winter, consider picking up some Vitamin D!

    Recommendations differ for the amount of Vitamin D needed – or if you even need it – so further blood work and a talk with your doctor is a good choice here.

    #4) MEDITATE

    Meditation has been shown to help alleviate symptoms of depression.[13] Now, you don’t have to shed all your worldly possessions and go live in the mountains:

    Aang from the Last Airbender meditating

    But if you’re suffering from the winter blues, a simple mindfulness practice may help. Even just a few minutes a day can go a long way.

    If you want, Nerd Fitness Journey has a meditation adventure to help you build up the habit.

    It’s free to try, right here:

    #5) EMBRACE THE SEASON

    Going back to foreign sayings – there’s a Danish concept of “hygge.”

    While there’s no direct English translation, it essentially means coziness and comfort

    Things like:

    • Wrapping yourself up in a blanket.
    • Enjoying a good book.
    • Or sitting by a warm fire.

    Garfield sitting by fire

    So instead of lamenting the change of seasons – EMBRACE these other experiences that we get to enjoy.

    #6) THERAPY

    Talk Therapy (Psychotherapy) and cognitive behavioral therapy sound scary but really aren’t.

    Psychotherapy focuses on helping you to build skills to deal with the stresses in your life, along with identifying and changing negative thinking patterns.

    Therapies such as these assist with relearning some of the patterns and thoughts in your life that aren’t doing you any good.

    (You can read the Nerd Fitness Guide to Mental Health for more info.)

    It can feel daunting and really weird ‘opening up’ to a stranger at first.

    But having a coach to talk through your negative thoughts and feelings, someone who can teach you to manage those better, is generally quite effective.

    Most people will notice an improvement in as little as two weeks. Really, the “weird” stigma is usually the biggest barrier to even doing the thing in the first place!

    #7) MEDICATION

    Finally, some people with SAD benefit from antidepressant treatment, especially if symptoms are severe. We’re not here to offer any medical advice, so please see your doctor if you think medication may assist you.

    Moving forward with SAD (This too shall pass)

    A picture of Link in the sun, who overcame SAD

    It’s normal to have some days when you feel down, and the holiday season can be especially hard for some.

    When short days and miserable weather are piled on top of this, it’s easy to see why ‘winter blues’ is so common. But if you feel down for days at a time and you can’t get motivated to do activities you normally enjoy, please speak to someone and see your doctor. This is especially important if your sleep patterns and appetite have changed, you feel a sense of hopelessness, you have intrusive thoughts, or you turn to alcohol/substances for comfort or relaxation.

    Above all, take care of yourself this winter: 

    • Be sure to get enough rest, and take the time to relax.
    • Participate in an exercise program or engage in another form of regular physical activity.
    • Get outside when you can.
    • Make healthy choices for meals and snacks when possible.
    • Reach out to a trusted friend, family member, or health professional if you feel you’re having a tough time.

    And if someone reaches out to you, rememberWe are Rebels, we fight conventional wisdom and smash stigmas. Never leave a fellow nerd behind.

    The Rock saying "we have to do this together"

    If you feel the bitter, arctic beast starting to rise from its summer slumber, remember that you are not alone, and there are ways to slay the frosty fiend. You are strong enough to beat this, and the entire Rebellion has your back.

    Want a little more from us?

    If you want to continue your journey with Nerd Fitness, we have three great ways for you to do so:

    #1) Our Online Coaching Program: a coaching program for busy people to help them make better food choices, stay accountable, and get healthier, permanently.

    You can schedule a free call with our team so we can get to know you and see if our coaching program is right for you. Just click on the button below for more details:




    #2) If you want an exact roadmap for getting fit, check out NF Journey. Our fun habit-building app helps you exercise more frequently, eat healthier, and level up your life (literally).

    Plus, we have Missions specifically designed to help you stay active, no matter what the weather is like outside.

    Try your free trial right here:

    #3) Join the Rebellion! We need good people like you in our community, the Nerd Fitness Rebellion.

    Sign up in the box below to enlist and get our Rebel Starter Kit, which includes all of our “work out at home” guides, the Nerd Fitness Diet Cheat Sheet, and much more!

    Alright, that does it for me. Rebels, take care of yourself and each other.

    Do you have your own secret weapon to slay the SAD? We’d love to hear from all you Rebels about how you keep your mind healthy during winter; the more ideas we all have, the better! Let us know in the comments!

    – Dan

    PS – If you, or someone you know, would like further support, here are some excellent links and services that will get you started in the right direction:

    ###

    Photo source: lilu330 © 123RF.com

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  • Advice to Adjust to Life

    Advice to Adjust to Life

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    Idiopathic hypersomnia (IH) is a sleep disorder without a cure. It’s not well-understood. Even experts don’t know what causes it.

    Your sleepiness might get in the way of your daily life. When that happens, you might find that people around you don’t get how hard your symptoms are to manage.

    But remember that IH is a medical condition. It’s not your fault.

    “It’s really important that people realize they are not their illness,” says Lynn Marie Trotti, MD, associate professor of neurology at Emory University School of Medicine in Atlanta. “Their illness is a thing that has happened to them.”

    Your doctor can help you come up with a treatment plan. You might need medication, talk therapy, or lifestyle changes. It can be a challenge to adjust to life with IH. But there are strategies that can help.

    Make Sleep a Priority

    Most adults need about 7 to 9 hours of sleep every day.  But people with IH are different.

    “They can sleep more than 11 hours every single night,” says Sabra Abbott, MD, assistant professor of neurology and sleep medicine at Northwestern Feinberg School of Medicine in Chicago.

    You may not feel very awake even if you sleep a lot. But you still need to get a good night’s rest. The effects of not getting enough sleep will likely hit you harder than someone who doesn’t have IH.

    “Sleep is less of an optional thing,” Abbott says. “Not that sleep is optional for anybody, but [people with IH] are going to be much less likely to be able to function well if they [stay up late] and only get 5 to 6 hours of sleep.”

    Get Help at Work and School

    Abbott says she knows some people with IH who’ve tried all kinds of alarm clocks, yet they still oversleep.

    “We’ve gone through all the technology that’s out there: the alarm clock that jumps off the table and rolls across the room, the alarm clock that requires you to do math equations to turn it off.”

    If you have trouble waking up in the morning, Abbott says you should put some workplace accommodations in place. That could be a flexible or later start time or a conversation with your boss to raise awareness about IH. It’s important for your employer to know your tardiness is due to a medical condition, she says, not “laziness or irresponsibility.” 

    The same goes for school. If your child has IH, their teacher or an administrator should be aware of their condition. They might be late sometimes because they “literally couldn’t wake up,” Trotti says.

    IH can affect learning in other ways. Trotti says it can cause symptoms such as brain fog, poor memory, or trouble concentrating. So when it comes to longer classwork, she says it can be really helpful for people with IH to get extra time or breaks.

    “I have [people] who need to stand up during prolonged classes or tests to help them stay awake,” she says. “Sometimes people will have a small snack. Anything to try to maintain alertness.”

    Try Behavioral Therapy

    Cognitive behavior therapy (CBT) is a type of talk therapy. The goal is to change unhelpful thoughts and behaviors to boost your quality of life. These techniques should fit alongside other kinds of medical treatment for IH.

    CBT might work for you in a few different ways. It might:

    Help reframe your thoughts. Abbott says many people with IH “spend their whole lives being told, ‘Oh, you’re lazy; you don’t try hard enough; you’re not doing the right things.’” She says it can be helpful to think about IH as a biological disorder. That’s something a counselor can help you do.

    Ease anxiety and depression. There’s plenty of evidence that CBT can ease mental health symptoms for all kinds of ongoing illnesses. That’s good news because “there’s a lot of overlap between almost all sleep disorders and anxiety and depression,” Abbott says. “As you probably know, if you don’t sleep well, you don’t feel very well. And if you don’t target one, then the other one is going to get worse.”

    Manage your time. Psychologist Jason C. Ong, behavior sleep medicine director for Nox Health and adjunct associate professor of neurology and sleep medicine at Northwestern Feinberg School of Medicine in Chicago, created a pilot program called CBT for hypersomnia (CBT-H). His early research shows that people with IH can get more done while sleepy when they break up their day.

    “People with hypersomnia might not be able to approach the day like others do — in one big chunk — because they get sleepy much faster,” Ong says. “By splitting up the day into smaller chunks of time, it becomes more manageable and easier to take corrective action.”

    Ong’s CBT-H program isn’t widely available just yet, though he says some therapists are using it. But based on his research, you should: 

    • Keep a diary of how you spend your day.
    • Rate how sleepy you are throughout the day.
    • Divide your day into blocks: morning, afternoon, and evening.
    • Find ways to manage your energy during those smaller chunks.

    Ask your counselor about ways to recharge and stay alert. That might include:

    • Medication
    • Exercise
    • Light exposure during the day
    • Relaxation techniques, such as mindfulness

    Unlike people with narcolepsy, experts don’t suggest daytime naps for people with IH. In fact, if you do take a nap, you may get “sleep drunkenness” afterward. That means it’ll be really hard to wake up or you may get a strong urge to go back to sleep.

    Educate Those Around You

    IH can feel like you’ve taken a sleeping pill that never wears off. But people without a sleep disorder may not grasp what that really feels like for you. That’s because “sleepiness is the sort of thing that every human being has experienced at one time or another,” Trotti says.

    “It’s easy for people without hypersomnia to say, ‘We all get sleepy. Just suck it up. Have some coffee and take a nap.’”

    You might be able to shed some light on your symptoms if you bring your loved ones to your appointments. Your doctor can go over why everyday strategies don’t work for you, and they can explain how your sleepiness isn’t something under your control.

    “When I have the opportunity in that setting, I try very hard to make it clear that this is a disease that has happened to someone,” Trotti says. “This is not something that someone is doing to themselves.”

    Find Support

    You might feel less alone if you connect with others who know what you’re going through. “Especially since people who are diagnosed with idiopathic hypersomnia — it’s something they’ve never heard of before,” Trotti says.

    Search for support through national organizations such as the Hypersomnia Foundation or online through social media. Ask your health care provider or social worker if there are groups in your area that can help. 

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  • First Responders Resiliency, Inc. Launches Capital Campaign for New Center

    First Responders Resiliency, Inc. Launches Capital Campaign for New Center

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    New Facility Will Provide Greater Level of Services to First Responders Nationwide

    Press Release



    updated: Apr 14, 2021

    First Responders Resiliency, Inc. (FRRI), a ground-breaking nonprofit dedicated to training first responders and their families, is pleased to announce a Capital Campaign to build the first-of-its-kind First Responder Resiliency Center in Sonoma County, California.

    Founded in 2018, FRRI’s award-winning, proactive behavioral wellness program has since signed a two-year contract with CAL FIRE, trained more than 4,200 first responders and their families nationwide, and is set to train nearly 1,000 more before the end of 2021. With the support of researchers, nurses, doctors and therapists, the program is run entirely by retired first responders who realized the reactive programs offered to them in the past were not creating lasting change to rates of depression, disability or suicide within the first responder community.

    This center will profoundly transform the lives of first responders by providing a designated location for first responders to receive the support they so desperately need to mitigate the effects of Post Traumatic Stress Injuries. First responders will continue to benefit from their centralized conferences, educational programs, physical resiliency training and immediate access to trauma therapists, holistic modalities, support groups and workers comp assistance.

    The campaign was launched by an anonymous donation of $100,000 with the hopes of raising nearly $9 million to complete the center.

    Donations are being collected through GoFundMe.

    Learn more about the Resiliency Center at www.resiliency1st.org or contact First Responders Resiliency, Inc. at info@resiliency1st.org for more information.

    Source: First Responders Resiliency, Inc. (FRRI)

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  • Biofeedback Therapeutic Wearable for People With ADHD

    Biofeedback Therapeutic Wearable for People With ADHD

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    Press Release



    updated: Jul 22, 2019

    Our Mission

    Many children and adults with Attention Deficit Hyperactive Disorder (ADHD) have difficulties managing their symptoms. It can be very challenging for these individuals to succeed in school, in their careers and can have struggles with their personal relationships. Matt Giordano, President of Drum Echoes, Inc., is no stranger to these challenges. Matt was diagnosed with ADHD and Tourette syndrome when he was 5. Matt and his team have decided to do something about the struggles many people with this common disorder are going through. He and his team are developing a patent pending personal biofeedback device for individuals with ADHD to assist them with self-management by using a variety of effective therapies and techniques. This device will detect stress levels in real time through the use of biofeedback sensors. These sensors will function in conjunction with the therapeutic features for the most optimal results. The goal is to help these individuals function more independently, achieve higher grades in school, increase work productivity, have better relationships and improve their overall quality of life.

    Matt’s Experiences and Discoveries

    Matt started having his first symptoms of Tourette Syndrome and ADHD at the age of 2. He also started playing the drums when he was 2 and shortly after that, he learned how powerful music and the arts can be. His symptoms disappear when he plays the drums! Music and the arts are a great way for him to organize and express his thoughts and feelings. It helps to increase his level of focus and confidence. Most art forms require a form of collaboration and Matt’s drumming allowed his peers to see past his symptoms. They gained a higher level of understanding, acceptance and appreciation for Matt as a quality individual that resulted in lasting relationships. Many people with ADHD are gifted in the arts and have similar experiences. 

    Matt’s mom gained a great deal of knowledge from working with Matt to overcome many extreme challenges he had as a child. As a result, she became the Education Specialist for the Tourette Association of America since 2003. During those years, Matt has witnessed his mom helping thousands of children in many schools across the United States. He has learned what kinds of services need to be provided by schools for their students with Tourette Syndrome and ADHD. A countless number of children she has supported, appeared to have a hopeless future until she collaborated with the schools to provide the needed services.

    In 2003, Matt started his company Drum Echoes, Inc. to give back what the arts and his community have given to him. His drumming work and personal story have received media attention by the BBC, PBS Nova and was written about in the New York Times bestseller book titled Musicophilia by the highly respected author and neurologist, Dr. Oliver Sacks.  Matt has provided his drumming workshops for thousands of children and adults with ADHD throughout the United States, Canada, Puerto Rico, and Australia. During that time, he has learned the most common struggles this vast population are experiencing in their schools, workplace, social lives and families. He has also learned the most effective therapies and coping techniques for these individuals. It is those therapies and techniques he has carefully chosen to integrate into this new wearable technology.

    FAQ’S

    • ADHD is the most common neurological disorder in the U.S.
    • 9.4% (6.1 Million) children ages 2-17 in the U.S. have ADHD
    • 4.4% (8 million) adults in the U.S. have ADHD  
    • Productivity and income losses $87-$138 billion
    • Overall costs of adults with ADHD $105-$194 billion
    • Untreated adults with ADHD lose an average of 22 days of productivity per year 
    • 25-40% adults in the criminal justice system have ADHD 

    Studies

    • 98 music therapy case studies on children with ADHD averaged 4.1 overall effectiveness on a scale of 1-5
    • Arts Integration Education, 2009-2012 Students achieving or surpassing standards for reading grew from 73%-81%, Math 62%-77%, 2009-2011 disciplinary problems decreased 23%

    We need your help!

    We need funds to take this concept into a working prototype, to beta testing and into the lives of millions of people who need it. 

    • $15,000 to pay license therapists to finish the specs for the therapeutic features. 
    • $15,000 to pay license therapists to study the results of the working prototype during the beta test phase.
    • $250,000 (Estimated) to pay product design company during all phases of development.

    Please donate and help make a difference! We are open to potential investors. Matt has two patents pending, renderings, a solid business plan, an investor presentation and an impressive professional team who are eager to continue working on this wearable technology! 

    Initial target market are individuals with ADHD. However, this product will be effective and sold to many other large markets such as seniors and the disabled for independent living, education, many emotional and neurological disorders, therapeutic and medical monitoring and research, physical therapy, health and fitness, simulation training and research, NASA, gaming and more!

    Please donate by clicking this GoFundMe link below:

    https://www.gofundme.com/f/drum-echoes-biofeedback-wearable-for-adhd&rcid=r01-156307925494-645bf50bf7c040c1&pc=ot_co_campmgmt_w 

    Matt Giordano

    Phone: 585.487.9954

    Email: Matt@drum-echoes.com

    Website: drum-echoes.com/tech-products

    Thank you!

    Source: Drum Echoes

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  • App Gives $500 Monthly to Encourage People to Build Their Own Support Community

    App Gives $500 Monthly to Encourage People to Build Their Own Support Community

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    Press Release



    updated: Feb 1, 2017

    Mike Bardi, Co-founder of a mental health app, Project Toe, announced today a new initiative designed to grant $500 every month towards helping people build their own support group within the app.

    This represents the next phase of the Project Toe app, which is designed to help people dealing with life struggles such as depression, thoughts of suicide, self-harming behavior, addiction, and a host of other life-challenging conditions. The app—which is free— works with either iTunes or Android and allows individuals to join or create a support group. The premise behind the new program is that Project Toe will give $500 to the support group that reaches the most people in their community. “We call it social-therapy,” says Mike Bardi. “It is the idea that we can leverage both technology and our own personal struggles to help those currently going through something similar today.”

    “The story began with two friends walking on the beach.”

    Mike Bardi, Co-founder

    Introduced in 2015, the Project Toe app currently has over 6,000 active users and 3,000 support groups worldwide. Participants can use the app in a variety of ways. They can join a support group that reflects their particular issue, create a new support group, share their life story by creating a post, or chat one-on-one. Participants can also agree to engage with an online therapist if they so desire for a low fee. There is also a “grateful wall,” which allows participants to express their positive thoughts towards other members of the community.

    Mike Bardi is also the author of “The Word Toe: How One Word is Redefining Mental Health” .

    According to Bardi, “the story began with two friends walking on the beach. One of the friends wanted to have a non-confrontational way to let the other know she was feeling troubled without having to directly ask him for help.” Bardi’s vision is to improve mental health around the world by empowering people to help one another cope with life challenges such as anxiety, stress, loneliness, or any challenge that we all face throughout our lives. 

    Media Contact: 
    Mike Bardi
    Phone: 267-614-4377
    Email: mike.bardi@projecttoe.com

    Source: Project Toe

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