Enjoy The Holidays

As I sit here passing out Halloween candy, I have caught myself thinking about the other holidays that are fast approaching. The wonderful big meal my family prepares at Thanksgiving, my favorite holiday Christmas, and the fact that I will have the opportunity to spend time with my family and friends.

Thanksgiving, if you are not the organizer of the family/friend gathering, the chef, or traveling, is more or less stress free. However if you are performing one of these tasks, Thanksgiving can be quite stressful. Then comes the December holidays. With Christmas comes the stresses of planning, cooking, traveling, different holiday parties, decorating, gifts and a hundred other little things.

However, remember when the holidays were nothing but joy, family, celebration and love? Holidays can be that again, the thing to remember is to manage your stress so that you can enjoy yourself. Here are some helpful tips to help you with holiday stress:

1. Be sure to take care of your health. While the holidays are filled with great food, limit your portions instead of stuffing yourself, make sure to limit your "junk" food intake, and get plenty of sleep.
2. Utilize exercise, meditation and relaxation techniques. Whether you take a walk around the block, hit the gym, utilize Yoga or Tai Chi, or implement deep breathing or guided imagery.
3. There are two different types if time management skill that are important. First, be sure to coordinate with each family members' schedule of holiday events. Also set a schedule to assist you in accomplishing whatever tasks you need to do. Second, take time for yourself. Sometimes there can be TOO much togetherness with family and friends. On the flip side, do not isolate yourself, be sure to engage with your family and friends. The key is to find a healthy balance.
4. Finally, understand that it is okay to say "no." For example, if you do not have the time to bake cup cakes for your child's class, say so. Or compromise and buy already-made ones from the store. One of the fastest ways to increase your stress level is to take on responsibilities that you cannot handle.

Hopefully you will find these tips helpful this holiday season, and be able to enjoy yourself to the fullest. Let the holiday seasons begin!

Codependency

     Have you ever found yourself frustrated in a relationship, had that "stuck" feeling and wanted things to be different but have no clue how to change?  This is a common trait of those who find themselves reacting to those they love in ways that either take care of them, gripe, whine and cry at them or generally have hurt feelings because of the way the are treated (or not treated) by their significant other.  The relational trap referred to as codependency, is very unconcious.  It creates a pattern in which one finds themselves reacting instead of choosing to ct in a mindful and concious way.  It results in one being limited to behave in one of three roles:  caregiver (enabler, rescuer), victim (martyr), or abuser (bully, intimidator, whiner, griper). 

 When one is limited to one of these three roles in their significant relationships, one tends to find others who also are most comfortable acting in one of these three roles as well.  People who have a need to be in one of these three roles to feel comfortable in relating to others are mosst comfortable seeking out others who also operate out of one of these roles because they automatically know "the rules" and fit into the pattern of the other.  These roles become very comfortable and familiar.  In actuality, it is highly discomfiting to behave outside one of these familiar roles.  Thus lies the challenge.

In order to make a change, one of the partners must break the pattern and learn to live in a mindful way, making decisions and choosing behaviors that are independent of the others reactions. 

If you would like to learn this way of relating and believe you have a "stuck" relationship, give the office a call and allow one of our qualified counselors to assist you in finding a new way of interacting.

How to Help a Grieving Child

“What happens when we die?” “Where is heaven?” “Does everybody die?” These are all very common questions for children following the death of someone or something they love. The majority of children will have their first death experience through the death of a pet.
A child’s hunger for understanding about death can be a difficult dilemma for parents to deal with. Parents sometimes are stuck in their own grief, or simply lack the skill set to address the seemingly complicated questions posed by their children. Prior to going into a complex explanation about death, try to take time and think about why the child is asking the question. Is it simple curiosity? Are they seeking safety and emotional security? Are they afraid? Sometimes figuring out why your child is asking the question can guide you in how to answer their question. Always answer their questions honestly, in age appropriate ways and reply with “I don’t know” if you really do not know the answer. Adults cannot make the grief go away and cannot bring the loved one back. Adults should recognize that grief is a normal and healthy process that for their child to experience.
Children of all ages struggle with a constant need for reassurance that they are loved, safe and well taken care of. During time of grief, these needs become as important as food and water for the child. The underlying fear and/or anxiety of his or her own mortality is something they yet have the ability to verbalize. Instead children often act out behaviorally, have more crying spells and whine when they do not get their way. Children engage in these attention seeking behaviors because they lack the ability to verbalize the underlying need of wanting reassurance that they are loved, safe and cared for. Take time to reassure your child that you love them, will protect them and meet their basic day to day needs.
How your child understands death will have a lot to do with how you understand death. Speak with your child honestly and remind them that they are surrounded by many adults who love them and care about them. Children often are in tune with how the adults around them are feeling. If you feel sad it is ok to let the child know you are sad. Normalizing the sadness in losing someone we care about is a great way to help children understand not to be ashamed of how they are feeling. Also, we can role model for children how to continue living, meeting our daily obligations and loving those that are still in our lives. This not only teaches the cycle of life, it also teaches the child that things in their world are still stable.
Sometimes there is a sudden death or a family tragedy that affects multiple family members. There are times when a child has a significant impairment in their ability to function after a death. Some children experience clinical levels of anxiety, depression and may seek unhealthy coping mechanisms. If you are a parent of a child experiencing grief, please contact our office for more information on how we can help your child, at 386-736-9165.
Jennifer Nadelkov, MA, LMFT

Communication

I was reminded this evening about how important it is to pay attention to the tone of your voice when speaking. It can really change the message you are trying to send (or annoy the other person) when your tone is aggressive, overly assertive, condescending or if you are speaking to loudly. Remember, 70% percent of our communication is done through our non-verbal behaviors and the tone of our voice. So be aware of not just the words you are saying, but how you are conveying those words and expressing them non-verbally.

Dealing With The Pain

Imagine after a long day of work or play that you lay down to sleep, but you can't sleep due to physical pain. Can you picture not being able to play with your children or grandchildren because you are simply in too much pain to do so? Or not being able to work? These scenarios and more are are the reality for over 76.2 million American who live with chronic pain, according to the American Pain Foundation.

Of those 76.2 million, of which I am one, an estimated 46 million people have been told by their doctor that they have arthritis, gout, lupus, or fibromyalgia, diseases that affect multiple parts of the body. The four most common pains reported are lower back pain, migraines/headaches, neck pain, and facial pain. Approximately twenty percent of American adults have reported having pain or physical discomfort multiple nights a week, so much so that it interferes with their ability to sleep. In addition to impacting people's quality of life, chronic pain also impacts the economy. The American Pain Foundation estimates that chronic pain costs the economy 100 billion doallars annually, due to healthcare expenses, lost income and lost productivity.

If you are one of the 76.2 million American, here are some tips to help you manage your chronic pain.
1. Be healthy. This includes eating healthy, stop smoking, reducing alcohol intake, and rest,
rest, rest.
2. After consulting with your doctor, exercise. In addition to the health benefits of exercise, when
you exercise, brain chemicals called endorphins are released which helps your mood and
blocks pain signals.
3. Develop your relationship with your doctor. Communicate with your doctor about your pain
and any questions you might have. Keep a pain and activities log and bring it to your doctor so
that they can get an accurate idea of your daily struggles. Write down any questions you
might have, do NOT simply think you will remember, you might get side tracked or the
doctor could be in a hurry that day. If you have questions written down, you will remember
to ask them.
4. Educate yourself about your disease/pain. In addition to reading about your illness, and
talking with your doctor, use your own knowledge. For example, if you are having back pain,
does using a heating pad help? What about ice packs? Those trial and error exercises can be a
huge help in how you manage your pain.
5. Try getting a massage to help reduce stress, relieve muscle pain, and increase circulation.
6. Try to reduce your daily stress, stress can intensify the body's sensitivity to pain. Learn about
relaxation exercises such as deep breathing, meditation, progressive muscle relaxation and
guided imagery.
7. Be open and honest with the people around you. Do not try to be Superman. Be willing to ask
for help on the days that you need it.
8. Try to maintain a positive attitude. Remember the things that you are able to do.
9. Find ways to distract yourself. Engage in hobbies, chores, exercise, reading, etc.
10. Finally, join a support group. Support groups serve a wonderful purpose in that in addition to
providing support, they are a wonderful place to find resources, share ideas, and they help
reduce the feel that no one understands what you are going through.

Hopefully some of these ideas will be able to help you better manage your pain. If you are struggling with chronic pain, and would like to talk with someone on a one on one basis, please feel free to contact our office at 386-736-9165.

Bipolar Disorder

Many who suffer from Bipolar begin to experience symptoms in childhood or adolescence but go through various treatment methods and diagnosis prior to being actually diagnosed and treated for Bipolar. Bipolar at onset is different for all who experience it. It may present as depressive or manic or both and even the depressive and manic symptomology can manifest as a range of varying degrees of mood instability. One may present as tired and withdrawn or irritable and be depressed. One may lose their appetite altogether or have very little need for sleep. Manic phases may be observed as a person being very impulsive and driven with a grandiose sense of self or suicidal and delusional, seeming out of touch with reality. There are as many manifestations of bipolar as there are individuals who cope with it. Patterns are there, criteria are met, but it all takes on the distinct flavor of those who must live within its scope everyday of their lives. It can be tough to face and a mystery to those to whom it is merely today’s disorder of note.

There is hope for those who are challenged with bipolar. There are medications that are highly effective, often taken in combination, to combat the diverse symptomology. There are psychotherapies (talk therapy) and cognitive behavioral treatments which address thinking errors. There are community support groups which can increase coping skills and allow participants to practice socializing in a safe and known environment. A weekly adult support group will begin on Monday, October 25 from 5:30 – 6:30 PM. If you or someone you care about could benefit from such a group, please call (386)747-9858 for details.

by: Janice Suskey, M.Ed. Ed.S. LMHC

Childhood Obesity

The Mayo clinic staff defines childhood obesity as occurring when, “a child or adolescent is well above the normal weight for his or her age and height”. The primary concerns of childhood obesity can lead to more serious health conditions such as heart disease, diabetes, high blood pressure, bone and joint issues, sleep apnea and high cholesterol. From a mental health standpoint, there is real concern about the child’s self esteem, use of emotional eating and depression.

According to the Center for Disease Control, childhood obesity has more than tripled in the last thirty years. Parents are often informed during routine physicals at the pediatrician’s office of their child’s BMI (body mass index). The BMI is calculated by measuring the child’s height and weight and comparing the child on a percentile rating scale to other child his or her age of the same height and weight. The center for disease control established the rankings that determine what is considered overweight.

Addressing childhood obesity should be done through proper consultation with your pediatrician. Involving the family in good eating patterns and a more active lifestyle is a win-win situation for the entire family.

The mental health issues that can arise from this problem can be quite serious. Obese children often become targets of bulling, shy away from activities that require wearing a bathing suit, have difficulty playing sports, develop body image issues, experience low self esteem, have nervousness or anxiety symptoms and even depression symptoms.

Signs and symptoms to look for that your child may be experiencing emotional problems related to obesity are:
You notice your child has become withdrawn, shy or self isolates
Your child does not want to go to school
Your child is showing a preoccupation with food
Your child is sleeping too long
Your child is cutting him or herself
Your child is verbalizing threats of harming him or herself

If you notice any of theses signs in your child, please contact our office to set up an evaluation for your child, at 386-736-9165.

Jennifer Nadelkov, MA, LMFT