Maintaining Mental Health in a Natural Disaster

Photo: Getty Images

By now we’ve all seen the amazing, horrifying images of the damage Hurricane Sandy inflicted on the East Coast.  And I would imagine the suffering, struggle, and emotional fallout will continue long after the media moves on to more “interesting” things in the days and weeks ahead.  My colleague, Dr. Elaine Ducharme wrote a great article about how to cope with the hurricane on the American Psychological Association’s blog, Your Mind. Your Body.  Her tips – especially the ones about getting the facts and talking to your kids – are especially helpful. Check it out here.

I also really liked the post by CNN’s The Chart about some of the nuts and bolts about living through a storm and subsequent flooding.  I didn’t realize how dangerous floods can be after the water recedes.  Check it out here.

This article on ABC about how to help hurricane victims was excellent.  I love how they reviewed several organizations, how to contact them, and how the money donated actually helps people.  Did you know over one hundred blood drives were cancelled because of the storm? Wow.  Check it out here.

For more information about managing stress and trauma after this hurricane or other natural disasters, check out the resources over at the American Psychological Association.

Pre-Election Stress Disorder: Tips for Coping

The other day, I wrote an article about Pre-Election Stress Disorder, in which I described the symptoms and signs of the diagnosis*.   While not a real psychiatric disorder, stress, worry, and anxiety around election day are very real.   The constant ads, news, and other messages may be exciting for some, but for others it can all become too much.  If you have symptoms of PESD, don’t worry – there are things you can do to cope over the next two weeks of political bombardment – and they don’t include moving to another country!  Some tips:

Turn it off.  Remember the good old days when the news was only on TV a couple of times a day and the newspapers were read just once in the morning? While our constant access to “breaking news” – via TV, internet, Facebook, etc – can be interesting, it certainly doesn’t do much for one’s level of anxiety.  News outlets would have us believe that in order to be an informed citizen, we need to check in several times per day, however, this is rarely the case.  Even in our fast-paced world, news doesn’t typically happen at break-neck speed.  With that in mind, it can be beneficial to have a set time to get the election (and other) updates once or twice per day.  Other than that, keep the TV, websites, newspapers turned off.

Remember what’s important.  Not to say that national politics are not important, but keep in mind that they do not transcend all of the other things in your life and/or community.  Maintaining your health, relationships, professional life and hobbies are all important – don’t abandon them or forget about the real, day-to-day influence they have on your life.  Keeping in mind all the things that make your life your own, can help in remembering that the presidential election – no matter the outcome – is just one small piece of the puzzle that makes up your life.

Do what you can, leave behind what you can’t.  Here are some things we can do to affect change in our political system:

  • vote
  • work with a political campaign by knocking on doors, putting up yard signs, raising money
  • donate money
  • attend caucuses, rallies, etc
  • write to elected officials, visit their offices, etc
  • run for political office ourselves

Here are some things that do not affect change in our political system:

  • watch and read election/political coverage for hours each day
  • agonize over the fate of the election
  • threaten to move to another country if the election doesn’t go our way
  • give more weight to the election than it is due
  • fight and argue over who is right and who is wrong

Good luck managing over the next couple of weeks!

*Disclaimer: I made up Pre-Election Stress Disorder – it is not a real psychiatric diagnosis.  However, the stress, worry, and anxiety that folks feel around this time every 4 years is very real.  If worry and anxiety about this (or other) issues are negatively affecting you, please contact your health care provider.

Pre-Election Stress Disorder: Do You Have It?

Who us? Causing you stress?

Dr. Stephanie is now on Facebook – check it out!

Does anyone else feel completely overwhelmed by the election?  I don’t care what your party affiliation, presidential elections (and their accompanying nastiness) can be a huge source of stress for many people.  Even if you aren’t involved in a campaign, it’s tough to get a break from the candidates’ ads on TV, postcards in the mail, talk on the radio, and posts in the blogosphere.  Commentators’ rhetoric and opinions are often enough to push me right over the edge.  Does the same thing happen to you?  Do you have PESD?

What is Pre-Election Stress Disorder*?

  • Underlying or overt feelings of worry or anxiety when exposed to campaign coverage
  • Preoccupation with the political campaign and coverage/inability or difficulty turning off coverage of the election
  • Feelings of fatigue surrounding political talk/un-heathy lack of interest in the election (i.e., becoming so frustrated you no longer want to vote)
  • Disappointment, disgust, or depression surrounding either: 1) The state of our country 2) The integrity of our people 3) Your own future
  • Desire to spend the next two weeks in a foreign country with earplugs and a sleeping mask on

Any of these things sounds like you?  Well, you might have PESD! Tune in tomorrow and I will give you some tips for coping.

*Disclaimer: I made up Pre-Election Stress Disorder – it is not a real psychiatric diagnosis.  However, the stress, worry, and anxiety that folks feel around this time every 4 years is very real.  If worry and anxiety about this (or other) issues are negatively affecting you, please contact your health care provider.

 

Book Review: Slouching Toward Adulthood

I recently read Slouching Toward Adulthood, by Sally Koslow after hearing an interview with the author on the radio.  It seemed like an interesting topic – Generation Y’s reluctance to embrace adulthood and their effect on the culture, job market, and their Baby Boomer parents.  While I am neither a Boomer nor a Gen Y’er, I certainly know lots of people in those demographics, and am aware of the massive influence these groups have on our society at large.

Here’s the thing: I couldn’t make it though the book because it was so darn depressing! Maybe not everyone would find it so, but I sure did.  The mentality of entitlement in Gen Y of which the author writes is tough to take, and the self-important attitude she describes in Boomers became nauseating.  Obviously not every person in these generations falls within these stereotypes, but the thought that even a few might was too much for me to read about after a while.

We all know that the Baby Boomers have changed the world with every step in their development (hippies to yuppies to active retirees).  So it makes sense that their kids would follow a novel path, too.  Besides, what adultescent (as Koslow calls them) would want to leave parents who have supported them emotionally, financially, and otherwise everyday of their lives?  Not only that, but these Boomer parents laid out a life path so smooth for their children that it was devoid of any real challenge, heartbreak, or disappointment.  And through it all truly believed that their children hung the moon?  With a childhood like that, I wouldn’t want to leave the nest either.  Who would?

The dynamics between Gen Y and Baby Boomers are probably important for us to be aware of, as we all have to live in the world they have (or will) create.  But for me, a stereotypically independent and skeptical Gen X’er, this book was just too much.

Consequently, in researching this post, I did come across this article on alternet.org: How Generation X Got the Shaft But Can Still Keep Everything From Sucking.  Now that sounds like my cup of tea.

 

 

The Debate, DU, and School Pride

I am going to tell you something I don’t normally divulge – who I was rooting for in last night’s presidential debate.  The University of Denver! I am bursting with pride this morning at the coverage given to, and the job done by my graduate school alma mater.  DU has been prepping for this event for a long time and they did a super job!

When I attended DU, it seemed like few people had heard of it – apart from their awesome Men’s Ice Hockey Team.  My, how things have changed.  Condoleeza Rice is a grad which brought DU’s International Studies program recognition; and Colorado is now center-stage as a “swing state” in this election.  It feels pretty good to be getting noticed for something other than our mountains and snow for once (even though they are pretty great, too).  And while the political rhetoric can be stressful and anxiety-provoking, I feel glad that at least for last night’s election I could focus on something purely positive – pride in my state and my school.  Go Pioneers!

Those were the days…

The Side Effects of Psychotherapy

The other day I posted a YouTube video by the American Psychological Association (APA) extolling the virtues of psychotherapy. Here’s another video with a similar message: namely that psychotherapy with a licensed psychologist is an effective and safe way to treat depression, anxiety, and other mental health issues.  The bonus is that it doesn’t have the side effects that medications do: no dry mouth, too-much-caffeine feelings, sexual problems, to name some of the most common.  Here’s the clip:

As I noted previously, I am a big fan of APA, but don’t totally agree with the assertion that there are no side effects of participating in psychotherapy other than a better, healthier life.  While I certainly believe that can be true, it is also true that some people notice that their mood goes down a bit before improving when starting psychotherapy.  The thought behind this is that sometimes unhappy, painful memories are discussed in the therapy session.  Sometimes “stirring the pot” of sad experiences, emotions, etc can have the “side effect” of causing a low mood.  Of course the hope is that new, healthier coping strategies will be learned and improved mood will soon follow.

Overall these videos are awesome – I love the message!  Just thought I would point out that while psychotherapy is an under-utilized and highly effective treatment option, it is not entirely without a downside.

Disney Characters Get an (Unhealthy?) Makeover

One of my colleagues, Dr. Elaine Ducharme, recently alerted me to an announcement by Barney’s about an upcoming ad campaign featuring

Image via Barneys.com

Disney characters.  She was pretty upset about the drastically slimmed-down Minnie Mouse among others.  Dr. Ducharme’s concern got me thinking, too.  Are the plump characters of old really out of date?  Have we become so used to super-thin models that our beloved cartoon characters need to put in time on The Biggest Loser?  To read Dr. Ducharme’s complete article about the dangers and signs of eating disorders and distorted body images, click here.  Here’s a glimpse of her article:

We have developed a society that shouts to us all from billboards, television screens, movie theaters, magazines and just about everywhere we look, that happiness comes only with being thin. The old saying that “you can’t be too thin or too rich” is just not true. And now, even Disney characters will be shouting this message to our kids.

What can you as a parent do when you see a child struggling with these issues? First, you can consistently and throughout your child’s life encourage independent thinking and have open discussions about healthy life-styles. Be aware of your own problems and concerns about weight and eating. Be wary of sports or dance coaches that encourage your child to lose just a few more pounds. Because most eating disorders begin while patients are in their teens or early 20’s be particularly aware of excessive exercise patterns and unusual restriction of caloric intake. Be aware of distortions of body image, signs of depression and low self-esteem. Many teens struggle with identity issues and in today’s highly competitive world, many achieving kids feel they should still be doing more. Help your child set realistic goals for themselves and strive to keep open lines of communication. If they frequently appear upset, and most teenagers do have down periods, ask them if they are just having a bad day or if they have been feeling depressed for a long time. And, if you suspect an eating disorder is developing, consult with your child’s physician, a psychologist or other mental health professional that has experience working with eating disorders. Once an individual admits they have a problem and are willing to seek help, they can be treated effectively through a combination of psychological, nutritional and medical care.

Summer’s Over – Emotions are Mixed

I guess it depends where you live, but in this neck of the woods summer is over! Kids headed back to school this week and I am seeing (and feeling!) mixed emotions all around me.

Kids are excited to see friends, nervous for new teachers and classes, and dreading homework and morning routines. Parents are filled with similar emotions – dread, relief, and happiness. These feelings (and lots of others) are normal and to be expected.  They may also change rapidly over the next few weeks as we get settled into new routines and say goodbye to summer for good.  Plenty of sleep, healthy foods, and physical activity can ease the transition, as can sharing your feelings.

For more information on dealing with the back to school blues, check out the American Psychological Association’s article here.

 

Be Careful What You Say – The Kids ARE Listening!

Welcome to Moms’ Month on Dr. Stephanie! This month I will be featuring guest posts from some awesome moms around the country.  They will be sharing tips, tricks, and funny stories about motherhood.  This will be a fun celebration – thanks for joining us!  Today’s author is Megan Alpert.  Welcome, Megan!
My name is Megan Alpert and I am a mom of two boys and work for MapQuest in Denver, CO.  I love sharing the adventures of life and parenthood with my husband, Aaron.

Words to live by:

My children have perfectly good ears – they can hear the quietest whisper of a conversation, from across the room, if it is something they are trying to overhear.   And yet, most days, I find myself repeating requests as if I am speaking an undecipherable foreign language.  “Please get your shoes on…let’s set the table…please don’t swing golf clubs in the house…use your napkin instead of your shirt”    I find solace in knowing that I am not alone when I think phrases that have come to symbolize parenthood, such as: “How many times do I need to tell you” and “Did you hear me?”  Recently, I realized that even though you may feel like a repeat record, our children are listening to us.

Years ago, I read The Help, (amazing book if you haven’t read it!) and was moved by the words that the main character always recites the little girl: “You is kind. You is smart. You is important.”  I decided that this message would be a mantra that I would tell my little boys each night as I tucked them in.

Last month, my second grader came home with a stack full of papers from school.  As I flipped through his work, asking him for the 3rd time to please not throw baseballs in the kitchen, I came across a green piece of construction paper, the edge corners curled framing a white paper with marker writing.   The top of the page read, My Family Values, and below, written in his nicest penmanship, the words: “You are kind. You are smart. You are important.”  My heart smiled and I had one of those amazing moments that we all have as mothers – pure happiness and pride.
And I realized, our words do matter and our words are heard.  Choose wisely.