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A recent article in USA Today highlighted two research studies, which showed that when overweight children feel ostracized or left out, they tend to eat more and exercise less.  Both studies were conducted at the University of Buffalo where scientists have been studying the effects of different situations on children’s food intake and activity levels for a few years now.

In both studies, the kids would play a computer game that replicated ball tossing.  One set of overweight and normal-weight children’s characters were excluded or ostracized in the game and another set of normal and overweight children’s characters were included.  For the research study centered on food intake, the children from both sets (excluded and included) had a chance to eat as much as they wanted for about 15 minutes after playing the game.  The overweight children ate 200 calories more when their video character was excluded from the game than when the character was included.  The normal-weight children didn’t eat more when their video characters were excluded or left out.  Assistant Professor Sarah-Jeanne Salvy, lead researcher for these studies, thinks one possible reason for this is that overweight children seek food for comfort after they feel ignored.

In the study that focused on activity level, the findings were that both the normal-weight and the overweight children were less physically active after their video characters were ostracized or left out.

The findings of these two studies speak to a snowball effect that could likely happen for children who are overweight or obese.  Overweight and obese children, unfortunately, are often left out, ignored, or ostracized by their peers in all types of situations, whether they be social or physical, like in gym class or on sports teams.  These types of situations can cause them to overeat and to be less physically active, which will cause more weight gain which, in turn, will lead to more situations of being left out or ostracized.  It is a vicious cycle.  How do we break it?

If you are a parent with an overweight or obese child, it is important to address the emotional issues underlying your child’s weight gain, as well as the tendency to seek comfort from food, sometimes called emotional eating.  For some children, it may be beyond the parent’s scope and ability to tackle this all themselves, in which case it may be necessary to seek the help of a licensed therapist or counselor in order to help your child fully deal with these types of issues.  Also, it would be wise to encourage any and all physical activity your child shows interest in.  They may feel too ostracized by their peers to be ready for any organized sports, but they could very well be up for a hike or bike ride with you, for instance.  Incorporating physical activity into family activities is a great way to increase activity levels in your overweight child.

On the other end of the spectrum, if your child is of normal weight, you could help tremendously by encouraging your child to include those kids who are often left out and ostracized.  It is hard for kids to do this completely of their own volition, because being accepted is so important to children and teenagers.  But if you can instill the important values of being kind, empathetic, inclusive, and non-judgmental, you will not only help the overweight children, you will also help your own child grow up to be a thoughtful, generous, kind, accepting adult.

For thousands of years, we humans lived active, social lives set primarily in the great outdoors as hunters and gatherers and, later, farmers.  It is only in the past few generations that we have become an industrialized society that lives a much more sedentary, indoor existence; an increasingly less social existence as we continue to rely more and more on avenues like phone, email, texting and social media to communicate and stay connected with each other.   It is the exact opposite of what our lives used to be.  Today, through experience and scientific research, we are learning that this is not at all good for us; that, in fact, much of our mental and physical health issues, such as depression, chronic stress, obesity, diabetes, heart disease, and mood disorders is caused by and exacerbated by this new lifestyle we’ve been leading these past few years.

I am not advocating a return to the Stone Age, trust me.  There is a lot that we have gained as a species in our evolution from then until now that I would loathe to give up, no matter what the benefits.  Rather, the challenge is now to find the balance of both worlds; to reincorporate into our new, industrialized way of living some of the old ways that we have lost to our detriment.

Recent scientific research has shown that cavemen (and women) were protected naturally from many of the conditions and issues we face today by three key elements of their way of living:  1.) the time they spent outside in nature 2.) their physical activity (exercise)  3.  an abundance of social, human to human contact.  The next question is how do we incorporate more of these elements into our lives now?  I know that many of you reading this post lead very busy lives.  Most of us are way too busy, myself included.  But this is too important to shrug off with “I’m too busy.”  Getting sick, either physically, mentally, or both, will surely make a bigger dent in your ability to accomplish your tasks than scheduling some time to exercise, spend time outdoors, and socialize.  The good news is that it doesn’t have to be a ton of time.  A few (4-6) hours a week will go a long way.

A great way to incorporate these key elements is to combine them.  For instance, you could go for a bike ride, a walk, or a run with a group of friends outside.  To be clear, it is important to be in as natural a setting as possible.  If you live in a city, find a park and do the exercise / physical activity there.  There is also a wonderful new trend of outdoor fitness classes.  They are usually group classes, which makes them social, and they often take place in parks and other natural settings.  For those of you who are in our area, Evolution Fitness of Cherry Hill, NJ runs a great outdoor class every Wednesday and Saturday.  Below is a short video of one of the classes.

Another way to incorporate these key elements is to bring them into activities you already do.  For instance, if you are someone who works on the computer a lot, why not bring your laptop to a local park and do your work there?  If you are someone who already exercises a lot, say at a local gym, why not exercise outside on the days you are not strength training?  You could run, walk, bike, or just do a stretch and recover workout.  If you get together with friends and family on a regular basis (which is great), maybe you could try to do more active, outdoorsy things with them like go on a hike and then have a picnic; or just have a picnic and play a game of touch football or volleyball or soccer.

Another great way to help incorporate these key elements is to do them “in bulk” so to speak.  This is geared more towards the being in nature and socializing elements, as it is not good to exercise for too long a period of time, and results will be best with shorter, more regular workouts.  But, say you have a “free” day, on Sunday perhaps, and you could spend 3 or 4 hours outside with friends or family, one hour of which could be doing physical activity.  That would do a lot to carry you through to the next week, leaving you able to spend maybe only 10 – 15 minutes each day outside, which might be more manageable in your schedule.

In conclusion, there are many different ways to incorporate these key three elements of nature time, human to human social time, and physical activity into your everyday life.   It is of the utmost importance to do so.  It will increase your health and happiness ten fold, and we could all use a little more of those things.  It’s all about finding the balance that works for you.

Parenting is not easy. Parenting a child with ADHD is that much harder.  It is hard on each individual parent, hard on their marriage, and hard for other family relationships, such as the parent’s relationship with the sibling(s) of the child with ADHD.  It is important to seek the professional help of a licensed therapist and/or psychiatrist if your child is diagnosed with ADHD.  They will be able to help you, your child, and your family best cope with it all.  Having said that, the following are some basic tips for parenting a child with ADHD:

1.  Parent Together

If you are lucky enough to have a spouse to help you parent your child with ADHD, take full advantage and parent together as a united front.  Most importantly, make all decisions together ahead of time and stay consistent.  The child with ADHD will respond best if he/she gets the exact same response out of each parent with whatever action he/she takes, good or bad.

2.  Maintain a Positive Outlook

A child with ADHD can be very trying and difficult.  It is crucial for you as the parent to maintain perspective, a sense of humor, keep calm, keep focus, stay hopeful and take it all in stride.  Above all, believe in your child.  Trust that they can and will learn, change, mature and ultimately succeed.

3.  Stay Healthy

It is near impossible to adhere to the second tip without adhering to this third tip.  Parenting requires a ton of energy.  Parenting a child with ADHD requires a ton more.  It is absolutely imperative that you take care of yourself.  Exercise regularly.  Eat nutritious foods.  Take a multi-vitamin.  Sleep 8 – 10 hours a night, preferably at the same time every night.  Schedule R & R time and stick to that schedule, no matter what.  Seek and accept support.

4.  Establish Structure

Children with ADHD respond best when they have structure.  Create that structure and stick to it.

5.  Clear Rules -  Rewards and Consequences

Children with ADHD need consistent rules that are clear and spelled out for them.  They respond well to an organized and upfront system of rewards and consequences.  But remember, rewards and consequences lose their value unless you follow through with them.

6.  Praise Your Child

Children with ADHD are often scolded.  Take extra care to notice and praise good behavior to help counteract that imbalance.

7.  Exercise, Nutrition and Sleep

We’ve already discussed the supreme importance of these three things for you, as the parent.  But they are equally important for your child with ADHD.   Children with ADHD often have excess energy.  Exercise, in any form, will help focus and release this energy.  Beyond the energy release, exercise has been proven to improve concentration, decrease depression and anxiety, and promote brain growth.  It will also help your child with ADHD sleep better at night, which will in turn reduce the symptoms of ADHD.  Scheduling an hour of quiet, “down-time” before bedtime will also lead to better sleep.

A child with ADHD will be helped enormously by proper, steady nutrition.  Feed your child healthy, nutrient dense foods every three hours or so.  This will keep blood sugar stable, as well as help brain function and mood.  If your child suffers from the sugar rushes and crashes that are associated with a poor diet, it will be much harder to concentrate and behave appropriately.  That is true for all children, but especially those with ADHD.

Resources:

LiveStrong.com, ADHD Parent Coping Skills

HelpGuide.org, ADD/ADHD Parenting Tips

ADHDHelp.net, ADD: How It Affects Families

ADHDChildParenting.com, How ADD Affects a Family

Teen Suicide & Prevention

Suicide is the 3rd leading cause of death for teens today.  That is a scary statistic.  The National Institute of Health believes that there are as many as 25 teen suicide attempts for each one that is completed.  That makes the first statistic even scarier.  Teen suicide rates have risen 200% since 1960, yet another scary statistic.  Fact of the matter is, teen suicide is a serious issue and a serious problem that needs to be continuously addressed.

Studies show that clear warning signs precede 4 out of 5 teen suicide attempts.  It is important to note here that many teen suicide warning signs are also indications of depression.  To be clear, you may not see all the warning signs display themselves in the teen.  Instead, watch for a combination of two or three signs as an indication of depression and possible suicidal thoughts.  Here are some of the warning signs:

  • Dramatic mood swings
  • Disinterest in favorite activities
  • Withdrawing or isolating oneself
  • Substance abuse, illegal and legal
  • Complains more frequently of boredom
  • Changes in eating/sleeping habits
  • Reckless “death wish” behaviors
  • Self-injury
  • Neglects hygiene and appearance
  • Increase in physical complaints (aches, fatigues, migraines) possibly due to emotional distress
  • Feelings of being trapped, no way out
  • Perceived burdensomeness, others “better off” without them

The following are warning signs/indications of a suicide plan:

  • Verbal cues and hints, such as:
    • “ All of my problems will end soon ”
    • “ No one can do anything to help me now ”
    • “ I wish I were dead ”
    • “ Everyone will be better off without me ”
    • “ Nothing is going to change or get better ”
    • I just want to go to sleep and not wake up ”
  • Teen begins giving away favorite belongings
  • Throw away important possessions
  • Appear extremely cheerful or calm following a period of depression
  • Creates suicide notes

The three most important aspects of teen suicide prevention are:

1.)  Support / Being Involved

2.)  Awareness / Education

3.)  Professional help

These 3 aspects are like three legs of a stool.  Missing one, the stool will fall over.

The first aspect, support / being involved, is imperative because unless you are actively involved in your teenager’s life, you will never be able to catch any warning signs or changes in behavior.  If your teenager does not feel your support, he/she may feel more alone and hopeless and helpless.  The second aspect, education / awareness is imperative because if you don’t know the warning signs, you might miss them no matter how involved or supportive a parent you are.  Finally, the third aspect, professional help, is imperative for if/when you discover your teenager is depressed or suicidal.  Suicide is not something a family or teen can “handle” themselves.  It requires the licensed professional help of counselors, psychologists, and/or psychiatrists.

There is a non-profit organization right here in New Jersey whose mission it is to educate parents, teachers, and teens about teen suicide.  It was started in 2005 by the parents of Jimmy Ganley, who committed suicide in 2004, and it is called The Ganley Foundation.  Below is a link to their mission page that features a video excerpt from an ESPN special that tells their story.  It is heartbreaking and hard to watch, but it hammers home in a very real way how crucial it is to bring awareness to teen suicide and prevention.

http://ganleyfoundation.org/about-us/our-mission.html

If you, or anyone you know, is contemplating suicide, below are some hotlines you can call for immediate assistance:

National Suicide Prevention Lifeline

National Suicide Prevention Hotline
1-800-273-TALK (8255)

http://www.suicidepreventionlifeline.org/Default.aspx
Veterans, press 1 to be routed to the Veterans Suicide Prevention Hotline


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Kristen Brooks Hope Center – National Hopeline Network

1-800-SUICIDE (784-2433)

http://www.hopeline.com/


Here at The Listening Center, we are big admirers of Rachel Cosgrove.  For those who have not yet heard of her, Rachel Cosgrove is a Certified Strength & Conditioning Specialist, co-owner of a successful gym in California called Results Fitness, columnist for Women’s Health magazine, and best-selling author of a fabulous book we highly recommend, The Female Body Breakthrough.  (If interested, you can learn more about Rachel by visiting her website http://www.rachelcosgrove.com.)

Recently, I caught a video of Rachel on You Tube taken during her visit at Todd Durkin’s gym, Fitness Quest 10, also in California.  The video focused on a talk she gave to some of the members at the gym, focusing on the themes and messages of her book, The Female Body Breakthrough.  At one point, Rachel described for the audience the 3 major components to achieving overall health and fitness.  (Bare in mind, these 3 components apply to men as well.)  She used the analogy of a stool, each component comprising one leg.  They were:  exercise, nutrition and mindset.  If one leg of the stool is weak or out of balance, then the whole fitness stool is off kilter, unstable, and out of balance.  What struck me the most about the talk Rachel Cosgrove gave that day at Fitness Quest 10 was what she said about the importance of one’s mindset:

“… {I} realized the women who really made that change long-term, and lost the weight, lost the clothing sizes, and were able to do it and keep it off long-term, and really change their bodies for their LIFE, were the ones who were able to change their mindset.”

Makes sense, right?  It’s something many of us have learned in some aspect of our lives – maybe not health and fitness, but we can all instinctively understand that lasting change only comes when our mindset has also changed.  Those of you who are Biggest Loser fans have seen this theme play itself out season after season.  Every single Biggest Loser contestant in every single season needed to, at some point, face and come to terms with whatever it was in their mindset that had caused them to become obese.  For some, it was a self-image issue.  For others, it was an emotional issue.  Still others were a combination of the two and even other issues I haven’t touched upon.  Universally, they ALL needed to change their mindset to achieve the lasting success they desired.

A person’s issues with food can often be tied to emotional issues.  Food is a substance that can be abused as a means of escape like any other.  Unlike any other, however, it is not a substance that can be abstained from, as one would abstain from drinking alcohol if one were an alcoholic.  Everyone needs to eat, after all.  This means that you have to completely change your relationship with food, as well as heal the emotional issues that caused your food addiction in the first place.  Sessions with a licensed counselor, ideally one who is holistic in his/her approach and who is open to working in conjunction with others who can also help you on your journey, such as a nutritionist and trainer, could be instrumental in changing your mindset for lasting success.  Some issues run too deep and too wide to grapple with and decipher all on our own.  Getting the help of a therapist during your journey will help create that lasting success you desire.

Another common mindset issue that needs to be changed in order to achieve the health and weight-loss you desire is negative self-image and self-talk, coupled with low self-esteem.  Far too many of us say very mean things to ourselves – and believe them!!  No wonder we feel awful, and hopeless, and discouraged when we constantly tell ourselves that we are fat, and ugly, and sloppy, and lazy, etc., etc.  All this negative self-talk only causes us to turn to food even more for comfort.  Make a promise to yourself right here and now that you will cease the negative self-talk and replace it with positive talk.  You will tell yourself that you are beautiful, and fit, and healthy, and productive.  It doesn’t matter if you don’t believe it at first.  In fact, you can count on not believing it at first.  After all, you’ve had years of conditioning yourself to believe just the opposite.  However, the more and more you replace the negative talk with positive, the better you will begin to feel and the more you will believe the positive vs. the negative.  Eventually, the negative voice will grow weaker and weaker until she/he ceases to exist.

To sum it all up, changing your mindset is the key to making any lasting change you seek in your life.  While this post has focused on it in terms of weight-loss and health, your mindset is the key to success in any endeavor you take on.  It should be your first priority.  If you find that you are unable to effectively change your mindset, do not be afraid to seek help.

If you were to Google “get comfortable with being uncomfortable”, you would be hit with page after page of people advising you to apply this concept to all areas of your life.  Some will focus more on how it can help you in business, others on its benefits in exercise and health, others for its effect on relationships and social life, and still others on how it benefits you, the individual.  But, while the focus may change, they will all say the same thing:  Getting comfortable with being uncomfortable is the key to success.

We are creatures of comfort, naturally.  Most of us resist change because we don’t like feeling uncomfortable.  But, change cannot occur in any aspect of our lives until we leave our comfort zone and switch up the status quo.  When you are uncomfortable, you are pushing your boundaries, trying new things, stretching yourself to do something you have not yet done.  This is the source of growth and change.  In your workouts, for instance, pushing yourself outside your comfort zone translates into achieving that next level of fitness, whatever it may be for you.  In your relationships, being vulnerable and uncomfortable is how you create true intimacy and form new bonds.  In your career and business, taking risks and working on things you haven’t “mastered” yet is how you will grow your business and advance your career.  Being uncomfortable leads to growth and change.  Ever went through a big growth spurt as a kid?  Remember how uncomfortable (and sometimes even painful) your body felt right before?  Discomfort before growth and change is a universal principle that can be applied across the board in all areas of life.

So, how does one get comfortable with being uncomfortable?  Isn’t that a contradiction in terms?  Here’s the thing.  While you will never be completely comfortable with the discomfort – how could you be? – you can become more and more accustomed to “dealing with” the feeling and, eventually, embracing it.  Our normal reaction to feelings of discomfort is to avoid what is making us uncomfortable, to push back and resist it, to procrastinate, or eat too much, sleep too much, drink too much, become moody, and many other unhelpful coping mechanisms.  Instead, try something different next time.  When you feel yourself tensing as a result of discomfort with whatever you are facing in that moment, pause and check in with your body.  Pay particular attention to your breath.  If you are tense, your breathing will most often be shallow and short.  Consciously take a few deep breaths in through your nose, sending the breath way down deep into your belly and lower back.  Visualize yourself harnessing all that nervous and uncomfortable energy with each deep breath.  Then, once you feel more centered and in control, use that newly harnessed energy to follow through and accomplish whatever it was that was taking you out of your comfort zone and into uncharted territory.  One day in the not-too-distant future, when the growth has occurred and you’ve expanded your life, you’ll be happy you did.

TLC Kids Fitness is a youth fitness and nutrition program we’ve developed here at The Listening Center.  The primary goal of TLC Kids Fitness is to educate the children on exercise and nutrition in a fun, hands-on way and, also, in a way that will empower them to continue these life lessons even after the formal training ends.  We have run this new program several times with great success for kids who are currently receiving behavioral health services from a local NJ State funded case management agency.

As many of you who are familiar with The Listening Center know, we are a counseling and wellness provider who believes in the mind – body approach.  We are deeply concerned with the growing number of children in our community who are obese, as well as the trend towards sedentary living we see in youth today.  We created this type of program as a way to help children and adolescents cope with not only their physical needs, but also to help with  their particular emotional and behavioral challenges.  We know from both the leading research of the day and our own clinical experience, that exercise and nutrition play a large role in the emotional and psychological health of an individual, young and old alike.

TLC Kids Fitness is currently run as a 7-week program, meeting once a week for 90 minutes.  The program utilizes the American Council on Exercise (ACE) “Operation Fit Kids” curriculum along with the expertise of our own staff, who hold both ACE certifications in personal training as well as Youth Conditioning Specialist certifications.

Each week the kids participate in an age appropriate work out with two trainers, Coach David and Coach Brian.  Coach David and Coach Brian focus on exercises that the kids can do anywhere, rather than ones that can only be done in a gym-type setting because it is a goal of the program that what the kids learn is sustainable once they leave.  Coach David and Brian focus on exercises, circuits, and exercise games and obstacle courses that utilize little more than the kids’ own bodies.  Another focus for the fitness piece is that the exercises are to be functional.  Coach David and Coach Brian steer away from isolation “body-building” type exercises, emphasizing instead full-body, compound movements based on natural movement patterns.  These are much more effective in getting a person functionally fit.  The over-arching goal of the fitness piece is that it is FUN for the kids.  As any parent knows, if it’s not fun, your kid’s not going to want to do it.

After the kids work out, we move into the next segment – nutrition.  Each week, there is  a different focus.  For instance, one week we focused on walnuts as an excellent source of brain food.  We brought in some walnuts, still in the shell, so the kids could see how walnuts, in their natural state, resemble our brains.  A different week we introduced them to pomegranates in a similar way.  Again, as with the exercise piece, our goal for the nutrition portion is for it to be fun and engaging so that the children leave the program excited about healthy food, rather than with the feeling that eating nutritious food is something they “should” or “have to” do.  The kids also receive a large bag of fresh fruits and vegetables each week. The idea is that this will help enforce what they learn and encourage both the children and their families to make some healthier food choices.

The final piece of this program is the time spent with the clinically licensed therapist, who is present for the full 90 – minute session each week.  As these kids are facing emotional and behavioral challenges, the clinical therapist is there to assist in any situations that might develop, but also to lead group discussions at the opening and closing of the 90 minute sessions.  This time serves to give voice to the children so we can understand how they are responding to the program.  It also helps reinforce all that they are learning.

While this program has been highly successful and it has been wonderful to see the positive change in these kids lives, there are some limitations to the continued success of the program…..not surprisingly, the biggest limit is funding.  This program works best if the child is able to go through it more than once, so a recurring model would be most ideal, allowing for repetition, consistency and true learning and behavior change. This model would also afford the children ample time to develop the ever – important trust and relationship building with the coaches and therapists. Currently, we are seeking grant money for this type of expansion.  If you or anyone you know would like to be a part of this wonderful program that helps the children in our community and speaks to a need that is currently unaddressed, please contact us through our website.

We are also exploring the same type of programming for private practice clients and would be happy to discuss and develop very specific programs to meet your individual and group needs. Please let us know if you have any questions about this option as well.

Panic Attack Disorder

Panic attacks, also known as anxiety attacks, are sudden surges of overwhelming fear and terror that strike with no apparent warning; that is, the fear seems unrelated and disproportionate to the circumstances at hand.  This overwhelming fear is often accompanied by symptoms such as a racing, pounding heart, feeling dizzy or faint, tingling or numbness in the hands or fingers, feeling sweaty or having chills, chest pains, shortness of breath, and feeling out of control.  Panic attacks usually last around 10 minutes, but can seem longer if you experience a succession of attacks.  It is estimated that one out of every 75 people worldwide will experience a panic attack at some point in their lives, but it is only if you have recurring panic attacks that disrupt your ability to go about your daily life that you would be diagnosed with panic attack disorder.  In many people the symptoms of panic attack disorder develop in association with major life changes, such as getting married, having a child, or starting a first job, as well as major life stressors.  The highest incidence of the onset of panic attack disorder occurs in the 17 – 25 years of age range, but people of all ages can experience anxiety attacks.

The thing about panic attacks that makes them so debilitating is that often after you’ve had a few in succession, you begin to have panic attacks about having panic attacks, especially at times when, or places where, you don’t feel safe such as a crowded public place like a train crammed with people.   Panic attacks are very frightening because you feel completely out of control and often like you might just pass out.  People with panic attack disorders will find themselves avoiding situations they think might lead to a panic attack, or places they are too scared to have a panic attack at.  It is this avoidance that causes the most interference in a person’s ability to live normally.

Panic attack disorders, like anything else, can be treated in a variety of different ways and should be tailored to suit each individual patient.  But, across the board, most clinical therapists will teach patients with this condition some coping mechanisms to help prevent the attacks, as well to help them deal with the attacks when they come.  Some of these coping techniques are outlined below, but it is recommended and advised that if you experience panic attacks with any regularity that you consult with a licensed therapist and not attempt to treat yourself.

It is important to note that many of these techniques and coping/preventative strategies are good practice for all people, whether they experience panic attacks or not.  I don’t know a single person who does not experience anxiety in their life about one thing or another.  Panic attacks / anxiety attacks are just forms of anxiety.  I encourage all of you reading this post to incorporate some of these techniques and strategies into your life as a way to lessen and prevent any anxiety you may experience.

1.  Deep Breathing & Meditation

Practice daily mediation to reduce stress and anxiety.  Also, if you find yourself feeling anxious or having a panic attack, focus on consciously taking deep breaths.  Shallow breathing (also called chest breathing), which usually accompanies a panic attack, disrupts the balance of oxygen and carbon dioxide in your body and, in turn, your heart rate increases, you get dizzy, and your muscles tense, thus worsening the symptoms of your anxiety attack.  Clear your mind of everything but your breath.  (Counting will help.  Slowly count to 5 in your head as you breathe in, and again as you breathe out.)  This type of breathing will slow down your heart rate and release tension.

2.  Progressive Muscle Relaxation Technique (PMR)

PMR is a technique developed to reduce anxiety.  The thinking behind the technique is that since muscle tension accompanies anxiety, one can lessen the anxiety by consciously releasing tension in the muscles.  The technique works in a sequential pattern, asking you to alternately tense and then release various muscle groups.  It does take practice and will become more effective with time.  There are CDs and MP3 downloads you can purchase that will guide you through PMR.

3.  Exercise Regularly

Regular exercise has been proven to reduce stress and anxiety.  Before beginning an exercise program, always get clearance from your doctor.  It is also recommended to seek the advice and knowledge of a certified personal trainer who can design an exercise program specifically tailored to your needs.

4.  Avoid Stimulants

Avoid stimulants like nicotine and caffeine.  Remember, coffee is not the only source of caffeine.  It is also in teas, chocolate, and soda.

5.  Start a Panic Diary

It is important to understand your particular anxiety / panic attack triggers.  A diary will help you discover any patterns your anxiety may have.  While an anxiety attack may seem to come from nowhere, in all likelihood there is some thought pattern or situation triggering it that you are unaware of.  Some thoughts we have, called ANTs (automatic negative thoughts), are so “automatic” that we don’t really consciously register we are having them.  When you find yourself feeling anxious or having an attack, first control the symptoms using deep breathing or PMR.  Once it is under control, immediately go to your diary to write down any thoughts  you are having while they are still fresh.  Also, describe exactly what your were doing and where you were when the anxiety attack occurred.

6.  Have Patience

There is no point in increasing your anxiety levels by being anxious about how your treatment is going.  Do your best, whatever that may be (which will always change depending on the circumstances), and then let it go.

Sources:

http://www.webmd.com/anxiety-panic/understanding-panic-attack-treatment

http://www.anxietycentre.com/anxiety-attacks.shtml

http://www.webmd.com/anxiety-panic/guide/panic-attack-symptoms

http://www.anxietypanic.com/signs.html

http://panicdisorder.about.com/od/livingwithpd/a/pdselfhelp.htm

Jack LaLanne, who sadly passed away just this January, is often referred to as the founding father of the fitness movement here in the U.S.   He opened what is considered the first gym in 1936 in Oakland, CA and before the likes of Jane Fonda and Richard Simmons, he was publicly preaching and instructing on the benefits of exercise and proper nutrition through his talk show that aired between 1951 and 1985, as well as numerous books and videos.  He invented many common exercise machines we see in gyms today, as well as the “Jumping Jack”  – a standard exercise move aptly named after him.  He is also well known for some of his amazing feats of fitness, including swimming from the notorious Alcatraz island prison to San Francisco while handcuffed and towing a thousand pound boat — on his 60th birthday no less.

I didn’t realize until researching this blog post that Jack LaLanne was sickly as a child.  When he was a teenager, he dropped out of school for a year because he was ill.  He was thin and weakly and wore a back brace.  He was also very shy and withdrawn and avoided being with people.  He was depressed and felt hopeless.  He even contemplated suicide.  That’s hard to imagine when all you know of Jack LaLanne is the exuberant, happy, and go-get-‘em person we all loved.  According to him, that side of him didn’t emerge until he got healthy by eating better and exercising daily.  At age 15, his mother took him to a nutrition lecture with Paul Bragg, pioneer nutritionist.  The lecture changed his life.  After that day, he stopped eating all the cakes, pies and ice cream that had dominated his diet before.  He ate only whole, non-processed nutritional foods, no meat or dairy, occasionally fish.  He exercised every day.  He lived a vibrant life until age 96.  Not bad at all.

What we, in our modern times, can easily forget is how revolutionary some of his ideas were at the time.  He was often viewed as either a phony or a total nut.  For instance, when he encouraged the elderly to lift weights, the doctors of the day thought it was a terrible idea.  They thought it would be a good way to break bones, nothing more.  Now, of course, we know Jack was absolutely right and that it actually helps the elderly to NOT break their bones.  When Jack advised women to also lift weights, doctors of his time thought it would hurt their ability to bear children, and popular opinion was that it would make a woman less attractive, i.e. too masculine.  Of course, we now know that neither could be farther from the truth.

In researching this blog, I had the pleasure of watching some clips of Jack LaLanne’s television show back in the 50s, when it was still black and white.  (I’ve provided links below for two of my favorites, but there are many more on You Tube.)  I was struck even more by how ahead of his time he was.  He was talking about things that even now are not completely accepted by the entire general public, although I think more and more are coming around.  Even then, he understood the connection between the mind and the body, most likely in a very organic way as he lived both extremes in his life -  completely unhealthy and depressed as a child and then completely healthy, happy, and full of zest as a man.  I think that’s why he could speak with such authority about it and many other related topics.

More than anything, I find myself inspired by Jack LaLanne’s life and legacy, for not only was he successful in his career and a positive influence on America, but he also had a loving family and home life.  He fills me with hope because, while there are still many things and ideas today that the general science and medical community still has not quite embraced as they should, I know that if we just follow his model and continue to speak out and stand in the truth as we know it, science and popular opinion will eventually catch up.

You Tube Videos:

http://www.youtube.com/watch?v=NEboAJf9UVc

http://www.youtube.com/watch?v=wupXp7Tlsqg

Sources:

http://www.huffingtonpost.com/john-robbins/jack-lalanne-dies-who-the_b_812902.html

http://en.wikipedia.org/wiki/Jack_LaLanne

http://www.usatoday.com/yourlife/fitness/exercise/2011-01-25-lalanneobit24_ST_N.htm

http://www.npr.org/2011/01/24/133175583/jack-lalanne-founding-father-of-fitness

America: OD’d on Salt

Let’s be clear.  Salt/sodium is not evil.  In fact, a certain amount is necessary for our bodies to function properly.  It is a key mineral in all our bodily fluids, including our blood, and helps maintain the balance of fluids throughout our bodies.  It also plays an important role in muscle strength and nerve function.  A person can actually be sodium-deficient.  Some symptoms of salt deficiency are lethargy, weariness, low blood pressure, and muscle cramps.

In America, however, most people are suffering from too much sodium in their diet, not a lack of it.  Primarily that is because, on average, Americans consume a lot more processed foods than from-scratch home cooked meals.  According to the American Heart Association, up to 75% of the sodium Americans consume comes from the sodium that is added to processed foods by the manufacturers.

On average, Americans consume 3436 mg of sodium daily.  The recommended amount is no more than 2300 mg (approximately a teaspoon) of salt and, realistically, more than half of Americans should probably be on a low-sodium diet of about 1500 mg a day.  The health risks of a diet high in sodium are serious and fatal.  A high sodium diet can lead to high blood pressure, stroke, and heart attack.  It has also been shown to greatly increase the risk of gastric cancer.

In 2006, the AMA (American Medical Association) called for a minimum of 50% reduction in sodium in processed foods, fast foods, and non-fast-food restaurant meals within a decade.  That shows how serious a health risk large daily doses of salt is.  The good news is that studies have proven that even a modest reduction of salt intake can greatly lower the risk of heart disease.  A mere 20%-30% reduction will do wonders.  This fact will be a boon to many Americans whose palettes have gotten used to a lot of sodium in their diet and who view cutting out salt as the end of food tasting good.  The truth is that as you lower your salt intake gradually, your palette will adjust and “require” less and less salt.  At the same time, all the health benefits of a lower sodium diet will be kicking in.  It is recommended that as you are lowering your salt intake, you begin to introduce your palette to other flavoring methods like garlic and spices.  This way, your taste buds will never want for flavor and you won’t see the reduction in salt as a sacrifice.  Rather, it will be seen only as the benefit it is.  Plus, you’ll have much more variety in your palette, and food will actually taste better.  With a high salt diet, the only flavor you really taste (and crave) is the salt.  Pretty one-dimensional.

When attempting to decrease sodium intake, be on the lookout for “hidden” sodium culprits.  There are many foods you might not think are high in sodium that actually are quite high.  Jarred tomato sauce, for instance, is usually ridiculously high in sodium, as are many salad dressings and soups.  Read the labels on EVERYTHING.  Pay particular attention to the serving size because even if the sodium per serving is low, the serving size itself might also be really small, meaning you’ll probably eat more and thus, consume more salt.  It’s also important to look for salt pseudonyms on food labels, like sodium bicarbonate (baking soda), sodium alginate, and monosodium glutamate (MSG).

Cut down on fast food altogether.  Fast food is usually not only high in salt, but also in other heart disease producing ingredients like saturated fat, trans fat and sugar (mostly in the form of white, refined carbohydrates).  If you are dining out at a non-fast-food restaurant, you can ask that your meal be prepared without salt.  On a whole, stay away from sauces, as they will most likely have a lot of sodium.  The other thing you can do when eating out is to compensate by eating a diet extremely low in salt the day of, as well as lowering it moderately the day before and the day after.

Finally, one of the biggest steps you can take to help reduce sodium in your diet is to cook more of your own meals.  This is the best way to completely control your sodium intake.  I know many of us lead very busy lives and it is hard to find the time, but if there is any way to incorporate a little more home cooking in your life, it will be beneficial on many different levels.  Some of my friends manage it by cooking a couple different meals on Sunday when they have more time, and then freezing most of them to be re-heated during the week.  Rachael Ray has a show on the Cooking Channel dedicated to just this idea called “Week in a Day”.  I also know people who have created a network of friends to help share in the cooking.  Each week they figure out a menu and then divvy up the meals so that each person is responsible for only one night.  Sure, you have to make a lot more because you’re cooking for quite a few families, but it makes the ingredient list much smaller and the amount of time it takes to cook much shorter.  A final option is to simply pick a few days a week that are less busy for you and cook on those days only.  On the other days, try to do “easy” things you can control the sodium in – like eggs, or sandwich night with low-sodium turkey.  If you ever make soup from scratch, make A LOT so you can freeze it and simply reheat, which is as easy as opening a can.  The slow cooker is a great option as well, as it will cook your meal for you while you are busy doing other things.

Sources:

http://www.webmd.com/diet/slideshow-salt-shockers

http://factoidz.com/the-health-benefits-and-health-risks-of-salt/

http://www.umm.edu/features/salt_Q&A.html

http://www.webmd.com/heart-disease/news/20070419/cut-heart-risk-by-eating-less-salt

http://www.webmd.com/cancer/tc/gastric-cancer-prevention-health-professional-information-nci-pdq-evidence-of-benefit

http://hubpages.com/hub/Health_Benefits_of_Sodium

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