A Few of My Favorite Things

How many of you are now humming that song from the Sound of Music? I may have done that intentionally because it is one of my favorite movies this time of year (White Christmas starring Bing Crosby is the other). Read through to the end to learn why the song and movie is associated with Christmas. I know that you are so eager to learn about some of my favorite things, so here goes.

Therapy

Okay okay, i’m not biased on this I promise! Participating in therapy is a great tool for so many to find healing, solutions, restore confidence and learn new skills. According to a NAMI report 21% of U.S. adults experienced mental illness in 2020; that’s 52.9 million people, or 1 in 5 adults. Of those adults 46% received treatment. We can undoubtedly guess that during the global pandemic of 2020 these numbers in mental health and therapy needs increased from 2019. What was once very taboo has become a bit more normalized. Thanks in part to the Gen Z-ers who are very vocal about participating in therapy, to the influx of social media posts by lay persons and professionals related to therapeutic benefits. Here’s a tidbit that you may not know; even therapists have therapist. It’s our role to leave our worries outside the therapy room door so that we can be fully present for you. But that means we need someone to helps us process it all too.

Supplements

Let me be very clear before I start talking about this. I am not a licensed medical practitioner, but I am a certified health coach, so always consult your medical practitioner before starting a new supplement. If you want more information about the health coaching I offer, check out the page on my website. Based upon my own experiences using supplements paired with my training as a health coach, there are a few supplements that have proven to be valuable in improving moods, maintaining a healthy brain, and healthy lifestyle.

First up is omega fats. I am not a fish eater; in fact my motto as a child was ‘nothing from the sea.’ This has since changed and I now love mollusks and shellfish. However shellfish does not offer me the healthy omega 3 fats that come from cold water fish (e.g., salmon). Other healthy fats in the omega 6 + 9 variety are more prevalent in my daily diet. So I supplement with omega 3-6-9 pills. This article provides more details on the differences, sources and importance of taking omega fats in supplement form. Other supplements I highly recommend is magnesium and turmeric. Turmeric has many health benefits, the most notable is that it’s a natural anti-inflammatory and antioxidant. Additional benefits include improvements in brain health related to depression and prevention of Alzheimers (source). Lastly is magnesium, essential for brain and body health. It’s the most abundant mineral found in the body yet you’re likely not getting enough through your diet. Check out Dr. James DiNicolantonio’s videos on magnesium here and here.

Pets

If you’ve sat in my office or been in my virtual office, you’ve likely seen my cat. As ornery as she is, my cat is a calming force when I come home. She loves snuggles, has anxious attachment tendencies (is that possible in animals?!) and is a big talker, as are most Siamese cats. Owning a pet certainly comes with disadvantages (financial cost or clean up), yet more and more people own pets. Over half (57%) of the population owns at least one pet (source) which tells us there’s got to be something good for us about owning a pet. One study in particular looked at the wellbeing of owners, conducting 3 separate studies to find their conclusions. Improvements were more significant than originally proposed proving that owning a pet increases the social support aspect of the owner. Consider how many people you have become close with at the dog park because the dogs are playing together! Other benefits more commonly discussed from pet ownership include, reduction in depressive and anxious symptoms, improved self esteem, and increased physical activity. Considering getting a pet? Be sure to do your research on all the expectations and responsibilities of pet ownership. Plus there are opportunities for interactions with pets without the ownership responsibilities through volunteering at a shelter, working with therapy animal trainers, etc.

Laughter

You’ve heard the saying, laughter is the best medicine? And I’m guessing that you’ve even experienced the perks of laughter after a game night with friends. But just how good for you is it to laugh? The idea that laughter as medicine became a subject of interest in 1979 when Norman Cousins spoke about it’s analgesic effects on his own illness is his book An Anatomy of an Illness. Since then multiple studies have shown the psychological benefits of laughter; improving affect, reduction of depression and anxiety symptoms to name a few. In more recent years however there is growing evidence that laughter even has physiological benefits. This article outlines more of the details of the studies conducted. Suffice it to say that you could prescribe laughter for yourself and reap the psychological and physiological benefits. Creating a new weekly habit for 30-minutes belly laughing, a great way to share!

Looking ahead

Now that you’ve had a peak into a few of my favorite things, let’s return to the history of the song. Various stories suggest that the fame of the song, A Few of My Favorite Things, is because of Julie Andrews singing the song on The Garry Moore holiday special back in 1961 before the movie came out in 1964. Another story is that the song was created and performed to be a Billboard hit in preparation for the release of the Sound of Music movie in 1964. Still another story is that the tv stations wanted family friendly movies aired during the holidays when families were most often coming together, and Sound of Music was an easy choice. So as this year draws to a close in the coming weeks, I hope that you will embrace a few of your favorite things and share with others. May your smile be bright, your holidays be peaceful and your hearts be overflowing. Be Well!

How the season changes our moods

Common SADness

It's common for people to experience days when they feel not like themselves, down or a little blue but they can return to feeling energetic and like themselves again rather quickly. Sometimes those sad days start during the winter months and end when the days get longer. When these mood changes have a longer and more significant impact a person's thoughts, feelings and daily life, they may be experiencing what is called SAD or Seasonal Affective Disorder. SAD is not as uncommon as you’d think. It is experienced by millions of people, many of whom may not even realize it.

Here are some factors common in those with SAD: people who live in colder climates (northern states and countries), people who already have a mental illness diagnosis or family history of mental illness, occurs in more women than men, people living in parts of the country with fewer hours of daylight during winter (like New England). Here in Cincinnati it’s now getting dark around the end of the work day. Although that makes it hard to resist going straight to bed when I get home, it also feels unusual to being going out and being social or active after work when my internal clock is telling me it’s midnight!

SAD signs + symptoms

Since SAD is a specific type of depression many of the symptoms will sound much like those of major depression disorder. Now is the time to add my disclaimer for those that don’t read to the end of the blog (you know who you are). Having these symptoms does not equal a diagnosis of seasonal affective disorder; if you have many of these symptoms and you want support please talk to a licensed mental health professional. Now, back to it. Let’s look at the core symptoms of SAD:

• Feeling depressed most of the day, nearly every day

• Losing interest in activities you once enjoyed

• Having low energy

• Having problems with sleeping

• Experiencing changes in your appetite or weight

• Feeling sluggish or agitated

• Having difficulty concentrating

• Feeling hopeless, worthless or guilty

• Having frequent thoughts of death or suicide

Did you know there are two types of SAD, summer-pattern and winter-pattern depression. Of the symptoms that differentiate these, most notable is appetite and sleep changes. Diagnosis requires taking a full history of symptoms during past seasons and ruling out other mental health disorders (again, by a qualified mental health professional).

Why do people develop SAD?

Although there is no definitive scientific explanation for why people develop SAD of SAD-like symptoms, the experiences are still valid. Here is what scientists and clinicians have posited

• Your biological clock or circadian rhythm. Shorter hours of daylight and colder temperatures almost seems to push us to stay inside or under the covers. Fewer hours of daylight may confuse our internal clock of our usual wake/sleep cycle.

• Drop in serotonin levels. Serotonin, A neurotransmitter, is the primary mood stabilizer. Often considered the happy chemical, it is constructed by vitamin D (the ‘sunshine drug’). So less daylight = less vitamin D = less serotonin.

• Intrusive thoughts/feelings. Ruminating on negative thoughts and feelings associated with colder and shorter days such as the limitations of socializing, access or mobility. Additionally, associated memories or events can trigger negative thoughts and feelings and may contribute to associated behaviors of SAD such as isolating, increased sleeping, ruminating.

What can I do?

As I indicated at the start of the blog many people experience these symptoms and may not have realized that they could have SAD. Or they have some of the symptoms but not enough for a diagnosis. Bottom line is if you are experiences mood changes related to the season change, you can make changes to help you feel better. And if you have been successfully managing your SAD-like symptoms thus far, hooray! You can still take a look at the list below and consider making adjustments or additions to having a brighter fall and winter!

1. Stick to your routine. Although it’s harder now, sticking to your routine will help stave off the disruption to your circadian rhythm. Wake up and go to sleep at the same time as you do in summer months.

2. Make plans. Having something or someone to look forward to increases your chances of acting on it. So make those plans in the evening; go to happy hour, walk around downtown with hot cocoa, schedule to snuggle on the couch and watch a movie.

3. Use light therapy. Ever popular and available for quick delivery are light therapy lamps. Its popularity started in the late 1980’s and has been a bright light in effectively treating SAD ever since.

4. Psychotherapy. Yes, I mention it because I’m a therapist but more importantly I mention it because it works! Talking to a therapist about your thoughts and feelings can lighten the load you carry during the season.

5. Supplements. Increase your intake of omega fatty acids and vitamin D and helps improve your moods. Since many of the neurotransmitters associated with our moods are fat soluble, having healthy fats in our body is super important. Supplements are the most common way to absorb more of these nutrients but the best way is through whole food nutrition. Always talk to your doctor first.

Try some of these strategies, share some of your own, talk to your friends, make plans and Be Well!

How to be an expert at identifying your feelings

Emotions vs. feelings

Wait! There’s a difference?! 

In fact there is. 

Emotions are the biochemical reactions (e.g. neurotransmitters) to an external stimulus. The amygdala is primarily responsible for this emotional arousal. The amygdala is at the center of our brain and also where the flight-fight-freeze-fawn responses originate. Like when the hair goes up on our necks, or our stomach drops? That’s emotions; the generalized physical sensation experienced. 

Feelings on the other hand are the conscious experience of the emotion stimulus. The feelings, or labels, we apply are actually our personal interpretation of the emotional response. The interpretation comes from our lived experiences, beliefs, memories, thoughts and awareness of the situation or trigger. 

To get an accurate understanding we must collect information from both our emotions and our feelings. By creating this awareness within ourselves we can then more fully appreciate the experience and more healthfully respond to the trigger. 

Each human experience triggers an emotional response, which in turn triggers our feelings, and responses. So let’s ask a few simple questions to get a better grasp of things. 

Tell me, oh great amygdala, what am I feeling? 

 In my years as a therapist helping others navigate their emotions and feelings, I’ve learned that many are unfamiliar with their own body’s physical response to feelings. So I talk to them about building awareness of their physical sensations in everyday situations. 

What are physical sensations? Those are the biological events occurring in our body, again triggered by our amygdala. Some examples include sweating, hot red cheeks, tingling on our hands, rapid heart rate, or shallow fast breathing. Think back to a time earlier today when there was an increase in tension or excitement. What was happening in your body? I tell my clients to do a mental body scan—head to toe—to see what’s different in that moment. 

Once there is a new awareness of the emotions, or physical sensations, experienced, I then help my clients create an understanding of the feelings associated with it. Here is where we get to label things. 

[pulls out her label maker…]

Did you know that there are approximately 3000 words used to describe feelings in the English language! That’s a lot of labels! How did we get so many? Read on to find out. 

One of the most prominent theories of the 20th century is Robert Plutchik's wheel of emotions. Since we now know that once we label the emotion, it is called a feeling, we will now refer to them as feelings on the Plutchik wheel. Plutchik proposed eight basic feelings—joy, sadness, trust, disgust, fear, anger, surprise, and anticipation. Using colors to represent each basic feeling, the wheel showed that these overlapped and bled into the next like hue on a color wheel. With those 8 basic categories to start, that leads to over 34,000 combinations of feelings! 



Too many choices! I need an easy answer!

Like the Pixar movie, Inside Out, sometimes it’s easiest to identify a fewer number of options. In the movie there are five major categories of feelings portrayed—anger, sadness, joy, fear, and disgust. The key is to collect all the data points possible to identify the final answer. So how do you determine what you’re experiencing? Here are some simple steps to Identifying your Feelings applied to a simple example. 

Picture it. You are at work and the boss stops by your workspace saying, “Come find me later, we need to talk.”

(Gulp. Anyone else having an immediate reaction to this? No? Just me. Okay.)

1. Pay attention to what’s happening in your body. This means creating that awareness of body language and physical sensations. 

   “I immediately notice that my heart rate has increased and I’m starting to sweat. My shoulders have climbed up into my ears (tensing) and I have an awkward smile and am nodding foolishly.”

2. Decide what happened to make you feel this way. This can be the full situation or a portion of the situation. Don’t negate the automatic negative thoughts (ANTs) that come into play. 

   “My boss just unexpectedly came to my work space and asked to see me. I don’t know the reason and it’s an unusual way for her to ask me.”

3. Decide what to call the feeling. Here we get to put all the data points (see step 1) together and out a label on what’s happening. What label do we place on what we are experiencing? 

   “I’m feeling anxious and concerned about my performance on the job.”

 (Note that all the steps of the skill, Identifying your Feelings, are done mentally; not aloud).

Now that you have some clearer steps on how to more accurately and consistently identify our feelings, I hope that you find it useful while navigating everyday situations. If you are experiencing more intense feelings or find it difficult to find a helpful and healthy response to those feelings, I encourage you to find a  therapist who may be able to help.