Medical/Physical Health

Supervision Journey

By Nerina Garcia-Arcement, Ph.D.

A Supervisor Finds a New Path

I wrote this piece in the Psychotherapy Networker with the hopes of inspiring others to get involved. I have personally felt reinvigorated by my experiences with Sol Health, setting up this training experience and working towards making mental health more accessible. Click on the link to read about my journey to Sol Health (www.solhealth.co).

A Supervisor Finds a New Path

Therapist Chair by Stephen Vivar

Mindfulness Based Therapy as Effective as Antidepressants?

Mindfulness Based Therapy as Effective as Antidepressants?

Can therapy be as effective as antidepressants? A new study shows that mindfulness based cognitive therapy (MCBT) is more effective. 

6 Surprising Symptoms of Postpartum Depression and Anxiety

6 Surprising Symptoms of Postpartum Depression and Anxiety

Are you pregnant or recently had a child? Are you feeling angry/irritated, numb, have brain fog, insomnia, and/or physical discomfort? These are all signs of postpartum depression. Read more here.

How to Fall Asleep in Under a Minute

4, 7, 8: Can following asleep really be this simple? A few breaths and asleep within minutes? This technique has been used for years and has proven effective for many. Laura Wiley / Bit of News

Here is how you do the exercise:

  1. Place the tip of your tongue against the tissue ridge right above your upper front teeth. Keep it there for the remainder of the exercise.
  2. Exhale completely through your mouth, making a whooshsound as you do so.
  3. Close your mouth and inhale slowly through your nose while mentally counting to four.
  4. Hold your breath for a mental count of seven.
  5. Exhale completely through your mouth for a mental count of eight. Make the same whoosh sound from Step Two.
  6. This concludes the first cycle. Repeat the same process three more times for a total of four renditions.

In a nutshell: breathe in for four, hold for seven, and breathe out for eight. You must inhale through your nose and exhale through your mouth. The four-count inhale allows chronic under-breathers to take in more oxygen. The seven-count hold gives the oxygen more time to thoroughly permeate the bloodstream, and the eight-count exhale slows the heart rate and releases a greater amount of carbon dioxide from the lungs.

Link to full article

38 Health Benefits of Yoga

38 Health Benefits of Yoga

Still wondering if you should try out yoga? How is it really going to help you anyway? This article discussing 38 scientifically proven reasons why you should get up and strike a yoga pose.

From YOGA JOURNALYOGA AND HEALTH, by Timothy McCall, M.D.

If you’re a passionate yoga practitioner, you’ve probably noticed some yoga benefits—maybe you’re sleeping better or getting fewer colds or just feeling more relaxed and at ease. But if you’ve ever tried telling a newbie about the benefits of yoga, you might find that explanations like “It increases the flow of prana” or “It brings energy up your spine” fall on deaf or skeptical ears.

What Not to Say to a Sick Friend

What Not to Say to a Sick Friend

Your friend is sick? What to say can be truly stressful. You worry about whether acknowledging and bringing up their illness will remind them that they are sick or upset them. When people are sick, they don't forget. But saying something that is insensitive or invalidating can make it worse. Read on for some simple suggestions on what not to say to a sick loved one.

How to Really Help a Sick Friend

How to Really Help a Sick Friend

Having a sick friend is scary. The possibility of losing them can paralyze.  Many want to offer help and support, but struggle with how to do it in a meaningful and non-imposing manner. Gluck offers thoughtful ways to offer support to an friend or loved one with a serious illness.What to do—and what not to do—when someone you love gets a serious diagnosis

The 12 Worst Habits for Your Mental Health

The 12 Worst Habits for Your Mental Health

Do you practice any of these unproductive mental health habits? This article discusses the most common pitfalls that people engage in that hurt our mental health and why they are so damaging.

Health.com / Carey Rossi@goodhealth  /  Nov. 3, 2014

Change these simple, everyday routines to live a happier life

Depression is usually brought on by factors beyond our control—the death of a loved one, a job loss, or financial troubles. But the small choices you make every day may also affect your mood more than you may realize. Your social media habits, exercise routine, and even the way you walk may be sucking the happiness out of your day, and you may not even know it. Luckily, these behaviors can be changed. Read on for 12 ways you’re sabotaging your good moods, and what you can do to turn it around.

How we feel can affect the way we walk, but the inverse is also true, finds a study published in the Journal of Behavior Therapy and Experimental Psychiatry. Researchers found that when subjects were asked to walk with shoulders slouched, hunched over, and with minimum arm movements, they experienced worse moods than those who had more pep in their steps. What’s more, participants who walked in the slouchy style remembered more negative things rather than positive things. Talk about depressing.

Get happy now: Lift your chin up and roll your shoulders back to keep your outlook on the positive side.

Why Crafting Is Great For Your Brain: A Neuroscientist Explains

What helps reduce your stress? New research is confirming what crafters have always known intuitively, that when they engage in a creative and repetitive act they go into a calming state. As a psychologist, I often recommend knitting, crocheting or other crafts as a stress reliever. This article discusses new research explaining why this is helpful. BY DR. SARAH MCKAY JUNE 24, 2014 4:39 AM EDT

Knit one. Purl one. Knit one. Purl one. Knit one. Purl one. The rhythmic and repetitive nature of knitting is calming, comforting and contemplative. It’s not a stretch for you to imagine knitting as a mindfulness practice, or perhaps a form of meditation.

I’m delighted to report that neuroscience is finally catching up on brain health aspects of the trend some have called "the new yoga."

Research shows that knitting and other forms of textile crafting such as sewing, weaving and crocheting have quite a lot in common with mindfulness and meditation — all are reported to have a positive impact on mind health and well-being.

Seasonal Affective Disorder Sufferers Have More Than Just Winter Blues

What are the winter blues? Can you just power through until the Spring? Should you seek treatment or are there things you can do to improve your mood? Dr. Rohan answers these questions in this article. SAD expert Kelly Rohan, PhD, explains the difference

Reporters/editors/producers note: The following feature was produced by the American Psychological Association. You may reprint it in its entirety or in part. We only request that you credit APA as the source.

7 New Year's Resolutions To Stop Making + What To Do Instead

How often have your new year's resolutions failed? For a majority of individuals, the answer is most if not all. Often the problem has to do with the type of resolution you set and whether it is truly achievable. Unfortunately, many set unrealistic goals and once they "fall off the wagon" feel they failed.  This article discusses the most common resolutions and how to go about setting yourself up for success.

BY JINI CICERO DECEMBER 29, 2014 5:17 AM EST

Every January 1, millions of people make New Year's resolutions. Chances are, they won't stick around for too long. Why?

Because most resolutions are unrealistic, or even unreasonable. Here are seven outdated fitness and nutrition resolutions that are destined — and deserve — to fail, along with smarter options to make sure you follow through and succeed.

One more reason to get a good night’s sleep

The brain is magnificent. Sleep and its function is one more reason to marvel at it's efficiency. Watch this informative and entertaining Ted talk on how the brain "cleans up" during sleep.

From Ted.com website: The brain uses a quarter of the body's entire energy supply, yet only accounts for about two percent of the body's mass. So how does this unique organ receive and, perhaps more importantly, rid itself of vital nutrients? New research suggests it has to do with sleep.

View on Ted.com

How chronic stress is harming our DNA

We hear about how bad stress is for our health, but just how bad is it? This article sheds some important light on this issue. It is more important than ever to address your chronic stress through exercise, self care activities, social support and even therapy.

Elissa Epel is studying how personality, stress processes and environment affect our DNA — and how we might lessen damaging effects.

Food-Mood Connection: How You Eat Can Amp Up Or Tamp Down Stress

Food is comfort. It is no surprise that when we are upset we turn to food to soothe ourselves. Turns out that there is growing research supporting the idea that different foods can help you feel less stressed. Read below for more information.

Speaking of Psychology: Music and your health

Can music help improve your physical and mental health? Listen to this 10 minute lecture of music and its healing effects. Can music make us healthier or even smarter? Can it change how we experience pain? In this episode, former rock musician and studio producer Daniel Levitin, PhD, talks about how music changes our brain’s chemistry and affects our health.

Click on link below to listen to lecture.

Link to lecture

Treating Depression Helps Some Smokers Quit

Does depression make quitting smoking more difficult? This study seems to find that treating depression does help people quit smoking. Read more to find out.

Sep. 19, 2013 — Studies have shown that people with depression are about twice as likely to smoke cigarettes as people without depression and they are less likely to successfully quit than smokers without depression. A new evidence review in The Cochrane Library finds that depressed smokers may stop smoking longer and benefit overall from mood management interventions after they quit smoking.

“Health professionals should encourage their smoking patients with depression to use a smoking cessation intervention that includes a psychosocial mood management component,” said the study’s lead author Regina van der Meer, MPH, a researcher at the Dutch Expert Centre on Tobacco Control.

The researchers studied 49 randomized controlled trials, including 33 trials that focused on smoking cessation with a mood management element for those with current or past depression. The analysis compared both smoking cessation programs using psychosocial interventions, like counseling or exercise, and those using bupropion, an antidepressant to standard non-smoking programs.

When psychosocial components were added, smokers were able to stop smoking for longer periods. While bupropion was effective for those with a history of depression, it was not found to be effective for smokers with current depression.

Gregory L. Kirk, M.D., director of Rocky Mountain Psychiatry Consultants, LLC in Denver, who agreed with the review’s findings, emphasized that smokers with depression, past or present, have more medical problems from smoking and higher death rates from smoking-related illnesses.

“In a standard smoking cessation program, people with depression are more likely to have negative mood changes from nicotine withdrawal, but the non-depressed group can experience mood states as well. But when depressed smokers quit, depression symptoms may actually improve. This makes it all the more critical to understand this high-risk group of smokers and what helps them quit tobacco,” he said.

Story Source:

The above story is based on materials provided by Health Behavior News Service.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

Link to article

Diabetes + Depression = Increased Risk of Death, Review Finds

Can depression lead to death in people with diabetes? According to new research depression causes people with diabetes to follow a cycle of hopelessness, poor self care and increased risk of other health conditions. This in turn leads to increased mortality. This study urges integrative care to address the depression in individuals with diabetes.

Feb. 21, 2013 — People living with diabetes who also have untreated depression are at increased risk of death, according to a new evidence review in General Hospital Psychiatry.

 More than 42,000 patients with type 1 or type 2 diabetes and depression were analyzed in the review. The reviewers discovered that depression was associated with a 1.5 fold increase in the risk of dying. In four of the studies reviewed, co-morbid depression was linked to about a 20 percent higher risk of cardiovascular death for people with diabetes.

Diabetes affects 25.8 million people in the U.S., according to the 2011 National Diabetes Fact Sheet, and about 30 percent of these people also experience symptoms of depression.

"Depression consistently increased the risk of mortality across virtually all studies," said Mijung Park, Ph.D., lead author and assistant professor at the University of Pittsburgh School of Nursing. "We can now postulate that the harmful effect of depression is universal to individuals with diabetes."

Todd Brown, M.D., associate professor of medicine and epidemiology at Johns Hopkins University in Baltimore, said it is very common to see a patient go into a downward spiral when obesity-related co-morbidities, such as diabetes, high blood pressure, obesity and depression converge.

"Obesity can lead to worsening metabolic status that can lead to hopelessness and decreased physical activity, which in turns worsens obesity, and the cycle continues," he explained.

The encouraging news is that depression is a highly treatable condition, said Park. Because depression can make diabetes self-care more difficult and lessen quality of life, she suggested that depression treatment should be included in overall diabetes care strategies.

Story Source:

The above story is based on materials provided by Health Behavior News Service, part of the Center for Advancing Health.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

Link to article

How to make stress your friend-Ted talk

Can how we think about stress make us healthier and stronger? Can seeking social support extend our lifespan despite our stress level?  Watch this insightful Ted talk and find out. http://www.ted.com/talks/kelly_mcgonigal_how_to_make_stress_your_friend.html

Qi Gong Techniques Help Cancer Patients Cope

Practicing a combination of breathing, meditation and movement to achieve a state of relaxation and peace of mind improves quality of life, cancer-related symptoms and treatment side effects and promotes patient longevity. By: Lynette Summerill

Feeling anxious or stressed about a cancer diagnosis is a very normal response. After all, it’s a life changing experience. Patients and their loved ones often feel a whole range of emotions when learning to deal with the disease, treatments and its side effects. It’s not a road easily traveled. So naturally, finding positive coping mechanisms is essential to realizing the best possible outcome.

The mental stress that accompanies a cancer diagnoses not only negatively affects quality of life, it can actually contribute to suppression of the immune system, aggravating the side effects of chemotherapy and slowing the healing process, according to the National Cancer Institute.

Many cancer patients are finding stress-reducing health benefits by incorporating the ancient Chinese system into their treatment protocol. Qi Gong, sometimes called chi kung or vital energy exercises, involves breathing, meditation and movement to achieve a state of relaxation and peace of mind. Translated, qi gong means “breath work” or “energy work”.

While qi gong is typically not considered a “cure” for cancer, it is extremely helpful in coping with the disease. Practitioners say the exercises help manage pain, reduce anxiety, provide increased strength and enhance the quality of life.

The goal of qi gong is to help the flow of energy or “qi” (pronounced chee) through the body. The two forms of qi gong—external and internal— are exercises that people can do on their own or with a skilled master. It can also be used to target specific areas of the body. However, if this makes you feel a little too existential, there is also strong scientific evidence to suggest beneficial health outcomes associated with its practice.

Researchers from the Santa Barbara-based Institute of Integral Qigong and Tai Chi, Arizona State University and the University of North Carolina analyzed data from 66 randomized controlled qi gong trials involving 6,410 participants. The review was published in the American Journal of Health Promotion.

The researchers found the strongest and most consistent evidence of health benefits included bone health, cardiopulmonary fitness, balance, mental focus, improved quality of life and self-efficacy (the confidence in and perceived ability to perform a behavior.) The reviewers concluded sufficient evidence exists to suggest qi gong is a viable alternative to conventional forms of exercise.

More recently, a 2008 pilot study of medical qi gong (MQ) for cancer patients, conducted by University of Sydney researchers found MQ to be “an effective therapy for improving quality of life, cancer-related symptoms and treatment side effects and promote patient longevity” compared to non-practicing MQ cancer patients. Qi gong has also been found in medical studies to produce long-term physical benefits by reducing inflammation in some cancer patients.

 

Link to article

 

Yoga Helps Ease Stress Related Medical and Psychological Conditions, Study Suggests

Yoga might increase GABA activity, low GABA (neurotransmitter) is linked to anxiety disorders, post-traumatic stress disorder, depression, epilepsy, and chronic pain. So practicing yoga might reduce distress from these disorders. Mar. 6, 2012 — An article by researchers from Boston University School of Medicine (BUSM), New York Medical College (NYMC), and the Columbia College of Physicians and Surgeons (CCPS) reviews evidence that yoga may be effective in treating patients with stress-related psychological and medical conditions such as depression, anxiety, high blood pressure and cardiac disease. Their theory, which currently appears online in Medical Hypotheses, could be used to develop specific mind-body practices for the prevention and treatment of these conditions in conjunction with standard treatments.

It is hypothesized that stress causes an imbalance in the autonomic nervous system (parasympathetic under-activity and sympathetic over-activity) as well as under-activity of the inhibitory neurotransmitter, gamma amino-butyric acid (GABA). Low GABA activity occurs in anxiety disorders, post-traumatic stress disorder, depression, epilepsy, and chronic pain. According to the researchers, the hypothesis advanced in this paper could explain why vagal nerve stimulation (VNS) works to decrease both seizure frequency and the symptoms of depression.

"Western and Eastern medicine complement one another. Yoga is known to improve stress-related nervous system imbalances," said Chris Streeter, MD, associate professor of psychiatry at BUSM and Boston Medical Center, who is the study's lead author. Streeter believes that "This paper provides a theory, based on neurophysiology and neuroanatomy, to understand how yoga helps patients feel better by relieving symptoms in many common disorders."

An earlier study by BUSM researchers comparing a walking group and a yoga group over a 12-week period found no increase in GABA levels in the walking group, whereas the yoga group showed increased GABA levels and decreased anxiety. In another 12-week BUSM study, patients with chronic low back pain responded to a yoga intervention with increased GABA levels and significant reduction in pain compared to a group receiving standard care alone.

In crafting this neurophysiological theory of how yoga affects the nervous system, Streeter collaborated with Patricia Gerbarg, MD, assistant clinical professor of psychiatry at NYMC, Domenic A. Ciraulo, MD, chairman of psychiatry at BUSM, Robert Saper, MD MPH, associate professor of family medicine at BUSM, and Richard P. Brown, MD, associate clinical professor of psychiatry at CCPS. They are beginning test these theories by incorporating mind-body therapies such as yoga in their clinical studies of a wide range of stress-related medical and psychological conditions.

Link to article