Understanding Mental Illness

Cold Dark Season Has Reader Depressed

Winter is here and it is a difficult time for me. Between the cold, the dark, and the lack of outdoor time, I get really depressed. I know about SAD and have tried light therapy. I think it helps some but not enough. What other things can I try?

This article originally appeared in Macaroni Kid on February 13, 2019 by Luanne Starr Rhoades, LCPC, LADC, CCS; Health Affiliates Maine

Question: 

Winter is here and it is a difficult time for me. Between the cold, the dark, and the lack of outdoor time, I get really depressed. I know about SAD and have tried light therapy. I think it helps some but not enough. What other things can I try?

Answer: 

Winter is a difficult time for many.  Some people enjoy winter because they have sports like skiing or snowmobiling, which causes them to look forward to it.  For many of us, winter is to be tolerated.  Some, like you, have the added difficulty where seasonal circumstances, like the lack of light, which affects your mood and leads to depression.  For some, the difficult months come on in February and March due to an accumulated effect of reduced daylight.  You mentioned SAD, which stands for Seasonal Affective Disorder.  SAD can cause depressed mood, social withdrawal, and mental health problems like increased anxiety, eating disorders, substance abuse, and suicidal thoughts.  

Here are some interventions that can help:

Preplan winter.  As the winter season approaches each year, fill your calendar with activities both social and physical.  Schedule lunch with friends, movie nights, family game and puzzle challenges.  Have a lot of interactions with people you care about.  Social supports and things to look forward to can make the winter seem to go faster.

Bundle up and get out!   Plan to be outside in the morning or the middle of the day whether it is cloudy or sunny.  Daylight helps; try to get out whenever you can.  Some sufferers like to wear yellow lenses which reduce blue light and make everything brighter.

Buddy up with another that may also be troubled by the difficult winter.  You can help motivate each other with physical activity and healthy eating.

Boost up the self-care.  This is the time to focus on your own needs.  Do an inventory of the physical, social, emotional, and spiritual areas of your life.  Are there any needing attention or outlet?  What can you add to bring life into balance? Counselors can help with this.

Use your light therapy every day. Think of it as a daily medication. Start in the fall as the daylight first starts to shorten. Place the light in front of you every morning for a half hour.  Eat breakfast by it or read.  Do it every day.

Plan a winter getaway.  If you have the means, taking a vacation to a sunny climate during winter months can be a real lift.

Check with your doctor.  This problem is likely to come back every year, as long as you live where the days are shorter in the winter.  If you haven’t already, see your doctor for medication, It is best to do this in the early fall so the medication will be at therapeutic levels come the dark months. This will help with the hormone imbalance caused by the lack of light.

Consider vitamin D.  Ask your doctor about this.  People who live in wintery climates often have low levels of vitamin D.  This is the vitamin that is produced in our bodies by sunlight interacting with our skin and has many healthful purposes, including treating and preventing depression.

Luanne Starr Rhoades, LCPC, LADC, CCS is a professional counselor and the Outpatient Therapy Director at Health Affiliates Maine, a mental health and substance abuse treatment agency serving adults, adolescents, children and families. For more information or if you or someone you know needs help, call us at 877-888-4304 or visit our website www.healthaffiliatesmaine.com and click on “Referrals.”

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Hi again! I am back with another blog. I was re-reading my first one “Shame: Managing Stormy Days” the other day and thought it was, “to my surprise” not bad.

I say this not with an ego. I say it as “An Adult Child Of An Alcoholic” who can still slip back to that spot of low self-esteem. Not for long and for sure not as often BUT the feelings don’t change. In that spot, I was quite nervous about my first writings here.

The thought or the fear was…..

“Will I write something worth reading? A thought not new to me. I shared those same feelings with my wife Linda when she first asked me to write our book “Weathering Shame”. Remember when I talked in that first blog about the Lack Of Awareness Around How I Grew Up? I also noted that Growing awareness during the beginning of my “Journey Toward Wellness” helped build successes and to make better choices. All true!

However the biggest change along the way is a growing confidence in myself and that has helped me feel more positive about ME!

I got there by being very aware of both my Strengths & Weaknesses and accepting both. 

 

  • Re-reading my first blog has me feeling that I made several good points that I am really proud of.
  • I have heard and taken in positive feedback from you the public and the folks at “Health Affiliates Maine”.
  • A new habit, replacing the old habit of discounting kind words. That was around how I felt about myself.
  • I am  growing and learning of being able to acknowledge small successes.
  • Being less concerned about what other people think of me including not going to a negative place with it.

The most important change happening is a True Feeling of Self-Worth!

Not being in such a rush to finish tasks. Being a better listener and offering support not solutions and the most important realization..“DON’T BE INVESTED IN THE OUTCOME!” If you have read our book “Weathering Shame” you know how much of a problem I had around these issues. Has it gone away completely? Of course not! But I do feel a strong shift in feelings and my behavior.

So at this point in my journey, I do believe that what I am saying around the issues of Shame and stigma is helping those who hear or read my words to maybe begin sharing their own stories and struggles with someone they trust.

In closing, MY THANKS to those who have thanked me for my role in Health affiliates Maine TV and Radio campaign. The recovery stories being shared by others are amazing and powerful.

ACCEPTANCE IS ONE IMPORTANT STEP ON THE JOURNEY TOWARDS WELLNESS

AuthorKevin Mannix, Weather Forecaster,WCSH 6, NEWS CENTERS and co-author of “Weathering Shame”

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“The oak fought the wind and was broken,
the willow bent when it must and survived.” 

― Robert JordanThe Fires of Heaven

 

Resilience can be described as the process of returning to normal daily functioning or the ability to adapt after being faced with stress, adversity, trauma or tragedy.   Resilience is not a trait that people either have or do not have.  Resilience involves behaviors, thoughts, and actions that can be learned and developed in anyone.  There is a, however, a road to resilience that most likely involves much emotional pain and sadness.

Stressful life events can have a substantial impact on brain function and structure. 

Just  hours before my 22nd birthday and being 5 months pregnant, my mother’s heart surgeon presents himself to say “your mother will not make it through her open heart surgery”.  My heart fell to the floor as no doctor had ever predicted this outcome.   My mother was just 44 years old.  “My mother will never see my unborn child”.  This was the thought that remained with me and caused so much emotional pain at that moment and for years to come. It is sometimes insurmountable obstacles that unleash the very best of ourselves.

Even after misfortune, resilient people are blessed with such an outlook that they are able to change course and soldier on. 

They are able to rise from the ashes and become stronger than ever.

My first child was born in April of the next year.  My son was born with a very rare condition called CHARGE Syndrome.  CHARGE is a recognizable pattern of birth defects.  My son is deaf, legally blind, intellectually impaired with many sensory deficits.  My dedication to him spans 27 years and has given me a lifetime of resiliency stories.

Throughout my life, I often have had people say to me “how do you do it?”­­­ 

“What makes you get up in the morning?”  So here I present my own thoughts after pondering that very same question, “why do I continue to feel fulfilled and happy when my life has been interwoven with tragedy many times?”

My husband and I went on to have two healthy daughters and also adopted a deaf child, a son from Hangzhou, China in the year 2000.   In 2002, my husband, father to my four children, died in a tragic car accident.  The pain of losing a husband and father, so young, just 42 years old, was another traumatic event to test all of us in resilience.  I remember my youngest daughter, Emily, much more stoic than her older sister, “mommy, why don’t I cry like Charlotte, I miss daddy but I can’t cry like her”.  It is important to remember we all grieve and reveal emotion differently.  I was able to explain this to her in a very simple way, “your emotions are very much like your dads, he liked to work through his problems in his mind and by doing activities that kept him healthy.  Charlotte, she is just like your mom, we cry and show our emotions very easily, this is just the way we were put together on the inside”.

Individual  characteristics…

…such as optimism – along with behaviors;  active coping, and cognitive reappraisal, can build on one’s ability to weather storms of unpredictability.

Optimism is the expectation for good outcomes and has been consistently associated with the employment of active coping strategies, subjective well-being, physical health and larger and more fulfilling social networks and connections. Relationships that provide care and support, create love and trust, and offer encouragement, both within and outside the family.  Optimists report less hopelessness and helplessness and are less likely to use avoidance as a coping mechanism when under duress.

When raising my children, there were many times that tears represented sadness.  What I remember, is how those tears were short lived.  I always invited others to understand what I was going through and share in my pain.  Due to this vulnerability, I opened myself up to many people who could provide comfort and a message of hope and optimism that could get me through the distressing moment.

When my youngest son was 16, we had endured years of his emotional turmoil.  This unrest – possibly a result of being deaf, abandoned at such a young age and a minority.  I remember a talk from a psychiatrist in an emergency room, he was firm with me “You do not give up on him, he needs you to believe in him now more than ever”.  He went on to say that this is the time that many parents throw in the towel with kids who are behaviorally disruptive.  This doctor was telling me “you’re not done yet” he gave me the confidence to fight the good fight for many more years to come.  He wanted me to stand firmly in optimism.

Active coping using behavioral or psychological techniques utilized to reduce or overcome stress has been linked to resilience in the individual.  Strategies that help us actively process the physical and emotional stress that is part of life.  Talking with friends and family, writing in a journal, shooting hoops, engaging in yoga, joining an art class, these are all considered active coping skills.  Active coping involves thinking, even if it is not about the problem at hand.  Active coping helps one refresh the mind.

I have always been active to maintain my physical health.  I have always tried to reach out and help others in many different capacities, serving on boards, volunteering,  joining committees, taking up legislative issues. It has been important to me to be a good mother, daughter, and friend.  It has helped for me to always be aware that I am more than a person who has much adversity in her life, I am also a person who is blessed with much love in her life.

Cognitive reappraisal is also strongly associated with resilience.  This is the ability to monitor and assess negative thoughts and replace them with more positive ones.  Changing the way one may view events or situations, finding the silver lining in the dark cloud.

I remember friends asking how I reacted when I knew my child was profoundly deaf.  It was such a strange question to me as I was just happy that he was alive and the idea that he would not hear to this day has never been a source of sorrow for me.  It was my ability to see beyond and not become stuck in a labeled disability.  I was able to look at the larger context, how will he communicate with us, researching and educating my own self to the possibilities.

Building resilience does not always come easy. 

Having your own personal experience with hardship is what builds your strength and confidence to conquer what comes your way.  The process of resiliency can also be helped along by good families, schools, communities and social policies that make resilience more likely to occur.  It is important to remember that everyone can develop resilience and the ability to “bounce back” from hardship.

My oldest son is now 27 years old and lives independently with in-home supports.  All of my adult children are now facing their own challenges and building their own strength toward resilience.  My family offers each other encouragement and support as we discover life’s unexpectancies.

“Fall down seven times… get up eight”  
-The happiness institute

 

Author: Terri Thompson, LCPC

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Depression has been called having “the blues”, “feeling down”, “sad” or “in the dumps” but that doesn’t begin to cover what depression is and does. Depression affects the body, mind and spirit.  It can be devastating and life changing. It affects not only the person’s life, but can impact significant others, family members, employment and even the community as well.  It can last for weeks, months or years without treatment and it can end in death by suicide.

Depression is a serious illness.

What causes depression?

Depression has its roots in chemical changes in the brain. There are many factors that can combine to cause depression.  The person’s temperament and personality, early grief and losses, trauma, stressful life events, the change in seasons or any time the body’s internal clock is out-of-sync. Medical problems such as a thyroid imbalance heart attack survivors, immune diseases, cancer, and nutritional deficiencies can also play a part. The presence of persistent pain, women associated with having their premenstrual cycles and some medications and their side effects are all contributing factors. Substance abuse issues and associated withdrawal symptoms can also result in depression.

Genetics plays a part. If someone on either side of the family was depressed there is a better chance that this would be passed on to the next generation.  Depression also affects the brain and is negatively affected by stress.  The more stress and longer the stress occurs, the more the brain and the body is affected.

Are there different types of depression? If so, what are they? 

There are a number of different types of depression. The most common is Major Depressive Disorder which can be mild, moderate, or severe, in partial or full remission.  Other types can include 

  • Persistent Depressive Disorder, known as Dsythymia which occurs for at least two years.
  • Disruptive Mood Dsyregulation Disorder includes temper outbursts with irritability or anger that occur daily and is seen in children between 6-18 years old.
  • Premenstrual Dsyphoric Disorder is associated with the menstrual cycle, starting a week before and ending in the week afterwards. This brings mood swings, crying, irritability and anger, depressive symptoms, tension and anxiety.
  • Substance or Medication Induced Depression associated with taking a substance or medication.
  • Depressive Disorder due to another medical condition. 
  • Specified Depressive Disorder, which is when full criteria cannot be met but most symptoms are present.
  • Unspecified Depressive Disorder. This diagnosis may be made when there is not sufficient information or time to make a specific diagnosis.

In addition, depression can be a symptom of other diagnoses such as Bipolar Disorder, anxiety disorders with depression, Attention Deficit Hyperactivity Disorder and sadness, which is not a diagnosis, but a natural part of our existence.

Can depression be prevented? 

Depression is complex. It can’t be prevented for everyone yet, but it can be treated. That is why one pill won’t work the same way for everyone, and why medication usually takes weeks before a change in symptoms is noticed.  For some people taking their medication as prescribed, being proactive when participating in therapy and actively making changes in their lifestyles can greatly reduce symptoms over long periods of time. Cognitive Behavioral Therapy has proven to be effective in changing thoughts and feelings that are associated with depression and in helping to identify, and make lifestyle changes that reduce depressive symptoms.

How can we help someone who may be struggling?

The first part is to become aware that there has been a change.  The change includes having a depressed mood, a loss of interest or pleasure and feelings of hopelessness or despair.  Remember, depression can be sneaky.  It can start by a person feeling “off”, more sad than usual, or having low energy, and may be perceived as the onset of a flu or cold when no other flu or cold symptoms appear.

Be aware of changes in routine, difficulty with starting tasks, staying in bed longer, or increased feelings of not caring about anyone or anything.  Family members or friends who notice these symptoms should talk to the person about it and suggest that they get help. 

Above all, don’t ignore the symptoms.  Be patient, encouraging, understanding and support the person who is depressed. Talk to them and, more importantly, listen to them. Encourage them to be more active, don’t push too hard, but continue trying.

Are there resources to seek help?

If there are ever any suicidal thoughts or feelings, the person should immediately call their therapist, doctor, or the crisis hotline 1-888-568-1112.  Above all, if the person is a danger to themselves or others, hospitalization may be necessary.

If the person is not suicidal, a doctor’s appointment can help to determine if there is any physical cause for the depression. Depending on the severity, a psychiatrist or doctor may prescribe antidepressants. This can help reduce depressive symptoms and may be given in combination or alone. If there are any side effects noted, encourage the person to call their doctor and go to their appointments. 

Seeing a therapist or clinician, whether on medications or not, has been proven to be effective in helping reduce symptoms of depression. There are a number of psychotherapies treatments that can help.

Research has shown that getting treatment sooner can relieve symptoms quicker and reduce the length of time of treatment. In other words, try to encourage the person to seek therapy.  For the person that cannot get out of the home there are also telehealth services, so getting therapy is easier than ever. The best thing to do to treat symptoms of depression is to get help as soon as possible.

 

Author: Cynthia Booker-Bingler, LCSW, Health Affiliates Maine

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For some people, the shorter days of the fall and winter months bring with it an increase in depressive symptoms.  This type of depression has been called Seasonal Affective Disorder (SAD). It usually impacts people during the change of seasons when there is a decrease in light, and it lessens or stops when the seasons change again, bringing additional light. 

Studies showing the numbers of people with SAD vary from about half a million people (4-6% of the population) up to 10-20% of the population in the U.S.  

Symptoms of SAD include:

  • being sluggish/low energy/ fatigue; reduced sex drive
  • losing interest in activities that once were pleasurable
  • decrease in social interactions
  • experiencing difficulty concentrating
  • sleep problems
  • gaining or losing weight
  • feeling depressed most or all of the day, almost every day
  • feeling worthless or hopeless
  • having frequent thoughts of suicide
  • The symptoms occur for more than two weeks and recur during the same time of year

What Causes SAD?

The exact cause of SAD is still to be determined, however most theories attribute the disorder to the lessening of daylight hours.  This can disrupt circadian rhythms (the body’s internal clock), increases the production of melatonin (causing sleepiness, the body’s way of telling us when it is time to go to bed), and decreases the production of serotonin (which helps to regulate mood).

It’s more prevalent in the northern than southern States.   Not everyone gets treatment for SAD as it is typically attributed to the “winter blues” or “cabin fever” and there is an expectation to just ignore it, endure it or “man up”. 

Now, the good news. SAD can be treated. 

First, if you feel you may have SAD, after looking at the symptoms listed above, it is recommended that you see your doctor to determine whether it is due to a medical cause (i.e.: hypothyroidism or another medical condition) and a therapist to assess if symptoms are due to SAD or another diagnosis (Depression, Bipolar disorder or trauma).  During the therapist’s assessment you might be asked to fill out the Seasonal Pattern Assessment Questionnaire or a depression questionnaire.  These will help determine the cause of your symptoms. 

Next, depending on the symptoms and their severity your doctor may prescribe medication, light therapy and CBT therapy. 

  • Medication: Selective Serotonin Reuptake Inhibitors (SSRIs) for depressive symptoms.
  • Light box therapy: A prescribed therapy using light to reset circadian/ biological rhythms. Work with your doctor due to changes in length of time, intensity and type of light used.
  • Cognitive Behavioral Therapy – To change the pattern/thoughts/ behaviors leading to the symptoms.

If you are diagnosed with SAD there are a number of things that you can do.

  • Educate yourself and your family about SAD and any treatments.
  • Increase the amount of light you get each day by: going outside, allowing natural light to shine inside, rearranging work areas, going without sunglasses, sitting in the sunshine or next to a window in classrooms, restaurants, and other places.
  • While it is light out, avoid dark areas. This increases the level of melatonin.
  • Exercise outside or facing a window to maximize the amount of sunlight.
  • Be aware of the temperature and dress warmly due to sensitivity to cold.
  • Putting a timer on lights so that the lights go on one half hour or more before awakening. This has made it easier for some people to wake up in the morning.
  • Keep a daily record of energy levels, moods, appetite/weight, sleep times and activities to track biological rhythms.
  • Stay on a regular wake/sleep cycle to increase alertness and decrease fatigue.
  • Postpone making major decisions in your life until the season is over and symptoms abate.
  • Share experiences/treatment with others who have SAD.

For those who are still interested in learning more about SAD please read the following articles:
http://www.helpguide.org/articles/depression/seasonal-affective-disorder-sad.htm

http://www.theatlantic.com/health/archive/2014/07/when-summer-is-depressing/375327/

 

Author: Cynthia Booker-Bingler, LCSW, Health Affiliates Maine

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Sometimes holidays hurt.  The holiday cards and promotions are full of pictures of beautiful families smiling around a fireplace or dinner table.   For some families, the reality doesn’t match that picture.  Family relationships come with history, “the good, the bad, and the ugly,” anything from an unintentional slight, to childhood trauma.  Hurts are the emotional leftovers of life, and when mixed with alcohol, they can turn into not-so-happy holidays.

Holiday celebrations and family gatherings are a good thing.  For many, they are the most important part of the year. Everyone wants “Peace on Earth,” not just for the world, but at home and in our hearts.  If there are emotional leftovers and hurtful words that have affected your family relationships, it is healthy to try to sort it out, and when possible, to make amends.

Everyone wants “Peace on Earth,” not just for the world, but at home and in our hearts. 

First

Own what is yours.   We all make mistakes.  Sometimes, we just hurt people.  It might be out of anger, or, we innocently step on a minefield with our words and actions, unaware of how someone else will interpret them.  

Next

Apologize.  Learning to apologize and take responsibility for our actions takes work and courage.  There are many sites online to help you learn this, using the search word “apology”.   The payoff can mean deeper more loving relationships. 

Here’s an example.  Let’s say you had a heart-wrenching misunderstanding with someone you care deeply about.  You may not have known how to apologize — unsure of what you had done.  In this case, you might to call them saying, “I really value our relationship and I want to fix it, but I don’t know how”.  They may hang up on you or they may allow a conversation to begin.  Just knowing you tried will bring you peace.

Sometimes it takes more than an apology. 

Some hurts run deep and can affect other relationships.  That is when reaching out to a counselor for help can really make a difference in your life.  It takes courage.  Feeling better is worth it.  The holidays come around every year — another chance to make them happy.

 

Author: Luanne Starr Rhoades, LCPC, LADC, CCS, Health Affiliates Maine

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That’s a good question isn’t it? Most of the time when people talk about mental health they are talking about mental health treatment or a person who was given a mental health diagnosis, (which is a fancy name for describing what symptoms a person has), but that isn’t what mental health is either.

Mental Health has a lot of different parts. It is our sense of well-being. How we think, how we act and how we feel about ourselves.  It is looking at the complete picture of who you are, what is happening around you and how it does or does not change your thoughts about who you are.  The most important part is that EVERYONE has mental health.  It is a part of who we are as human beings. 

How do we figure out what our mental health is?

Let’s look at the different parts…think of it like a circle with all of these things around it.

circle2Emotions:  Do you spend a lot of time being happy, smiling, laughing?

Your mind:  Are you satisfied, content, at peace with yourself and others? Do you like yourself and who you are?

Your thoughts: Do you think about how happy you are with yourself? Are you proud of yourself?  Do you say to yourself “way to go”, “I am wonderful”, “I am a great person”, “I really did well”, “I did the best that I could and that’s okay” or other thoughts that make you feel worthwhile?

Your Body:  Is your body physically fit? The correct weight?  Does your body feel calm and at ease?  Are you okay with your body?  Is it good enough, pretty/handsome enough? Does it do what you want it to do when you want it to?

Your immediate world:  Do you have family/friends that cheer you up and that you feel you can talk to about anything?  Is everything going well at school/work/your family/your neighborhood?  Do you have beliefs or a religion or go to a church, synagogue, mosque, prayer group or other where you are accepted for who you are?  Do you follow certain beliefs about your culture – learned from your family, by following certain holidays -Christmas, Hannukah, Ramadan,…or by celebrating 4th of July, having a birthday party to celebrate another year of life; being raised to know what foods to eat or not to eat, what clothes to wear, how to talk to others, etc.?

Your greater world:  Are you satisfied how your State or how the government is being run?  With the environment and climate change?   With how your country and other countries deal with each other?  Do you think about this at all? A little?  A lot????

In General:  Do you feel that life is okay or even great!  Do you feel okay with yourself and who you are?  When you do get upset – sad and cry, angry and throw a tantrum or yell or when you are frustrated raise your voice, throw things, hit something or not want anyone to be around you, is it only for short periods of time and then you feel better? As you grow older do you change how you react to others?  Do you feel in control of yourself and your actions?

In the circle, all of these things coming together to change how you feel about yourself, which changes how you behave, which affects your mental health.  The wonderful part is that your mental health changes daily and, if you are not satisfied, you can change. 

So, if you are doing well, can control yourself, talk to others and feel happy with yourself, then your mental health is fine.  If however, you are not and that ongoing worries, are sad or upset most of the time, don’t feel alright with yourself, you are not alone. There are many people that have difficulty with their mental health. A mental health specialist – therapist, counselor can help get you back on track and feeling better about yourself.

 

Author: Cynthia Booker-Bingler, LCSW, Health Affiliates Maine

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Daylight Savings Time began on November 1st this year. 

The first Sunday of the month. There are over 70 countries all over the world that use Daylight Savings Time. That means that over a billion people are affected by the changes in time twice a year! Not only that, but the dates that Daylight Savings Time starts have also changed over the years.

But what happens to our bodies?

Over a 24-hour cycle, our bodies release chemicals that translate to the time of day. The time change affects our bodies. Ever noticed how going to bed late on weekends affects getting back on schedule on Mondays? The same thing happens when getting on an airplane and changing time zones. Changing time zone means adjusting to a difference in time. This same thing happens during Daylight Savings Time. Daylight Savings Time can disrupt our internal Circadian Rhythm – or our internal biological clock – and interfere with the amount of melatonin which our bodies produce for sleep. Melatonin is made by the body when there is a decrease in light playing a role in whether we feel sleepy or wide awake. When it is darker our body continues to release melatonin causing us to feel sleepy.

For adults and children

The transition of getting up an hour earlier can be difficult to adjust to. While getting used to change in their sleep pattern, most people react by feeling sluggish, tired and fatigued. Reactions to being tired can show as an increase in being seen as “cranky”, irritable, easily frustrated, less alert, a decrease in concentration and mood changes. This can lead to difficulties performing tasks that normally would not be as difficult – like doing school work, a job, or driving. Some studies suggest that there are more heart attacks brought on by the stress accompanying the change. (If you are affected by Seasonal Affective Disorder, the change in seasons and decrease in light can have an added impact).

For teens

Teens require an average of nine hours of sleep and if they haven’t slept long enough by going to bed too late, they feel “perpetually drowsy”. This affects their performance at school with their ability to pay attention and to learn.

What can be done to help adjust to this change in time?

It is very helpful to be proactive and prepared. Discussing the change ahead of time whether with family members, friends or colleagues. If your child has a lot of difficulty with transitions, talk to them about it. Remember, losing one hour may not seem like much, but it still affects our bodies and our routines. You might want to:

  • Talk to the teacher at school, the school bus driver and with your spouse as appropriate to your situation. This helps everyone and the family get used to the idea that a change is coming.

  • For some, getting clothing ready the night before, organizing everything that is needed for school or work is helpful.

  • Going to bed earlier and giving some time for waking up completely in the morning increases alertness and mental acuity.

  • Be prepared to feel tired, sluggish or fatigued when getting into the car and take a few extra minutes to look both ways before driving.
    Even if you feel fine, others may not be as prepared as you are!

  • Be prepared for having less daytime so having some activities ready can be helpful.

  • Children still have a lot of physical energy that they may not use if they cannot stay out after dark.

Parents Try This

Making a list of some activities your child or children can do inside to get that energy out is helpful like:

  • Play tag
  • Make an indoor fort
  • Play hide n’ seek
  • Jump rope
  • Do yoga
  • Exercises

Or can you add going swimming after school, going to the basketball court, or ice rink in the winter? Your child or children can help with ideas then put them in a jar and have your child pick one every day.  Just give them time to be physically active then time to wind down.

For You

Adults need the same things, so looking into what is available in your community may be helpful. How about:

  • Walking/jogging trails
  • The YMCA
  • Are there local swimming pools? Many motels are now offering swimming pool service for a fee (some even include the exercise room)
  • Or look at adult education programs that involve exercise.  

Finally, if there are symptoms of depression or any serious mental health concerns please contact a mental health provider for assistance. For those who are still interested in learning more I have attached the following articles:

http://www.businessinsider.com/health-effects-of-daylight-saving-time-2014-10

http://wgno.com/2015/10/27/falling-back-why-do-we-change-our-clocks-for-daylight-saving-time/

Author: Cynthia Booker-Bingler, LCSW, Health Affiliates Maine

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 “To those feeling hopeless, no matter how bad you are hurting, we want you to know …you are not alone and you matter.” 

In light of the recent news from the Brunswick Police Department regarding missing 30 year old Lisa Cox, who is believed to have committed suicide, Executive Director Andrea Krebs of Health Affiliates Maine reflects on her tragic passing “While we do not understand all the facts that lead up to someone choosing to take their own life, we do understand the struggle and bleakness one may feel..  Painful events or feelings of despair, can cause individuals to feel like there is no other option” says Krebs.  “To those feeling hopeless, no matter how bad you are hurting, we want you to know …you are not alone and you matter.” 

According to the Maine CDC, 24% of all deaths in Maine are considered to be suicide and is the 11th leading cause of death in the nation.  Despite the dire statistics, there is help out there and warning signs to help prevent suicide.  “Speaking to a supportive person or professional and developing a safety plan for those more challenging times, are important first steps” says Krebs. 

Signs that all of us can pay attention to that may mean someone is at risk of suicide include talking about:

  • wanting to die or kill oneself
  • feeling hopeless or having no reason to live
  • feeling trapped or in unbearable pain
  • being a burden to others

You can get a complete list of warning signs and other useful information at Suicide Prevention Life line: www.suicidepreventionlifeline.org

If you or someone you know is at risk of harming themselves, please contact the statewide crisis hotline at 1-888-568-1112 or the suicide prevention lifeline at 1-800-273-8255.

Based in Auburn, Health Affiliates Maine is a growing statewide substance abuse and mental health agency providing therapy, case management and psychiatric assessment and treatment services.  To learn more about Health Affiliates Maine visit: www.HealthAffiliatesMaine.com

Andrea Krebs is available for further comment – she can be reached at (207) 333-3278

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