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  • SERVICES
    • Individual Therapy
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    • Online Therapy
  • TESTIMONIALS
  • APPROACH
  • BACKGROUND+EXPERIENCE
  • 514-297-7787 | therapy@dr-yakirov.com

Q&A: Arianna Huffington's Mental Health Tips During the COVID-19 Crisis

5/20/2020

 
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Originally on bnnbloomberg.ca by Jon Erlichman.

The COVID-19 pandemic has made us increasingly stressed out, according to a study by the behaviour change technology company, Thrive Global. Eighty-five per cent of the study’s respondents reported significantly more stress and anxiety as a result of public responses to the coronavirus pandemic.

Arianna Huffington, a media entrepreneur and author, launched Thrive in 2016, following her own experience with burnout. HuffPost (formerly The Huffington Post), which she founded in 2005, became a leading online news and opinion site and was sold to AOL in 2011 for US$305 million.  Despite her financial success, her own personal wake-up call came when a lack of sleep resulted in her falling and breaking her cheekbone.
Huffington, who served as an early board member at Uber and has long-served on the board of the private equity firm Onex Corp., is not alone in her desire to tackle issues such as work-life balance. Thrive Global’s early investors have included high-profile backers ranging from Alibaba Group Holding Ltd. founder Jack Ma to NBA basketball player Andre Iguodala.
As for navigating stress during COVID-19, Huffington has some recommendations.
Here’s our full email Q&A. Some answers have been edited and condensed.

Q: We all seemed stressed out these days. Does the data support that?

A: 
Yes. In fact, 85 per cent of participants in a Thrive Global study report significantly more stress and anxiety as a result of public responses to the coronavirus pandemic, while less than 30 per cent are confident in their abilities to manage their mental health and psychological well-being.
We’re seeing a surge in stress at precisely the time when our ability to manage stress is more important than ever. Stress is a big suppressor of our immune system. And stress, of course, has cumulative effects on other factors that directly impact our immune response: our ability to fall and stay asleep, and on our impulse to stress-eat or drink too much. The coronavirus paradox here is: every day we are exposed to a constant stream of coronavirus news, but instead of easing our worries, the flood of information about new cases, some of them close to our homes, event cancelations, stock market drops, etc., only makes us more stressed, which in turn suppresses our immune system.


Q: We might have individual health or financial concerns, but is there a common stress thread for everyone?

A: 
There are certain universal concerns and themes. This is a historic time of uncertainty, not limited to any one population or community, but affecting all of us.
There’s also the impact on our collective mental health. Even before COVID-19, we were already in the middle of a mental health crisis. Worldwide, over 264 million people were struggling with depression, and in the U.S. alone, nearly 50 million adults had experienced some form of mental illness in the past year. And now, long periods of isolation, the loss of loved ones, the loss of jobs, financial insecurity and the daily stress of our new normal are accelerating that mental health crisis. Just as we’ve had to make drastic changes to our lives to stop the spread of the virus, we need to take urgent steps to safeguard our mental health, too.


Q: Thrive was built on the idea of re-thinking how we work and live. With that said, what should people be thinking about on that subject as they are forced into this period of change?
A: We should be thinking about how we can use this time to shift our entire culture away from an always-on, perpetually stressed-out, fight-or-flight state of being and reconnect with some essential truths we have forgotten. Just a few weeks ago, as we went about our busy lives — talking about how slammed and swamped we were with work, always on the edge of burnout — there were plenty of signposts along our path directing us to keep climbing up the ladder. But there were almost no signposts reminding us to stay connected to the essence of who we are, to take care of ourselves along the way, to reach out to others, and to connect to that place that unites us in our humanity and from which everything is possible. 
So one thing that needs to change if the new normal is to be better than the old one is that we stop living in the shallows — that we stop hurting our health and our relationships by striving so relentlessly and breathlessly after success as the world defines it.



Q: You often talk about burnout. What is your advice for those who fear burning out in this period of limbo before life returns to a version of normal?
A: The most important thing we can do right now is to remember the in-flight safety presentations that always instruct us to secure our own oxygen masks before helping others. Taking care of ourselves is the most essential thing we can do in order to care for others.
We have all now been forced to pause. And during this pause, we are discovering that certain parts of life were not as essential as we thought — and just as important, rediscovering certain essential parts we had forgotten. It’s a kind of Marie Kondo exercise for our whole life, stripping away what is not needed and moving to our more essential nature
We also need to take microsteps — small daily steps — to recharge. It’s far too easy to get caught in a cycle of endless work that leads to burnout. Here are some examples:
  1. At the start of each day, make a list of the top three things you want to accomplish that day. In the absence of your normal workplace routines, it’s easy to feel unfocused.
  2. Make sure you move throughout the day. For example, walk around your home (or even around the room) while speaking on the phone.
  3. Make a point of logging off from your remote work at the same time you would typically leave the office. It’s easy to let your workday bleed longer when you don’t have your usual commute home, but it’s important to build in time at night to rest and recharge so you can work sustainably.


Q: What about our devices? And our screen time? It seems unavoidable that we are going to be spending more time online. How do you manage that?

A: We shouldn’t judge ourselves for finding comfort and connection in our screens. But time away from our screens is more crucial than ever now for recharging our bodies, minds and souls — especially when it comes to strengthening our immunity, managing anxiety, connecting with ourselves and building our mental resilience.
My favorite microstep to help with this is setting a news cut-off time at the end of the day. While being informed can help us feel more prepared in a public health crisis, setting healthy limits to our media consumption, especially before we get ready for bed, can help us have a restorative night’s sleep, which in turn will help us and put the stressful news into perspective.

5 Tips for Couples During 24/7 Quarantine

5/20/2020

 
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​Originally posted by 
Kelly Campbell Ph.D on psychologytoday.com.

Being with a partner 24/7 is challenging for most people. Adding to that is the stress of COVID-19, which can include financial hardship, challenges related to childcare and homeschooling, and potentially coping with illness and death. This article outlines relationship tips to ease the tension. The suggestions are for couples who are in generally healthy relationships. I recognize that some people are dealing with intense stressors such as domestic violence. Those individuals may want to skip to the end of the article and use the information provided to secure professional help. In the meantime, here are my tips for maintaining the peace and even helping your relationship thrive during this crisis.

1. SAY I LOVE YOU
This seems so basic and it is. You should tell your partner that you love them every day. If you don’t feel like saying it, maybe you have some unaddressed frustrations that have built up over time. In that case, focus on the best qualities in your partner, what are they doing right? How are they being helpful? Reflect back on what made you fall in love in the first place. Try to be as kind as possible and do things that show you care such as bringing them a drink or snack, asking if they need a massage, or anything you can think of to extend the olive branch.
These kind acts should elicit a positive response, and as the relationship improves, you might find an appropriate space for addressing past frustrations. But keep in mind that some couples thrive without needing to address all their issues. By increasing their positive interactions, the negatives become less important. Change occurs slowly and if your relationship wasn’t in a good place before this pandemic, the quarantine may have exacerbated the problems. As you move toward a more stable and healthy place, the “I love yous” will hopefully follow.


2. CHOOSE YOUR BATTLES
You are going to get annoyed with each other, that’s a given. No two people can be with each other ALL THE TIME and get along perfectly. But some things are better left unsaid or unaddressed. There is no need to point out that your partner left some bits of cereal on the counter, it won’t do any good. So, choose your battles wisely, especially during this stressful time, and leave things unsaid that won’t serve a relationship-enhancing purpose.
Importantly, try not to repeat suggestions or criticisms over and over, it is a sure way to drive your partner crazy. There may be some real issues to address, and you can decide which of those are imperative to tackle, but if something does not need addressing, and especially right now, either drop it or wait until other pressing stressors subside. And don’t underestimate the power of perception: If you can’t change your partner’s annoying behaviors, changing your perception of them can go a long way toward improving your well-being.

​
3. DO YOUR PART
The happiest relationships are those in which the housework is shared. In some relationships, one person is the breadwinner and the other mostly does domestic work. But even in those relationships, partners are happiest when both are contributing to the chores and childcare.
One of the biggest predictors of women’s happiness in a relationship is whether her partner contributes significantly to housework. Openly communicate with your partner about a division of labor that suits your needs. For some couples, this might involve alternating between morning and evening shifts or assigning chores to different days so that schedules can be accommodated. Be considerate towards your partner and talk through options to find a solution that is agreeable for both of you. Doing your part doesn’t have to start and end with housework, it can also apply to things like saying “I love you” and planning stay-at-home date nights. A healthy relationship is not one-sided, it takes two. Make sure you are doing your part to keep things positive, functional, and enjoyable.


4. BE KIND TO YOURSELF
This may seem like an odd thing to suggest in an article about relationship improvement but if you do not take care of yourself, it will be difficult to care for others. You could end up giving too much at the expense of your own well-being or risk damaging your relationship because you say or do something that stems from unhappiness with yourself.
Taking care of your physical and mental well-being is essential, especially during this crisis. If you are able to get some alone time for self-care (e.g., gardening, reading, writing, taking a bath), do it. If not, you can still do things like meditating or praying when you lay down to sleep, doing your best to eat right and get enough rest, and fitting in some exercise — think YouTube workouts, running in the back yard, doing squats and lunges, daily stretches, etc.
Importantly, don’t engage in negative self-talk or ruminate about things. If you find yourself doing this, think about the way you would treat or talk to a good friend and apply the same guidelines to yourself. Treat yourself with kindness, recognize that things are challenging right now, that you can’t do everything, and that’s okay.


5. PRIORITIZE SAFETY AND EACH OTHER
During this dangerous time, both partners must do their part to keep each other and the family safe. If one person is being vigilant while the other is not, then both are at risk. Safety means staying home unless absolutely necessary, wearing protective gear when going out (face mask, gloves), keeping distance from others, regularly washing hands and clothes, and sanitizing products that come in from the outside. During this time of crisis, conflict will ensue if couple members are not aligned in their efforts to stay safe. Taking precautions will also reduce the risk that one or both partners will have to cope with illness or even worse, death.
In many relationships, one or both people are working outside the home. Be especially considerate in such cases. People are under tremendous stress if they are unemployed and yet those on the front lines are also experiencing extreme stress. Check in with your partner regularly to ask how they are doing and how you can help. Work as teammates to stay safe and get through this crisis together.
​

How COVID Changes the Way We Think About Our Mental Health

5/20/2020

 
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This post is originally found at psychology today.

The pandemic has put a spotlight on the mental health crisis in a new and immediate way—a way that cannot be ignored. The stress, anxiety, isolation, and uncertainty of this time are not only raising awareness but pushing us as individuals and as a society to have the honest conversations we always needed to have about mental health—especially when it comes to taking action. 


This Mental Health Month, we have an opportunity. As the pandemic accelerates a mental health crisis that already existed, we can take steps to identify our own individual signs and stressors. And as a society, we can emerge into a new normal where we are much more open about the challenges we’re facing and committed to course-correcting in ways we desperately need.

Two key developments make this opportunity possible. 

First, the pandemic has exposed the unsustainable ways of working and living that are fueling the current mental health crisis. Many of us are struggling with the boundaryless “permawork” of working from home. Employers are being forced to admit what working parents have always known—that parenting is a round-the-clock job. Meanwhile, first responders and frontline healthcare workers are not only risking their physical health but facing extreme mental health challenges, as recent reports of suicides make tragically clear. Speaking to Business Insider, Dr. Shauna Springer, a psychologist and trauma recovery specialist, compared these workers to “warriors in the war zone, taking risks, seeing their colleagues fall ill and potentially die, losing patients.”

The second key development is that we now have the science to help us identify our signs, stressors, and solutions. Today, we know more than ever before about the brain’s connection to our mental health and how we manage stress. 

And this modern science is validating ancient wisdom. A great example is the Roman emperor Marcus Aurelius, one of Stoicism's most famous practitioners. For Aurelius, the quality of our day is up to each one of us. We have little power to choose what happens, but we have complete power over how we respond. It all starts with setting the expectations that make it clear that no matter how much hardship we encounter—how much pain and loss, dishonesty, ingratitude, unfairness, and jealousy—we can still choose peace and imperturbability. And from that place of imperturbability—or ataraxia, as the Greeks called it—we can much more effectively bring about change.

These principles are at the heart of Thriving Mind, the mental health program Thrive Global created in partnership with Stanford Medicine. Thriving Mind helps us understand the different ways we all respond to stress and anxiety and gives us personalized strategies to spot the signals in ourselves, respond to and course-correct from stress and anxiety, and build mental resilience, which is more important now than ever.

Dr. Leanne Williams, Director of Stanford’s Precision Mental Health and Wellness Center, has used high-definition brain imaging technology to characterize eight different kinds of “short circuits” that occur in the brain when we experience persistent negative stress we feel we can’t control, called biotypes. Understanding the thoughts, emotions, and patterns associated with each biotype helps us understand the moments and scenarios when we struggle most and what actions we can take to help manage our stress or anxiety.


RUMINATION
We all have inner thoughts and moments of reflection. We all worry. But do you ever find yourself stuck in a loop of brooding self-reflection that you can’t get out of? To the point that it negatively affects your life and keeps you from being productive, finding joy, and going about your day? That’s rumination. This is characterized by extreme brooding and dwelling on negative thoughts and worries, which can result in feeling paralyzed and worthless. 


NEGATIVE BIAS
This bias occurs when we find ourselves stuck in a cycle of negative thought patterns. As a result, our capacity to receive positive information gets shut down. Our brain is naturally hardwired to react more quickly to negative than to positive information—this is actually necessary for our survival, not only physically but also in other settings like the workplace. Usually, negative reactions also resolve quickly. But negative bias occurs when negative reactions persist and we end up catastrophizing and getting stuck in a negative reaction loop. 


THREAT RESPONSE
The threat response is a specific form of negative bias where our fight or flight response actually stays on and in alarm mode. Normally, our brain returns back to its usual baseline after a threat-related event. But imagine an extreme form of feeling fight or flight, possibly triggered by some kind of trauma, and you find yourself stuck in alarm mode and unable to recover. 


ANXIOUS AVOIDANCE
In anxious avoidance, the salience circuit of the brain becomes extra tuned into internal changes—like physical signs of anxiety or pain—as well as to external changes in the world around us, like new social situations or sounds. We can end up feeling overwhelmed with stimulation and may want to dampen it down by avoiding and getting away from sources of stimulation. Think about someone who is hypersensitive to light or sound, or fearful of social situations, speaking in public. Anxious avoidance is an extreme version of that behaviour. 


COGNITIVE FOG
Cognitive fog arises from a disruption in the circuit involved in conscious will—the one used to control our thoughts and actions in response to current goals. If you undergo a period of sustained stress and the source of that stress is not in your control, this circuit will be under pressure and cognitive fog might appear. In this situation, your brain may feel foggy rather than sharp. It’s hard to execute on decisions, to implement tasks at work and home, to plan ahead, and to regulate unwanted reactions. 


INATTENTION
Then there’s inattention. We don’t typically associate inattention with depression or anxiety, but it’s quite common. Think about the times you’re experiencing negative stress or feeling anxious—it’s really hard to concentrate, isn't it? Your capacity to sustain attention over time is disrupted. Basic functions at work and at home may become extremely difficult or impossible. It may feel quite exhausting to pay attention to the task at hand. 


EMOTIONAL NUMBNESS
This refers to a loss of the ability to feel pleasure from usual activities and goals. It can develop when we are under intense and chronic stress that leaves us feeling emotionally numb. In this situation, you can imagine how the brain’s capacity to respond to anything positive is burned out. We feel empty and not able to get pleasure from social interactions or to feel meaning or purpose in life. With emotional numbness, we might find ourselves overindulging in food or alcohol in an attempt to feel any emotion at all. Right now, the growing fear and anxiety are leading people to find solace in addictive behaviours:

The CDC warns that the outbreak can lead to increased use of alcohol, tobacco, and other drugs. Online alcohol sales went up 243 percent in mid-March [Nielsen]

Everything that we used to get excited about doing may now feel like a drag and an effort. We may feel like we are going through the motions. Even in this situation, many people are still able to function like high performers at work. They may pay the price by collapsing at night and shutting down the rest of their lives. 


CONTEXT INSENSITIVITY
Context insensitivity is a very particular form of emotional numbness. Normally we have different contexts in our life (though right now, of course, it might seem like they've all been collapsed into one context: our home). We have our work, our family, our friends, our hobbies, and so on. But with context insensitivity, there is no sense of context between the different domains in our life. Normally, there are different things that motivate us to do something—something that might give us a burst or sense of energy that motivates us to keep moving through our day—maybe a project at work, or a forthcoming vacation. But if context insensitivity develops, motivation and context are lost. And this can take us into a deep state of burnout.

Once you understand these biotypes, you can take action using recharge strategies and small daily steps to build the mental resilience to help you navigate this new normal. Some of these micro-steps have even been found to specifically help certain biotypes, but every micro-step will help strengthen your mental resilience. Here are a few: 
  1. Set a cut-off time for news and social media. While being informed can help us feel more prepared in a public health crisis, setting healthy limits to our media consumption can help us have restorative rest and put the stressful news into perspective.
  2. Focus on the rising and falling of your breath for ten seconds. Pausing several times a day to simply breathe allows you to feel less tense and more present in your life.
  3. When you’re washing your hands, take the 20 seconds to think of three things you are grateful for. This will help you lower your risk of viral infection while reinforcing a more positive mindset.
  4. When you feel overwhelmed, focus on your breathing instead of reaching for your phone. We often use our phones to distract us from challenging moments, but this often leaves us more stressed and more disconnected from what matters most. Allow yourself a moment to turn inward instead and focus on your breathing.
  5. If you find yourself judging your emotions or responses around the pandemic, remind yourself that they are normal and justified. Studies have found that pathologizing your responses by viewing them as “something wrong with you for reacting so strongly” actually increases your anxiety. Instead, say something to yourself like, “You are going through a crisis, and you are reacting in a normal way to an abnormal situation.”
  6. When you feel overwhelmed by a problem you face at work, identify the smallest possible step you can take to address it. As you face incredibly complex challenges, practice breaking them down into small, manageable steps by asking yourself, “What’s the smallest step forward I can take in this moment?” This increases your sense of control and self-efficacy.

Online Activities to Do Inside During Quarantine

5/20/2020

 
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​Below is a list of both entertaining and isolating online activities you can do while doing your part to combat COVID and sheltering at home. 

ONLINE PERFORMANCES
In times of uncertainty, the arts have always been there! Cozy up at home and watch these stellar performances from the comfort (and safety) of your living room.
  • The Metropolitan Opera is streaming every night.
  • And here are 15 Broadway plays and musicals you can stream at home!

VIRTUAL MUSEUM TOURS
While most museums are closed to the public, many are still available for online visits! The following museums have put their partial or full galleries online:
  • British Museum in London, England
  • The Louvre in Paris, France
  • The Guggenheim in New York City, New York
  • The Vatican Museum in the Vatican, Italy
  • The National Museum of Anthropology in Mexico City, Mexico

LEARNING AND EDUCATION
Here are multiple ways to exercise your brain and learn some new information for as little as five minutes a day!
  • Now's the time to learn that new language:
    • Duolingo
    • Babbel
    • Memrise
  • Yale University is offering a free online course on The Science of Wellbeing
  • You can also take an online art class!
  • CodeAcademy offers free courses to learn how to code in a variety of coding language

VIRTUAL FIELD TRIPS
Even at home you can travel and learn new things. Below are a few locations offering online "field trips".
  • San Diego Zoo
  • Mars (yes, the planet).
  • The Great Wall of China
  • Colonial Williamsburg
  • Boston Children's Museum

Play is the Antidote to Fear: How to Help Your Children Deal with Self-Isolation

5/20/2020

 
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Originally posted at goalcast.com by Seth Shugar.
​
THE VIRUS GAME
For the last couple weeks, the most popular game in our home has been something our kids call “the virus game.” In this game, our kids, five and eight, make me an incompetent, bumbling virus who’s on a seek-and-destroy mission to catch them. 

Only, I’m never quite able to accomplish my diabolical objective because they are constantly outrunning and outwitting me.  I chase after them, bearing down on them while they giggle and laugh until, at the last possible second, time and again, they make a daring last-second get-away.  Most of the time, they also wind up blindfolding me so as I’m pursuing them I’m also stumbling over laundry baskets, bumping into walls, walking into doors and sometimes falling on the floor like a klutz, howling in exaggerated pain while they laugh and giggle. 

Sometimes, when I finally do manage to nab one of them, I cackle like a triumphant super-villain, until I suddenly realize that what I have in my hands is not a child but a teddy-bear or a pillow.  As I shake my fist, cursing them for fooling me once again, they laugh and snicker and snort. Other times, I do catch them but they freeze in my arms, bamboozling me into believing they’re teddy bears, so I foolishly let them go and they scamper off giggling at the dumb virus. Indignant, I bolt after them, but because I can’t see, I accidentally run head-long into the closet or the bathroom and they, of course, promptly slam the door behind me. 

I feign fear of the dark, begging and pleading to be let out, but they usually show me no mercy. While I try desperately to escape, bonking head-first into the door over and over again, they howl with laughter outside. Then, clumsy and inept germ that I am, I usually wind up infecting myself somehow and die alone in the closet. In this way, our kids seem to gain a sense of power and control over the scariest thing in their world right now.  


PLAY IS THE MOST POWERFUL ANTIDOTE TO FEAR
Play is the universal language of childhood. It’s spoken in every country of the world. It’s how kids communicate. Asking them to stop playing is like asking an adult to stop talking on the phone or drinking coffee. 

It’s also one of the very best tools we parents have at our disposal to improve cooperation, boost confidence, relieve boredom, soothe sibling rivalries, and provide an outlet for their aggression. Like wipes or a trusty old Swiss Army Knife, it always comes in handy, but it’s especially helpful and important in times of crisis when stress starts to mount in the family or society.  As Lawrence Cohen explains in his wonderful book Playful Parenting, “Play is where children show us the inner feelings and experiences that they can’t or won’t talk about.” 

How many kids do you know who are sitting down at the dinner table these days and saying, “Mom… dad… I’m really worried about this whole COVID-19 situation. Can we talk about it?”  Probably not too many.  Instead, most kids I know whine, lash out, mope, hang their heads, or just say, “Wanna play?”  
Play is how kids recover from the considerable stresses and strains of their pint-sized lives. When tensions run high, it functions like a pressure-release valve. It lets them discharge fear, lower stored tensions, offload whatever feelings they’ve tucked away, scrub out stress, and shed old hurts. Parenting expert Patty Wipfler puts it better than anyone when she says, “The most powerful antidote to fear is play.” 


DESPERATE TIMES CALL FOR PLAYFUL MEASURES
Most of us parents already play with our kids. We horse around with them, roughhouse, act like goofballs, make silly jokes, give them the gears. This is all great stuff. But desperate times call for more playful measures. In times like these, the play that offers our kids the greatest outlet for their tensions and fears is the kind where they can invent precisely the types of games that will let them work on whatever it is they most need to work on. In the Hand-In-Hand parenting model this particular kind of play is called “Special Time.”

Special Time is as simple as it is effective. You just set aside some time to play whatever your kid(s) want to play and then you give them warm, high-quality attention while they take the lead and you act a fool, looking for the slightest opportunity to make them giggle or laugh.  It helps to kick off a session of special time by naming it, saying something like, “Okay, it’s special time.  We can play anything you want, as long as it’s safe.” Then you set a timer, starting out with as little as 5-10 minutes a pop a few times a week, and let them take charge and just see where it takes you. 

While you’re playing whatever they want, you just delight in them, offering them extra warmth, extra eye contact, and showing extra interest in their choices. You don’t offer advice, try to teach them, or modify their ideas. You just do what they want while remaining on the look-out for opportunities to make them bust a gut. Why?  Because giggling and laughing are two of the main ways kids (and adults!) release their lighter tensions. This is why Patty Wipfler calls “play-with-laughter” the “frosting on the cake of play.”  It’s also why she recently emphasized, “You want lots of frosting in times like this.”  


 HOW TO MAKE KIDS CRACK UP
One of the best ways to tickle a kid’s funny bone is not by tickling but by giving them the upper hand and letting them play the more powerful role while you act like a bumbling, inept klutz who gets everything wrong and loses every time. 

Think of the characters who have been making kids of all ages laugh their heads off since celluloid was first invented:  bumbling Charlie Chaplin, clueless Costello, insufferable Sylvester the Puddy-Cat, hair-brained Wile E. Coyote, clumsy Kung-Fu Panda, inept Mr. Bean, bumbling Bernard, the incompetent burglars in Home Alone, any garden-variety birthday clown.

Nothing gets a good chuckle out of a kid like giving them the power-position and letting them watch while the adults around them fumble and fail. It only makes sense.  After being told to keep quiet, sit still and follow the rules all day, they need a bit of relief from being bossed around and made to feel smaller, weaker and less competent than grown-ups. Here’s a classic example of how and why it works.  A four year-old comes home from getting a shot at the doctor’s office, and what does she want to play? Doctor, of course. And who does she want to be in this game?  Not the patient, that’s for sure. She wants to be whoever gives the dang shot. And who’s she going to give it to? You, of course: her mom or dad or caregiver. In a pinch, she’ll take a toy or a stuffy. How does she want you to react when you get your shot, over and over again? She wants to hear you plead and yelp: “Noooo! Please don’t give me a shot.  I hate shots. Ouch! Ow! Ouch! Ow!”  

It’s a simple game of role reversal – the one who got the shot is now giving the shot – but it does the trick. Your fear lets her be in the more powerful position and recover from her shot because she gets to see you as helpless, while she is in the position of power. 

(For an amazing grab-bag of other ideas to kick-start your play, check out The Art of Roughhousing by Anthony DeBenedet and Lawrence J. Cohen.  For a more thorough break-down of how and why to do Special Time, see Patty Wipfler and Tosha Schore’s fabulous book Listen.  For direct instruction on Special Time from a living master of the art, contact Isaac Romano.)


FILL UP YOUR OWN CUP, SOMEWHAT
But wait. I know what you’re probably thinking. In addition to providing the kids a good-enough balance of structure, stimulation and connection, in the midst of all this fear and boredom and uncertainty, while trying to hold down a job, play teacher and keep the house in some semblance of order, this jerk is suggesting, to top it all off, that I play more with my kid(s)?  

Yup. That’s exactly what I’m saying. But not until you fill up your cup, somewhat. In other words, to give your kids the kind of warm, relaxed presence they need from you, you need to be as grounded and resourced as possible, under the circumstances. 

A “Listening Partnership” is probably the best tool available to help you replenish your energy for parenting, but it’s also worth bearing in mind what Lawrence Cohen points out: “When we are exhausted, or when we are at the end of our rope, we tend to think that play will just be an energy drain.But when we engage playfully with our children, we find we have more energy, both for fun and for finding creative solutions to thorny problems.” Nor can it hurt to know that after Patty Wipfler repeats that “the most powerful antidote to fear is play” she almost always adds, “It’s true for your child. It’s true for you.”

Tips for Communicating With Your Partner While Stuck at Home

5/20/2020

 
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Originally posted by Kara Fletcher, Assistant Professor, Faculty of Social Work, University of Regina and is republished from The Conversation under a Creative Commons license. Read the original article.

Many of us are several weeks into stay-at-home directives from our governments and health officials. For many, social distancing means sharing a confined space with romantic partners while navigating new stressful issues including sudden unemployment, working from home, child care and the never ceasing uncertainty.

Unsurprisingly, there are reports of divorce rates skyrocketing in China since the outbreak of COVID-19. Instability and stress can exacerbate insecurities and increase conflict for couples. As a scholar and a couple and family therapist, I offer five practical, evidence-based tips for couples when being stuck at home is making you feel stuck in your relationship.
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1. TAKE SPACE
Sharing a physical space with your partner for extended periods of time can increase pressure and stress. Without the daily routine of leaving the home, your space may begin to feel very small and irritation with one another may escalate quickly. Research demonstrates that actively choosing to take alone time can contribute to relaxation and reduced stress. Consider taking regular blocks of alone time each day, whether it is a walk around the neighbourhood, closing the door to a room where you will not be disturbed or engaging in an activity that is just for you. Communicating how you plan to take space will help your partner know how to support your efforts, and will encourage them to do the same. If you’re not taking care of yourself, you will have little to offer your partner.


2. WHERE POSSIBLE, USE "I" STATEMENTS
When you need to tell your partner how you feel, try to speak from your perspective as opposed to accusing them of doing something wrong. For example, “I feel really defeated when I continue to find dirty dishes in the sink. Is there any way you can help me keep the kitchen clean?” Using “I” language has been found to reduce perceptions of hostility and anger. “I” statements can help your partner hear your perspective instead of interpreting it as an attack and becoming defensive.


3. PRESS PAUSE
Press pause on conflicts that are not going anywhere and set a time to try again later. When conflicts become heated, many couples enter into an automatic “fight, flight or freeze” response. Our brains can experience conflict as a threat, and emotions and defences can become activated. When this happens we shut down and conflict resolution becomes impossible. If you notice you or your partner getting angry or distressed in a conflict, request to put the conversation on pause to give you both a chance to step back, breathe and think. Once stress levels are lower, complex thinking, reflection and reasoning become possible. Set an agreed upon time to return to the discussion when you’re both awake, nourished and feeling more calm.


​4. WHAT'S YOUR PART?
If you find yourself continuing to get stuck in conflict with your partner, ask yourself, what part do I play in this conflict? Do I nag or pursue my partner when I am feeling anxious? Or, do I have a tendency to shut down, or avoid my partner when I am feeling pressured? Emotionally focused therapist and researcher Sue Johnson, has found that couples often get stuck in problematic interaction cycles. Considering what role you take in a conflict cycle can help you try out new positions.

For example, what happens when you respond to your partner’s anxiety with compassion as opposed to feeling annoyed and walking away? What happens when you share your worries with your partner, instead of getting angry at them for not taking the garbage out, or not helping enough with child care? Couples who are able to adopt new positions in their relationship and try new ways of responding are more able to interrupt problematic interaction cycles.


5. ACKNOWLEDGE STRENGTHS
Try to acknowledge one another’s strengths. What special skills does your partner have to get through hard times? If your partner is the one making home school schedules for the kids, or braving the grocery store while you work, let them know they are appreciated and compliment their ability to handle difficult situations. Note what strengths they have that you admire. As recent research demonstrated, greater appreciation for one’s partner’s strengths predicted increased relationship satisfaction and intimacy. Acknowledging your partner’s positive attributes creates more good feelings between you.

While these tips will help you mitigate conflict in your relationship, remember to not expect perfection. These are stressful times, and you will inevitably lose your patience and experience frustration. Compassion for yourself and your partner will go a long way as you navigate these uncharted waters together.

Can Lavender Be Used to Combat Anxiety?

5/4/2020

 
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Lavender is an herb that has been proven effective by leading researchers as a natural remedy for treating signs of anxiety. In a study published in the journal Phytomedicine, lavender oil was shown to be just as effective as the pharmaceutical drugs used to treat anxiety such as lorazepam (Ativan). Furthermore, lavender oil showed no sedative effects (a common side effect of lorazepam) and it had no potential for drug abuse or dependence. Other studies have confirmed the anti-anxiety properties of lavender as well as offered up many other medicinal benefits, such as:
(1) Helping with restlessness and nervousness
(2) Combatting sleep difficulties such as insomnia
(3) Fighting depressive symptoms
(4) Combatting painful inflammatory conditions such as joint pain and migraines
(5) Helping those who suffer from agitations related to dementia  
 
HOW TO TAKE LAVENDER OIL
Lavender oil can be taken by mouth in adults, but it can be difficult to find capsules even at health food stores. The lavender oil capsule preparation used in the study cited above is called Lavela WS 1265. Before purchasing lavender oil, you should consult with a health care professional to determine the dosage that is best for your needs. Children should not consume essential oil capsules.

Lavender essential oil in liquid format, lavender leaves, and lavender flowers are more readily available than capsules and can be added to bath water.

Six drops of lavender oil extract or 1/4 cup to 1/2 cup of dried lavender flowers may be added to bath water. You can prepare lavender tea using 1 to 2 tablespoons of whole, dried flowers for each cup of boiling water. Steep for 10 to 15 minutes, and use a tea infuser or strain before drinking.

PRECAUTIONS TO NOTE
Lavender used as aromatherapy or by mouth may increase the amount of drowsiness when taken in combination with pharmaceutical medications such as benzodiazepines (Xanax, Ativan, Valium), narcotics such as codeine, or certain antidepressants. If you’re taking prescription medications, consult with a health care practitioner.
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For more information on the use of lavender to combat anxiety, you can check out this article. 

Am I Allowed to be Sad About All the Stuff I’m Missing Out On?

4/20/2020

 
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Originally posted by Jen Vishloff for Peak Resilience:

For the last few weeks I’ve been talking with my family, friends, and clients about how down we all feel in response to all the cancelled events and changed plans as a result of the necessary physical distancing measures needed to slow the spread of Covid-19. 

Whether it’s your regular DnD session, a soccer game, a thru-hike, a big trip, a concert, or a wedding, it makes sense to have some big emotions about those events not happening in the way you planned them, or not happening at all. The loss of all those events and plans is afterall, a loss. It’s totally normal to need some time and space to grieve that loss. 

It’s ok to be sad. Sadness, hurt, anger, disappointment, and other emotions are normal responses to loss. Sometimes we place value judgments on our losses and deem them unworthy of being upset about. I’ve heard a lot of ….but I really shouldn’t be so upset about __________ when other people have it way worse. People are suffering right now, there is no doubt about it. People have lost loved ones, contact with others, freedom, jobs, a sense of normalcy, safety, and security among other things. Other people’s pain and suffering does not delegitimize your own. There is no competition where whoever’s suffering is deemed the greatest wins. Everyone’s pain matters. For more on this, check out Brene Brown’s podcast Unlocking Us.
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Suffering and pain does not need to be exclusive to one cause or one person. You can be sad or angry that Coachella was postponed this year and still be scared about the threat of Covid-19. You can feel disappointed that your volleyball league is on hiatus, and still have compassion for people who have been laid off. You’re allowed to care about more than one thing at a time. If all our time and energy was focused only on the most dire and extreme threats and moments of pain, it would be pretty tough to ever get anything done without drowning in all that pain. Being able to focus on more than that is part of what makes us human. 

We need to feel these emotions and allow them to move through us. Trying to deny ourselves (or escape) these emotions by judging ourselves and telling ourselves our suffering is not worthwhile because comparatively other’s suffering is greater doesn’t help us or them.

Balancing with compassion. While it is a privilege to miss things that make our lives fun and satisfying without necessarily being important for our survival, we also need to balance that with the realities of what is happening in the world right now. If we can give ourselves the space to feel our emotions about how much this sucks right now, we can find some clarity on the other side and take a broader perspective. 

Being able to see the big picture is an important part of connecting with and sustaining our compassion for others. Compassion is being open to the pain and suffering of others while establishing appropriate boundaries with that pain. Instead of comparing our losses with the losses of others, we would be better off spending our mental energy on opening ourselves to the suffering of others and offering compassion and care. This is good for us and for those receiving. There is a ton of research around the benefits of compassion for self and others. 

Even if you personally are not concerned about catching this virus, everyone on the planet will be impacted by the loss of life, economic struggle, and mental health struggles that follow in the coming months. Continuing to have compassion and understanding for others is going to be an important part of getting us through this. After all, we’re all in this together.


The original post can be found here.

Managing Feelings of Anxiety, Depression, and Low Energy During this Time...

4/15/2020

 
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The calming benefits of spending time in nature are well documented. A blog by Vancouver’s David Suzuki Foundation sums them up, including decreased anxiety and a strengthened immune system. Japanese studies have shown that people who spend time in the forest inhale beneficial bacteria, plant-based essential oils, and negatively charged ions. The Association of Nature & Forest Therapy lists myriad benefits including reduced blood pressure, increased energy, and increased ability to focus.
As the association acknowledges on its website, forest therapy isn’t a new concept, and “approaches such as Shinrin-yoku have roots in many cultures throughout history.” Like Bolton, many people know the benefits from their own experience. “I look at the forest and somehow it just calms me. It brings out the joy in me,” she reflects. ”I don’t know how it works, it just does.” Laughing, she adds, “I don’t know how a computer works, but it does, so I use it.”
If you can get to a place with trees, your backyard or a nearby park, one of the most recharging things you can do is called "Forest Bathing". You can click here for more information on this wonderful practice.

How to Free Yourself from "Groundhog Day Syndrome" During Quarantine

4/15/2020

 
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I’ve been a therapist now for over 20 years, and while I’ve been working online with some of my clients for a couple of years, I have now moved my entire practice online.

What I’m getting from my clients is that while most of them are adapting, there is now, not only ongoing anxiety and fear but also a kind of battle fatigue setting in.
Most of my clients are really trying to practice the suggestions that make a huge day-to-day difference which include: keeping to a schedule, getting dressed in the morning as if you’re going to work outside, getting outside for a half an hour to an hour a day for exercise, and staying connected to family and friends through all our available social media technology. There is also a reminder to distinguish between the things you can control and those you can’t and to focus on the many things you can control, like for example how often you look at news-related information.

As we continue to stay in quarantine while we have to, how do we manage Groundhog Day Syndrome?

In other words, how can we combat the feeling that every day is the same as the one before, especially when our days start to get repetitive?

If we think about how we remember events in our life, doing things for the first time usually leaves the most lasting impression – and the more we keep doing them, the more routine they become. Before we know it, time seems to fly by and we can hardly recall which day was which.

Even though you’re sheltering at home, the key to curbing Groundhog Day Syndrome is to TRY NEW THINGS.

Maybe you can’t go to that restaurant you’ve been meaning to try, but you can always a special new recipe or order food from somewhere new while supporting your local businesses. Even though you can’t join a sports team, you can put on a YouTube video of a workout you would never dream of trying. Have a meaningful interaction with someone you’ve always wanted to get to know better.
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We can break out of the rut of everyday monotony simply by breaking out of our comfort zones. Routines can feel familiar and cozy, but they can also make us feel like days are passing at the blink of an eye.
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