Originally posted at Beacon Lens The holidays are upon us, and the irony they bring is the potential for isolation and loneliness. Holidays’ essential identity is getting together with loved ones, but some people do not feel as connected as they would like or expect. In 2020, add COVID-19 and its quarantining dictates, and the potential for such feelings can strengthen. The holidays, therefore, present an excellent time to discuss how we can reinforce connections during a time that requires us to be apart to protect our physical health, a requirement that paradoxically can have a damaging effect on our mental health. We can, however, take charge of improving our mental health.

Loneliness and isolation and our health

What is the difference between loneliness and isolation? “Loneliness is the feeling of being alone, regardless of the amount of social contact,” according to the Centers for Disease Control and Prevention (CDC). Social isolation, on the other hand, is a lack of social connections. Put differently, one can have many social connections but still feel lonely. The physical and mental health risks of loneliness and isolation are significant. They include but are not limited to:

• Social isolation increases the risk of premature death by 29 percent, rivalling smoking, obesity and physical inactivity.
• Social isolation is associated with increasing the risk for dementia by approximately 50 percent.
• Loneliness is connected to higher rates of depression, anxiety and suicide.

A 2020 report by the National Academies of Science, Engineering and Medicine (NASEM) states that more than one-third of adults 45 and older feel lonely, and approximately one-fourth 65 and older are socially isolated. Add the holidays and COVID-19 to an already preexisting condition, and the time is ripe for all of us to take action to protect our mental health.

Simple steps for better mental health during the holidays

Specific to the season and the times, there are common-sense tips that we all can practice to help manage loneliness. For example:

• Talk to someone about your sense of loneliness and isolation. There’s stigma around loneliness so it can be hard to do. However, you may well find that you’re not alone in those feelings, and sharing them can help lessen their effect.
• Manage your holiday/COVID-19 expectations. The holidays can fall short of expectations, but this year it may be worse. Understand that the pandemic won’t last forever, and that we’re all in this together. Indeed, many people’s holiday gatherings will likely be different this year.
• Remember to take care of yourself, now more than ever. Sleep, exercise and good nutrition — with the proper amount of holiday indulgence — go a long way in addressing mental health.
• Avoid social media, such as Facebook or Instagram, especially during the holidays. It’s easy to negatively compare one’s life to the “perfect” lives posted on social media, forgetting that people mostly post only the positive.

Loneliness and isolation as its own pandemic

The holidays don’t last forever, and we will get through the COVID-19 pandemic. However, loneliness and social isolation may persist, which presents a challenge for behavioral health providers. The recent NASEM report explores interventions that the healthcare system can take to address loneliness as a societal condition, such as engagement in support groups, cognitive behavioral therapy and mindfulness, social determinants of health, social prescribing and more. Social prescribing is arguably one of the more interesting interventions in that it puts a clinical lens on non-clinical solutions. While there is no hard-fast definition of social prescribing, it is generally accepted as a way to connect people to non-clinical sources of support, according to the NASEM. Specifically, it is a “non-medical referral, or linking service, to help people identify their social needs and develop wellbeing action plans to promote, establish or reestablish integration and support in their communities, with the aim of improving personal wellbeing.” Examples of secondary services that improve social concerns affecting health include housing and food insecurity services. While known to varying community-based organizations, social prescribing is not common among practitioners, but it’s a common-sense solution. An analysis of one pilot program from the NASEM report — albeit a small one — found that social prescribing reduced inpatient admissions by as much as 21 percent and emergency room visits by 20 percent. A modern world — without COVID-19 — is more connected than ever due to social media and other technology. However, studies have shown we are more lonely now than in any other time in recent history. It’s time to think out of the box as we realize more and more how non-physiological conditions — such as issues ranging from a public health emergency to social media — can affect our health.

As a psychologist and as a human being, I am receiving this message from every direction and all sides. It’s rampant these days. People are having a hard time sleeping during the COVID-19 pandemic. Some people lie awake unable to fall asleep. Some wake up in the middle of the night and their brain starts racing. Other folks say they wake up in the early morning hours and lie awake for a long time before the alarm goes off. Then there are the ones whose sleep pattern has been thrown totally off. They’re awake when they should be sleeping and sleeping when they should be awake. What is it about this pandemic that is making a good night’s sleep so hard for so many people? In talking with many people about their sleep problems during the pandemic, particular struggles have emerged as common patterns. So, I think I have some answers that I’m going to share with you today. First, let’s review the primary causes of the problems. They will probably not all apply to you but, in reality, all it takes is one. Read the full article at PsychCentral.com...

Tips to Fall Asleep Naturally

Get the nightly rest you need with these smart strategies.

Sleep has many important health benefits: It cleanses the brain, allows memories to consolidate, helps the immune system to function optimally, and restores and rejuvenates tissues. Not enough sleep impairs judgment and physical function. And let's face it, when tired, most of us can be rather irritable and grouchy. Serious health problems can result from poor sleep, including feeling more depressed and increasing the risk of falls. Read the full article...

Common Heart Tests

What these tests reveal and when you might need one.

In broad terms, the heart mainly consists of a plumbing system and an electrical system. There are two pumps: one uses arteries to push oxygenated blood from the heart to the rest of the body; the other pump uses veins to usher blood back to the heart and into the lungs to get re-oxygenated. Your pulse, or heartbeat, is controlled by the heart's electrical system. These systems can be measured with various tests to check for abnormalities. Given that heart diseases claim more lives than all forms of cancer combined, it might seem logical to get all the common heart tests possible as a preventative measure. But that's not what experts recommend. Read the full article...

Winter can be a difficult time.  Here are some ways that you can care for yourself:

Self-care is always important

Self-care includes all the things we do to maintain or improve our wellbeing. We all know how important basic self-care activities such as adequate sleep, exercise, healthy eating, hobbies, and spending time with friends are. And we know that when we don’t prioritize self-care, we feel lousy. Our health suffers. We get sick. We’re irritable, lonely, sluggish, and unfulfilled.

Self-care for the winter

As the seasons change, we often need to change our self-care routines to accommodate the weather, amount of daylight, our schedule, and so forth. The winter months can be particularly tough on us both physically and mentally. We’re more prone to colds and flu. some of us suffer from seasonal depression (the winter blues or Seasonal Affective Disorder (SAD) because of the lack of sunlight. And it’s hard to get out and be active. So, we need some self-care activities to meet the specific needs we have in the darker, colder months. Below, you’ll find 10 of my favorite self-care activities that are well-suited to winter.

1. Write in a Journal

It’s the beginning of a new year and a perfect time to start writing in a journal. Journaling is great for your mental health. It provides a place to dump your feelings, process and reflect, and clear your head. Even if you’ve already got a journal, you may want to consider starting a new one. I hear from many avid journalers that there’s something uplifting about the fresh, clean-start feeling of a new journal.

2. Enjoy Nature’s Beauty

Yes, winter can be cold and dreary. But it can also be beautiful – fresh snow on the trees, icicles hanging from the roof, red cardinals at your birdfeeder, a full moon. When we’re mindful and take the time to look, there’s a lot to take pleasure in.

3. Go to Therapy

Have you been thinking about starting therapy? It can be daunting to find a therapist you feel comfortable with, get yourself there consistently, and pay for it – but most people find the results are well worth the effort. And since we’re already inside so much during the winter, it seems like a good time to start or resume therapy. And if the weather or transportation are significant barriers, there are more and more options for online therapy, as well.

4. Get More (Sun)Light

Exposure to light (sunlight or artificial light) improves your mood and energy. So, if you’re living in the Northern Hemisphere during the winter, you’ll probably feel better if you spend an extra 20-30 minutes outside when it’s sunny. Even opening the curtains and turning on the lights in your office or home can help.

5. Relax and Get Cozy

On a cold winter’s day, there’s nothing better than staying home in your pajamas, cuddling up with a good book (or your significant other or your cat!), sitting in front of a fire, or binge-watching your favorite show. Occasionally, give yourself permission to stay home and just relax.

6. Connect with Friends

We all need to socialize, connect with others, and feel like we belong. And yet, spending quality time with friends or your spouse may end up at the bottom of your to-do list. How about meeting this self-care need by planning a game night, potluck dinner, or hosting a party to watch the Oscars with your friends? Not only is spending time with friends good for our mood, doing so may encourage us to relax, laugh, do something active, or try something new. And again, if it’s hard to get out and do things in person, have a virtual coffee date on FaceTime or Skype, or schedule a time for an old-fashioned phone call.

7. Enjoy a Hot Drink

A hot drink on a cold day is so comforting – a true simple pleasure. I’m a big coffee drinker, but I can easily overdo it. So, I try to mix things up with a collection of herbal teas and homemade sugar-free hot cocoa (just warm milk and a little cocoa powder and your favorite sweetener).  Maximize this self-care practice by slowing down. Instead of gulping it down in the car, take a few minutes to sit and relax and savor your drink. This is a quick, easy, and inexpensive way to pamper yourself.

8. Get a Flu Shot

Getting a flu shot isn’t necessarily enjoyable, but that’s true of a lot of self-care. It’s something you do for your health. And it’s not too late in the season to get one. So, speak to your doctor or pharmacist about whether a flu shot is a good choice for you.

9. Exercise

Many of us need to change our exercise routine or physical activities to accommodate winter weather. If you don’t have a regular exercise plan for the winter months, consider adding some winter sports (skiing, ice skating, snowshoeing, winter hiking) to your routine. Alternatively, there are lots of indoor exercise options such as yoga or dance classes, exercise equipment at a gym or home, or using exercise videos on YouTube or television. Don’t let winter weather be an excuse – you know you’ll feel better if you get a little movement into every day.

10. Encourage Your Creative Side

If you’re stuck inside, tap into your creativity. Did you know that arts and crafts are good for your mental health? Benefits such as reduced stress, depression, and anxiety, a sense of accomplishment, increased confidence and self-esteem have been reported. Crafts are nice because they can be done alone or in a group. And there’s something for everyone – everything from painting, scrapbooking, knitting, quilting, woodworking, jewelry making, and more. Pull out an old favorite or try something new this winter!

Put self-care on your calendar

Now that you’ve got a few ideas for your winter self-care, it’s time to put it on your calendar. Self-care (like most things) is much more likely to happen if you create a plan for when and what you will do to take care of yourself. Where will you begin? Perhaps, just add one new self-care activity to your schedule this week.

Hurricane Dorian pounded the Bahamas and is anticipated to move up the east coast of the U.S. Some of you may be directly affected. Others may be reminded of past traumatic experience in natural disasters. Feelings of fear and powerlessness or overwhelming worry of being trapped may well be elicited.Even though you may not personally experience physical injury, it is not uncommon to have strong emotional reactions. Understanding your responses to these disturbing events can help you cope with your feelings, and thoughts and help you along the path to recovery. The American Psychological Association has described common reactions and responses to disaster. Initially people may feel stunned and disoriented. Once these initial reactions subside, it is common to feel anxious and overwhelmed or more moody than usual. You may experience vivid, repeated memories of the event. They can occur for no apparent reason and may lead to physiological reactions such as rapid heartbeat or sweating. You may have difficulty concentrating or making decisions. You may find yourself more irritable or become more withdrawn than usual. Your sleep and eating patterns may also be disrupted or you may find yourself oversensitive to loud sounds smells or other environmental sensations which may serve as triggers. Fortunately, research shows that most people are resilient over time. Talking with friends and family about the event can reduce stress and help you feel less alone. Do not repeatedly watch or read news about the event. Get plenty of rest and exercise and eat properly. Make time for activities that you enjoy: read a good book, take a walk, or go to the movies. Do something positive. Helping others can give you a sense of purpose in a situation that feels out of control. Do not turn to drugs or alcohol. In the long run, they only create additional problems. If your feelings do not go away or continue to interfere with your daily functioning, join a support group or seek help from a licensed mental health professional. Asking for help is a sign of strength not weakness.

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Resources:

• Mental Health America, 2019, Kevin Rowell, PhD, and Rebecca Thomley, PsyD
• Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75 (5), 671. doi: 10.1037/0022-006X.75.5.671
• Bonanno, G. A., Papa, A., & O'Neill, K. (2001). Loss and human resilience. Applied and Preventive Psychology, 10(3), 193-206. doi: 10.1016/S0962-1849(01)80014-7
• Butler, L. D., Koopman, C., Azarow, J., Blasey, C. M., Magdalene, J. C., DiMiceli, S., ... & Spiegel, D. (2009). Psychosocial predictors of resilience after the September 11, 2001 terrorist attacks. The Journal of Nervous and Mental Disease, 197 (4), 266-273. doi: 10.1097/NMD.0b013e31819d9334
• Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. JAMA: The Journal of the American Medical Association, 288 (10), 1235-1244. doi: 10.1001/jama.288.10.1235
• Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75 (5), 671. doi: 10.1037/0022-006X.75.5.671
• Bonanno, G. A., Papa, A., & O'Neill, K. (2001). Loss and human resilience. Applied and Preventive Psychology, 10(3), 193-206. doi: 10.1016/S0962-1849(01)80014-7
• Butler, L. D., Koopman, C., Azarow, J., Blasey, C. M., Magdalene, J. C., DiMiceli, S., ... & Spiegel, D. (2009). Psychosocial predictors of resilience after the September 11, 2001 terrorist attacks. The Journal of Nervous and Mental Disease, 197 (4), 266-273. doi: 10.1097/NMD.0b013e31819d9334
• Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. JAMA: The Journal of the American Medical Association, 288 (10), 1235-1244. doi: 10.1001/jama.288.10.1235

"Good fences make good neighbors." This famous quote by Robert Frost simple refers to the need for healthy boundaries in all relationships.  Boundaries are a separation indicating where you end and where someone else begins.  They reflect how you want to be treated in your relationships and they need to be vocalized. Is it OK to open your partner's mail?  Or go to his/her wallet?  Or read his/her e mail?  Your answer to these questions may be based upon the way that these situations were handled in the family that you grew up in.  For some of us such behaviors were commonplace, while for others of you they are taboo.  In fact, all of them are boundary violations. If you were used to not having your boundaries respected as a child, you may be more likely to ignore or put up with them with them as an adult. Setting boundaries is really an expression of valuing yourself and your needs.  Boundaries are an essential part of any healthy relationship.  When they exist, safe trusting relationships can be created.  In their absence there can be hurt and feeling of violation. It is important that they be stated clearly.  For example. One partner may say, "I need to get to sleep early so that I can get up early tomorrow morning."Or, "If you want to be with me, this is how I want to be treated or spoken to."Some people may view making this kind of statement as selfish.  They may worry that they will be rejected or abandoned if they do so. They may assume that their partner automatically knows their wants and needs.  Or they may expect others to feel the same way that they do. In fact, none of these are true. Healthy boundaries involve speaking up when we feel ignored and advocating for ourselves.  For example, "I feel disrespected when my privacy is ignored." Or, "I am not ok with you speaking to me in a condescending manner or being verbally abusive." Setting of boundaries is a constantly evolving process.  They must be stated and maintained.  When they are stated but blurred or ignored, a partner may feel less important,used or manipulated. Clear communication allows them to be understood.  When that is not the case, you may erroneously assume that the other person is not trying. Boundary statements need not be delivered harshly so that they are perceived as criticism. They can be stated simply. For example, "I need time twice a week to practice my music."  Or, "I want to have some quality time with you every evening."  Or, "I need to spend time with my children twice month. Or, "I want to have some of my own money." Some boundaries may be deal breakers.  For example, cheating is a boundary violation.  As people find a way to respect each other’s needs, they are setting themselves up for a more successful relationship or friendship.

Originally posted at www.becomingminimalist.com/35-gifts-your-children-will-never-forget Own less. Live more. Finding minimalism in a world of consumerism. “You give but little when you give of your possessions. It is when you give of yourself that you truly give.” – Kahlil Gibran I have countless holiday memories. Most of them center around faith, family, and traditions. Very few childhood memories actually include the gifts I received. I distinctly remember the year that I got a blue dirt bike, the evening my brother and I received a Nintendo, and opening socks every year from my grandparents. But other than that, my gift-receiving memories are pretty sparse. Which got me thinking… what type of gifts can we give to our children that they will never forget? What gifts will truly impact their lives and change them forever? To that end, here is an alphabetical list of 35 Gifts Your Children Will Never Forget.

1. Affirmation. Sometimes one simple word of affirmation can change an entire life. So make sure your children know how much you appreciate them. And then, remind them every chance you get.
2. Art. With the advent of the Internet, everyone who wants to create… can. The world just needs more people who want to…
3. Challenge. Encourage your child to dream big dreams. In turn, they will accomplish more than they thought possible… and probably even more than you thought possible.
4. Compassion/Justice. Life isn’t fair. It never will be – there are just too many variables. But when a wrong has been committed or a playing field can be leveled, I want my child to be active in helping to level it.
5. Contentment. The need for more is contagious. Therefore, one of the greatest gifts you can give your children is an appreciation for being content with what they have… but not with who they are.
6. Curiosity. Teach your children to ask questions about who, what, where, how, why, and why not. “Stop asking so many questions” are words that should never leave a parents’ mouth.
7. Determination. One of the greatest determining factors in one’s success is the size of their will. How can you help grow your child’s today?
8. Discipline. Children need to learn everything from the ground-up including appropriate behaviors, how to get along with others, how to get results, and how to achieve their dreams. Discipline should not be avoided or withheld. Instead, it should be consistent and positive.
9. Encouragement. Words are powerful. They can create or they can destroy. The simple words that you choose to speak today can offer encouragement and positive thoughts to another child. Or your words can send them further into despair. So choose them carefully.
10. Faithfulness to your Spouse. Faithfulness in marriage includes more than just our bodies. It also includes our eyes, mind, heart, and soul. Guard your sexuality daily and devote it entirely to your spouse. Your children will absolutely take notice.
11. Finding Beauty. Help your children find beauty in everything they see… and in everyone they meet.
12. Generosity. Teach your children to be generous with your stuff so that they will become generous with theirs.
13. Honesty/Integrity. Children who learn the value and importance of honesty at a young age have a far greater opportunity to become honest adults. And honest adults who deal truthfully with others tend to feel better about themselves, enjoy their lives more, and sleep better at night.
14. Hope. Hope is knowing and believing that things will get better and improve. It creates strength, endurance, and resolve. And in the desperately difficult times of life, it calls us to press onward.
15. Hugs and Kisses. I once heard the story of a man who told his 7-year old son that he had grown too old for kisses. I tear up every time I think of it. Know that your children are never too old to receive physical affirmation of your love for them.
16. Imagination. If we’ve learned anything over the past 20 years, it’s that life is changing faster and faster with every passing day. The world tomorrow looks nothing like the world today. And the people with imagination are the ones not just living it, they are creating it.
17. Intentionality. I believe strongly in intentional living and intentional parenting. Slow down, consider who you are, where you are going, and how to get there. And do the same for each of your children.
18. Your Lap. It’s the best place in the entire world for a book, story, or conversation. And it’s been right in front of you the whole time.
19. Lifelong Learning. A passion for learning is different from just studying to earn a grade or please teachers. It begins in the home. So read, ask questions, analyze, and expose. In other words, learn to love learning yourself.
20. Love. …but the greatest of these is love.
21. Meals Together. Meals provide unparalleled opportunity for relationship, the likes of which can not be found anywhere else. So much so, that a family that does not eat together does not grow together.
22. Nature. Children who learn to appreciate the world around them take care of the world around them. As a parent, I am frequently asking my kids to keep their rooms inside the house neat, clean, and orderly. Shouldn’t we also be teaching them to keep their world outside neat, clean, and orderly?
23. Opportunity. Kids need opportunities to experience new things so they can find out what they enjoy and what they are good at. And contrary to popular belief, this doesn’t have to require much money.
24. Optimism. Pessimists don’t change the world. Optimists do.
25. Peace. On a worldwide scale, you may think this is out of our hands. But in relation to the people around you, this is completely within your hands… and that’s a darn good place to start.
26. Pride. Celebrate the little things in life. After all, it is the little accomplishments in life that become the big accomplishments.
27. Room to Make mistakes. Kids are kids. That’s what makes them so much fun… and so desperately in need of your patience. Give them room to experiment, explore, and make mistakes.
28. Self-Esteem. People who learn to value themselves are more likely to have self-confidence, self-esteem, and self-worth. As a result, they are more likely to become adults who respect their values and stick to them… even when no one else is.
29. Sense of Humor. Laugh with your children everyday… for your sake and theirs.
30. Spirituality. Faith elevates our view of the universe, our world, and our lives. We would be wise to instill into our kids that they are more than just flesh and blood taking up space. They are also made of mind, heart, soul, and will. And decisions in their life should be based on more than just what everyone else with flesh and blood is doing.
31. Stability. A stable home becomes the foundation on which children build the rest of their lives. They need to know their place in the family, who they can trust, and who is going to be there for them. Don’t keep changing those things.
32. Time. The gift of time is the one gift you can never get back or take back. So think carefully about who (or what) is getting yours.
33. Undivided Attention. Maybe this imagery will be helpful: Disconnect to Connect.
34. Uniqueness. What makes us different is what makes us special. Uniqueness should not be hidden. It should be proudly displayed for all the world to see, appreciate, and enjoy.
35. A Welcoming Home. To know that you can always come home is among the sweetest and most life-giving assurances in all the world. Is your home breathing life into your child?

Of course, none of these gifts are on sale at your local department store. But, I think that’s the point.

I thought you might enjoy this article on "The Power of Restorative Sleep" in the October 2017 issue of APA's Monitor on Psychology http://www.apamonitor-digital.org/apamonitor/201710/MobilePagedReplica.action?pm=2&folio=38#pg41

From the January 2013 Monitor on Psychology by Dr. Siri Carpenter:

Excerpt: "Tempted to read just one more email before you sleep?  Don't.  New research finds that not getting enough sleep - whether because of our insatiable desire for digital media or more traditional sleep disturbances - has far-reaching effects on physical and psychological health." Read the full article.