‘A Special Bond’: The Power of Equine-Assisted Therapy

In recent years there has been a rise in the number of organizations and individual therapists who have turned to horses to help veterans heal. Equine Assisted Psychotherapy (EAP) as a professional practice only dates back to the mid-1990s, when there were only a few people who were testing out ideas for how to use horses in their social work and theraputic practices. That number grew steadily over the years until 2013, when the Obama administration made federal funds available for groups doing EAP work with veterans returning from the wars in Iraq and Afghanistan. By then there were several dozen such groups, and they were showing impressive and surprising results.

Christine Bruckner works with veterans at Squirrelwood Equine Sanctuary in upstate New York. In the early 2000s, while Bruckner was getting her master’s degree, she sought out some of the early practicioners of equine therapy to learn as much as she could. Bruckner grew up mucking stalls in exchange for riding lessons, and her love for horses led her to social work. When she was old enough to teach other children to ride, she became a certified theraputic riding instructor, and she chose to work with children with disabilities. She was only teaching the kids to ride, but she could see that there was so much more to it than just riding. She saw that children who were lableled emotionally disabled were opening up more around the horses, relaxing, building confidence, and sharing things about their lives. At an early age and without advanced degrees, Bruckner could see the potential that horses had to help others heal.

In 2003 when Bruckner graduated with her master’s degree, she trained with Greg Kersten and Lynn Thomas, who co-founded Equine Assisted Growth and Learning Association, one of the first EAP nonprofit organizations in the United States. Over the years Bruckner has trained with a number of other equine therapy pioneers, learning as much as she can about all of the various directions and theories that have emerged in this young practice.

“Some people specialize in trauma, others focus on the spiritual element,” Bruckner says. “I try to incorporate as much of everything I’ve learned as I can.”

What she’s learned, the fundamental underpinning of equine-assisted therapy, is that horses have a unique and powerful connection to humans, one that can be used theraputically.

“Horses are herd animals. They are also prey animals. They are in tune with each other, the environment. They protect each other, they look out for predators,” Bruckner says. “They’ve co-evolved with humans, so they’re in tune with us, too.”

Micah Fink has seen this effect, too. A former Navy SEAL with a total of 13 combat deployments, Fink now runs the Montana-based group Heroes and Horses. At the end of his 14-year career in the armed services and as a military contractor, Fink found the nonprofits doing work with returning veterans to be lacking what so many returning from combat really needed in order to deal with the psychological impact of war. There were services for veterans who were injured or lost limbs, and there were programs that provided veterans with things like vacations or trips to sporting events, but Fink believed that in order to make progress through the emotional and psychological issues many veterans were faced with, they shouldn’t be put on a pedestal. They shouldn’t be coddled. His program takes groups of veterans on a months-long trek through the Montana wilderness on horseback, learning survival skills and being forced to navigate the remote mountainous terrain alone with only their horse to keep them company and help them along.

Fink often says that horses act as “mirrors” for the humans they come into contact with. He discovered this on one of his back-country treks, while working with a new horse who was hot and unmanageable.

Fink tells the story: “Daily, I would fight with this animal, both of us escalating higher and higher until the relationship came to peak in the back country of Montana. As things became worse in the mountains, I separated from the pack string, doing the only thing that I new how to do – make the good thing easy and the bad thing hard. Around 9 p.m. that night, alone and in the back country, was a major turning point for me as I realized that I had to change the way I communicated to reach this horse … we were both communicating AT each other, not TO each other. I sat there and put my hands over my face, tears were not in short supply. I calmed down, got back on him, and started a whole new dialogue. In that moment, I realized that I was the one who had to change, not the horse. That was the beginning of me learning a new language, a language that speaks from the inside out, not the outside in.”

Bruckner says that this mirroring is where equine therapy takes root.

“Horses have to look out for us, they know how to read us. Horses have learned how to tune in to humans from a distance. You can’t trick them,” she said. “They can read what’s going on underneath all of that. Half the time, that’s what veterans and a lot of us are dealing with. We might behave one way and feel another. When we constantly do that, that dissonance makes us unhappy. We’re being untrue to ourselves.”

For veterans, those feelings are particularly acute. According to the Man O’ War Project at Columbia University Irving Medical Center, as many as 30 percent of veterans experience post-traumatic stress disorder (PTSD). This can trigger flashbacks to traumatic experiences and lead veterans to withdraw, lose interest in things they once enjoyed, feel skittish or scared, or feel confused about what is happening to them. Often, PTSD goes undiagnosed and untreated. But even when it is treated, typically with treatments like cognitive behavioral therapy and exposure therapy, which are traditionally effective in helping victims of trauma, there are high dropout rates among veterans. According to the Man O’ War Project, those treatments have shown limited effectiveness.

Earle Mack, the former Ambassador to Finland who initiated and funds the Man O’ War Project, says the status quo in treating PTSD is unacceptable.

“The scientific and medical community has made great strides in understanding, recognizing, and diagnosing PTSD among veterans in the last several decades,” he said. “While our veterans have far more resources than ever before, many still do not receive treatment. Tragically, 20 veterans lose their lives to suicide every day.”

Mack grew up around horses, riding down trails in Westchester near the Rockefeller estate. When he finished college, he bought his first racehorse and got involved in the horse racing industry as an owner and a breeder. Working with horses, he learned the good that horses could do in building up emotional confidence.

“I know from experience that it’s a challenge to win the confidence of a horse – they are hypersensitive animals. But once you do win their confidence, it provides a real sense of accomplishment.”

Mack is also a U.S. Army veteran, and when he heard about EAP, he believed it could make a real difference helping veterans with PTSD. In 2015, he solicited the help of Columbia University to study the therapy, and he gifted the program more than $1 million from the Earle Mack Foundation.

The Man O’ War Project treats veterans over an eight-week period, working with therapists and horses in “non-riding interactions.” In addition to treating veterans using EAP, the project is also working to gather data and develop best practices for therapists to use around the country. The treatment program, however, stands in stark contrast to what many veterans experience in more traditional trauma therapies.

“They’re not in a therapist’s office – they are at a beautiful horse farm, interacting with caring mental-health professionals and the horses. It’s a totally different experience,” Mack said. “The equine therapy program at Columbia also doesn’t ask veterans to address their traumas directly, as traditional treatments often do. Rather, the veterans are brought through a series of interactions with the horses that help them better understand and regulate their own behaviors and emotions.”

These interactions often seem simple on the surface but are actually incredibly potent in getting veterans to face their fears and anxieties.

“I will have a veteran pick the horse’s foot, and the horse won’t let them until they are congruent. It’s very strange,” Bruckner explained. “The horse won’t do what you want unless your intention is true. Otherwise, you can be doing everything perfectly and they’ll just stand there. They will reward when you’re congruent. That’s what so helpful about them.”

This is not only different from traditional therapies, it’s even different from how other animal-based therapies work.

“Dogs are amazing but they provide a different purpose. They are always giving comfort when you need it, they do things for you,” Bruckner said. “The horse isn’t going to do that. They might comfort you if you’re being congruent. If you’re crying on the outside but inside nothing is wrong, the horse will know. It could nip you. I’ve seen a horse nudge and nip at someone who was crying. When she became assertive, when she matched up inside and outside, he backed off.”

Many of the horses that Fink works with at Heroes and Horses are purchased from the U.S. Bureau of Land Management and come to him wild.

“They are fearful, aggressive, fight or flight response. Our job is to put them through a process where they can realize what they are capable of, and they choose relationship over fear and create a bond with us as their leaders,” Fink said.

Yet, even wild horses share a special bond with humans, and sometimes the wild ones are even more useful in therapy.

“Wild horses and wild veterans are both needing the same thing — they both need a purpose, and purpose allows them both to overcome their external circumstances,” Fink said. “It’s the process that ultimately helps reveal their purpose. We manage the process, but we don’t control it. Both veterans and wild mustangs are a product of mismanagment and failed processes. We provide an environment where they can choose a new course, one that is right for them as individuals.”

All of these programs are producing more than just positive results from the veterans that participate in them; they’re also experiencing a rising demand. And the veterans who go through EAP are in turn volunteering to help out with the programs or to continue to work with horses, either in the equine industry or through other theraputic programs. This is helping to expand the gospel of horse-based therapy for veterans. The Earle Mack Foundation has committed to pledge more money to the Man O’ War Project this year, and there are waiting lists for programs around the country.

But EAP doesn’t just help rehabilitate our service men and women returning from combat. These programs are also providing a second chance for horses, from rescued wild horses to racehorses at the end of their careers. One of the Man O’ War Project’s equine therapists is a former racehorse named Crafty Star, but he wasn’t so much a star on the racetrack. He took 20 tries to break his maiden, which was his only win in a 26-race career while racing at Monmouth Park and Parx Racing. At the Bergen Equestrian Center, where the Man O’ War Project’s therapy program is held, Crafty Star is quite the star today. He is a favorite among veterans who go through the program because he is incredibly gentle, a horse who understands trauma and bonds well with humans that show him affection. While the horses like Crafty Star help our veterans heal, veterans help these horses as well. It’s part of the design. If there was no reciprocation, there would be no mirror. And it’s that mirror that makes horses so special to those who need to see inside themselves, to see what might be broken, and to fix it.

https://www.americasbestracing.net/lifestyle/2018-special-bond-the-power-equine-assisted-therapy

The Benefits for Play for Adults

In our hectic, modern lives, many of us focus so heavily on work and family commitments that we never seem to have time for pure fun. Somewhere between childhood and adulthood, we’ve stopped playing. When we carve out some leisure time, we’re more likely to zone out in front of the TV or computer than engage in fun, rejuvenating play like we did as children. But just because we’re adults, that doesn’t mean we have to take ourselves so seriously and make life all about work. We all need to play.
Play is not just essential for kids; it can be an important source of relaxation and stimulation for adults as well. Playing with your romantic partner, friends, co-workers, pets, and children is a sure (and fun) way to fuel your imagination, creativity, problem-solving abilities, and emotional well-being.

Adult play is a time to forget about work and commitments, and to be social in an unstructured, creative way. Focus your play on the actual experience, not on accomplishing any goal. There doesn’t need to be any point to the activity beyond having fun and enjoying yourself. Play could be simply goofing off with friends, sharing jokes with a coworker, throwing a Frisbee on the beach, dressing up at Halloween with your kids, building a snowman in the yard, playing fetch with a dog, a game of charades at a party, or going for a bike ride with your spouse with no destination in mind. By giving yourself permission to play with the joyful abandon of childhood, you can reap oodles of health benefits throughout life.
While play is crucial for a child’s development, it is also beneficial for people of all ages. Play can add joy to life, relieve stress, supercharge learning, and connect you to others and the world around you. Play can also make work more productive and pleasurable.

You can play on your own or with a pet, but for greater benefits, play should involve at least one other person, away from the sensory-overload of electronic gadgets.
Play can : Relieve stress. Play is fun and can trigger the release of endorphins, the body’s natural feel-good chemicals. Endorphins promote an overall sense of well-being and can even temporarily relieve pain.

Improve brain function. Playing chess, completing puzzles, or pursuing other fun activities that challenge the brain can help prevent memory problems and improve brain function. The social interaction of playing with family and friends can also help ward off stress and depression.

Stimulate the mind and boost creativity. Young children often learn best when they are playing—and that principle applies to adults, as well. You’ll learn a new task better when it’s fun and you’re in a relaxed and playful mood. Play can also stimulate your imagination, helping you adapt and problem solve.

Improve relationships and your connection to others. Sharing laughter and fun can foster empathy, compassion, trust, and intimacy with others. Play doesn’t have to be a specific activity; it can also be a state of mind. Developing a playful nature can help you loosen up in stressful situations, break the ice with strangers, make new friends, and form new business relationships.

Keep you feeling young and energetic. In the words of George Bernard Shaw, “We don’t stop playing because we grow old; we grow old because we stop playing.” Playing can boost your energy and vitality and even improve your resistance to disease, helping you feel your best.
Play is one of the most effective tools for keeping relationships fresh and exciting. Playing together brings joy, vitality, and resilience to relationships. Play can also heal resentments, disagreements, and hurts. Through regular play, we learn to trust one another and feel safe. Trust enables us to work together, open ourselves to intimacy, and try new things. By making a conscious effort to incorporate more humor and play into your daily interactions, you can improve the quality of your love relationships—as well as your connections with co-workers, family members, and friends.

Play helps develop and improve social skills. Social skills are learned in the give and take of play. During childhood play, kids learn about verbal communication, body language, boundaries, cooperation, and teamwork. As adults, you continue to refine these skills through play and playful communication.

Play teaches cooperation with others. Play is a powerful catalyst for positive socialization. Through play, children learn how to “play nicely” with others—to work together, follow mutually agreed upon rules, and socialize in groups. As adults, you can continue to use play to break down barriers and improve your relationships with others.

Play can heal emotional wounds. As adults, when you play together, you are engaging in exactly the same patterns of behavior that positively shape the brains of children. These same playful behaviors that predict emotional health in children can also lead to positive changes in adults. If an emotionally-insecure individual plays with a secure partner, for example, it can help replace negative beliefs and behaviors with positive assumptions and actions.

Play and laughter perform an essential role in building strong, healthy relationships by bringing people closer together, creating a positive bond, and resolving conflict and disagreements. In new relationships, play and humor can be an effective tool not just for attracting the other person but also for overcoming any awkwardness or embarrassment that arises during the dating and getting-to-know-you process. Flirting is a prime example of how play and humor are used in adult interactions. In longer-term relationships, play can keep things exciting, fresh, and vibrant, and deepen intimacy. It can also help you overcome differences and the tiny aggravations than can build up over time.

Play at work

Many dot-com companies have long recognized the link between productivity and a fun work environment. Some encourage play and creativity by offering art or yoga classes, throwing regular parties, providing games such as Foosball or ping pong, or encouraging recess-like breaks during the workday for employees to play and let off steam. These companies know that more play at work results in more productivity, higher job satisfaction, greater workplace morale, and a decrease in employees skipping work and staff turnover.

If you’re fortunate enough to work for such a company, embrace the culture; if your company lacks the play ethic, you can still inject your own sense of play into breaks and lunch hours. Keep a camera or sketch pad on hand and take creative breaks where you can. Joke with coworkers during coffee breaks, relieve stress at lunch by shooting hoops, playing cards, or completing word puzzles together. It can strengthen the bond you have with your coworkers as well as improve your job performance. For people with mundane jobs, maintaining a sense of play can make a real difference to the work day by helping to relieve boredom.

Using play to boost productivity and innovation

Success at work doesn’t depend on the amount of time you work; it depends upon the quality of your work. And the quality of your work is highly dependent on your well-being.

Taking the time to replenish yourself through play is one of the best things you can do for your career. When the project you’re working on hits a serious glitch, take some time out to play and have a few laughs. Taking a pause for play does a lot more than take your mind off the problem. When you play, you engage the creative side of your brain and silence your “inner editor,” that psychological barrier that censors your thoughts and ideas. This can often help you see the problem in a new light and think up fresh, creative solutions.

Playing at work:

  • keeps you functional when under stress
  • refreshes your mind and body
  • encourages teamwork
  • increases energy and prevents burnout
  • triggers creativity and innovation
  • helps you see problems in new ways

Playing with your children

Rolling on the floor with your baby or getting down on your knees to play with a young child is vitally important—both to your child’s development and to your own health.

Play is essential for developing social, emotional, cognitive, and physical skills in children. In fact, far from being a waste of time or just a fun distraction, play is a time when your child is often learning the most. Whether it’s an infant playing “peek-a-boo,” a toddler playing make-believe, or an older child playing a board game, play develops social skills, stimulates a child’s imagination and makes kids better adjusted, smarter, and less stressed.

As well as aiding your child’s development, play can also bring you closer together and strengthen the parent-child bond that will last a lifetime.

How to play with your child

While children need time to play alone and with other children, playing with their parents is also important. Here are some helpful tips to encourage play:

Establish regular play times. It may be for twenty minutes before dinner every night or every Saturday morning, for example. Remember, this time spent playing together is benefiting both of you.

Give your child your undivided attention. Turn off the TV and your cell phone and make the time to play with your child without distraction. Having your undivided attention makes your child feel special.

Get down to your child’s level. That may mean getting down on your knees or sitting on the floor. Match your child’s intensity during play—if your child is loud and energetic, be loud and energetic, too.

Embrace repetition. It may be boring to you, but it’s not to your child. Children learn through repetition. Let your child play the same game over and over. Your child will move on when he or she is ready.

Let your children take the lead. Become part of their game rather than trying to dictate the play. In pretend play, let your child call the shots, make the rules, and determine the pace of play. Ask questions and follow along—you’ll likely get drawn into imaginative new worlds that are fun for you, too.

Don’t force play or try to prolong a game. The best way to teach a new skill is to show children how something works, then step back and give them a chance to try. When your child is tired of an activity, it’s time to move on to something new.

Make play age-appropriate and consider safety. If a game is too hard or too easy, it loses its sense of pleasure and fun. Help your child find age-appropriate activities and understand any safety rules for play. Nothing ruins a fun game faster than a child getting hurt.

How to play more

Incorporating more fun and play into your daily life can improve the quality of your relationships, as well as your mood and outlook. Even in the most difficult of times, taking time away from your troubles to play or laugh can go a long way toward making you feel better. It’s true what they say: laughter really is the best medicine. Laughter makes you feel good. And the good feeling that you get when you laugh and have fun remains with you even after the laughter subsides. Play and laughter help you keep a positive, optimistic outlook through difficult situations, disappointments, and loss.

Develop your playful side

It’s never too late to develop your playful, humorous side. If you find yourself limiting your playfulness, it’s possible that you’re self-conscious and concerned about how you’ll look and sound to others when you attempt to be lighthearted. Fearing rejection, embarrassment or ridicule when attempting to be playful is an understandable fear. Adults are often worried that being playful will get them labeled as childish. But what is so wrong with that? Children are incredibly creative, inventive and are constantly learning. Wouldn’t you want to be childish if that is the definition? Remember that as a child, you were naturally playful; you didn’t worry about the reactions of other people. You can reclaim your inner child by setting aside regular, quality playtime. The more you play, joke, and laugh—the easier it becomes.

Try to clear your schedule for an afternoon or evening, for example, and then turn off your phone, TV, computer, and other devices. Give yourself permission to do whatever you want for the time you’ve allotted. Be spontaneous, set aside your inhibitions and try something fun, something you haven’t done since you were a kid, perhaps. And enjoy the change of pace.

Creating opportunities to play

Host a regular game night with friends or family.

Arrange nights out with work colleagues bowling, playing pool, miniature golf, or singing karaoke.

Schedule time in a park or at the beach to throw a Frisbee or fly a kite with friends.

Play with a pet. Puppies, especially, make very willing playmates. If you don’t have your own, borrow one from your local animal shelter.

Surround yourself with playful people. They’ll help loosen you up and are more likely to support your efforts to play and have fun.

Joke with strangers at a bus stop or in a checkout line. It’ll make the time pass quicker and you may even spark up new friendships.

Visit a magic store and learn some tricks. Or invest in art supplies, construction toys, or science kits and create something new.

Play with children. Goofing around with kids helps you experience the joy of play from their perspective. If you don’t have young children, arrange a play date with your grand kids, nephews, nieces, or other young relatives.

https://www.helpguide.org/articles/mental-health/benefits-of-play-for-adults.htm

 

Traumatic Stress

The emotional toll from a traumatic event can cause intense, confusing, and frightening emotions. And these emotions aren’t limited to the people who experienced the event. Round-the-clock news coverage means that we’re all bombarded with horrific images from natural disasters, violent crimes, and terrorist attacks almost the instant they occur anywhere in the world. Repeated exposure can trigger traumatic stress and leave you feeling hopeless and helpless. Whether you were directly involved in the traumatic event or exposed to it after the fact, there are steps you can take to recover your emotional equilibrium and regain control of your life.

What is traumatic stress?

Traumatic stress is a normal reaction to a traumatic event such as a natural disaster, motor vehicle accident, plane crash, violent crime, or terrorist attack. Such events are extraordinarily stressful—not just for survivors, but also witnesses and even those repeatedly exposed to the horrific images of the traumatic event circulated on social media and news sources.

In fact, while it’s highly unlikely any of us will ever be the direct victims of a terrorist attack or mass shooting, for example, we’re all regularly bombarded by disturbing images from around the world of those innocent people who have been. Viewing these images over and over can overwhelm your nervous system and create traumatic stress. Your sense of security shatters, leaving you feeling helpless and vulnerable in a dangerous world, especially if the event was man made, such as a shooting or act of terrorism. But whether you lived through the event itself, witnessed it in person, or experienced traumatic stress in the aftermath, there are plenty of things you can do to calm your nervous system and regain your emotional balance. The first step is to recognize the warning signs of traumatic stress.

Traumatic stress signs and symptoms

Whether or not you were directly impacted by the traumatic event, it’s normal to feel anxious, scared, and uncertain about what the future may hold. Your nervous system has become overwhelmed by stress, triggering a wide range of intense emotions and physical reactions. These reactions to traumatic stress often come and go in waves. There may be times when you feel jumpy and anxious, and other times when you feel disconnected and numb. Other normal emotional responses to traumatic events include:

Shock and disbelief – you may have a hard time accepting the reality of what happened

Fear – that the same thing will happen again, or that you’ll lose control or break down

Sadness – particularly if people you know died

Helplessness – the sudden, unpredictable nature of violent crime, accidents, or natural disasters may leave you feeling vulnerable and helpless

Guilt – that you survived when others died, or that you could have done more to help

Anger – you may be angry at God or others you feel are responsible

Shame – especially over feelings or fears you can’t control

Relief – you may feel relieved that the worst is over, and even hopeful that your life will return to normal

How to deal with traumatic stress

Usually, the unsettling thoughts and feelings of traumatic stress—as well as any unpleasant physical symptoms—start to fade as life returns to normal over the days or weeks following a traumatic event. However, it’s important to remember that people react in different ways to trauma.

There is no “right” or “wrong” way to respond. We’re all different, so don’t tell yourself (or anyone else) what you should be thinking, feeling, or doing.

Avoid obsessively reliving the traumatic event. Repetitious thinking or viewing horrific images over and over can overwhelm your nervous system, making it harder to think clearly. Do things that keep your mind occupied (read, watch a movie, cook, play with your kids), so you’re not dedicating all your energy and attention to the traumatic event.

Ignoring your feelings will slow recovery. It may seem better in the moment to avoid experiencing your emotions, but they exist whether you’re paying attention to them or not. Even intense feelings will pass if you simply allow yourself to feel what you feel.

Reestablish routine. There is comfort in the familiar. After a disaster, getting back—as much as possible—to your normal routine, will help you minimize traumatic stress, anxiety, and hopelessness. Even if your work or school routine is disrupted, you can structure your day with regular times for eating, sleeping, spending time with family, and relaxing.

Recognize when traumatic stress becomes PTSD. If your traumatic stress symptoms don’t ease up and your nervous system remains “stuck,” unable to move on from the event for a prolonged period of time, you may be experiencing Post-Traumatic Stress Disorder (PTSD).

While symptoms of traumatic stress often naturally fade with time, the following tips can assist the process and help you better come to terms with the traumatic experience.

Traumatic stress recovery tip 1: Minimize media exposure

While some survivors or witnesses of a traumatic event can regain a sense of control by watching media coverage of the event or by observing the recovery effort, others find the reminders can be further traumatizing. Excessive exposure to images of a disturbing event —such as repeatedly viewing video clips on social media or news sites—can even create traumatic stress in people not directly affected by the event.

Limit your media exposure to the traumatic event. Don’t watch the news or check social media just before bed, and refrain from repeatedly viewing disturbing footage.

Try to avoid distressing images and video clips. If you want to stay up-to-date on events, read the newspaper rather than watching television or viewing video clips of the event.

If coverage makes you feel overwhelmed, take a complete break from the news. Avoid TV and online news and stop checking social media for a few days or weeks, until your traumatic stress symptoms ease up and you’re able to move on.

Tip 2: Accept your feelings

Traumatic stress can cause you to experience all kinds of difficult and surprising emotions, including shock, anger, and guilt. These emotions are normal reactions to the loss of safety and security (as well as life, limb, and property) that comes in the wake of a disaster. Accepting these feelings and allowing yourself to feel what you feel, is necessary for healing.

Dealing with the painful emotions of traumatic stress

  • Give yourself time to heal and to mourn any losses you’ve experienced.
  • Don’t try to force the healing process.
  • Be patient with the pace of recovery.
  • Be prepared for difficult and volatile emotions.
  • Allow yourself to feel whatever you’re feeling without judgment or guilt.
  • Learn to reconnect to uncomfortable emotions without becoming overwhelmed .

Tip 3: Challenge your sense of helplessness

Overcoming traumatic stress is often about taking action. Positive action can help you overcome feelings of fear, helplessness, and hopelessness—and even small acts can make a big difference.

Volunteer your time, give blood, donate to a favorite charity, or comfort others.

If formal volunteering sounds like too much of a commitment, remember that simply being helpful and friendly to others can deliver stress-reducing pleasure and challenge your sense of helplessness. Help a neighbor carry in their groceries, hold a door open for a stranger, share a smile with the people you meet during the day.

Connect with others affected by the traumatic event or participate in memorials, events, and other public rituals. Feeling connected to others and remembering the lives lost or broken in the event can help overcome the sense of hopelessness that often follows a tragedy.

Tip 4: Get moving

It may be the last thing you feel like doing when you’re experiencing traumatic stress, but exercising can burn off adrenaline and release feel-good endorphins to boost your mood. Physical activity performed mindfully can also rouse your nervous system from that “stuck” feeling and help you move on from the traumatic event.

  • Try exercise that is rhythmic and engages both your arms and legs. Walking, running, swimming, basketball, or dancing are good choices.
  • Add a mindful element by focusing on your body and how it feels as you move. Notice the sensation of your feet hitting the ground, for example, or the rhythm of your breathing, or the feeling of wind on your skin. Rock climbing, boxing, weight training, or martial arts can make it easier to focus on your body movements—after all, if you don’t you could get injured.
  • Boost your energy and motivation. If you’re struggling to find the energy or motivation to exercise, start by playing your favorite music and moving around or dancing. Once you get moving, you’ll start to feel more energetic.
  • Shorter bursts of activity are as good as one longer session. Aim to exercise for 30 minutes or more each day—or if it’s easier, three 10-minute spurts of exercise are just as good.

Tip 5: Reach out to others

You may be tempted to withdraw from friends and social activities following a traumatic event, but connecting face to face with other people is vital to recovery. The simple act of talking face to face with another human can trigger hormones that relieve traumatic stress.

You don’t have to talk about your traumatic experiences. Reaching out to others doesn’t necessarily mean talking about the traumatic event. Comfort comes from feeling connected and involved with others you trust. Talk about and do “normal” things with friends and loved ones, things that have nothing to do with the event that triggered your traumatic stress.

Expand your social network. If you live alone or your social network is limited, it’s never too late to reach out to others and make new friends. Take advantage of support groups, church gatherings, and community organizations. Join a sports team or hobby club to meet people with similar interests.

Tip 6: Make stress reduction a priority

While a certain amount of stress is normal, and can even be helpful, as you face the challenges that come in the aftermath of a disaster or tragic event, too much stress will get in the way of recovery.

Relieve stress in the moment. To quickly calm yourself in any situation, simply take 60 breaths, focusing your attention on each out breath. Or use sensory input by engaging one or more of your senses—sight, sound, taste, smell, touch—or movement. For example, does listening to an uplifting song make you feel calm? Or smelling ground coffee? Or maybe petting an animal works quickly to make you feel centered? Everyone responds to sensory input a little differently, so experiment to find what works best for you.

Practice relaxation techniques such as meditation, yoga, or deep breathing to reduce stress, ease anxiety and depression, and improve your sleep.

Schedule time for activities that bring you joy—a favorite hobby or pastime, a chat with a cherished friend.

Use your downtime to relax. Read a book, take a bath, or enjoy an uplifting or funny movie.

Get plenty of sleep. Lack of sleep places considerable stress on your mind and body and makes it more difficult to maintain your emotional balance. To ensure you get the 7 to 9 hours of refreshing sleep you need each night, establish a relaxing bedtime routine, avoid screens an hour before bed, and make your bedroom as dark, quiet, and comfortable as possible.

Make time to relax

Practice relaxation techniques such as meditation, yoga, or Tai Chi.

Schedule time for activities that bring you joy—a favorite hobby or pastime, a chat with a cherished friend.

Use your downtime to relax. Read a book, take a bath, or enjoy an uplifting or funny movie.

Get plenty of sleep. Lack of sleep places considerable stress on your mind and body and makes it more difficult to maintain your emotional balance. Aim for somewhere between 7 to 9 hours of refreshing sleep each night.

Reestablish a routine—structure is comforting

There is comfort in the familiar. After a traumatic event, getting back to your normal routine as much as possible will help you minimize stress.

  • Even if your work or school routine is disrupted, structure your day with regular times for eating, sleeping, exercising, and spending time with friends.
  • Do things that keep your mind occupied (read, watch a movie, cook, play with your kids), so you’re not dedicating all your attention to the traumatic event.

Tip 7: Eat a healthy diet

The food you eat can improve or worsen your mood and affect your ability to cope with traumatic stress. Eating a diet full of processed and convenience food, refined carbohydrates, and sugary snacks can worsen symptoms of traumatic stress. Conversely, eating a diet rich in fresh fruit and vegetables, high-quality protein, and healthy fats, especially omega-3 fatty acids, can help you better cope with the ups and downs that follow a tragic event.

By experimenting with new ways of eating that boosts mental health, you can find an eating plan that not only helps to relieve traumatic stress, but also boosts your energy and improves your overall outlook and sense of well-being.

When to seek treatment for traumatic stress

Usually, feelings of anxiety, numbness, confusion, guilt, and despair following a disaster or traumatic event will start to fade within a relatively short time. However, if your traumatic stress reaction is so intense and persistent that it’s getting in the way of your ability to function, you may need help from a mental health professional—preferably a trauma specialist.

Traumatic stress red flags include:

  • It’s been six weeks, and you’re not feeling any better
  • You’ve having trouble functioning at home and work
  • You’re experiencing terrifying memories, nightmares, or flashbacks
  • You’re having an increasingly difficult time connecting and relating to others
  • You’re experiencing suicidal thoughts or feelings
  • You’re avoiding more and more things that remind you of the disaster or traumatic event

Emotional Eating

It’s the reason why so many diets fail: We don’t always eat just to satisfy hunger. Many of us also turn to food to relieve stress or cope with unpleasant emotions such as sadness, loneliness, or boredom. And after eating, we feel even worse. Not only does the original emotional issue remain, but we also feel guilty for overeating. No matter how powerless you feel over food cravings, though, there is an answer. By practicing mindful eating, you can change the emotional habits that have sabotaged your diet in the past, and regain control over both food and your feelings.

What is emotional eating?

Emotional eating (or stress eating) is using food to make yourself feel better—eating to satisfy emotional needs, rather than to satisfy physical hunger. You might reach for a pint of ice cream when you’re feeling down, order a pizza if you’re bored or lonely, or swing by the drive-through after a stressful day at work.

Occasionally using food as a pick-me-up, a reward, or to celebrate isn’t necessarily a bad thing. But when eating is your primary emotional coping mechanism—when your first impulse is to open the refrigerator whenever you’re stressed, upset, angry, lonely, exhausted, or bored—you get stuck in an unhealthy cycle where the real feeling or problem is never addressed.

Emotional hunger can’t be filled with food. Eating may feel good in the moment, but the feelings that triggered the eating are still there. And you often feel worse than you did before because of the unnecessary calories you’ve just consumed.

No matter how powerless you feel over food and your feelings, it is possible to make a positive change. You can find healthier ways to deal with your emotions, learn to eat mindfully instead of mindlessly, regain control of your weight, and finally put a stop to emotional eating.

The difference between emotional hunger and physical hunger

Emotional hunger can be powerful, so it’s easy to mistake it for physical hunger. But there are clues you can look for to help you tell physical and emotional hunger apart.

Emotional hunger comes on suddenly. It hits you in an instant and feels overwhelming and urgent. Physical hunger, on the other hand, comes on more gradually. The urge to eat doesn’t feel as dire or demand instant satisfaction (unless you haven’t eaten for a very long time).

Emotional hunger craves specific comfort foods. When you’re physically hungry, almost anything sounds good—including healthy stuff like vegetables. But emotional hunger craves junk food or sugary snacks that provide an instant rush. You feel like you need cheesecake or pizza, and nothing else will do.

Emotional hunger often leads to mindless eating. Before you know it, you’ve eaten a whole bag of chips or an entire pint of ice cream without really paying attention or fully enjoying it. When you’re eating in response to physical hunger, you’re typically more aware of what you’re doing.

Emotional hunger isn’t satisfied once you’re full. You keep wanting more and more, often eating until you’re uncomfortably stuffed. Physical hunger, on the other hand, doesn’t need to be stuffed. You feel satisfied when your stomach is full.

Emotional hunger isn’t located in the stomach. Rather than a growling belly or a pang in your stomach, you feel your hunger as a craving you can’t get out of your head. You’re focused on specific textures, tastes, and smells.

Emotional hunger often leads to regret, guilt, or shame. When you eat to satisfy physical hunger, you’re unlikely to feel guilty or ashamed because you’re simply giving your body what it needs. If you feel guilty after you eat, it’s likely because you know deep down that you’re not eating for nutritional reasons.

Identify your emotional eating triggers

What situations, places, or feelings make you reach for the comfort of food? Most emotional eating is linked to unpleasant feelings, but it can also be triggered by positive emotions, such as rewarding yourself for achieving a goal or celebrating a holiday or happy event. Common causes of emotional eating include:

Stuffing emotions – Eating can be a way to temporarily silence or “stuff down” uncomfortable emotions, including anger, fear, sadness, anxiety, loneliness, resentment, and shame. While you’re numbing yourself with food, you can avoid the difficult emotions you’d rather not feel.

Boredom or feelings of emptiness – Do you ever eat simply to give yourself something to do, to relieve boredom, or as a way to fill a void in your life? You feel unfulfilled and empty, and food is a way to occupy your mouth and your time. In the moment, it fills you up and distracts you from underlying feelings of purposelessness and dissatisfaction with your life.

Childhood habits – Think back to your childhood memories of food. Did your parents reward good behavior with ice cream, take you out for pizza when you got a good report card, or serve you sweets when you were feeling sad? These habits can often carry over into adulthood. Or your eating may be driven by nostalgia—for cherished memories of grilling burgers in the backyard with your dad or baking and eating cookies with your mom.

Social influences – Getting together with other people for a meal is a great way to relieve stress, but it can also lead to overeating. It’s easy to overindulge simply because the food is there or because everyone else is eating. You may also overeat in social situations out of nervousness. Or perhaps your family or circle of friends encourages you to overeat, and it’s easier to go along with the group.

Stress – Ever notice how stress makes you hungry? It’s not just in your mind. When stress is chronic, as it so often is in our chaotic, fast-paced world, your body produces high levels of the stress hormone, cortisol. Cortisol triggers cravings for salty, sweet, and fried foods—foods that give you a burst of energy and pleasure. The more uncontrolled stress in your life, the more likely you are to turn to food for emotional relief.

Find other ways to feed your feelings

If you don’t know how to manage your emotions in a way that doesn’t involve food, you won’t be able to control your eating habits for very long. Diets so often fail because they offer logical nutritional advice which only works if you have conscious control over your eating habits. It doesn’t work when emotions hijack the process, demanding an immediate payoff with food.

In order to stop emotional eating, you have to find other ways to fulfill yourself emotionally. It’s not enough to understand the cycle of emotional eating or even to understand your triggers, although that’s a huge first step. You need alternatives to food that you can turn to for emotional fulfillment.

What is mindful eating?

Mindful eating is a practice that develops your awareness of eating habits and allows you to pause between your triggers and your actions. Most emotional eaters feel powerless over their food cravings. When the urge to eat hits, you feel an almost unbearable tension that demands to be fed, right now. Because you’ve tried to resist in the past and failed, you believe that your willpower just isn’t up to snuff. But the truth is that you have more power over your cravings than you think.

Take 5 before you give in to a craving

Emotional eating tends to be automatic and virtually mindless. Before you even realize what you’re doing, you’ve reached for a tub of ice cream and polished off half of it. But if you can take a moment to pause and reflect when you’re hit with a craving, you give yourself the opportunity to make a different decision.

Can you put off eating for five minutes? Or just start with one minute. Don’t tell yourself you can’t give in to the craving; remember, the forbidden is extremely tempting. Just tell yourself to wait.

While you’re waiting, check in with yourself. How are you feeling? What’s going on emotionally? Even if you end up eating, you’ll have a better understanding of why you did it. This can help you set yourself up for a different response next time.

Learn to accept your feelings—even the bad ones

While it may seem that the core problem is that you’re powerless over food, emotional eating actually stems from feeling powerless over your emotions. You don’t feel capable of dealing with your feelings head on, so you avoid them with food.

Allowing yourself to feel uncomfortable emotions can be scary. You may fear that, like Pandora’s box, once you open the door you won’t be able to shut it. But the truth is that when we don’t obsess over or suppress our emotions, even the most painful and difficult feelings subside relatively quickly and lose their power to control our attention. To do this you need to become mindful and learn how to stay connected to your moment-to-moment emotional experience. This can enable you to rein in stress and repair emotional problems that often trigger emotional eating.

https://www.helpguide.org/articles/diets/emotional-eating.htm

Young woman on sofa with popcorn

National Eating Disorder Awareness Month

  • As many as 20 million women and 10 million men experience an eating disorder at some point in their lives (Wade, Kelski-Rahkonen, & Hudson, 2011)
  • The average age that eating disorders begin:
    • Anorexia Nervosa: 19 years old
    • Bulimia Nervosa: 20 years old
    • Binge Eating Disorder: 25 years old
      (Hudson, Hiripi, Pope, & Kessler, 2007)

What causes the development of an eating disorder?

There is no “one cause” of eating disorders. Eating disorders may develop as the result of a combination of biological, psychological, social, and familial issues.

Types of eating disorders Types

  1. Anorexia Nervosa, Bulimia Nervosa, Eating Disorders Not Otherwise Specified (EDNOS), and Binge-Eating Disorder. 

Anorexia Nervosa Symptoms:

  • Not maintaining body weight at, or above, a minimally normal weight level based on age and height
  • Having an intense fear of weight gain, even when underweight
  • Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight
  • For post-pubescent females, the absence of at least three consecutive menstrual cycles
    (American Psychiatric Association, 2000)

Bulimia Nervosa Symptoms:

  • Binge eating, which consists of the following:
    • In a specific period of time, eating substantially more food than others in a similar period time, and under similar circumstances, would eat
    • Feeling no control, or a lack of control, of the binge eating session
  • Engaging in behaviors in order to prevent weight gain
    • These behaviors may include self-induced vomiting, excessive exercise, or the misuse of laxatives, diuretics, and/or enemas
  • The binge eating and inappropriate behaviors occur at least twice a week for 3 months
  • Overly concerned with how one’s body shape and weight affects self-worth
    (American Psychiatric Association, 2000)

Eating Disorders Not Otherwise Specified (NOS)

Eating Disorder NOS has a combination of symptoms from the category of eating disorders, but does not meet the criteria of a specific eating disorder.

Binge-Eating Disorder has similar symptoms to Bulimia Nervosa (e.g. eating large amounts of food in short time periods and feeling a lack of control when eating). Individuals suffering from this disorder will exhibit three or more of the following:

  • Eating more rapidly than normal
  • Eating until physically uncomfortable
  • Eating when not hungry
  • Eating alone because of embarrassment
  • Feeling disgusted, depressed or guilty after overeating

Individuals with Binge-Eating Disorder do not engage in behaviors to prevent weight gain, such as fasting, dieting, excessive exercise, using laxatives, etc.

(American Psychiatric Association, 2000)

Society and culture

Media in today’s society is filled with images which skew the definition of a “healthy” body.

  • In various studies, girls and boys as young as 4 and 5 years old recognized that the unhealthy images of thinness in mass media are portrayed as ideal (as cited in Levine & Murnen, 2009).

The meaning of body image

The meaning of “body image” varies for every individual. In publications by Levine and Smolak, (2006) females interpret body image as being influenced by multiple components. These include the following beliefs:

  • Being slender is idealized in society,
  • One should fear being fat, and
  • A person’s weight and shape greatly influence their overall identity as cited in Levine & Murnen, (2009)

Men also suffer from eating disorders

Although more women than men suffer from eating disorders, men may also fall victim to the symptoms of these disorders.

Preventing eating disorders

Effective prevention of eating disorders should address the following:

  • Learning how to live a healthy lifestyle through nutritious eating and physical activity
  • Understanding that self-worth is not purely defined by physical appearance
  • Challenging society’s misleading messages about beauty
  • Developing realistic expectations of self and body image
  • Accepting one’s physical characteristics

Calculate your Body Mass Index (BMI)

  • Body Mass Index (BMI) is the measure of body fat based on a person’s height and weight.
    • Underweight = <18.5
    • Normal weight = 18.5–24.9
    • Overweight = 25–29.9
    • Obesity = BMI of 30 or greater
  • BMI can be used for both men and women.
  • Be aware that the BMI scale may overestimate body fat in athletes and those who have a muscular build, and may underestimate body fat in older persons.
  • Calculate your BMI.

https://www.pnw.edu/counseling/neda-month/

Children’s Anger Management Strategies That Work

Punch pillows!” is a common piece of advice children hear regarding how to manage anger. The idea behind this advice is that people have to let their anger out or they’ll explode aggressively. Unfortunately, there’s not a shred of evidence that this is helpful (Kennedy-Moore & Watson, 2001). In fact, “venting” anger tends to rehearse and intensify it.

For example, in one study, Brad Bushman angered college student participants by giving them evaluations, supposedly from another study participant, on an essay they had written. The fake evaluations were extremely critical and included comments such as “This is one of the worst essays I have read!” as well as very poor scores on numerical ratings of qualities such as organization, originality, and clarity. Next, participants either saw a picture of their supposed critic and hit a punching bag while thinking about that person (venting condition), hit a punching bag while thinking about exercise and physical fitness (active distraction condition), or just sat quietly for two minutes (control condition). Afterward, those in the venting condition reported feeling angrier and behaved more aggressively than the control group. The people in the active distraction group were less angry but not less aggressive than the venting group. Participants in the control group, who just waited, had the lowest levels of anger and aggression.

Understanding the Process of Emotion Regulation

So if punching pillows is likely just to intensify children’s anger, what are better strategies we can teach our kids? To answer that question, we first need to take a step back and look at how emotions come about. James Gross (2013; Gross & Thompson, 2007), in his process model of emotion regulation, outlines five points at which people can alter their emotional responses:

1) Situation Selection involves seeking out or avoiding situations that are likely to trigger particular emotions.

2)  Situation Modification involves doing things to alter a situation in order to change its emotional impact.

3)  Attentional Deployment means using distraction or concentrating on something to lessen or heighten emotional responses.

4) Cognitive Change means adjusting interpretations of an emotion-triggering event or judgments about an individual’s capacity to cope with it.

5) Response Modulation involves doing things to alter the physiological, experiential, or behavioral aspects of an emotional reaction, after it has been generated. Some response modulation strategies may alter the situation, cycling back through earlier steps.

Parents can help children with every step of the emotion regulation process. Take the example of a child who gets angry at a sibling for knocking over a block tower. Parents could influence Situation Selection by making sure the child isn’t tired or hungry and therefore more prone to responding angrily. Situation Modification could involve anticipating the mishap and instructing the child to move the block tower to a place where it’s less likely to get knocked over. Attention Deployment might mean suggesting a snack or going outside to distract the child from the tumbled tower. Cognitive change might involve explaining to the child that the sibling knocked it over by accident or that the tower can easily be rebuilt in an even better way. Response Modulation could involve helping the child to rebuild the tower or encouraging the child to “use her words” to ask the sibling to move over  or to help pick up the blocks.

Within this framework, the first four steps constitute antecedent-focusedemotion regulation, because they target processes involved in the generation of emotion. The final step is response-focused regulation because it involves adjusting what people do to cope with an emotion that has already fully emerged. It’s often easier and more effective to manage emotions earlier rather than later in the process.

Seen within this context, it’s not surprising that punching pillows to try to manage anger isn’t effective. It does nothing to alter the situation or how children view it.

How Parents Can Teach Anger Management

So, how can parents help children learn to manage their emotions? Here are some guidelines:

– Put safety first

When children are very angry, they may lash out in aggressive ways. When prevention wasn’t possible, often the first step in anger management is to help children step away from the situation to calm down. This can also prevent further escalation. Out-of-control children need parents to step in gently but firmly so they don’t hurt others or break things.

– Talk things through

Once your child has calmed down enough to think clearly, let your child tell you what happened. A recent study by Wainryb and colleagues (2018) showed that just telling a narrative of an anger-inducing event can help children and teens feel less angry both immediately and one week later. Explaining the sequence of events slows children down and engages the thinking part of their brain. Express empathy so your child feels heard and comforted.

After that, you can ask questions to help your child understand other people’s perspectives and use healthy communication or problem-solving. For example, you could ask, “What could you say to him?” “How is she likely to react if you do that?” “What can we do to prevent this from happening again?” or “What could you do to make things a little bit better right now?”

Responding to children’s anger with gentleness and compassion makes it easier for children to deal with strong feelings and think things through. Angry or punitive responses to children’s anger, on the other hand, add to children’s stress when they’re already feeling overwhelmed.

– Model appropriate expression

Children learn more from what we do than from what we say. When parents respond to their own anger in aggressive ways, they not only trigger more anger in children, they also teach that yelling, hitting, or being mean are appropriate ways to behave when angry. Everyone feels angry sometimes, but we want to teach our children that it’s possible to feel angry and still treat others respectfully.

Overall, effective anger management requires that children learn to think about and manage the full process of emotion regulation, addressing the situation, their internal thoughts and reactions, and their external behavior and how that impacts other people or the situation. The strategy of punching pillows implies that anger is something that needs to be gotten rid of. It’s not. It’s a source of information about ourselves and our environment. Children need to learn to understand it and cope with it in ways that make their lives better.

https://www.thegreatcoursesdaily.com/pp-childrens-anger-management/

 

7 Reasons Why Riding Improves Your Life

People who have been around horses know that these amazing creatures are the best of friends a person can have and nobody and nothing in the world substitute them. They also what benefits they get from being around horses and what does it means to touch a horse and feel the touch they give.

Horses and riding have really improved our lives in the following ways: Improves Posture, Teaches Respect, Time Outside, Horses-Assisted Therapy, Friendship, and Exercise.

http://horsespirit.site/2018/08/26/7-reasons-why-riding-improves-your-life/

Addiction vs. Dependence

Addiction is synonymous with substance use disorder, and abuse means the same thing as misuse. But the terms dependence, addiction and abuse are not interchangeable. The distinctions between the words are important to understand because addiction is often a misunderstood disease. Dependence and addiction are caused by changes to different parts of the brain. Addiction is caused by changes to the pleasure and reward system of the brain. Dependence affects different parts of the brain called the thalamus and brain stem, according to the National Institute on Drug Abuse. That’s why you can be dependent on a drug but not addicted to it. For example, when a person drinks alcohol repeatedly for several days or weeks, the brain adapts to the presence of the substance. He or she becomes dependent on alcohol and relies on it to feel normal. When that person quits drinking, withdrawal symptoms occur. When people who are dependent on alcohol stop drinking, they will usually overcome withdrawal after seven days. Some people are unable to quit drinking because they have a disease called alcohol addiction that makes it difficult for them to stay sober. Tolerance is another phenomenon that’s closely associated with dependence. As people become more dependent on a drug, their tolerance tends to increase. High tolerance and dependency on a substance are warning signs for addiction, but they are not the sole indicators of addiction.

Definition of Dependence

The National Institute on Drug Abuse defines dependence as “a state in which an organism functions normally only in the presence of a drug.” Drugs disrupt the balance of chemicals in the brain. The brain adapts by changing its natural chemical production. As it adapts, it becomes more tolerant to the substance. Over time, the brain begins to rely on the presence of the drug to function. When someone who is dependent stops taking the drug, the chemical balance is thrown off, and the person experiences symptoms of withdrawal. Dependence can be a warning sign for addiction, but it may simply be a sign of drug abuse.

Definition of Addiction

Addiction is often defined as compulsive substance abuse despite negative consequences. Unlike dependence, addiction doesn’t affect every person who is repeatedly exposed to an addictive substance. A combination of genetic and environmental factors affects addiction risk. Like dependence, addiction is caused by physical changes in the brain. These changes affect the reward and motivation parts of the brain. They make people value the addictive substance and receive unrivaled pleasure or happiness when they consume the substance.

History of the Terms Dependence and Addiction

The American Psychiatric Association used to divide the term substance use disorder into two categories: abuse and dependence. Substance use disorder is the medical term for addiction. Abuse was a mild form of addiction, and dependence was a moderate or severe form of addiction. That terminology was problematic because in biology — the study of organisms — dependence refers to a physical adaptation to a substance. Today, the APA classifies substance use disorders as mild, moderate or severe. It doesn’t use the terms abuse and dependence to categorize the severity of an addiction.

Different Severities of Dependency

In general, the longer people consume an addictive substance, the more dependent they’ll become. The method of abuse can also increase the severity of dependency. For example, injecting or snorting a drug may make a person more dependent than swallowing the same drug. Injecting or snorting a drug also decreases the time it takes to become addicted to the drug because the brain feels the full dose of the drug suddenly instead of gradually feeling a smaller dose over time.

Some drugs cause more dramatic withdrawal symptoms than others. For example, withdrawal from stimulants usually results in fatigue, irritability and trouble focusing. In severe cases, withdrawal can cause depression, anxiety and paranoia. Tolerance and dependence to stimulants, such as crystal meth or cocaine, build rapidly. People who go on cocaine or meth benders often take increasing doses of the drugs to feel the same effects. Eventually, they’re so tolerant to the drugs that they’re unable to achieve the high that they desire. When they stop taking the drugs, they experience a devastating crash. However, they can often overcome these symptoms of withdrawal within a few days. Withdrawal from other types of drugs, such as alcohol and benzodiazepines, usually occurs more slowly. Abuse of these substances can cause tolerance to build quickly, but most of the time dependency gets worse over months or years. Unlike stimulant dependency, you can’t overcome alcohol or benzo dependency in a few days. It usually takes several days or multiple weeks to overcome the immediate symptoms of alcohol or benzo withdrawal. It can take months to overcome the late withdrawal symptoms of these drugs, such as sleep problems or fatigue. It’s important to talk to your doctor if you think you’re dependent on a drug because some withdrawal symptoms can be life-threatening.

Determining Whether You’re Dependent or Addicted

It’s easy to determine when people are dependent on a drug. If they stop taking the drug, they’ll experience noticeable withdrawal symptoms. But it isn’t always easy to determine if a person is addicted to a drug. For example, patients who receive opioids for severe cancer pain may be dependent on opioids. They’ll experience withdrawal if they suddenly stop receiving the medication. But they aren’t addicted if they aren’t compulsively seeking the medication despite obvious harms. Determining whether opioid-seeking behavior is caused by addiction or the desire for pain relief is complicated. If people aren’t experiencing noticeable consequences of prescription drug addiction, such as family problems or job loss, they probably aren’t addicted. You can determine if you’re addicted to a drug by analyzing your behaviors. If drug use is hurting your relationships, causing problems at school or work or getting you in trouble with law enforcement, you may be addicted. If you feel cravings or withdrawal when you quit a drug but you can prevent yourself from using the drug, you probably aren’t addicted. If you think you have a problem with alcohol or other drugs, it’s important to  tell a loved that you may be addicted. They can provide support and help you find treatment to overcome your condition.

https://www.drugrehab.com/addiction/signs-of-substance-abuse/addiction-vs-dependence/

Promote National Suicide Prevention Month

We can all help prevent suicide. Every year, the Lifeline and other mental health organizations and individuals across the U.S. and around the world raise awareness of suicide prevention during September, National Suicide Prevention Month.

About National Suicide Prevention Month

September is National Suicide Prevention Month. All month, mental health advocates, prevention organizations, survivors, allies, and community members unite to promote suicide prevention awareness.

National Suicide Prevention Week is the Monday through Sunday surrounding World Suicide Prevention Day. It’s a time to share resources and stories, as well as promote suicide prevention awareness.
World Suicide Prevention Day is September 10. It’s a time to remember those affected by suicide, to raise awareness, and to focus efforts on directing treatment to those who need it most.

#BeThe1To is the National Suicide Prevention Lifeline’s message for National Suicide Prevention Month and beyond, which helps spread the word about actions we can all take to prevent suicide. The Lifeline network and its partners are working to change the conversation from suicide to suicide prevention, to actions that can promote healing, help and give hope.

https://suicidepreventionlifeline.org/promote-national-suicide-prevention-month/

Suicide Prevention

A suicidal person may not ask for help, but that doesn’t mean that help isn’t wanted. People who take their lives don’t want to die—they just want to stop hurting. Suicide prevention starts with recognizing the warning signs and taking them seriously. If you think a friend or family member is considering suicide, you might be afraid to bring up the subject. But talking openly about suicidal thoughts and feelings can save a life.

Understanding suicide

The World Health Organization estimates that approximately 1 million people die each year from suicide. What drives so many individuals to take their own lives? To those not in the grips of suicidal depression and despair, it’s difficult to understand what drives so many individuals to take their own lives. But a suicidal person is in so much pain that he or she can see no other option.

Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can’t see any way of finding relief except through death. But despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives. They wish there was an alternative to suicide, but they just can’t see one.

Warning signs of suicide

Most suicidal individuals give warning signs or signals of their intentions. The best way to prevent suicide is to recognize these warning signs and know how to respond if you spot them. If you believe that a friend or family member is suicidal, you can play a role in suicide prevention by pointing out the alternatives, showing that you care, and getting a doctor or psychologist involved.

Major warning signs for suicide include talking about killing or harming oneself, talking or writing a lot about death or dying, and seeking out things that could be used in a suicide attempt, such as weapons and drugs. These signals are even more dangerous if the person has a mood disorder such as depression or bipolar disorder, suffers from alcohol dependence, has previously attempted suicide, or has a family history of suicide.

A more subtle but equally dangerous warning sign of suicide is hopelessness. Studies have found that hopelessness is a strong predictor of suicide. People who feel hopeless may talk about “unbearable” feelings, predict a bleak future, and state that they have nothing to look forward to.

Other warning signs that point to a suicidal mind frame include dramatic mood swings or sudden personality changes, such as going from outgoing to withdrawn or well-behaved to rebellious. A suicidal person may also lose interest in day-to-day activities, neglect his or her appearance, and show big changes in eating or sleeping habits

Suicide warning signs include:

Talking about suicide – Any talk about suicide, dying, or self-harm, such as “I wish I hadn’t been born,” “If I see you again…” and “I’d be better off dead.”

Seeking out lethal means – Seeking access to guns, pills, knives, or other objects that could be used in a suicide attempt.

Preoccupation with death – Unusual focus on death, dying, or violence. Writing poems or stories about death.

No hope for the future – Feelings of helplessness, hopelessness, and being trapped (“There’s no way out”). Belief that things will never get better or change.

Self-loathing, self-hatred – Feelings of worthlessness, guilt, shame, and self-hatred. Feeling like a burden (“Everyone would be better off without me”).

Getting affairs in order – Making out a will. Giving away prized possessions. Making arrangements for family members.

Saying goodbye – Unusual or unexpected visits or calls to family and friends. Saying goodbye to people as if they won’t be seen again.

Withdrawing from others – Withdrawing from friends and family. Increasing social isolation. Desire to be left alone.

Self-destructive behavior – Increased alcohol or drug use, reckless driving, unsafe sex. Taking unnecessary risks as if they have a “death wish.”

Sudden sense of calm – A sudden sense of calm and happiness after being extremely depressed can mean that the person has made a decision to attempt suicide.

Suicide prevention tip 1: Speak up if you’re worried

If you spot the warning signs of suicide in someone you care about, you may wonder if it’s a good idea to say anything. What if you’re wrong? What if the person gets angry? In such situations, it’s natural to feel uncomfortable or afraid. But anyone who talks about suicide or shows other warning signs needs immediate help—the sooner the better.

Talking to a friend or family member about their suicidal thoughts and feelings can be extremely difficult for anyone. But if you’re unsure whether someone is suicidal, the best way to find out is to ask. You can’t make a person suicidal by showing that you care. In fact, giving a suicidal person the opportunity to express his or her feelings can provide relief from loneliness and pent-up negative feelings, and may prevent a suicide attempt.

Ways to start a conversation about suicide:

“I have been feeling concerned about you lately.”

“Recently, I have noticed some differences in you and wondered how you are doing.”

“I wanted to check in with you because you haven’t seemed yourself lately.”

Questions you can ask:

“When did you begin feeling like this?”

“Did something happen that made you start feeling this way?”

“How can I best support you right now?”

“Have you thought about getting help?”

What you can say that helps:

“You are not alone in this. I’m here for you.”

“You may not believe it now, but the way you’re feeling will change.”

“I may not be able to understand exactly how you feel, but I care about you and want to help.”

“When you want to give up, tell yourself you will hold off for just one more day, hour, minute—whatever you can manage.”

Tip 2: Respond quickly in a crisis

If a friend or family member tells you that he or she is thinking about death or suicide, it’s important to evaluate the immediate danger the person is in. Those at the highest risk for suicide in the near future have a specific suicide PLAN, the MEANS to carry out the plan, a TIME SET for doing it, and an INTENTION to do it.

The following questions can help you assess the immediate risk for suicide:

  • Do you have a suicide plan? (PLAN)
  • Do you have what you need to carry out your plan (pills, gun, etc.)? (MEANS)
  • Do you know when you would do it? (TIME SET)
  • Do you intend to take your own life? (INTENTION)

If a suicide attempt seems imminent, call a local crisis center, dial 911, or take the person to an emergency room. Remove guns, drugs, knives, and other potentially lethal objects from the vicinity but do not, under any circumstances, leave a suicidal person alone.

Tip 3: Offer help and support

If a friend or family member is suicidal, the best way to help is by offering an empathetic, listening ear. Let your loved one know that he or she is not alone and that you care. Don’t take responsibility, however, for making your loved one well. You can offer support, but you can’t get better for a suicidal person. He or she has to make a personal commitment to recovery.

It takes a lot of courage to help someone who is suicidal. Witnessing a loved one dealing with thoughts about ending his or her own life can stir up many difficult emotions. As you’re helping a suicidal person, don’t forget to take care of yourself. Find someone that you trust—a friend, family member, clergyman, or counselor—to talk to about your feelings and get support of your own.

To help a suicidal person:

Get professional help. Do everything in your power to get a suicidal person the help he or she needs. Call a crisis line for advice and referrals. Encourage the person to see a mental health professional, help locate a treatment facility, or take them to a doctor’s appointment.

Follow-up on treatment. If the doctor prescribes medication, make sure your friend or loved one takes it as directed. Be aware of possible side effects and be sure to notify the physician if the person seems to be getting worse. It often takes time and persistence to find the medication or therapy that’s right for a particular person.

Be proactive. Those contemplating suicide often don’t believe they can be helped, so you may have to be more proactive at offering assistance. Saying, “Call me if you need anything” is too vague. Don’t wait for the person to call you or even to return your calls. Drop by, call again, invite the person out.

Encourage positive lifestyle changes, such as a healthy diet, plenty of sleep, and getting out in the sun or into nature for at least 30 minutes each day. Exercise is also extremely important as it releases endorphins, relieves stress, and promotes emotional well-being.

Make a safety plan. Help the person develop a set of steps he or she promises to follow during a suicidal crisis. It should identify any triggers that may lead to a suicidal crisis, such as an anniversary of a loss, alcohol, or stress from relationships. Also include contact numbers for the person’s doctor or therapist, as well as friends and family members who will help in an emergency.

Remove potential means of suicide, such as pills, knives, razors, or firearms. If the person is likely to take an overdose, keep medications locked away or give out only as the person needs them.

Continue your support over the long haul. Even after the immediate suicidal crisis has passed, stay in touch with the person, periodically checking in or dropping by. Your support is vital to ensure your friend or loved one remains on the recovery track.

Risk factors

According to the U.S. Department of Health and Human Services, at least 90 percent of all people who die by suicide suffer from one or more mental disorders such as depression, bipolar disorder, schizophrenia, or alcoholism. Depression in particular plays a large role in suicide. The difficulty suicidal people have imagining a solution to their suffering is due in part to the distorted thinking caused by depression.

Common suicide risk factors include:

  • Mental illness, alcoholism or drug abuse
  • Previous suicide attempts, family history of suicide, or history of trauma or abuse
  • Terminal illness or chronic pain, a recent loss or stressful life event
  • Social isolation and loneliness

Suicide in teens and older adults

In addition to the general risk factors for suicide, both teenagers and older adults are at a higher risk of suicide.

Suicide in teens

Teenage suicide is a serious and growing problem. The teenage years can be emotionally turbulent and stressful. Teenagers face pressures to succeed and fit in. They may struggle with self-esteem issues, self-doubt, and feelings of alienation. For some, this leads to suicide. Depression is also a major risk factor for teen suicide.

Other risk factors for teenage suicide include:

  • Childhood abuse
  • Recent traumatic event
  • Lack of a support network
  • Availability of a gun
  • Hostile social or school environment
  • Exposure to other teen suicides

Suicide in the elderly

The highest suicide rates of any age group occur among persons aged 65 years and older. One contributing factor is depression in the elderly that is undiagnosed and untreated.

Other risk factors for suicide in the elderly include:

  • Recent death of a loved one, isolation and loneliness
  • Physical illness, disability, or pain
  • Major life changes, such as retirement or loss of independence
  • Loss of sense of purpose

https://www.helpguide.org/articles/suicide-prevention/suicide-prevention.htm

 

Man in bed brooding

National Suicide Prevention Lifeline