The Boston Marathon Attacks and Coping with Traumatic Events

As I was brushing my teeth this morning I was thinking about whether and what to post about the attacks in Boston yesterday.  Like everyone else, I am dismayed and grieved at the trauma endured by the athletes and their supporters.  I can’t help but reflect on the multitude of traumas our people have endured over the last few years.

Is this normal?  Have these sorts of incidents increased?  What can be made of all this violence, injury and death?  I don’t know the answers to these questions.  But, I do know that it is normal to feel lots of emotions following tragedies like the one yesterday.

The American Psychological Association offered some tips on how to recognize and cope with traumatic stress.  Check out their tips here.

In looking over APA’s info, I was struck by a couple of points:

  • People respond to tragedies differently.  Some folks might feel nothing, others may cry, still others might have trouble tearing themselves away from news coverage.  I notice many folks turning to social media as a way to cope with their own grief and fear.  Still others may simply want to retreat and withdraw.  No response is right or wrong.  Just different.
  • Re-establishing routines is important.  I’m big into routines, so this tip really rang true for me.  Routines can be comforting to all of us – especially kids – so getting back to a normal schedule can go a long way in helping cope with traumatic events.  Maybe this means going back to your regular dinnertime, enjoying your favorite TV shows, or getting back to your typical workout schedule.  Even if it feels awkward at first, getting back into the swing of your normal routine can help minimize stress, fear, and uncertainty.
  • Avoid major life decisions.  This tip is new to me, but I think it is pretty interesting.  Traumatic events can produce big emotions.  Sometimes those emotions are grief and fear, but they can also be passion, anger, or excitement.  These emotions can be so intense that we may feel driven to make decisions about our relationships, work, and family lives.  APA suggests we avoid these decisions in times of high stress.

For more information about coping with traumatic events, check out the American Psychological Association.

 

Facebook: Good or Bad for Self Esteem?

I was recently interviewed for this story in the Philadelphia Inquirer about whether and how Facebook use affects self esteem.  The cool thing about the article was that it was written by a high school student.  And while I think of myself as young, and try so hard to be cool and relevant; I just can’t keep up with a teenager in terms of technology and social media and their effects on our psyches.

I’ve written about stress, self esteem and Facebook before, but was interested to read this author’s take on how Facebook use can affect self esteem in teens specifically.  She brought up some points I never would have thought of.  The number of “likes” one receives on posts or pictures, and the number of “friends” one racks up for instance.  As someone who is long past the teen years, I notice other things affecting my self esteem.  Things like friends’ vacation destinations, career accomplishments, and children’s behavior.

Of course Facebook is not all bad.  Connecting with long lost friends and family members is great, and so are the birthday wishes that come through on our timelines.  How does Facebook affect you? What about the teens in your life – does it affect them differently?  Check out the full article below:

The Philadelphia Inquirer: Debate over Facebook's effect on self esteem 04/07/2013

The Philadelphia Inquirer: Debate over Facebook’s effect on self esteem 04/07/2013

 

Teaching Kids About Eating Right

Many of you know that one of the hats I wear is an advisory board member for Produce for Kids, an awesome organization dedicated to healthy kids and families.  One of my fellow board members recently wrote some guidelines about teaching even our youngest kids about healthy eating.  As obesity rises among kids (and adults!) this seems like a more important lesson than ever.  But it can be tricky: We don’t want to deprive our kids or set up an unhealthy relationship with food.  But ignoring the issue, or allowing them to indulge in all of their junk food fantasies doesn’t seem right either.  Estella Schnelle of the Weekly Bite provides some great tips for navigating these treacherous waters.

Check out her tips below:

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Parenting Transgender Children

There is a family here in Colorado who has been making headlines recently because of their transgender child.  I’m not going to get into the specifics of the story (you can read more about it here) but will focus on some of the great discussion and information that has been going on surrounding the story.

Most of us don’t have a lot of experience with transgender children, either as parents, professionals, teachers or friends.  This lack of experience can make an already tricky situation even more difficult simply because of our lack of exposure.  In reaction to the above-mentioned story in Colorado, my colleague Dr. Sarah Burgamy, was asked to speak about transgender children on a local TV program.  She did an awesome job answering some basic questions on parenting children who might be – or definitely are – transgender.

A couple of her points that stuck out most to me:

How do you know if your child is transgender, or just “going through a phase?”  Many kids go through phases of exploring interests or looks more typically thought of as belonging to the opposite sex.  For example, a boy enjoying dressing up in skirts, or a little girl enjoying trains.  Dr. Burgamy explained that transgender children’s behaviors and attitudes are “insistent, persistent and consistent” over time.

How should a parent respond to their transgender child?  Parenting is a tough job any time, but can be especially challenging when our children don’t fall inside the “norm,” have unique needs or interests, or are simply different from their peers.  Dr. Burgamy offered some excellent guidelines for parents with transgender children (or any children for that matter):

  •  Minimize distress
  • Increase happiness
  • Do what you can to allow them to have happy childhoods

Check out her full interview here:

 

Dr. Burgamy also provided some resources for families and friends of transgender youth:

The Transgender Child:  A Handbook for Families and Professionals – by, Stephanie Brill & Rachel Pepper
Gender Born, Gender Made:  Raising Healthy Gender Non-Conforming Children by Diane Ehrensaft, Ph.D.

Trans Youth Family Allies – TYFA

TransACTIVE – based in Portland, OR but has some good national/international resources.

 

Mental Health and TV – Good for All of Us

Today I posted an article over at the American Psychological Association’s blog, Your Mind. Your Body.  In it I write about the importance of portraying mental health issues, struggles and solutions in TV and movies.  Check it out here.

Some of my favorite TV shows regularly integrate important topics in mental health including bullying, suicide, mental illness and family struggles.  The folks over at Glee do a pretty good job (most of the time) accurately portraying mental illness and treatment. Gossip Girl, Hoarders, Parenthood, Monk and Friday Night Lights are other shows that include characters with psychiatric disorders.

Of course there are tons of movies whose main subject is mental illness.  Check out this cool list on Wikipedia listing movies featuring mental illness organized by diagnosis.  Silver Linings Playbook is just 1 of 14 movies listed in the Bipolar Disorder category.

If you want to learn more about some of the great work being done in TV and films, check out SAMHSA’s Voice Awards.  Here’s a description:

Join the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Voice Awards program in recognizing consumer/peer leaders and TV and film professionals who educate the public about the real experiences of people with behavioral health problems. Through their work and personal stories of resilience, both groups of leaders demonstrate that people can and do recover from mental health and substance use disorders and lead full and meaningful lives in their communities.

Today is the deadline to nominate producers and programs! Check out SAMHSA’s site to submit your favorite show by the end of the day!

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5 Questions with Lori Gottlieb

I am thrilled to have the author of Marry Him: The Case for Settling for Mr. Good Enough here today to answer some questions! I recently reviewed Lori Gottlieb’s book, and am thrilled she agreed to share more about the creation of the book with us.  Welcome, Ms. Gottlieb!

Dr. S.: “Marry Him: The Case for Settling for Mr. Good Enough” is a catchy title, but I didn’t think the title was truly reflective of the book’s message. What were some alternate titles? Something else you wish it were called?Screen shot 2013-03-26 at 3.19.07 PM

L.G.: Unfortunately, I didn’t get to choose the title, and I so wish that it accurately reflected the hopeful message of the book, which is about how to find lasting, passionate love.  The book has absolutely nothing to do with lowering one’s standards or “settling.”  In fact, the book is about having very high standards — extremely high standards — but having high standards about the things that matter for long-term, happy marriages, and letting go of the trivial things that don’t.  In Marry Him, I talk to experts who study relationships and marriage from different perspectives — psychologists, behavioral economists, sociologists, neurobiologists, matchmakers, historians, couples counselors, dating coaches, you name it — then I write about their findings and try them out myself, like a dating guinea pig.  What matters for lasting love?  What doesn’t?  Why do we often pick partners who seem fantastic when we first meet them only to discover that they aren’t right for us — and how might we have seen this more clearly from the beginning?  How can we be more conscious about choosing great partners, especially when we’re young enough to have the most available options?  How do our cultural messages about expectations for love sometimes lead us to make decisions that won’t necessarily make us happy?  What does “true love” really mean?  What keeps people in love?

Dr. S.: Your book doesn’t have a traditional happy ending.  Was it tough (in either your mind, or the mind of your publisher) to end the book without a big wedding?

L.G.: I think it has a very happy ending, and a real happy ending.  I talk about this in Marry Him, but the “traditional” happy endings we often see in movies involve that final wedding scene, and then we just assume that this couple that has been bickering for the past 90 minutes will go on to be compatible and happy for the rest of their lives.  Look at Hollywood marriages — they don’t tend to end up that way.

As I say in the book, I’ve never dreamed about my wedding. I would dream about being happily married:  Who’s the guy?  What is our daily life like?  What is it like to grow old with this person, to share life’s great adventures with this person, to create a memorable history together, to raise children together, to run a household together, to bring out the best in each other while accepting the worst in each other, to witness each other’s great pleasures in life and be there for each other’s difficult failures or disappointments, to make each other laugh and continue to surprise each other even as time goes on, to know somebody that well over decades and be known that well in turn?  Marriage is a very rich, complex, challenging experience; it’s not about the big wedding day and who do you want to go to Tahiti with for the week.

Anyone can have a wedding.  Marry Him is about finding the right person to go through life with.  One expert in the book says, “There’s no perfect partner; there’s the perfect partner for you.”  So the happy endings in the book are all the stories of the women who used the tools in Marry Him to find to find their perfect partner.  And for me, the happy ending was that while I learned these lessons much later than I would have liked to — my point in the book is that young women will save themselves a lot of heartache and have a much easier time finding love if they learn these lessons early on — I did, finally, learn them.  At the end of the book, I acknowledged that it would be far more challenging to date in my forties than it had been to date in my twenties and thirties (a reality that women need to be aware of), but I also felt that I had a much better chance of meeting the right person now that I’d gained this insight.  I suppose if I were to write a post-script to the book, I’d let readers know that, eventually, I did meet somebody great.  And if I’d dated the way I had before researching and writing Marry Him, I might have missed out on the opportunity to be with this person whom I’m so lucky to have in my life on a daily basis.  But in the book, I follow several women on their dating journeys, and for the ones who take the advice and really examine their old patterns, their endings are very happy, too.

Dr. S.: If you were to give relationship/marriage/commitment advice to a young woman just entering the dating pool, what would be your #1 piece of advice?

I wish it were that easy, that I could give the magic answer and poof — that’s how you find love!  I think that all of the advice in Marry Him needs to be taken together to really help people get clear and to realize that they have far more control over how their dating lives are going than they think.  That said, if I had to pick one general idea, it would be that many people treat dating like ordering a  meal at a restaurant. They want to order up a person a la carte: I’ll take a little of this, more of that, less of the other, and please leave the annoying habit or less-than-ideal physical feature on the side.  But a person comes as he or she comes.  There are “no substitutions” at this restaurant.  It’s not your partner’s job to be everything you want at all times.  That’s impossible.  One expert in the book said to me, “Lori, instead of making a list of all the things you want in a guy, I want you make a list of everything a guy would have to put up with, in order to spend his life with you.”  Our girlfriends are always telling us how fabulous we are, and while we all have many appealing qualities, we’re also as flawed as the next person.  That exercise — writing down what a guy would have to compromise on if he wanted to spend his life with me — really made me see things differently!

Dr. S.: What are you working on these days? Any new books we can look forward to?

I’m working on a piece for The Atlantic about sex in marriage!  I also have a private practice and do relationship consulting at www.lorigottliebtherapy.com.
Dr. S.:  One of the things I often write about in my blog is stress management. We all know that yoga and meditation are great, but I am more interested in unique and creative methods of stress management.  What do you do to relieve stress?

This might sound corny, but I do in life what I suggest people do in Marry Him.  I focus on the important things that I’m grateful for and I let the small things go.  I don’t mean that I’m a Pollyanna.  It’s more that when life’s challenges present themselves — and they always will — I remember that I have all kinds of choices. I can choose to be stressed over minor things or I can choose to put my energy elsewhere.   It’s completely up to me how I react to a particular situation, big or small.  It’s really about having perspective — am I running from the bears and about to be devoured, or is this just disappointing (and the disappointment will pass) or a nuisance that I’ll have to deal with temporarily?  It doesn’t take the stress away completely, but it does make things feel far less overwhelming than they would be if I didn’t slow myself down, access my more objective self, and see the situation for what it is.  I find that having that kind of perspective makes daily life so much more relaxing.

To learn more about Lori Gottlieb, check out her website. To order Marry Him: The Case for Settling for Mr. Good Enough, or read some of her other work, click here. Thanks again!

Postpartum Anxiety – More Common Than We Thought

Have you seen this: A new study in the Journal of Reproductive Medicine found that postpartum anxiety and symptoms of obsessive-compulsive disorder are more common than once thought.  The researchers found 11% of new moms have OCD symptoms (including fear of germs, preoccupation with the safety of the baby, etc) after childbirth.  They found half of the new moms will get better by six months, and there is an additional 5.4% that will develop new onset symptoms at 6 months.DSC02075

A different study, this one in the American Journal of Pediatrics, found postpartum anxiety to be more common than postpartum depression, at least through the first 6 weeks after the baby is born.  The researchers found that 17% of the moms in the study experienced anxiety after giving birth.

The health care folks – together with the media – have done a super job educating the public about the warning signs and risks of postpartum depression in the last decade.  Brooke Shields and other celebrities have shared their struggles with postpartum depression, and have helped millions of women understand that the condition is common and quite treatable.

But in my experience, not all women who struggle after childbirth struggle with symptoms of depression – but symptoms of anxiety.  Extreme fear for the safety of the baby, inability to stop worrying about the baby’s well-being (even to the point of not being able to sleep), fear of germs or illness in the baby or other family members – these, and other symptoms of anxiety – can impede a new moms ability to care for herself, the baby, and/or other children.

A psychologically healthy mom’s ability to worry is endless.  A mom who struggles with postpartum anxiety can be debilitated.  And a mom crippled with anxiety and worry can struggle to meet her new baby’s needs.

Luckily, there are many places to turn for support and treatment.  Ob/Gyn’s and pediatricians are great professionals to turn to for medication management and community resources.  Psychologists can provide individual and family therapy to new moms.  Online support groups like Postpartum Support International can also offer resources and guidance.  For more information about the signs and symptoms of postpartum depression – including how to get help – check out the American Psychological Association.

 

 

 

Book Review: Marry Him: The Case for Settling for Mr. Good Enough

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How funny to be reviewing Lori Gottlieb’s book: Marry Him: The Case for Settling for Mr. Good Enough the day after posting this article on avoiding affairs.  I’m sure there is some deep-seated psychological meaning behind that.  Instead of focusing on my psyche, however, I will turn my attention to Ms. Gottlieb’s book.  Here goes:

I want to start by saying that I consider Ms. Gottlieb a colleague after working with her on this article in the New York Times about therapists and marketing.  In addition to being a fine author and journalist, she is also a therapist herself.  She recently told me that she particularly enjoys working with couples.  Check out her site here.

As for the book, apparently it made a splash when it was released a couple of years ago.  And it isn’t hard to tell why: the title is quite an attention grabber.  Unfortunately, I’m not sure the title is consistent with the book, as it isn’t actually about “settling” – as in marrying someone you don’t like, find irritating, or aren’t attracted to.  Instead, it’s a fun-to-read description on Ms. Gottlieb’s own journey in the dating world.

In the book, Ms. Gottlieb is candid about what it’s like to date in all ages and stages of life (with kids and without, never married and divorced, as a 20-something, and as a 40-something).  As someone who married young, it was a real eye-opener for me to read about the realities of the dating pool past college.  I particularly enjoyed the commentary made by some of the older women she interviewed.  Reading their perspectives on what women experience, put up with, and expect now – versus when they were dating – is one of the highlights of the book.

I did find myself feeling frustrated by the entitled attitude of some of the younger women included in the book.  These are women who expect perfection, devotion, loyalty, and passion from the men they are interested in – yet seem to have no appreciation for what they should, do, or can bring to the relationship.  Fairness, equality and compromise don’t seem to be concepts these women understand.  No wonder their relationships don’t ever seem to work out.

For added perspective, I had my mom read the book.  Here are some of her comments:

In regards to having an attitude of entitlement in romantic partners:

I devoured the book even though I didn’t personally relate to it at all.  I am always shocked at how entitled some people think they are – it must be a difficult way to live life because it seems it would be challenging to maintain friendships, jobs, and relationships when all you can focus on is “what’s in it for me”.

In regards to making a list of desirable qualities in a mate (something Ms. Gottlieb does in the beginning of the book):

I can’t imagine making a list of “wants” in a husband and actually sticking to it.  It’s a good idea to list life goals, vacations you want to go on, clothes you need, etc. – putting those constraints on a human being is beyond my comprehension.  Besides, when you meet a person as a potential husband – that person will likely be quite different after several years of marriage.  The book was fascinating reading.

After finishing the book, I was left with a desire to make a list of my own.  Not of the qualities I would want in a mate, but the qualities that might make me a good mate myself.  I wonder which would be longer?

Thanks, Lori Gottlieb, for introducing me to your book! Click here to buy Marry Him: The Case for Settling for Mr. Good Enough.

 

Avoiding Affairs: Tips for Keeping Your Pants On

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The other day I read this OUTSTANDING article on how to avoid affairs by a super couples and family psychologist, Dr. David Palmiter.  I have never seen an article like it! I love his candor and forthright advice on avoiding affairs.  Seriously, it is worth checking out.

Among his 10 tips, I especially liked the following:

Tip #2: “Throw water on the spark. If you start feeling titillation towards another person do something to kill that. Putting some distance between you is always a good idea (e.g., stop having contact, make sure you are never alone together, don’t complain about your spouse to this person or encourage the same from him or her, avoid mixing contact with substance use).” 

I love this! So simple to say, hard to do in some cases, but right on the money in terms of affair avoidance advice.  Sometimes the most simple actions are the more effective.

Tip #8: “Reflect on what the pain from divorce is like.  Engaging an affair significantly increases the likelihood of a divorce and few human experiences are more stressful or painful than that.”

Divorce is unavoidable at times, avoidable at others – but the subsequent pain is always there.  Particularly when children are involved.  Best to think twice, three times, then over and over again before starting an affair.

And my favorite, Tip #1: “Be humble. Realize that an affair can happen to anybody.”

Nobody gets married thinking they will have affairs and get divorced, yet it happens everyday.  Not taking our partners and our relationships for granted is something for all of us to keep in mind.

To read the rest of Dr. Palmiter’s tips for avoiding affairs, check out his Blog for Hectic Parents.

 

Party with Produce for Kids

I am so lucky to be involved with Produce for Kids – a wonderful organization that promotes healthy eating for kids and families. If you haven’t seen their site, check it out! There are lots of easy, healthy recipes and other information that is super useful for busy families.

This month they will be holding a Twitter Party on March 14th.  The party will be hosted by blogger, mom and registered dietician Estela Schnelle – author of The Weekly Bite and fellow Parents on Produce Board Member.  The party is sponsored by Earthbound Farm.  Check it out!

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