Category Archives: Mental Health

Straight, No Chaser: When Eating Goes Wrong, Part II – Bulimia

Bulimia…-nerviosa-1

If you read Part I of this conversation on eating disorders (anorexia nervosa), you will recall that eating disorders are a mix of an abnormal body image combined with abnormal behaviors that lead to medical consequences. Today’s Straight, No Chaser is on bulimia, yet another dangerous eating disorder.

The ‘Bizz-Buzz’ of bulimia nervosa is ‘binge-purge.’ What that means is bulimics engage in frequent episodes of eating excessive amounts of food (bingeing) followed by one of several methods of eliminating what was just ingested (purging). This methods include forced vomiting (most common), use of diuretics or laxatives, fasting or excessive exercise. It is important to note that the bulimic feels a lack of control over these episodes.

bulimia_nervosa_1

Bulimia is an especially dangerous disease because it usually occurs in secret, and victims are able to hide it. This means symptoms will typically be further along when discovered. Bulimics usually manage to maintain a normal or healthy weight despite their behavior and may appear to be the person who ‘never gains weight’ despite ‘eating like a horse.’ This is a key differentiator between bulimia and anorexia. Otherwise, the two diseases do share some of the same psychological pathology, including the fear of weight gain and the unhappiness with physical appearance.

Treatment considerations for bulimia are similar to those for other eating disorders. A combination of psychotherapy, reestablishment of normal nutritional intake and medications usually leads to marked improvement. Again, the particular challenge with bulimics is discovering the condition in the first place. As with anorexia nervosa, treatment for bulimia nervosa often involves a combination of options and depends upon the needs of the individual. Medications may include antidepressants, such as fluoxetine (Prozac), if the patient also has depression or anxiety.

Let’s recap by revisiting where we started with our conversation on anorexia. Our society doesn’t do the job it should in promoting a normal image of health. The typically promoted American ideal of beauty sets standards that lead many to pursue unrealistic means of meeting that ideal. In the setting of an actual American population that is obese by medical standards, this becomes even more of a problem. The levels of stress, anxiety and depression resulting from this reality sometimes leads to eating disorders. Remember, eating disorders aren’t just habits. They are life-threatening conditions. If you or a loved one is suffering, please seek help immediately.

bulimia

Post-script: If you’re wondering about the above picture of the teeth, you’re viewing the effects of all that regurgitated acid on the enamel layer of your teeth.  I know. It’s not your best look.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under Diet and Nutrition, Gastrointestinal, Mental Health

Straight, No Chaser: When Eating Goes Wrong, Part I – Anorexia

anorexia_nervosa11

Simply put, our society doesn’t do the job it should in promoting a normal image of health at either end of the body size spectrum. The typically promoted American ideal of beauty sets standards that lead many to pursue unrealistic means of meeting that ideal. In the setting of an actual American population that is disproportionately obese by medical standards, this becomes even more of a problem, as individuals give up on realistic goals and settle into unhealthy eating habits that lead to disease due to obesity.

Most people are aware of two eating disorders (on the low side that is; obesity is another conversation): anorexia and bulimia. It is important to note that eating disorders are real medical and mental diseases. It is equally important to understand that they can be treated. It is vitally important to understand that when left untreated these disorders lead to a much higher incidence of death than in those without these conditions. These diseases cause severe disturbances in one’s diet, so much so that individuals spiral out of control toward severe disease and death in many instances. Sufferers of eating disorders often have a distorted self-image and ongoing concerns about weight and appearance. (This is as true for those pathologically overweight and in denial as it is for those pathologically underweight.)

anorexia-nervosa

Today’s Straight, No Chaser discusses anorexia. Anorexia nervosa is an eating disorder with nearly a 20 times greater likelihood of death that those in the general population of a similar age. Why, you ask? Simply put, anorexics are suffering the consequences of starving themselves. Anorexics have a maniacal and relentless pursuit of thinness, even in the face of being extremely thin. They couple an unwillingness to maintain a healthy weight with an intense fear of gaining weight. They possess a distorted view of their bodies and severely restrict their eating in response. They are obsessed.

Other symptoms and habits of anorexics include a lack of menstruation (among females, though men suffer from anorexia, too), binge-eating followed by extreme dieting and excessive exercise, misuse of diuretics, laxatives, enema and diet medications. The medical manifestations of anorexia are serious and can include osteoporosis or osteopenia (bone thinning), anemia, brittle hair and nails, dry skin, infertility, chronically low blood pressure, lethargy and fatigue, and heart and brain damage. It’s worth noting again that people die from anorexia. It is a disorder to be taken seriously.

The key components of treating eating disorders in general are stopping the behavior, reducing excessive exercise and maintaining or establishing adequate nutrition. The pursuit of adequate nutrition is vital enough that when patients develop dehydration and chemical imbalances (i.e., electrolyte abnormalities), they need hospitalization to correct deficiencies.

Specific management of anorexia involves addressing the psychological issues related to the eating disorder, obtaining a healthy weight, and consuming sufficient nutrition. This may involve various forms of behavioral therapy and medication. Regarding medication use, although some (such as antipsychotics or antidepressants) have been effective in addressing issues related to anorexia such as depression and anxiety, no medication has been proven effective in reversing weight loss and promoting weight gain back to a healthy/normal level. Similarly, behavioral therapy has been shown to assist in addressing the roots causes of anorexia but insufficient in addressing the medical issues that the disease contributed to or caused. Ultimately, it appears that a combination of medications, other medical interventions and behavioral therapy is the most effective course. As is the case with most illnesses, the earlier treatment is initiated, the better the outcome tends to be.

Please maintain a sufficient sensitivity toward those with anorexia. It’s a life-threatening condition, not the punch line of a joke about someone’s appearance.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Straight, No Chaser: Sexual Deviances and Perversions (Paraphilias)

paraphilias_01

This is a serious conversation that I won’t sensationalize or joke about. The mental health disorders known as paraphilias (commonly referred to as sexual deviancies or perversions) represent a disturbing level of dysfunction that has devastating consequences for victims. This Straight, No Chaser will provide an overview of these disorders as categorized by the Diagnostic and Statistical Manual of Mental Disorders (DSM).

First, here’s a working definition from the DSM: paraphilias involving recurrent fantasies, urges or behaviors of a sexual nature that center on children, non-humans (animals, objects or materials), or harming others or one’s self. That definition isn’t especially difficult to understand, but what is more difficult to appreciate is these deviants (and often predators) suffer from mental illness and aren’t just “bad people.” What’s especially difficult for society to reconcile is when and if treatment is more appropriate than punishment.

Here’s a list of recognized sexual deviancy disorders, which will be individually discussed in future posts. It is important to note that some of these behaviors occur in the general population in certain circumstances (e.g., between consenting adults) and only are defined as mental disorders when the activity becomes a compulsion, interfering with normal function and/or behavior.

paraphilia exhibitionism

Exhibitionism: the compulsion to display one’s sexual organs to strangers. This compulsion increases until relieved by the act of exposure.

paraphilia shoe fetish

Fetishism: the habit of having sexual energies fixated on an object. Typical objects include garments such as shoes or underwear or may involve materials such as leather or rubber. The objects of fetishes often are required to achieve orgasm.

paraphiliaFrotteurism

Frotteurism: the compulsion to rub ones self against strangers others in a sexual manner. This compulsion increases until relieved by the act.

Paraphilia Pedophiles

Pedophilia: the act of a sexually mature adult fantasizing about or engaging in sexual behavior with children who haven’t achieved puberty.

paraphilia sadomasochism

Sadism and Masochism: the habit of engaging in sexual encounters where the focus is on causing (sadism) or receiving (masochism) physical and emotional pain, embarrassment and humiliation.

paraphilia transvestism

Transvestism: (aka cross-dressing) the habit of an otherwise “normal” heterosexual male having fantasies about and/or dressing in woman’s clothing, which is usually sexually arousing.

paraphilia voyeurism

Voyeurism: the compulsion to fantasize about and/or actually spy on an unsuspecting person in the act of undressing (aka being a “peeping tom”) as part of a person’s sexual routine.

The DSM also includes a Not-Otherwise-Specified category of paraphilias, including such actions as a chronic preoccupation with making obscene telephone calls, relating sexually to only a part of another’s body, dead people, animals, feces and urine.

Sexual perversions generate many different emotions in victims and the general public. Perhaps Job One is to be conscious of your surroundings and the situations in which you place yourself. Although in most instances you can’t control the inclinations or prevent the actions of others, you can control the choices you make that increase or decrease your risk of becoming a victim of a sexual deviant.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Straight No Chaser: Your Stress Management Plan

The path to “Don’t Worry, Be Happy” isn’t as simple as the old song suggests, but if the song had a heart, it would be in the right place. Today’s contribution to your New Year’s resolution of less stress in your life is the development of your individual stress management program.

YOUR INDIVIDUAL STRESS MANAGEMENT PROGRAM

  • Learn to smile. Force it if you have to. Wear one when you walk. Your brain receives signals based on your physical appearance.
  • Learn to be optimistic. Force it if you have to. When you’re in a difficult situation, learn to ask yourself, “What’s the best that could happen?” Let optimism become your goal, and plan with achieving it in mind. Even if you don’t achieve your best, embrace positivity. Focus on the opportunities, not the obstacles.
  • Learn to have fun. Force yourself to have fun, whatever that is for you. Plan specific activities that will make you smile and laugh. Your brain and body need this outlet.
  • Learn variety. Force yourself to switch your routine. Even if you’re a workaholic or in a stressful environment, maneuver between activities.
  • Learn to break. Force yourself to rest, both mentally and physically. Turn it off and recharge. You’ll be more efficient when you return and won’t be as stressed about the activities you must perform.
  • Learn to add by subtraction. At some point you’ve got to learn to move past those things in your life that produce physical and mental stress. This includes foods, habits and sometimes people. I recently came across this quote:

“Show me your friends, and I’ll show you your future.”

That should either be a ringing endorsement of your choices or a warning sign. Make good choices!

Remember, these activities address both physical and emotional stress.

“Sound mind = sound body” is a real thing!

 stress mgmt 2

Physical activity creates good blood flow and healthy muscles and other tissues. This will reduce your levels of stress.

  • Don’t just sit there. Commit to do something. Commit to a routine.
  • Strive for 150 minutes/week of aerobic activity.
  • You’ll perform best with a personal trainer, but you don’t even need to join a gym. If you engage in brisk walking for 20 minutes/day, you’re good.
  • If you don’t have a trainer, get a workout partner or group. This is using peer pressure in a positive way.

Nutrition is the fuel for your body’s normal functioning. It will keep your brain and body sharp, your immune system powerful and you less susceptible to physical and emotional stress.

  • Use the food plate guide to facilitate making healthy choices.
  • Increase the amounts and varieties of fruits and vegetables you eat.
  • Stop eating when your body tells you that you’re full. Don’t worry so much about “finishing your plate.”
  • Avoid super-sized anything unless you’re splitting the servings.

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Social support—an effective support network—can serve to dissipate your stress. Stress without an outlet is a force multiplier.

  • Wear a smile as your shield from stress. It invites positivity and positive people. Bringing new friends into your life is exciting for most people. Make an effort to socialize and enjoy the benefits of friendship, family and strong networks.
  • You are your own best support. If you hardwire positivity into your personality, you will find yourself less stressed. Take care of yourself, and be good to yourself and those around you.

Relaxation is for many people a distant memory that should go high on your New Year’s  resolution list.

  • If you don’t have time to relax, make time. If you can’t make time, take time. Enjoy your family, hobbies and life!
  • You must learn to connect mentally with your body’s cues. If you’re tired, rest. If you’re in pain, don’t push it. These early signs of physical stress are meant to be warnings. Take heed.
  • Don’t laugh, but relaxation techniques work! Consider mediation, yoga or just
    “resting your eyes.” Appreciate the healing power of music and the arts. The deeper you get into these effects, the better they become at relaxing you.
  • Sleep is your body’s way to reset and replenish. Good sleep habits are an important way to alleviate your stress.

stress mgmt 1

Professional Support

We multiply our stressors by failing to take advantage of the resources that are available. If your efforts to put a stress management program in place are unsuccessful, and you’re still addressing more than you can handle, you have a wealth of talented caring professionals ready to provide assistance. Licensed social workers, psychologists and psychiatrists can teach you additional stress management techniques and strategies. Nutritionists and personal trainers can fine-tune those factors that may otherwise contribute to physical stress. Your communities likely have resources to help. Of course, you also have access to 844-SMA-TALK and www.sterlingmedicaladvice.com, both of which offer you trained mental health professionals to get you through whatever issues you’re confronting.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Straight, No Chaser: Pass The Stress Test

Let’s agree not to go into the New Year filled with last year’s tension or without a plan to avoid new stress. In fact, let’s take this time to lay the groundwork for one now.

Stress is a feeling of emotional or physical tension. Stress by itself isn’t the problem; in fact, stress can be a powerful motivator. After all, that’s what the “fight or flight” response is – a response to stress. The issue becomes when you can’t manage your stress.

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Remember that stress comes in different forms, including emotional and physical. Emotional stress is mental and impacts your ability to respond to situations you find challenging. This type of stress is individualized – what one person considers stressful, someone else might not. Physical stress is the body’s response to triggers. A simple example is what happens if you place your hand in fire. Your body gets burned. That burn is a physical stress on your body. Interestingly, each type of stressor may result in the other. For example, that burn causes you to have emotional pain to accompany the physical pain. In another instance, your emotional stress may produce physical stress such as sweating, vomiting, blackouts or abnormal heartbeats.

You have to get in front of tough situations and learn stress management. You need to learn to reduce, control, defect and channel tension away from its potentially crippling effects. Don’t think it can’t be done: just as the fireman runs into a burning building, the pilot navigates a crashing plane to safety or the emergency physician saves a live without being swallowed up by the magnitude of the moment, you can conquer the challenge confronting you.

Stress-Management-Checklist-to-Survive-and-Thrive

Today, I want to focus on 5 factors that play into your development of physical and emotional stress: attitude, diet, physical activity, relaxation habits and support systems. These factors not only work against you if they’re not healthily managed and working to your advantage, but they are the basis for the stress management program we’ll build for you.

  • Attitude: Your perspective and attitude make you interpret the same situation or trigger either negatively, positively or indifferently. A negative attitude goes along with more stress.
  • Diet: One’s poor eating habits literally place the body in a state of physical stress and weakens the immune system, resulting in an easier ability to contract a variety of diseases. Poor nutrition eventually will affect the brain and result in additional physical and emotional stress resulting from sub-optimal function of the brain.
  • Physical activity: Insufficient physical activity will eventually put the body in a stressed state due to diminished blood flow to your organs. Just as a feeling of well-being will reduce stress, being ill and/or out-of-shape will increase stress.
  • Relaxation: Your inclination and willingness to allow your body to rest and recharge has ramifications for both physical and emotional stress. This involves taking time to sleep as well as enjoy life. If you’re not relaxed, you’re probably going to be stressed.
  • Support systems: The presence or absence of individuals and groups to help you through potentially stressful situations has the power to diffuse or magnify a situation and its associated stress.

Please take the time between this post and the upcoming post on developing a stress management program for you to assess your own situation, including the factors just mentioned. You’ll learn a lot about yourself and be better prepared for what comes next.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Straight, No Chaser: Depression – How to Avoid It, When to Get Help

depression

This is the third post in a series on depression and suicide. In our first post, we focused on the magnitude of  clinical depression and suicide. In the second post, we provided tools for depression self-awareness. In this post we provide tips for you to address depression and an inclination toward suicide. Remember that 844-SMA-TALK and www.sterlingmedicaladvice.com provides crisis mental health services for those in need.

suicide-stay-informed-stay-connected

As a physician, I’m not willing to advise you on how to ‘care’ for yourself at home if you’re clinically depressed.  I can discuss how to avoid depression (to the extent possible) and what warning signs should prompt emergent access to care.  If you’re good at accomplishing the items listed below, you have less of a chance of being unhappy and clinically depressed.

  • Avoid alcohol and other mood-altering drugs.
  • Eat healthily.
  • Exercise regularly.
  • Get enough sleep.
  • Remove yourself from negativity, including your choices in friends, mates and work environments.
  • Surround yourself with positivity, including your choices in friends, mates and work environments (Please note this is a different consideration than the previous bullet point.).
  • Learn how to relax and where to go to relax (These considerations include such things as yoga, meditation and your religion/spirituality, not the business end of a bottle or drug use.).

suicide HELP_Logo_Master

Look out for these potential warning signs for suicide: Remember that approximately 30% of suicides are preceded by the individual declaring intent.  Be alert for the following additional considerations:

  • Increasing levels of depression, withdrawal, reckless behavior, alcohol and other drug use, and/or desperation.
  • Notice activity that could be a prelude to a suicide attempt, such as obtaining knives, firearms or large quantities of medication.
  • Changing one’s will and settling one’s life affairs in the midst of depression
  • Ongoing comments about lack of worth and desire to end it all.

Suicide-Lifeline

The following considerations should prompt an immediate visit to an emergency room or other treatment facility.

  • You have a compelling, overwhelming feeling that you want to hurt yourself, with or without an actual plan.
  • You have a compelling, overwhelming feeling that you want to hurt someone else, with or without an actual plan.
  • You hear voices or see things or people who are not there.
  • You find yourself crying often and uncontrollably for no apparent cause.
  • Your depression has affected your activities of daily living (work, school, consistent forms of recreation or family life) for longer than 2 weeks.
  • You think your current medications are affecting you abnormally and are possibly contributing to making you feel depressed.
  • You have been told or believe that you should cut back on drinking or other drug use.

I wish you and your loved ones all the best in avoiding and/or dealing with this disastrous condition.  I welcome any comments, thoughts or questions.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Straight, No Chaser: Tips to Deal with Depression and The Holiday Blues

Holiday_Depression-300x199

I don’t mean to bring anyone down during what is supposed to be the ‘most wonderful time of the year,’ but in reality there are many people hurting. For some, life’s tragedies happen this time of year the same as they might any other time. For others, this may have already happened, and this time of year is a permanent reminder of an unfortunate experience. For others still who struggle with depression, anxiety and mental illness all year, the holiday season can exacerbate these feelings and may make holidays especially long, depressing and potentially dangerous times.

Today’s Straight, No Chaser is not meant to drag you into the dumps but to empower you with tips to assist you in the event this is a difficult time for you. By the way, I’m extremely thankful that you’ve chosen to give me moments of your day and life. I take that gift seriously and hope you continue to find it a worthwhile use of your time.

HolidayDepression

Here’s five tips for your holiday mental health:

  1. Remove yourself from stressful environments and avoid situations you know will create conflict, mental duress and/or danger. I can not emphasize this enough. If you put yourself in a bad situation, you can not be surprised when bad things happen.’
  2. Find support. Specifically, have ‘go-to’ friends and family that provide you comforting support. There’s a time and place for tough love, but in the midst of depression or suicidal ideation, ‘buck up’ is not good advice. Know where your support lies and be sure (in advance) that it will be accessible if you need it.
  3. Find success and happiness where it is. During the holidays, people tend to lament what isn’t. That’s not a formula for success. Yes, all of your family may not be around, but celebrating happy memories with the ones you can often fills the room with the joyous presence of loved ones not around. Enjoy the pleasures and successes you do have access to, whether big or small. Focusing on the positive keep you positive.
  4. If you’re struggling, admit it.  You already know you’re hurting. Often the first step to getting past it is acknowledging it. Once done, then you can put coping mechanisms in place to address your feelings.
  5. Avoid holiday activities that will create post-holiday angst. This applies to eating, drinking, shopping and personal interactions. Some use the holiday as an excuse to overindulge as if the consequences won’t be there afterwards. Reread #1 above.

BBKING_SU_C_^_SUNDAY

Know when you need professional help. If your support system doesn’t sufficiently address your needs, and you’re feeling severely depressed, can’t function or are suicidal or homicidal, find a physician or mental health professional ASAP. Of course, you can always contact your SterlingMedicalAdvice.com expert. If you type mental health, depression or other keywords into the search bar above, you can access many other Straight, No Chaser blogs on behavioral health concerns that may provide you the support you need. I wish you all the best today and throughout the year, and hopefully the picture above will reflect the only type of blues you’ll have to deal with this year.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

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Filed under General Health and Wellness, Mental Health