Monday, January 16, 2012

What is Seasonal Affective Disorder (SAD)?


Seasonal Affective Disorder, or SAD, is a type of depression that affects a person during the same season each year. If you get depressed in the winter, but feel better in spring and summer, you may have SAD.

Anyone can get SAD, but it is more common in areas of the country where winter days are very short.  Women are affected more often than men.

If you have SAD, you may feel grumpy, moody or anxious, lose interest in your usual activities, eat more, crave carbohydrates and therefore gain weight, and sleep more or feel drowsy during the day. You may withdraw socially, have a loss of energy, and feel depressed and hopeless.

For most people, symptoms start in the fall and continue into the winter months.  By April or May, you feel much better and have more energy.

It’s normal to have some days when you feel down, but if you feel down for days at a time and can’t seem to get motivated to do activities you normally enjoy, see your doctor or a counselor.  This is particularly important if you notice that your sleep patterns and appetite have changed, or if you feel hopeless, think about suicide, or find yourself turning to alcohol for comfort or relaxation.

The following criteria must be met for a diagnosis of SAD:
·         You experience depression and other symptoms for at least two consecutive years, during the same season every year.
·         These periods of depression are followed by periods without depression.
·         There are no other explanations for the changes in your mood without depression.

Treatment for SAD includes light therapy (phototherapy), psychotherapy and medications.  You can also make lifestyle changes that may help. These include getting outside more, exercising regularly and making your environment sunnier and brighter.

 There is no way to prevent the development of SAD, but if you take steps early on to manage symptoms, you may be able to prevent them from getting worse over time.  While symptoms usually get better on their own with the change of seasons, symptoms can improve more quickly with treatment.  Don’t brush off that yearly feeling as simply a case of the “winter blues” or a seasonal funk you have to tough out on your own.  Take steps to keep your mood and motivation steady throughout the year.

Tuesday, November 29, 2011

Keys to Better Holiday Communication

by Joyce Geddie, M.A., R.N., LAPC

The holidays can be a wonderful, yet very stressful time of the year. Healthy communication is an important aspect of our relationships any time of the year, but this time of year all too often we carry additional expectations, recall past hurts and disappointments, and engage in conflict  with those we most long to connect with.

The main reasons people have difficulty expressing themselves is because of the fear of being discounted or ignored, rejected, embarrassed, or people fear being too vulnerable with the other person (Balswick & Balswick, 2007). One of the hallmarks of high-functioning families is that they communicate to each other in a way that honestly expresses their feelings and concerns in a clear, respectful manner and they in turn empathetically listen, consider and respond appropriately. Of course, that is easier said than done.

The good news is that if you’d like to see improvements in the way your family communicates, change can begin with you. We can all become better communicators if we begin to increase our awareness, slow down our responses and clarify within ourselves what needs and desires we have before we attempt to communicate them. Taking time to pause and to think how we can best word our concerns without inflicting angry or painful words on others is always helpful. Communication must be void of destructive criticisms, resentments, and threats in order to promote intimacy. If intense negative thoughts and emotions are brewing just under the surface, it can be very difficult to be open to understanding and respectfully listening to what a family member is saying. It is often very helpful to communicate in a clear, non-demanding fashion to family members and is unrealistic to expect them to read our minds and know what we need from them.

  We are all in a constant state of communicating with others, whether it is verbally, nonverbally, or both. It can be a valuable exercise to be aware of our own reactions to others’ nonverbal communication and even to consider clarifying our interpretations with them rather than making incorrect assumptions about the message we think they are sending.

Additionally, being aware of our own nonverbal communication helps us to investigate our current feelings and consider any unresolved emotions our bodies may be physically reacting to. If we learn to consistently communicate clearly with honor and respect, it typically produces less of a defensive reaction in others, and they are more inclined to try to understand and hear what is being said.

As we become more self-aware of our own motives, our nonverbal communication, any unresolved emotions, or attempts to control others responses, we can begin to make positive changes that produce a powerful impetus towards better family communication. Successfully communicating is not an easy task and be aware you won’t get it right every time you try, but even little steps can provide you with more peace this stressful holiday season.

 If you need more assistance in learning effective communication, we have a wonderful group of counselors at Fountain Gate who are more than happy to assist you with your goals. Merry Christmas and Happy New Year!
References
Balswick, J. O., & Balswick, J. K. (2007). The family: A Christian perspective on the contemporary home. Grand Rapids, MI: Baker Publishing Group.









     

Tuesday, November 15, 2011

Teaching Your Child Self-Control

by Marian Andrews, M.S.W., LCSW, Certified Parent Coach

Children are not born with self-control. In fact, as babies they communicate by crying and they learn to expect someone to know what their needs are and take care of them. As a child becomes mobile, he begins moving from dependence on others to care for him to ultimate independence with the ability to do things and care for himself. However the road to independence is paved with frustration. Children begin to learn very quickly that they frequently don't get what they want, when they want it, and how they want it. Children often become frustrated very easily and they don't know how to communicate their feelings.

As parents, it is our job to teach our kids life skills that make them independent. Self-control and the ability to communicate their feelings appropriately are two of the most important life skills that we can teach our children. A child is naturally frustrated and often communicates that frustration in inappropriate ways. As parents, it is our job to teach our children what is acceptable behavior and how to handle his frustration. One of the concrete ways we begin that process of learning self-control is to tell our children "no" and "wait". As parents, we have to assume the job of being the one to say no or to say wait and then we have to enforce that we mean what we say. In this culture, we often become more concerned about not making our children “unhappy" rather than teaching them to handle the words “no” and “wait.” If we focus primarily on keeping our children “happy," we rob them of learning the critical life skill of self-control.

As parents we teach our children first and primarily by modeling self-controlled behavior. As our child's frustration level builds, we want them to take time to get control and express their emotions with appropriate voices and behavior. Therefore it is important that as we set appropriate limits for our children, we take a moment to be in control and speak in a calm, even tempered voice that communicates that we mean business. It is important that we give clear and concrete guidelines for what we want them to do and that we maintain control ourselves while we do that. We must be willing to follow through with consequences if our child's behavior is inappropriate so that they will learn to trust that we mean what we say.