Showing posts with label Informational. Show all posts
Showing posts with label Informational. Show all posts

Monday, June 1, 2009

Mindfulness Training Busts Stress

One of the top headlines on cnn.com today is "Mindfulness training busts stress". I thought it was a good read, just something that validates what I already know. Here it is below:

By Val Willingham
CNN Medical Producer

"Just the facts" has always been Lillian Waugh's motto. A historian and former professor of women's studies at West Virginia University, Waugh is a stickler for facts and details. And because she was always the "go to" person at WVU, she was constantly in demand -- and busy.

Lillian Waugh says playing the cello is a mindfulness technique she practices.

Lillian Waugh says playing the cello is a mindfulness technique she practices.

"I was a multitasker at work," she said.

Waugh's job was so stressful it started to affect her health. So when the university began a study on how to handle stress at work, she jumped at the chance to participate.

The study included 103 participants. Half were given written instructions on how to handle stress at work; the others, including Waugh, were taught techniques to cultivate mindfulness, such as yoga poses, breathing methods, stretches and meditation -- all designed to help workers cope with too many e-mails, ringing phones and the occasional nasty co-worker.

Lead investigator Kimberly Williams said the goal was to relieve stress. "Mindfulness means to pay full attention to what you are doing, moment by moment," she said. "We taught them how to recognize sources of stress, how stress impacts them, and then what they could do to come out of the vicious cycle of stress reactivity."

The program lasted eight weeks and participants were followed for an additional three months. Williams said they found those who received the mindfulness training "had significantly less daily hassles, psychological distress and significantly fewer medical symptoms" -- like lower blood pressure and fewer aches and pains -- than those who were handed a pamphlet.

Waugh says she was thrilled to find that after practicing mindfulness techniques, the back pain that had plagued her for almost a decade went away. She also said she "communicated better with fellow employees and actually had a better attitude towards my job."

"The one thing I came away with was the ability to put myself in a place where I could gain perspective on everything I was doing at the moment," she said. Video Dr. Gupta: Watch more on the benefits of mindfulness training »

Mindfulness is not new. It goes back to the time of Buddha, who believed that the mind should always be fully in the present -- not looking back at the past or anticipating the future. Being mindful of the here-and-now, Buddha said, reduces stress and brings inner peace.

Today, mindfulness training involves learning to become aware of mind, body and emotions. Yoga, tai chi, and meditation all teach mindfulness.

Williams said the popularity of mindfulness techniques is a positive development, because when done correctly, the methods have been shown to "actually lift stress from your body."

Numerous studies have shown that stress can take its toll on the human body. "[Stress] increases your heart rate, your blood pressure and your respiration; you go into a state of hyper-arousal," said Williams. "And over the long-term, we internalize the response, which can lead to neck pain, back pain, digestive disorders, sleeplessness. ... And many people deal with those problems by overeating, drinking or smoking."

The mindfulness exercises in the WVU study included "deep tasting," where participants spent time eating a raisin: They looked at it, smelled it, and took small bites to savor the taste. "It brings an awareness to the body that normally is always being rushed," said Williams, who emphasized the need to slow down.

"If you give all of your attention to something, you get deeply touched by that experience," she said. "We all know what it's like to eat our favorite food: We slow down, we savor it, we take our time. And that is what makes it so enjoyable."

Study participants were also taught to breathe by taking deep breaths through the nose, feeling the air fill their lungs and exhaling fully. Williams said that with a couple of those breaths, not only does "your blood pressure go down, and you stay calm," but you can better handle annoying colleagues or situations. "You often can bring out the best in people if you stay calm and loving."

Along with the breathing techniques, participants were also taught how to meditate -- even at their desks. They were told to find a comfortable time, free of distractions, and quiet their mind.

According to the study, even 10 minutes of meditation can help. "[Meditation] can take the anxiety out of a stressful workday," said Williams.

West Virginia University is not the first -- or only -- institution in the country that has tested the effects of mindfulness techniques on stress. UCLA completed a study a few years ago that found the same thing the WVU study found: Mindfulness exercises are excellent stress-busters.

Other researchers are looking at ways to mitigate the dangerous side effects of stress by using mindfulness exercises. Yale University is recruiting patients for a smoking cessation study that includes a mindfulness training component. The six-week program will focus on learning mindfulness techniques to deal with stressors and triggers that cause people to light up.

For Waugh, mindfulness training was a life-saver. Although she is no longer a full-time professor, she still practices mindfulness and attends yoga classes every week. She also has gone back to playing the cello, another mindfulness exercise that soothes her soul. She said these methods have helped her stay healthy and improve her outlook on life -- and those are "just the facts."

Monday, May 18, 2009

What to Do When Feeling Overwhelmed

The last few days have been a turning point for me. I still have the morning anxiety but I am doing ok with shaking it off and getting on with my day. I've been reflecting a lot on this past set back and why it happened. It really was the perfect storm of my hormones out of control, too many stressors popping up, new changes in my life, and feeling overwhelmed.

The feeling overwhelmed part I could feel for awhile. I was even telling people around me that I was needing a better balance in my life, more control over what was going on. I like routine and when things get shaken up, I have a hard time adapting. So I did some research and found a really cool blog post at inmyheels.com about Overcoming Being Overwhelmed:

"Somehow, I’ve cornered myself into feeling so overwhelmed that I began to stop - nearly everything. You’ve heard of the paralysis of analysis, have you not? You know, when you analyze SO much that you become afraid to move for whatever reason? Enter me, a twenty-something gal with lots of somethings on her mind. There are so many things that I wanted to take charge of and knowing that it’s a frame of mind, I decided to tackle it all. Except I didn’t know where to start. I could see the very big picture - think Google Earth of my dream world - however I couldn’t focus.

Then, the sad state of the What Ifs grew to what felt like astronomical heights. I couldn’t even bring myself to write. How frustrating - particularly because I have always found writing to be such a release!

Lucky for me, a caring Life Coach listened intently to my crisis and helped bring me back to Earth. And what’s the good of dishing advice if one can’t take a dose for herself? Turns out that no matter how many self improvement books you dedicate yourself to reading, the profound change that you seek in those books all start by taking one step at a time. Know that I am one of those who will nod “Yeah, yeah but what’s the REAL secret” to such age-old advice until I have my epiphany :) It DOES all start with one step and they are each quite significant; even when you think they are too small to matter.

The Big Picture

Perhaps it’s just my very nature but oh how I delight in the broad strokes and bright colors of possibilities that all contribute to The Big Picture. You know, that big goal..that dream of yours. When you realize that you have an actual shot at attainment, it’s quite exciting! It’s important to be able to be able to step back and take a look at what you’re aiming for. It inspires a direction for you to head towards. But here’s the thing. While you want to keep this picture close, you want to do more than just enjoy the view. While seeing what you want is critical, it is not the only step. After all, “I want a dream body” will not grant you abs of steel by just dreaming about it every waking moment. It grants you the inspiration you need to begin the actual work.

I found myself stuck at The Big Picture and I told Tim so. I was unbelievably overwhelmed by what I saw in The Big Picture in comparison to my current state in life. In my honest opinion, the difference was dismal. But Tim didn’t see it that way.

Perhaps the man is gifted with positive perspective (which is great, him being a Life Coach and all) because by the time our hour would be over, I would feel like my current state wasn’t as bad as I pictured it to be. The monster of a mountain that is my Big Picture wasn’t smooth and impossible to climb. Rather, looking closer, it was something I could definitely climb - I just needed to accept that I wouldn’t be at the top of it the minute I approached it. So much for that microwave-society, instant gratification thinking!

So my next question to Tim was something to the effect of “How do I start moving forward?”

Whodunnit: Learning How By Watching What Others Have Done

This piece of advice is one of my favorites and it might have a lot to do with my love of a good plan. Tim suggested that I read about the people I admired or aspired to be like. I already find people’s lives quite interesting. The funny thing about life is there is no cookie-cutter way to live it. Things happen - good AND bad but one cornerstone of the successful would be their intent on ‘making it work’ anyway. And if you think about it, you’ll see. Life can either just happen to you, or you can do your very best to play the hand you’ve been dealt. By reading about those I aspire to be like, not only do I get to witness the unique dealings of THEIR struggles, I can skip some of the hard knock lessons by learning from steps already taken in someone else’s heels. It’s a real advantage when you have serious intent on getting somewhere. Learn from others and utilize the wisdom harvested over time to spare yourself some grief and gain an idea of what to do. Every little bit counts!

Breaking It Down. Way Down.

This tip has got to be the golden turnkey that I desperately needed. I had been doing things that are comparable to walking in to a gym for the first time in your life and taking a hold of 350 lbs with every intent of hoisting it upon your back for squats. You can have every bit of determination and pure positive thinking on your side but to be effective, you need to be capable. If you are not yet capable, you can become so however you must take the steps to become so.

It is easy to be overwhelmed when you can’t see HOW it is you’re supposed to accomplish something. The stress and anxiety that comes from comparing yourself to people who seem to have it together can’t possibly help. Now throw in the auto-pilot self depreciating commentary that goes on in your mind and you have yourself a way to become stuck in life.

Breaking down a big task into smaller tasks that you are able to complete is how you get the big task done. Logically speaking, you might know this. But when you’re busy being overwhelmed, it’s super easy to forget. I wish I had a You-Tube visual of the relief that seeped in as Tim explained this to me. I was feeling like all of my small tasks were insignificant and couldn’t possibly be chipping away at my goals. Tim helped me experience the contrary by way of conversation and visualization. He told me to read this piece he wrote on his blog which perfectly summarized the need to chunk down to get things done.

Consistency - Keeping Your Eyes On the Prize

Ah. For me, this is the hard part. The magic is in the consistency. When doubt starts to creep its way back in to put a big foot in your plan, it may help to go back to your Big Picture and remind yourself where all those little tasks you are completing will ultimately take you.

Have faith in your actions towards success and don’t allow inconsistency to undermine your efforts. The stop and start again can wear on you and it can make starting again that much harder to initiate on your own. That being said, Tim pointed out something that was very important for me to keep in mind. When bad days happen and you miss a step, it isn’t catastrophic. It is not “all ruined” as I so aptly put it. You can strive for excellence and have moments that are less than perfect. The key is to not get stuck at that point - get back to it as soon as you can.

Don’t allow pristine ideas of perfection dwarf progress instead of improve it. It’s the consistent nature over time that will give you what you seek.

Meditate - The Ultimate Time Out

Last but not least, Tim suggested that I reap the benefits that come from regular meditation. My stress levels that came from NOT doing what I wanted to do (which only brought more of what I didn’t want) skyrocketed. I was constantly upset with myself and I needed some clarity. I had to laugh when Tim added that there is no ‘perfect’ way to meditate. I laughed because I had stopped meditating simply because I thought I was doing it completely wrong! I would still my mind only to get distracted by my endless to-do list that magically formed in my thoughts. I was also surprised to hear that many people did the same exact thing (One of the most awesome things I have found in speaking to a Life Coach is actual confirmation that I am not alone in my struggles. Other people experience and overcome the same things!)

I have to say - I felt like I was getting my life back when I realized that my being stuck and overwhelmed was a matter of perspective. Perhaps my crisis is a growing pain (gotta love those). The playing field widens as I grow up and want different things. I am incredibly blessed that the journey InMyHeels is not a lone one - even when it might feel that way. This blog has brought me in touch with a Life Coach at *just* the right time for exactly what I needed. It has also enriched my life with wonderful readers and caring friends who keep an eye on the steps InMyHeels takes forward.

Take this is a (( virtual hug )) to you, the reader who relates or knows where I coming from.

Being overwhelmed can be overcome. This post in itself is actual proof of such things. It is my hope that my experience and help from Tim helps you see that you can do it too."

So I need to take the big picture- my daily routine- and break it down into achievable chunks. Instead of worrying about the baby, work, housework, exercise, family time, church, etc. everyday, I need to break it into some sort of schedule where maybe I just focus on church stuff on Sundays, laundry on Mondays, Yoga on Tuesdays, etc.

I know now the importance of keeping that balance in check and what can happen if I neglect the warnings.

Thanks for everyone's well wishes and words of encouragement this past week. I have such a great support group both online and at home with my family. It makes such a difference and I am very grateful.

Friday, May 15, 2009

Much Needed Success

So far today is a better day. I woke up feeling extremely anxious, heart pounding, mind racing, etc. I just laid in bed for a few minutes and took some deep breaths. I told myself some positive affirmations such as "This may be hard today, but I can handle it. I can do it!" and "I can accept these feelings and let my body do its thing. I know it will eventually pass." So then I got out of bed and waited to throw up. Everyday I have been throwing up so I have been waiting to take my medication until after I think I can keep it down. But I never had to this morning. I was also able to go out and distract myself enough with other things that I could shake off the anxiety a bit. Enough to where I didn't feel the need to take a Clonazepam. So I took my Zoloft and have been going on with my day.

Successes:
1. Didn't throw up this morning
2. Didn't have to take Clonazepam
3. Was able to ignore the anxiety enough to do what I needed to do
4. Took a shower and got dressed

I have been feeling pretty good about all of these great little successes. Then my hubby gets home and he has a bag of Wendy's. He brought me lunch. He wants to go to Walmart to go grocery shopping and then out to a movie tonight. All of this sounds fine and dandy and I have no reason to be anxious about those things, but as he starts talking about it I start to feel the anxiety levels rising. So finally I told him that even though I have had a good morning, I was feeling kind of rushed and I want to take it slower.

He needs to get out of the house and I can understand that. If there is anything positive that has come out of this last week of hell, its been our communication and our relationship. I have needed him so much and he has learned so much about me and even without the anxiety we are going through some stressful times and so its been so nice just to have each other for love and support.

Part of me is feeling rushed and just wants to relax at home. Another part of me is so worried about becoming severely agoraphobic that I feel guilty about wanting to stay home.

Also, I have hardly been eating anything because of the nausea and the lack of appetite. I don't know how much of it is contributed to the side effects of the meds and how much is my own issues, but I know I will be losing weight and I am trying not to dwell on it or feel guilty that I am only nibbling these days. I've been mostly drinking Ensure's and Gatorades and then nibbling on crackers or crazy small portions of a meal. I figure if I keep listening to my body, eventually I will be ok.

Something that has really been bothering me lately is this term "nervous breakdown". I saw an advertisement with that phrase and I thought, "Did I just have a nervous breakdown this week? Am I one of those people that if this happened in the 50's would be institutionalized? Am I crazy?" I keep thinking "I am the crazy one who has the nervous breakdowns." Or others are thinking "She is fragile right now, she just had a nervous breakdown." And I really don't like that label. It really really is bothering me. On Wikipedia it says recent surveys have found that as many as 18% of Americans may be affected by one or more anxiety disorders. The Census Bureau currently lists 306,434,870 people living in the United States. That means that in the United States approximately 55,158,276 people are suffering from some form of anxiety disorder(s). 55 million people are a heck of a lot of people! Just another reminder that I am not alone.

Tuesday, March 18, 2008

The Bodies Exhibition- Las Vegas

I got back from my weekend in Vegas last night. Overall I consider the trip a great success. Certainly not anxiety free, but I had no full blown panic attacks.

Here is what I did to help me this time. I printed out my last post that I had prepared ahead of time and kept it in my back pocket at all times. I read it every morning before I left the hotel room. On the first day we were eating in a food court environment at Gameworks and I started to feel nauseous. I am pretty sure it was anxiety provoked. I just stopped eating. When my friends asked me what was wrong I simply said I didn’t feel well. Then when I could feel the nausea subside a little, I just stuck with the simple rice that I had to get something down. The next morning I woke up panic stricken at 5:30 am. I used to feel this every morning when I would wake up. I am glad this happened when it did because I was able to lie there in bed and talk myself through it until I could fall back asleep and feel better about it. There were several other small instances where I could feel it creeping up but I was able to get distracted or simply rest until it passed. I sat a lot on the trip because we did a lot of walking and I got tired a lot. After a good two hours of walking I start to feel like I have a bag of weights strapped around my waist that I carry around now.

We had a lot of fun, saw a lot of things, gambled away lots of money, etc. But the coolest part of the trip I want to share with all of you in more detail.



It is called the Bodies Exhibit and it is in different cities all over the country. It’s about $30 a person but if you are cheap like us, we were able to sit at a Timeshare presentation for 2 hours and they fed us lunch and gave us the tickets for free. Well worth it. The exhibit is made up of real human cadavers that they have soaked in a solution to help preserve them. They are skinned so that you can see the muscles and bone and tendons and organs etc and placed in artistic poses to demonstrate how the body works. It sounds morbid or gross but it was really cool. It’s controversial in the media about whether it’s appropriate or not but I thought it was very informative and artistic. I wanted to take pictures but they wouldn’t allow any photography. They display a brain that has had a stroke and the inside is all black as if it had been burned. They display lungs with and without cancer, fetal development in every week of the first 16 weeks, the circulatory system with just the veins from your face, arms, legs, etc. and so much more. You walk away wanting to take better care of your body and realizing just what everything looks like. I recommend going if it is out near you or you have the opportunity presented to you.

Here is a quick video to give you an idea of what you can see:


bodies exhibition


Has anyone else seen this exhibit and if so were you impressed like I was or did it upset you? Even if you haven't seen it does the idea of this seem cool or does it offend you?I am curious to how others feel about it.

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Wednesday, November 7, 2007

10 Step Mental Exercise that Will Reduce Panic

When you feel a panic attack coming on, usually everything escalates very quickly. With or without noticing it, your mind begins to race and quickly the negative thoughts overwhelm you furthering the panic. Negative thoughts usually start off with “What if…” “I should be able to ….” “I have to…” or other critical comments like “I’m so weak” or victimization “Its hopeless, why bother”. These thoughts are called Negative Self Talk.

The Anxiety and Phobia Workbook by Edmund J. Bourne lists a quick explanation of what Self Talk is and how it works:

  • "It is so automatic and subtle you don't notice it or the effect it has on your moods and feelings.
  • It appears in telegraphic form- one short word or image ("Oh no!) contains a whole series of thoughts, memories, or associations.
  • Anxious self-talk is typically irrational but almost always sounds like the truth.
  • Negative self-talk perpetuates avoidance.
  • Self-talk can initiate or aggravate a panic attack.
  • Negative self-talk is a series of negative bad habits. (You have to reprogram your brain to say helpful uplifting confident talk to remove the negative thoughts)"

Recognizing that you are doing this is a huge step towards learning to manage your anxiety. The next huge step is successfully slowing your thoughts down, analyzing them, and then reprogramming your mind to think differently. This will greatly reduce the amount and size of panic attacks you have. It helps me stop panic attacks dead in their tracks probably about 80% of the time.


So here is the exercise:

I have many posts where I outline this exercise for myself to help me cope with whatever panic attack I may be having at that time. It is extremely helpful for me to go back and read them when the same situation appears again in the future. I encourage you to read a couple to get some ideas or more details on how to fill this out.

  1. When you feel panic coming on, take some deep breaths.
  2. Ask yourself, “What am I telling myself to make me feel this way?”
  3. Write out any automatic thoughts (fears, concerns) that are making you feel panic.
  4. Then write out or ask yourself, “What if the worst case scenario happened? What would I do?”
  5. Then write out a rational response or game plan as to what you could do if the worst did happen.
  6. Then take each of your fears or concerns you wrote out and challenge their truthfulness. Try replacing that thought with a positive counter statements and/or positive affirmations:
    1. Ex: WORRY- “What if people around me see my anxiety and judge me?”
    2. POSITIVE COUNTERSTATEMENT- “I am willing to go forward with my life and try to better myself regardless of what others think.”
    3. POSTIVE AFFIRMATION- “I respect and believe in myself apart from other's opinions.”
  7. Repeat those affirmations or counterstatements over and over while taking deep breaths.
  8. If you find yourself not believing them, realize that these can also be considered goals. Place “I am learning” in front of them. Ex: “I am learning to respect and believe in myself apart from others opinions.”
  9. If your mind is still racing, choose one that you are working on and write it out ten times on paper (printing not cursive) so that you can really concentrate on the words.
  10. By this time you should be feeling calmer, or at least the symptoms aren’t as severe as they were. You can then follow up any more anxiety with medication as needed, or by temporarily leaving the situation if possible and then returning when you feel better.

Following these steps takes practice and patience. But it’s worth it. There are many websites that have lists of positive affirmations. Here are a few:

At one point I even taped them around my house so that I could see them often. At work I have little symbols or stickers that have hidden meaning behind them to help remind me of them. This exercise has probably been the most effective thing I have introduced in my life to help me manage panic attacks. It doesn’t always work. Sometimes it all happens so fast that its too late when I try to slow things down, but if you start doing this the moment you feel a twinge of anxiety, then it will help you keep it at just that level of intensity.

Edmund J. Bourne further says, “Cultivating the habit of countering [negative self talk] is one of the most significant steps you can take in dealing with all kinds of anxiety as well as panic attacks.”

There is so much more you can learn about the art of countering your negative self talk. I encourage everyone to find some that can help you in your life and remember them when the panic comes.

I would love to hear if anyone else has used this type of exercise and whether it helped them or not.

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Friday, October 26, 2007

Forgiveness: How to Make Peace with your Past and Get on with Your Life

Sorry it has been so long since I’ve posted. There have been some personal issues that have been taking up much of my spare time.

I am reading an amazing book that I can’t put down titled Forgiveness: How to Make Peace with Your Past and Get on with Your Life by Dr. Sidney B. Simon and Suzanne Simon.

It discusses how forgiveness isn’t a gift that you give to someone who hurt you, but a gift you give to yourself. Many physical stressors in our lives occur due to the fact that we are holding onto grudges and other heavy baggage that weighs us down because we feel that by forgiving we are somehow giving in or letting them get away with it or that we are not validating our feelings.

I haven’t finished it yet but I feel like I can relate so well with the words so I thought I would share with you a quick summary and some of my favorite entries so far.

What Forgiveness is Not

  • Forgiveness is not forgetting.
  • Forgiveness is not condoning.
  • Forgiveness is not a form of self- sacrifice.
  • Forgiveness is not absolution.
  • Forgiveness is not a clear cut one time decision.

What Forgiveness Is

  • Forgiveness is a by-product of an ongoing healing process.
  • Forgiveness is an internal process.
  • Forgiveness is a sign of positive self esteem.
  • Forgiveness is letting go of the intense emotions attached to incidents from our past.
  • Forgiveness is recognizing that we no longer need our grudges and resentments, out hatred and self pity.
  • Forgiveness is no longer wanting to punish the people who hurt us.
  • Forgiveness is accepting that nothing we do to punish them will heal us.
  • Forgiveness is freeing up and putting to better use the energy once consumed by holding grudges, harboring resentments, and nursing old wounds.
  • Forgiveness is moving on.

No matter what the wound was caused from or who caused it, the healing process has stages that we all go through:

  1. Denial
  2. Self-blame
  3. Victim
  4. Indignation
  5. Survivor
  6. Integration

This book goes into all these stages in more detail.

The author talks about her battle with forgiveness and why she chose to forgive. She said it wasn’t because that was the “Christian” thing to do, but rather “…because that is what I needed to do to feel whole, to like myself, and to rid myself of the excess emotional baggage that was weighing me down and holding me back. I wanted peace of mind, and I could not have it as long as I was stymied by unfinished business from my past and expending most of my energy nursing my unhealed wounds. I was not happy with myself or my life. I thought that maybe, just maybe, I could do more and be more than I was. And so I chose to heal.”

I highly recommend EVERYONE to go rent it from their public library because EVERYONE has been hurt at one time or another by someone whether it is parents, children, spouses, lovers, friends, or kids when we were little, the list can go on. We have all felt disappointment, rejection, abandonment, ridicule, humiliation, betrayal, deception, and abuse in one form or another. We all deserve to do it for ourselves so that we can be whole, and we can be healed.

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Saturday, September 29, 2007

Warning: Anxiety Can Cause Insomnia

Lately at my house we have been going to bed earlier because getting up earlier in the cold, dark mornings of fall seems so impossible. Tonight we turned the lights off at 10:00 which is pretty early, especially for a Friday night! However my mind was tired and I LOVE sleeping so I don't mind.

The last little while I have been having problems falling asleep. This has never been the case before. I used to be able to fall asleep anywhere at any time of day. Lately, when I lay down to fall asleep, I feel like I have restless leg syndrome, only its in my legs and my neck and my arms, etc. I can't get comfortable and after 30 seconds in one position I desperately have to rotate because my body is just itching to move. Previously this behavior would continue for a couple hours until sleep finally came over me, but its a horrible battle. Tonight, I got so tired of it I just got out of bed and decided to do something more productive until I got really tired.

I was doing research on insomnia and found this on eMedicinehealth.com,
"Insomnia may result from either psychological or physical causes. The most common psychological problems include anxiety, stress, and depression. In fact, insomnia may be an indicator of depression. Many people will have insomnia during the acute phases of a mental illness."
I also came across this at sleepdisordersguide.com:

"The undisputed number one cause of insomnia is excessive stress, anxiety, and depression. Almost everyone has experienced transient insomnia the night before a job interview, big presentation, wedding, or other significant personal event.

Transient insomnia usually passes after the stress-inducing event has been overcome. Chronic insomnia is more serious because it can affect an individual for an extended period of time.

Persistent stress at work or home can lead to chronic insomnia. Anxiety and depressive disorders are another major source for chronic insomnia."

Its so ironic that I love sleeping so much, but I have so much difficulty with it. I struggle to fall asleep and have awful nightmares all night long and wake up feeling like I didn't sleep a wink. Maybe thats why I think I love to sleep, cause when I truly get a good night's sleep, its so rare and wonderful that I want to have more.

Here is another interesting piece of information I found at healthscout.com,
"Insomnia is the perception or complaint of inadequate or poor-quality sleep because of difficulty falling asleep, difficulty maintaining sleep, or waking too early in the morning. These result in the feeling that sleep is not restorative and often are associated with impaired function during the day."
I always thought insomnia was just people that stayed up all night long and never slept. I didn't realize that I suffer so much from it. So right now I am frustrated. Since I am all about self diagnosing myself on the internet (which I don't recommend doing if you suffer from Hypochondria) I wonder if maybe I do have RLS. Here is what I found on the same site mentioned above,
"Restless leg syndrome (RLS) – RLS is an unpleasant tickling, burning, pricking or aching sensations in the legs that are generally only relieved with movement and tend to occur while relaxing in the evening hours. A similar and often overlapping disorder is periodic limb movement of sleep, which are the recurrent movements of the legs during sleep that may cause arousals from sleep."
Is it possible to have those same sensations in areas in addition to your legs? Anyone else have RLS?

Now I don't like labeling myself with these "conditions" for a few reasons. It makes me feel like there is something wrong with me if I have chronic anxiety, chronic insomnia, and what the heck lets throw in RLS while we're at it. Its like I am ordering off of a menu. I also don't like listing everything that I think I may have because it feels like it comes across as a cry for attention when its not. I just like sharing what I am going through in case it can help someone else.

So its now after midnight (I know thats still early for lots of people but its late for me) and I don't know if I should try to go back to bed, if I should just try to fall asleep on the couch, maybe get something to drink I dunno. I don't think anything I do is really going to be a great solution at this point.

But please don't worry about me, its nothing to lose sleep over...

Has anyone else had this or a similar problem? If so any tips? Maybe I can try using them next time.

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Tuesday, August 14, 2007

Causes of Morning Anxiety

photo by piotr zurek
It seems that there is a lot of interest in morning anxiety. I was curious about this because when my anxiety is the worst, its always in the mornings. So I decided to do a little research on my own. Interestingly, Jerry from rxlist says,

"Yes, depression and anxiety are worse in the morning. That is when your body's cortisol level is the hightest(cortisol is stimulating) and that accounts for probably part of what you are feeling. Cortisol is the stress hormone, your body produces when you are under stress.
The paradox of stress/cortisol is that anxiety produces cortisol, which produces anxiety which produces more cortisol, which causes you to feel more anxious...etc....
Soon you find yourself in this never ending cycle of anxiety and depression.
What you must do to get well is ACCEPT your anxiety. You must ACCEPT your feelings and not try to fight them. Do this long enough and an interesting thing happens, the anxiety goes away."

Deanne Repich from her article Understanding Early Morning Anxiety says,

"Another reason why symptoms can be worse in the morning is because your blood sugar is low when you first wake up. You have gone all night without food.
It's important to maintain a constant blood sugar level because the brain uses sugar, also known as glucose, as its fuel. If blood sugar levels are too low or drop too fast, then the brain starts running out of fuel.
This causes the brain to trigger the "fight or flight" response. The "fight or flight" response sends a rush of adrenaline, cortisol, and other neurotransmitters through your body to prepare you to fight or flee the perceived threat (low fuel).
This process can trigger physical reactions ("symptoms") such as trembling, rapid heartbeat, sweating, panic attacks, fatigue, insomnia, mental confusion, nervousness, dizziness, and more."
That makes sense to me. It couldn't just be a coincidence that so many people seem to have anxiety around the same time. Other reasons I strongly believe we have morning anxiety are because of anticipatory anxiety and Negative Self Talk.

So how can we overcome our morning anxiety? I did a post awhile back on some interesting habits you can get into that's worth checking out. Also, here are more from Deanne about making your environment more friendly,


"...get a radio alarm clock that wakes you up to your favorite music. Another alternative is a Zen Alarm Clock (R). It wakes you up gradually with pleasant chimes of increasing volume and frequency (found at http://www.now-zen.com/).
Keep a robe and slippers next to the bed so that you can warm up quickly and minimize a drop in body temperature as you get out of bed.
If the bright lights of the room bother you, install a dimmer switch near your bed. You can gradually increase the light's intensity over a period of several minutes after you awaken."
Furthermore she recommends having a snack next to your bed to eat when you first wake up to help get your blood sugar going. For me what worked best was putting positive statements around my morning routine. I had one on my alarm clock that read "This may be hard today but I CAN DO IT". Then on my bathroom mirror and closet drawer I had a couple more affirmations that lifted my spirits. Also listening to my favorite music in the morning on my mp3 player helped to distract me from my loud morning thoughts.

 

UPDATE: Because this is such a popular topic, I have revisted it the more I learn. You may be interested in reading:



    I would love to open this up for any other suggestions people have.


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    Friday, August 10, 2007

    Vitamin B and C for Anxiety

    A new commenter to the blog recently asked some questions on Vitamin B. I thought rather than have a novel reply I would do a post on it so everyone can benefit. I have to say I am not a doctor so please don’t sue me for anything that I say and you do and it doesn’t work ;) Ok so what I am going to tell you is all from the Anxiety and Phobia Workbook. I will paraphrase it but he says it much more elegantly:

    Vitamin B
    When your body is going through stress it depletes stores of B and C vitamins rapidly. The B vitamins are necessary to help maintain the proper functioning of the nervous system. Deficiencies in Vitamin B can lead to anxiety, irritability, restlessness, fatigue, etc. There is more than one kind of Vitamin B. (B2, B6, B5, B12, etc.) It is best to take all eleven of the B vitamins together in a B-complex supplement since they tend to work together synergistically.

    Vitamin C
    Vitamin C enhances the immune system and promotes health from infection, disease, and injury as well as helps the adrenal glands. Your adrenal glands (when properly functioning) help you cope with stress. (Vitamin B5 also helps with the adrenal glands and many people find that taking it is helpful in dealing with excess stress)

    So what and how much to take?
    If interested here is what the Ph D says:

    • B-Complex: 50 to 100 mg of all eleven B vitamins once a day (twice a day under high stress)

    • Vitamin C: 1000 mg in a time release form, twice a day (double this dose under high stress)
    Make sure you take them with meals so they can be broken down properly otherwise its useless.
    You cannot overdose on B Vitamins as they are water soluble. The one exception to this is Vitamin B6. DO NOT exceed 100 mg per day if you are taking it on a long term basis. Repeated daily doses in excess of 8000 mg per day of Vitamin C have been associated with stomach complaints and kidney stones.
    Hope that answers your question. If you have any more questions on this subject let me know :)



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    Sunday, August 5, 2007

    Personal Bill of Rights

    photo of one of my dogs on the way to the mountains on Friday

    I am so sorry that it has been so long since I've posted. I took the weekend off for a little get away for my anniversary but I am back now. I had a really great time and I got a new Rebel XT Digital camera so hopefully I can put more of my own pictures on here in the future.

    I also had a bridal shower on Saturday and when I showed up I noticed tables set up in another room with place settings, and the smells coming from the kitchen told me there was a full on meal being prepared. Usually at showers there is a light amount of food, fruit, desserts, maybe a croissant sandwich, but this smelled heavy. Sure enough it was a two course meal and I got nervous. I took a spot that was in the corner but surprisingly the table I chose filled up with people while others stayed more empty. I cursed myself for picking the spot. I was hoping to be more secluded so I wouldn't feel like I was being watched. So I took a little clonozepam. The first course was a soup served in wine glasses with a shrimp garnish. (the grandmother making the food used to own a restaurant). I tried it and although it wasn't gross, it wasn't my favorite. So I took my time and watched everyone else. Some ate all of theirs, others hardly ate any which comforted me to feel like I didn't have to eat it all if I didn't want to. So I didn't. he next course was served buffet style and it was a mexican dish with tortillas, rice, veggies and grilled chicken. It was really yummy and I was able to take an amount I was comfortable with. I LOVE buffets for that very reason. So I made it through and the dessert was a yummy sorbet. I was proud that I made it through something I didn't prepare for at all.

    So thank you for the thoughts my way and support.

    Here is an interesting concept found in The Anxiety and Phobia Workbook:

    Its called your "Personal Bill of Rights". This concept is drawn on the idea that we all have rights as human beings and sometimes we either forget or we don't realize that we have them because we weren't taught them as children growing up. If we can not only realize these rights but also learn to exercise them than we can build a more assertive attitude which means we respect ourselves enough to be conscious of our basic human rights. Here is the list:

    1. I have the right to ask for what I want.
    2. I have the right to say no to requests or demands I can't meet.
    3. I have the right to express all of my feelings, positive or negative.
    4. I have the right to change my mind.
    5. I have the right to make mistakes and not have to be perfect.
    6. I have the right to follow my own standards and standards.
    7. I have the right to say no to anything when I feel I am not ready, it is unsafe, or it violates my values.
    8. I have the right to determine my own priorities.
    9. I have the right not to be responsible for others' behavior, actions, feelings, or problems.
    10. I have the right to expect honesty from others.
    11. I have the right to be angry at someone I love.
    12. I have the right to be uniquely myself.
    13. I have the right to feel scared and say "I'm scared."
    14. I have the right to say "I don't know."
    15. I have the right not to give excuses or reasons for my behavior.
    16. I have the right to make decisions based on my feelings.
    17. I have the right to my own needs for personal space and time.
    18. I have the right to be playful and frivolous.
    19. I have the right to be healthier than those around me.
    20. I have the right to be in a non abusive environment.
    21. I have the right to make friends and be comfortable around people.
    22. I have the right to change and grow.
    23. I have the right to have my needs and wants respected by others.
    24. I have the right to be treated with dignity and respect.
    25. I have the right to be happy.
    He says that if you read through this list everyday carefully, eventually you will learn to accept that you are entitled to each of the rights enumerated.

    Personally, my favorites are 19, 15, and 21. Which ones are your favorites and why?


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    Monday, July 30, 2007

    Slacking Off has No Pay Off

    photo by cybertoad
    I have seen this happen to other bloggers and I think its been happening to me lately. You get to thinking you can let your guard down. You can't get too comfortable with your anxiety because thats when you start skipping yoga sessions, (haven't done it in forever), skipping medication (I haven't taken it in 2 days cause my prescription ran out and I keep forgetting to pick it up), not taking time to prepare for situations (I have been feeling more anxious than I have in while when I am in social gatherings.) You get to thinking that everything is ok and you are doing so much better so its ok if you skip just this once. You forget how crappy it feels. You forget why you work so hard to prevent and manage it. You start to think you don't need to do so much work.

    Its so hard for me to get in the habit of doing what I know I should and its so easy to become lazy and slack off. Then I curse at myself when the anxiety seeps back in. And now I feel overwhelmed at the idea of getting back those good habits I had once formed. Yoga is awesome and I feel so much better after doing it, but it is so hard to make the time when I feel so tired. Taking my meds isn't hard, I am just forgetful and I need to be better about that. Preparing before I go out with others is time consuming and takes a lot of focus and concentration.

    I have heard that habits take 21 days to form and only 7 days to break (good habits anyway). An article I found says this about forming habits:

    "It takes at least 21 days to form a habit. This means that you have to do something at least 21 times before it begins to become part of your everyday routine. So . . .

    1. Decide exactly what you want to do. Write it down and post it where you can see it every day, like your bathroom mirror. Be as specific as possible.

    2. Schedule time to do what you want to do. Again, it takes 21 days to form a habit, so schedule at least 21 days on your calendar and don't let anything get in the way of your schedule. If you miss one of your scheduled days, it's best to start over and schedule another 21 days. You must be consistent and dedicated to doing what you want to do.

    3. Once you reach your 21 days, congratulations! Don't stop now though, schedule another 21 days, and then another and so on, until you do those things you want to do, without even thinking about them . . . like brushing your teeth."
    So what I am learning is there is no real pay off when slacking off. Managing anxiety is hard work that has to be done EVERY DAY. So stick to your goals and don't give up. Don't give in, and don't get lazy like me!

    P.S. I am going to go more in depth tomorrow on making and keeping goals for those interested.

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    Thursday, July 26, 2007

    Wondering if You Have Anxiety?- Assess Your Stress

    photo by In The Sun Studio
    Some of the new visitors to the blog may be wondering if you have anxiety or not. It took me YEARS to figure out that I had anxiety and panic attacks. Sometimes its hard to understand what is happening to you. Many people wander into ER's all the time with potential heart attacks or thinking that they are dying only to find out that they were having a panic attack. So its important to find out why your body is doing something that has you concerned.

    I found a stress test on Webmd that can help you evaluate if you have a high level of stress or not. It also has an article about managing your anxiety which I think is pretty interesting. It lists some symptoms to help you know if you should seek help or not as well as how to cope with your symptoms. Here is a small excerpt:

    "When anxiety is taking a toll, your body knows it. You have trouble sleeping, eating, and concentrating. You get headaches; your stomach is upset. You might even have a panic attack -- the pounding heart, a feeling of lightheadedness.

    Anxiety may also feel like depression. "The two sometimes overlap," Ross says.

    When anxiety becomes so overwhelming that it interferes with day-to-day activities -- when it keeps you from going places, from doing things you need to do -- that's when you need help, says Ross."

    I hope everyone can rule one more thing out or finally find some answers.


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    Saturday, July 21, 2007

    What is Anxiety?

    Lately my anxiety has been flaring up. I almost had an attack the other day and in all honesty I think I would have if I didn't escape the situation when I did. I'm not feeling all that great today either as I have two BBQs to go to tonight, one I am hosting. I stayed home from a boating outing I could have gone on simply because I don't feel bathing suit worthy and didn't feel like dealing with the insecurity and constant fidgeting I would undergo. So I am blogging and I plan to do some yoga since it has been way to long since I last did it and I hope it will help me to feel better about tonight. I also plan to reread some of my older posts that I wrote to help me prepare for similar occasions.

    The last poll was very interesting. It seems like most of us are either pretty personal about our anxiety, telling only our close relatives and friends, or we are very outgoing about it and willing to tell anyone who wants to know anything. Only a few don't dare to tell anyone. I added a new poll that will simply allow me to know what you are most interested in reading about so I have a better idea of how I can help you.

    I often look for interesting videos on YouTube relating to anxiety, and awhile back I came across a long 30 minute video of a man named Charles Linden who is trying to sell his services to "cure" anxiety. At the time I watched it, he said some things that really interested me, but I wasn't interested in posting such a long video that was really just an advertisement for someone. Now I have noticed that he has broken this video up into smaller chunks. I found a small portion of it that discusses the science behind anxiety. This is the part that interests me since I don't really know what goes on up there when an anxiety attack occurs. I am not endorsing his services by any means, but I thought this video portion was very educational for me and helped me to understand a little better what happens to the brain- particularly the amyglada- that causes overwhelming anxiety. Is he right? I don't know. He says that its a fact that scientists have long agreed with so I thought I would do more research and see. Although I didn't find any article from a source that was "credible" everything I did find seemed to agree with what Charles is saying.

    So I am interested in your thoughts on it. Is he right? Is the "chemical imbalance" that we all hear about just our amyglada getting stuck on overload?

    Tuesday, July 17, 2007

    Taking Deep Breaths


    One of the easiest things to do when you start feeling anxious is to focus on your breathing. Most people with anxiety tend to breathe in short quick breaths. If your like me, in a horror movie when you get scared you might hold your breath altogether. In movies you see when people start hyperventilating (or taking quick short breaths) they have them breathe out of a brown paper bag. That actually works because it forces you to take deeper breaths because of the lack of oxygen.

    So here is a really simple exercise that can help you out tremendously.

    1. At least once a day either when you are anxious or just when you have a time that you can sit and focus, take a deep breath in and as you breath in, count to 4.
    2. Then HOLD YOUR BREATH for a moment.
    3. Release the breath slowly, counting to 4 again (or counting backwards from 4 to 1, whichever you prefer).
    4. Repeat steps 1-3 several times until you feel relaxed and calm, or a 0 on your anxiety scale.

    Another tip that you can do while you exhale is to say a phrase or a positive affirmation in your head that is meaningful to you. Something like “this too shall pass” or “I can do this” or “I can take as small a step forward as I choose”; whatever works for you. When you do these actions it forces your body to react in the opposite way you would if you were scared or frightened which in turn can make your anxiety symptoms calm down. It’s also a nice trick you can do no matter where you are, subtly, without having to make a scene. Once you get really good at it, you can do it right in front of someone as they are talking to you and they won’t even notice. I have done this in restaurants, church, in meetings at work, everywhere.

    Another form of daily meditation I use in conjunction with the deep breathing is yoga. I have a lot of improving to do myself, especially when things get really busy and hectic, but I know when I make the time for myself to meditate and take deep breaths, I always feel better for it.

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    Monday, July 16, 2007

    10 Common Ways to Trigger an Anxiety Attack

    There are many things we can do to work on our anxiety. The first is recognizing what it is that we do to ourselves that cause anxiety attacks. Sometimes we feel like they are completely out of the blue, but I bet if you thought about all of them long enough and figured out what you were doing before it happened, what you ate, who you were around, what you were thinking, etc. you would eventually figure out what your "triggers" are. Here are some of most common things we do to ourselves that can trigger attacks (in no particular order):

    1. Play the What if Game and other negative self talk- Setting Ourselves up for Failure
    2. Poor Self Esteem- thinking we're not worthy enough to be around others and be liked for who we are
    3. Put too much pressure on ourselves to be "perfect" for others or not to have an attack
    4. Focus on ourselves more than those around us
    5. Eat poorly, drink a lot of caffeine
    6. Do not exercise and or meditate regularly
    7. Full Exposure to our phobias instead of baby steps
    8. Do not get enough rest at night
    9. Hold in our feelings
    10. Do not focus on breathing deeply- I think I will focus more on this particular topic tomorrow as it is so helpful for calming you down when you feel initial anxiety symptoms.

    If you are still not sure why you have anxiety attacks and you desperately want them to stop or at least reduce in their frequency or severity, take a look at these and see if you are giving in to any of these triggering behaviors, and make the needed adjustments.

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    Sunday, July 15, 2007

    Breaking the Stigma

    photo by cloois
    Before I introduce the new poll I want to quickly go over the last poll. Over half of the people that voted on what medication they take selected Clonozepam. I am curious if this is a daily pill for everyone or do you take it just when you feel overly anxious? Everyone else takes Zoloft, Klonopin, Paxil, Prozac, and something else that I don't have listed. Over the past week in different comments in the last poll post as well as the Q&A post I think we have had some really good discussion on what we take and why, so I won't go into that more.

    Ok, so for this week's poll:

    Our society has put a stigma on mental illness. If you have cancer then the whole world supports you and you become a fighter in their mind. I personally feel that by telling people that I have a mental illness I am asking for them to think of me as a disgrace of a human being. This not only hurts self esteem but it also prevents people from getting medication that could help them.

    "An estimated 22 to 23 percent of the U.S. population experience a mental disorder in any given year, but almost half of these individuals do not seek treatment (U.S. Department of Health and Human Services, 2002; U.S. Surgeon General, 2001)."
    There are some mental illnesses that cause extreme behaviors and if left unchecked can result in traumatic events such as the Virginia Tech shootings. I think that is where the bad feelings come from. People think because a few go over the edge that everyone will cause we're all "crazy". In reality there are so many people that suffer from depression and anxiety and other conditions that are able to function normally and have meaningful relationships.

    So what can we do to educate and erase this wrong line of thinking that society has towards people with mental illnesses?

    There are many campaigns out there for fighting the stigma. Here are a few interesting ones I have found:

    http://www.whatadifference.org/ is a place for friends and family to figure out how to deal with loved ones suffering from a mental disorder. Its pretty cool. Here are a couple of their campaign videos that are on tv right now:





    The UK has an interesting campaign going on to try to educate people. They are posting signs in the Tube (subway system) and they have a commercial out for a nine minute movie to try to break the stigma. I don't have the movie but I have the commercial:

    WARNING: video is graphic, mature audiences only
    http://www.rcpsych.ac.uk/files/stigma_video.mpg

    Normally I wouldn't advocate something so bold or extreme, but I think thats what it takes sometimes to get people's attention, so I understand it and can appreciate its message.


    Another group doing a campaign is Mental Health Ministries. They have a video that is interesting (a little cheesy but still interesting)

    Some campaigns you can donate to, others have places for students in high school or college to get involved by creating clubs or having guest speakers come. What can you and I do? Maybe you disagree with me, and thats ok. Either way, let me know what you think...

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    Tuesday, July 3, 2007

    My Top 10 Anxiety Tools and Resources


    I thought I would discuss what I use as my favorite tools and resources for learning about and dealing with my anxiety/ phobias. All of these are listed on the right hand side of the blog that I leave up normally so you can refer back to any of them anytime. Its a long post I know but its I believe its very valueable for those trying to figure things out.
    1. Reading Material- The biggest help that I have gotten (seriously it has changed my whole perspective on everything) has been from the book The Anxiety and Phobia Workbook Fourth Edition by Edmund J. Bourne. I am not one that buys books very often and I came across the Third Edition of this Series in my public library. It was so amazing I kept it until I wasn’t allowed to renew it any longer. I returned it sadly and then decided I had to have my own copy as a resource that I could use whenever needed. The guidance in this book is amazing. It touches on everything that I can think of on how to manage and get rid of your anxiety and phobias. I haven’t gotten to the getting rid of part because I am still getting used to managing my anxiety first. I highly recommend trying to find this book if you are looking for something to help you, especially if you can’t afford to see a specialist or a therapist. Before this book I was hopeless and it gave me the motivation to take control of my life again. Main things that helped me in this book was learning about Self Talk, Positive Affirmations and Mistaken Beliefs.
    2. Medication- I take a daily dose of 50mg of Zoloft. At first I was really skeptical about taking the medication because I didn’t want to be reliant on it. I fell into the stigma that most people have about mental health medicine- that you should be able to control your own thoughts. I have since learned that some brains are simply hard wired different and need the medication to work properly. If you are diabetic, you take insulin and no one questions it, its what you need. So I take that daily and have been doing much better since I have been consistent with it. I also take Clonozapam when I need it as an additional way to calm my nerves and that helps tremendously.
    3. Spiritual Belief System- I have a firm faith in my beliefs that we are put on this earth to be tried and tested. I know that we are only given adversities that Heavenly Father knows we can handle even though it might seem so overwhelming to us. I know that he helps me along the way as I continue to ask for it and pray for it. I encourage everyone to figure out their own spiritual belief system as it gives a firm foundation for when things get rocky. One of my favorite quotes says, "Therefore, how can you and I really expect to glide naively through life, as if to say, 'Lord, give me experience, but not grief, not sorrow, not pain, not opposition, not betrayal, and certainly not to be forsaken. Keep from me, Lord, all those experiences which made Thee what Thou art! Then let me come ad dwell with thee and fully share Thy joy!'" -Neal A. Maxwell.
    4. Yoga and regular exercise- I am not as consistent as this as I would like to be, but anytime I finish a workout or a yoga session I feel better immediately. I have found yoga to be more of a help especially. An interesting article I found says, “Yoga's postures, controlled breathing and meditation may work together to help ease brains plagued by anxiety or depression, a new study shows.” I don’t need the study to tell me that, I have experienced it first hand. I used to Tivo a daily yoga show as corny as it was to do at home but when the show no longer played I had to find another method. I like to work out at home, its too hard for me to keep up with going to the gym and I never end up going. So I am borrowing an XBOX that hardly gets used and I bought a $9 dollar game at a used game store. This game is awesome. It’s a Personal Trainer that does yoga and exercising with lots of other cool features.
    5. Therapist- It was a blow to my ego but when things got really bad I had to face the music that I was in over my head. I went and saw a therapist who was able to help me point out my negative thoughts when I didn’t realize I was thinking that way.
    6. Journaling- Journaling is a great way to figure out your thoughts and feelings and mentally unwind. That’s why I started this blog. Its my journal and has been extremely therapeutic for me.
    7. Vitamin B Supplement- This is a daily pill that helps manage the nervous system that is an additional more herbal remedy as opposed to Clonozapam.
    8. Family and Friends- Having a support person is important. Someone that knows whats going on so that if you have to leave suddenly or have symptoms coming on, they are there to help you and be there for you. Sometimes having that support person with you in a trigger situation can be enough to help you stay calm. Plus as I have mentioned before, than your secret is out and you don’t have to try so hard to meet everyone’s expectations and you can focus on other things. I only tell my closest family and friends about it, plus all of you of course, but I try not to tell people that I feel aren’t on a need to know basis.
    9. Expressing Yourself Creatively- I find it important to express myself in relaxing ways that help me define who I am. I do this with gardening, playing the piano, scrapbooking, blogging, and photography. All of these hobbies give me a sense of accomplishment and let me know that I am worthwhile as a person. They give me strength to want to better myself in all areas of my life.
    10. Down Time- Its vitally important to give your mind some rest. This includes getting a full night’s sleep, time management, and making room in your schedule for relax time. Time where you do nothing but meditate or veg out, anything that’s relaxing. Taking a bath, watch tv, just exist.
    Some of these may work better than others for you and your situation. Whats important is finding out what it is that works best for you. I'd love to hear if anyone else has other tools or resources or ideas that help them.

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