When asked, Most individuals find themselves locked in the ‘mad, sad, glad’ triad and really struggle to identify and feel many other feelings. Take a moment now & think to yourself, What am I feeling? When was the last time you really sat to think about how you were feeling & how those feelings occurred in your body.

See the feelings wheel: The Emotion Wheel: What It Is and How to Use It (positivepsychology.com)

The Tao of Fully Feeling incorporates reclaiming our feelings by focusing on ourselves & what we have control over. It also allows us to center ourselves in the fullness & richness of our feelings without numbing. It can often be a long journey back to our own feelings but the value is tremendous. We can help guide you here at STA. There are many things that block our ability to feel; being too busy, substances, over eating, compulsively worrying about others problems, etc.. Sound familiar?

We often get stuck in ‘fight or flight’ instead of living in a fully mindful place. We get trapped in blame and the hustle & bustle of keeping up with everyone else instead of taking time to fall into mindfulness practices such as yoga, meditation, journaling, recovery meetings, walking in nature. When we are not able to sit fully in our feelings, We are also unable to set boundaries, communicate our truth to others and also to fully live in the vessel of our bodies.

If you’d like to read more, please find the attached article: Pete Walker, M.A. Psychotherapy (pete-walker.com)

If you or someone you know is looking to learn about feeling more fully, please reach out today. We have many individual & group therapists and we look forward to helping you!

The post What is the “Tao of Fully feeling”? first appeared on Specialized Therapy.

The post What is the “Tao of Fully feeling”? appeared first on Specialized Therapy.

In their book, Burnout: The Secret to Unlocking the Stress Cycle, Emily Nagoski, Ph.D. and Amelia Nagoski, DMA (2019) write about what they call the “Something Larger”, or the source of meaning in our lives. Sources of meaning can be the pursuit and achievement of certain goals, service to a spiritual calling, connection with others, etc. The “Something Larger” gives one the thought “my life has a positive impact”.

Making Meaning When Terrible Things Happen- How to Deal With a Turbulent Life:

According to Nagoski and Nagoski (2019), sometimes life is stable and flowing, and we are regularly engaged in Something Larger, and the world just makes sense. Other times, life gets turbulent, and we clutch onto that meaning for dear life because it gets us through the storm, it helps us tolerate the despair. And sometimes those rocky times last too long and you feel numb, stuck, and hopeless. Little by little, you start to rebuild, with kindness, compassion, and approaching tasks in small steps (and with help from others!). Eventually, we go from coping to thriving again and can even come out of it with a greater sense of meaning in our life.

The Origin Story

Rewriting the narrative of your experience, focusing on the lessons and strengths you gained through adversity is a way for you to turn terrible into an opportunity to explore your sense of meaning in life.

Answer the following questions:

What parts of the adversity were uncontrollable to you? (the weather, other people, your life circumstances at the time, etc.) (Nagoski and Nagoski, 2019, pp. 69-70)

What did you do to survive the adversity at the moment? (Nagoski and Nagoski, 2019, pp. 69-70)

What resources did you leverage, to continue surviving after the adversity had passed? Be specific. (Money, information, friends, ability to research and seek, accepting help, persistence, coping skills, hope, etc.) (Nagoski and Nagoski, 2019, pp. 69-70)

Think about how the experience empowered you, think about what you learned, what insight you gained. (write it down)

Write a summary:

Even though I couldn’t control____________ (adversity), I managed to_______________(survival tactic), and then I used____________________ (resource) to grow stronger. After that, I could_______________(skill/win/insight) (Nagoski and Nagoski, 2019, pp. 69-70)

Meaning enhances well-being when you’re doing well, and it can save your life when you’re struggling (Nagoski and Nagoski, 2019).

If you would like personalized support and guidance on Making Meaning When Terrible Things Happen, please call Specialized Therapy Associates at 201-488-6678 to schedule your complimentary consultation.

Reference:

Nagoski PhD, Emily and Nagoski DMA, Amelia (2019). Burnout: The Secret to Unlocking the Stress Cycle. Ballantine Books.

The post Making Meaning When Terrible Things Happen first appeared on Specialized Therapy.

The post Making Meaning When Terrible Things Happen appeared first on Specialized Therapy.

Have you been experiencing difficulty focusing, or been having difficulty with your motivation to do things you used to do or to plan for your future? These executive functioning skills are how our brains help us to set goals, create plans, and to carry out those plans. When we are experiencing a high level of stress, we hit a brick wall and all of those skills stop functioning properly.
With stress, an individual may feel overwhelmed and cannot make decisions, they may experience difficulty with organizing, planning, and getting started. An individual under extreme stress may lose interest in activities, have mood swings, and be unaware or deny poor decision-making.
To regain temporary focus, an individual might want to work on simple problem-solving strategies:
– First, they will need to identify what the problem is.
– Next, they can consider some alternatives and options and create a list of strategies to move forward.
– Next, they can create an effective plan by laying out the steps to that plan.
– Finally, they may consider creating the plan in writing and planning and initiating action for that plan.
Sometimes it is difficult to initiate these steps on your own and we can help guide you through that process. At Specialized Therapy Associates and Fx Med Centers, our therapists and specialists are trained to help guide individuals to carry out these goals and plans.
You may also be concerned about the way you are processing information, and at Specialized Therapy Associates we can evaluate the way you learn information for planning and processing potential. (What does she mean by processing potential?) Some of our evaluations include neuropsychological evaluations, ADHD evaluations, and dementia identification.
If you are interested in an evaluation, you can contact our offices at (201) 488-6678. All evaluations are being conducted virtually at this time.

Author: Jill Caruso, PsyD
Assistant Director, Specialized Therapy Associates
4 Forest Avenue, Paramus, NJ 07652
(201)488-6678

The post Dr. Caruso has advice for Pandemic induced stress first appeared on Specialized Therapy.

The post Dr. Caruso has advice for Pandemic induced stress appeared first on Specialized Therapy.

The Food and Drug Administration and World Health Organization have classified heavy metals as toxic to human health because they interfere with normal physiologic function and cause an increased risk for cancer, dementia, neurotoxicity, kidney disease, liver disease, insomnia, emotional instability, depression, and in high enough doses, death (2,3,4).

Babies and children are even more susceptible to the dangerous health consequences of toxic heavy metal exposure because they are growing and developing at a rapid rate. Even low levels of toxic heavy metal exposure are linked to irreversible brain and developmental damage (1).  Research has shown that heavy metal exposure can cause a permanently reduced IQ and an increased risk for criminal and withdrawn behavior in children (1,5).

In November 2019, government officials requested internal documents from seven of the largest baby food and infant formula manufacturers in the U.S. based on studies that found high levels of toxic heavy metals in their finished products (6,7).

The brands under investigation included:

• Nurture, Inc. (makes Happy Family Organic and HappyBABY baby food)
• Beech-Nut Nutrition Company
• Hain Celestial Group (makes Earth’s Best Organic baby food)
• Gerber
• Campbell’s Soup (which makes Plum Organics baby food)
• Walmart (Parent’s choice)
• Sprout Foods, Inc. (Sprout Organic Foods)

Only four of the seven companies in question agreed to cooperate with the investigation (Nurture, Beech-Nut, Hain, Gerber) raising concern that the non-responders may have even higher levels of toxic heavy metals than their competitors.

All responding companies had arsenic, lead, and cadmium present in their baby food. Not all companies tested for mercury, but the ones that did had exceedingly high levels. On top of that, reports showed up to 91 times the arsenic level, 177 times the lead level, 69 times the cadmium level, and 5 times the mercury level allowed under existing regulations by the FDA and EPA.

How does something like this happen? Present-day industrialized food manufacturing processes raise the risk for heavy metal contamination in our food supply (including baby food!) through mechanical processing by means of heavy machinery or leakage from packaging materials (6).

What can you do to protect your child from heavy metal exposure in their baby food? Make your own! Making your own baby food is the best way to have control over your child’s exposure to heavy metals as well as know exactly what is going into their food from start to finish. Steaming fresh, organic fruits and vegetables (ex: apples, bananas, pears, peaches, sweet potatoes, carrots, peas) will retain nutrient quality and composition better than boiling. Puree cooked fruits and veggies with a small amount of water or breast milk until smooth and serve. Don’t add sugar, syrups, or artificial flavorings as these can be harmful to your child’s growth and development as well. Instead, try using cinnamon or mix in pureed sweeter fruits like apples or pears.

If you don’t have the time to make your baby’s food research baby food brands and infant formula that test for the presence of heavy metals, like Cerebelly.

Tune into our next newsletter for part 2 of “Raising awareness: the dangerous truth behind the toxins present in our food supply”.

Click here to sign up for the newsletter if you haven’t already!

1. https://oversight.house.gov/sites/democrats.oversight.house.gov/files/2021-02-04%20ECP%20Baby%20Food%20Staff%20Report.pdf
2. https://rarediseases.info.nih.gov/diseases/6577/heavy-metal-poisoning#ref_13375
3. Jan AT, Azam M, Siddiqui K, Ali A, Choi I, Haq QM. Heavy Metals and Human Health: Mechanistic Insight into Toxicity and Counter Defense System of Antioxidants. Int J Mol Sci. 2015;16(12):29592-29630. Published 2015 Dec 10. doi:10.3390/ijms161226183
4. https://www.fda.gov/food/chemicals-metals-pesticides-food/metals-and-your-food
5. Pan S, Lin L, Zeng F, et al. Effects of lead, cadmium, arsenic, and mercury co-exposure on children’s intelligence quotient in an industrialized area of southern China. Environ Pollut. 2018;235:47-54. doi:10.1016/j.envpol.2017.12.044
6. Vella C, Attard E. Consumption of Minerals, Toxic Metals and Hydroxymethylfurfural: Analysis of Infant Foods and Formulae. Toxics. 2019;7(2):33. Published 2019 Jun 8. doi:10.3390/toxics7020033
7. Gardener H, Bowen J, Callan SP. Lead and cadmium contamination in a large sample of United States infant formulas and baby foods. Sci Total Environ. 2019;651(Pt 1):822-827. doi:10.1016/j.scitotenv.2018.09.026

The post Toxic Heavy Metals in Baby Food – What To Do! first appeared on Specialized Therapy.

The post Toxic Heavy Metals in Baby Food – What To Do! appeared first on Specialized Therapy.

Due to the COVID pandemic, A lot of us are still working from home. This has both positive and negative attributes. Current clients report that it’s nice to reduce the commute time and the stress of traffic while others report that they miss the down-regulation & alone time to separate work from home life.  Some like being able to dress down more often while others struggle with being motivated without having the dress code and structure of a work setting. Lastly, many reports that it’s nice to not have the pressure to interact all day while others found work to be one of their primary forms of connection which they miss.  Needless to say, it’s a mixed experience for most individuals. Take a moment now to think about your work/life balance is affecting you. As a society, it’s clear We are struggling with finding the balance in this ‘new normal’, which leads me to one of the most important therapeutic questions in regards to this topic, Are we working from home or living at work?

This lack of boundaries between home & work is causing people to experience loss of identity, a significant increase in the amount of hours worked and loss of work/life balance, and significant amounts of anxiety & stress in addition to the multitude of other stressors we already experience on a daily basis.

So, What’s the first step towards healing? 

Fear & Anxiety are inevitable in times of crisis, as they naturally respond in a trauma situation (which a pandemic qualifies as trauma), however, now We are in collective grief. All parallel processing & struggle simultaneously. We also live in a time where overdoing is viewed as a status symbol & how busy we are is something we humble brag about.. but it’s important to remember. It’s not a contest and that our journey is ours.

The first is to recognize what your body is trying to tell you and listening to the stress & anxiety cues. Stress is our body’s way of responding to any sort of external threat of danger (whether real or imagined), which most of us would call the fight or flight response, and generally alleviates after the ‘stressors’ have passed. Anxiety, however, is our internal reaction to feeling ‘stressed’, which for most people starts with Anticipatory Anxiety; Anxious about being Anxious. It’s a pervasive feeling of not being safe emotionally & manifests in physical symptoms. Stress, however, is often categorized by Loneliness, Insecurity, Loss of Concentration & Memory, worried & panicked thinking, restless/keyed up and edgy, avoiding others, fatigue & difficulty sleeping, eating issues- over or under eating, teary/mood swings, obsessiveness with working & routine, compulsive behaviors/overdoing it, fear of silence/the quiet.

What can I do about my stressors relating to the work, COVID, Childcare situation and ultimately find balance? 

1. 1. Focus on what you can control
   2. Let go of comparing your COVID experience to others (‘Living their best life’, etc), although we may not have all caught COVID physically, we almost all caught it emotionally & it’s very challenging to carry the weight of collective grief around.
   3. Reduce catastrophizing & focus on what you can control and Stay in the moment
   4. ‘Thought Stopping’ by identifying irrational thinking
   5. Tolerating Distress & Ambiguity through Radical Acceptance

How can I take better care of myself during this time? 

Establish a self-care plan:

1. 1. Assess current ‘coping skills’ you’re using (ie: overeating, drinking, isolation, phone, etc.
      1. Community—essential to have a strong support system
      2. Eating
      3. Sleeping
      4. Exercising?
   2. Starting the day off right with a strong morning routine and following that throughout the day:
      1. Meditating (Visualizing things going well & you handling the day with ease), Reading, Journaling, Exercising, Praying—- Limiting social media & TV
      2. Midday mantras (“I will not scare myself by repetitively examining details over and over”), eating healthy and a wind-down routine at night time that is nourishing & not just binge renewing

If you or someone you know is struggling with the boundaries regarding living at work vs. working from home and is experiencing stress & anxiety as a result, please reach out to us today or visit our website or call 201-488-6678. We look forward to working with you!

The post Working from home or Living at work? first appeared on Specialized Therapy.

The post Working from home or Living at work? appeared first on Specialized Therapy.

Nourish Your Heart this Valentine’s Day with guidance from our team at Specialized Therapy Associates using our  Heart Healthy Eating Plan

With Valentine’s day right around the corner, it’s a perfect time to talk about nourishing your heart! What better way to nourish your heart than following a heart-healthy Mediterranean-style eating plan? Now, I know what you’re thinking… a Mediterranean diet? That’s old news! We’ve heard time and time again on the news, from our doctors, magazines, and media outlets that a Mediterranean diet has extraordinary health benefits. However, in a world flooded with diet culture propaganda, the Mediterranean diet has seemingly withstood the test of time and experts agree that the research on its cardiovascular benefits and disease prevention is indisputable!

Has anyone ever broken down the reasoning behind why the Mediterranean diet is best for long-term health? What exactly it consists of? Who exactly it benefits? How it lowers your risk of chronic disease? When in life you should follow it? And where you can find quality ingredients and easy recipes to make following it easier? Well, you’re in the right place for some evidence-based, research-backed answers! Read on to learn more about how a heart-healthy Mediterranean-style eating plan could benefit you and your loved ones this Valentine’s season, and always.

Why the Mediterranean diet? Research shows that following a Mediterranean-style eating plan significantly reduces your risk for heart disease¹, diabetes, cancer-related death, cardiovascular disease-related deaths, and death from any cause^1,2. A study published in the Journal of the American Medical Association, one of the most widely circulated medical journals in the world, found that eating more foods consistent with a Mediterranean-style was associated with a 28% reduced risk in cardiovascular events like heart attack and stroke³. The outcome was associated with less inflammation, better blood sugar levels, lower insulin resistance, and lower BMI^3,4.

What does it consist of? The Mediterranean diet includes healthy fats in the form of monounsaturated fats from olive oil, olives, nuts, seeds, avocados, and polyunsaturated omega-3 fats from fatty fish like salmon, sardines, herring, mackerel, and shellfish. The Mediterranean diet is rich in disease-fighting phytonutrients, or “plant nutrients”, and antioxidants from a diverse variety of fruits and vegetables, legumes, and whole grains.  It contains a moderate intake of dairy, chicken, cheese, and red wine, as well as very little intake of red meat and sweets, and little to no saturated fat, trans fat, and processed foods.

Who does the Mediterranean diet benefit? Although the Mediterranean diet is most well-known for its impact on disease prevention, it can benefit anybody regardless of age, race, sex, or gender.

Following a Mediterranean-style eating plan has also been shown to promote healthy aging. It has a beneficial effect on brain health and overall cognition⁶ by lowering the risk of Alzheimer’s disease and dementia⁷. In a Nurses’ Health Study, adherence to a Mediterranean diet resulted in a 46% higher chance of healthy aging, which was defined as being free from cancer, heart attack, coronary artery disease, congestive heart failure, stroke, diabetes, kidney disease, Parkinson’s, MS, and more⁸.

How does the Mediterranean diet lower your risk for chronic disease? One of the many ways a Mediterranean diet promotes longevity is by preserving telomere length⁹, the portion of our chromosomes that preserve DNA from damage when exposed to negative factors such as chronic inflammation, environmental toxins, or psychological stress.

Another way the Mediterranean diet protects against disease is through its emphasis on healthy fat intake. A study found that people at high risk for heart disease who went on a Mediterranean diet with ≥ 4 tbsp of extra virgin olive oil or nuts had a 30% lower risk for stroke after 5-years compared to those who followed a low-fat diet. This is because consuming olive oil and nuts is associated with improved HDL-C function, commonly referred to as the “good cholesterol” because it carries cholesterol away from arteries and back to the liver for excretion or re-use¹⁰. This lowers the risk of arterial blockage and promotes healthy blood flow, resulting in a reduced risk for heart attack and stroke.

Where can you find quality ingredients? The Mediterranean diet emphasizes eating a variety of plant foods to diversify your phytonutrient intake which gives your body a wide selection of disease-fighting nutrients! When optimizing the diversity of your plant food intake, it is best to consider purchasing whatever produce is in season. This way, you are sticking to the way our ancestors ate- whatever they could grow, which was dependent on the season.

For example, the wintertime is great for eating winter squash like acorn, butternut, pumpkin, delicata, kabocha, and spaghetti squash. Spring is a great time for asparagus, swiss chard, collard greens, apricots, mushrooms, onions, and artichokes. Summer is best for berries, corn, eggplant, watermelon, and peppers and Fall is best for apples, kale, carrots, celery, yams, pears, kale, and ginger. All of these foods are great ways to nourish your heart.

A great way to do this is to purchase from local farmers, farmer’s markets, or join your local Community Supported Agriculture program.

Finally, check out the Specialized Therapy Associates & FX Med Center Pinterest board for some healthy and delicious Mediterranean-inspired recipes!

If you wish to Nourish Your Heart further by improving your physical and mental health please call 201-488-6678 today to speak with our intake staff. Together we can nourish your heart, mind, and soul so you can live your best life!

References:

1. Fung TT, Rexrode KM, Mantzoros CS, Manson JE, Willett WC, Hu FB. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation. 2009 Mar 3;119(8):1093-100. doi: 10.1161/CIRCULATIONAHA.108.816736. Epub 2009 Feb 16. Erratum in: Circulation. 2009 Mar 31;119(12):e379. PMID: 19221219; PMCID: PMC2724471.
2. Lopez-Garcia E, Rodriguez-Artalejo F, Li TY, Fung TT, Li S, Willett WC, Rimm EB, Hu FB. The Mediterranean-style dietary plan and mortality among men and women with cardiovascular disease. Am J Clin Nutr. 2014 Jan;99(1):172-80. doi: 10.3945/ajcn.113.068106. Epub 2013 Oct 30. PMID: 24172306; PMCID: PMC3862454.
3. Ahmad S, Moorthy MV, Demler OV, et al. Assessment of Risk Factors and Biomarkers Associated With Risk of Cardiovascular Disease Among Women Consuming a Mediterranean Diet. JAMA Netw Open. 2018;1(8):e185708. doi:10.1001/jamanetworkopen.2018.5708
4. Shai I, Schwarzfuchs D, Henkin Y, Shahar DR, Witkow S, Greenberg I, Golan R, et al. Dietary Intervention Randomized Controlled Trial (DIRECT) Group. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008 Jul 17;359(3):229-41. doi: 10.1056/NEJMoa0708681. Erratum in: N Engl J Med. 2009 Dec 31;361(27):2681. PMID: 18635428.
5. De Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N. Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999 Feb 16;99(6):779-85. doi: 10.1161/01.cir.99.6.779. PMID: 9989963.
6. Loughrey DG, Lavecchia S, Brennan S, Lawlor BA, Kelly ME. The Impact of the Mediterranean Diet on the Cognitive Functioning of Healthy Older Adults: A Systematic Review and Meta-Analysis. Adv Nutr. 2017 Jul 14;8(4):571-586. doi: 10.3945/an.117.015495. PMID: 28710144; PMCID: PMC5502874.
7. Aridi YS, Walker JL, Wright ORL. The Association between the Mediterranean Dietary Plan and Cognitive Health: A Systematic Review. Nutrients. 2017 Jun 28;9(7):674. doi: 10.3390/nu9070674. PMID: 28657600; PMCID: PMC5537789.
8. Samieri C, Sun Q, Townsend MK, Chiuve SE, Okereke OI, Willett WC, Stampfer M, Grodstein F. The association between dietary plans at midlife and health in aging: an observational study. Ann Intern Med. 2013 Nov 5;159(9):584-91. doi: 10.7326/0003-4819-159-9-201311050-00004. PMID: 24189593; PMCID: PMC4193807.
9. Crous-Bou M, Fung TT, Prescott J, Julin B, Du M, Sun Q, Rexrode KM, Hu FB, De Vivo I. Mediterranean diet and telomere length in Nurses’ Health Study: population-based cohort study. BMJ. 2014 Dec 2;349:g6674. doi: 10.1136/bmj.g6674. PMID: 25467028; PMCID: PMC4252824.
10. Hernáez Á, Castañer O, Elosua R, et al. Mediterranean Diet Improves High-Density Lipoprotein Function in High-Cardiovascular-Risk Individuals: A Randomized Controlled Trial. Circulation. 2017;135(7):633-643. doi:10.1161/CIRCULATIONAHA.116.023712

The post Nourish Your Heart this Valentine’s Day first appeared on Specialized Therapy.

The post Nourish Your Heart this Valentine’s Day appeared first on Specialized Therapy.

When we’re faced with unprecedented challenges, it causes us to lose motivation and retread back to our old ways, making it difficult to follow through on our resolutions year-round. A perfect example is this past year with the coronavirus pandemic, a challenge we’ve never faced before! As a collective, 2020 started off with the best of intentions, but unbeknownst to us- a global catastrophe stripped us from all inspiration and granted some of us permission to slip back into our old habits to find safety and comfortability during such an unprecedented time.

Nevertheless, New Year’s resolutions have the best of intentions, they’re a stimulus for growth, turning over a new leaf, leveling up to become a better version of ourselves. Despite naysayers that proclaim New Year’s resolutions are meant to be broken, there is evidence that shows resolutions have the potential to be a successful tool¹ as a new beginning, a chance to start over, an opportunity to embark on a new journey that supports overall physical and mental health and well-being.

Research has shown that New Year’s resolutions that are restriction and avoidance-oriented are far less successful than those that are approach-oriented¹. This is probably why dieting, weight loss, and detox programs are unsuccessful and tend to lead to rebound weight gain and a disordered relationship with food, diet, and exercise.

Instead, focus on making SMART goals this year! SMART goals are specific, measurable, action-oriented, realistic, and time-lined. SMART goals are designed for success by making small, approachable short-term goals instead of BIG, overwhelming end-stage goals. Tackling one small goal at a time builds confidence which is foundational for success.

Having trouble knowing where to begin? Here are some SMART goals that benefit everybody!

Lower your sugar intake:

Sugar is a naturally occurring energy source found in carbohydrates derived from fruits, vegetables, and whole grains. However, the sugar in our food supply today is much different than what it was over a hundred years ago. Since the early 20^th century, sugar consumption has increased dramatically due to the industrialization of food which has allowed sugar to be easily added to processed foods and beverages in its highly caloric, refined form. Now, refined sugar is ubiquitous in our food supply and is found in almost every packaged and processed food (i.e., cookies, cakes, pretzels, pies, pastries, cupcakes, muffins, crackers, chips, white bread) and convenience food (take-out, fast food, convenience store/gas station food). It’s also added to canned foods, bread, cereals, yogurts, and seemingly healthy granola bars and juices.

It is no coincidence that with the increase in sugar consumption from low-quality, nutrient-poor ultra-processed foods has come with an accompanying increase in chronic diseases like type 2 diabetes, obesity, depression, anxiety, IBS, metabolic syndrome, cancer, Alzheimer’s, non-alcoholic fatty liver disease, high blood pressure, heart disease², and the list goes on…

Sugar comes in many forms and goes by many different names. Artificial sweeteners are no better for our long-term metabolic health as an alternative to refined sugars. In fact, these stand-in sugar substitutes have actually proven to cause more harm than good by negatively altering insulin sensitivity and raising the risk for other health conditions like cancer³.

Some helpful tips for lowering your sugar intake:

1. Increase consumption of high-quality fats

Examples- extra virgin olive oil, avocado, avocado oil, grass-fed organic animal products (meat, dairy), ghee, raw nuts, and seeds.

2. Increase consumption of high-quality protein

Examples- organic, pasture-raised, non-GMO poultry and grass-fed beef; organic, non-GMO plant-based proteins like tofu, tempeh.

3. Increase consumption of fiber in the form of fruits, vegetables, whole grains, sprouted beans and legumes

Examples- berries, apples, pears, cherries, broccoli, cauliflower, leafy green vegetables, onions, and garlic; oats, quinoa, brown rice, teff; sprouted lentils

4. Decrease alcohol consumption

Do it the SMART way:

Small- Start with one or more of the above interventions and once you feel comfortable and confident doing that, add another.

Measurable- Keep a journal and write down how you feel eating less refined sugar and drinking less alcohol. At first, it may be a challenge- and that’s to be expected! Write down everything you’re feeling. Refer back to the journal when experiencing difficulties staying on course, this will remind you of the progress you’ve made, how far you’ve come, and inspire you to keep going.

Attainable- Make a grocery list of whole foods before going shopping and stick to the items on the list! For whole foods recipe inspiration, click here to explore our Specialized Therapy Associates Pinterest board!

Realistic- You don’t have to cut out all sugar at once unless otherwise directed by your doctor. Instead, focus on cutting out one or two major sources of refined sugar in your diet- like soda, sweetened beverages, fast food, or go-to snacks like chips, pretzels, or desserts. Then, after you successfully do so, proceed to cut out more and more sources of refined sugar and carbohydrates in your diet.

Time-line- Give yourself a few days to adjust to cutting out the major culprits of refined sugar in your diet. After you’ve successfully done so, remove more sources of refined sugar. Aim for complete removal of refined sugar in your diet and elimination of highly processed foods in a timeline of 3 to 6 months.

Increase physical activity & movement

There is no question that physical activity plays a major role in the status of our metabolic health. The sedentary lifestyle of Americans in the 21^st century has come with innumerable health consequences. We know that physical activity helps with weight maintenance and weight loss, increases insulin sensitivity, lowers our risk for heart attack and stroke, cancer, diabetes, cognitive decline, polycystic ovary syndrome, depression, anxiety, osteopenia, sarcopenia, and osteoporosis⁴. To date, we know that physical activity is one of the most critical means of disease prevention, and yet, we still struggle with making time for it in our fast-moving lifestyle.

Exercise, by definition, is planned, structured, and intentional movement with the objective of achieving a fitness-oriented goal or maintaining physical fitness⁵. For some, exercise can be an incredible outlet for stress and boosting mood and energy levels. If that’s you, great! Aim for achieving 30 to 60 minutes of light to moderate-intensity exercise in the form of aerobic exercise (i.e., brisk walking, jogging, cycling, Pilates) or strength training (weightlifting, kettlebell squats, dumbbell training, etc.) every day.

For others, structured exercise can be a daunting, mundane, and dreaded task that we force ourselves into with the hope of gaining some sort of health benefit. If that sounds more like you, you’re not alone! Regimented exercise is not the only kind of movement we benefit from.

We also benefit from physical activity, a different form of exercise because it can be either structured or unstructured and typically consists of activities you enjoy while still reaping the metabolic health benefits. Structured physical activity may look like walking, riding your biking, hiking, swimming, dancing, yoga, or rollerblading. Examples of unstructured physical activity consists of activities that coincide with daily living such as playing with your children, cleaning the house, gardening, folding laundry, grocery shopping, washing dishes, walking your kids to school, taking the stairs⁵, etc. These types of unstructured physical activity and movement add up and result in increased calorie expenditure which may lead to weight loss over time.

Note: Please consult your physician or health care practitioner before starting any new exercise regimen to ensure it is appropriate for you.

Here are some helpful tips for increasing your physical activity:

1. Take the stairs instead of the elevator.
2. Go for walks on your lunch break or take time to stretch in between meetings.
3. Have a dance party in the morning while you’re getting ready for your day.
4. Stand up while folding laundry or doing desk work.
5. Clean daily- washing windows, vacuuming, mopping.
6. Do some form of pushups, squats, jumping jacks, or walking in place while watching TV.

Do it the SMART way:

Small- If you’re not an exercise buff, start incorporating small bits of movement a few times a week and work yourself up to incorporating movement into your daily routine.

Measurable- Write down the exercise or structured/unstructured physical activity you do and use a tracking app like myfitnesspal to look up how many calories you’re burning while doing so and log it in a journal.

Attainable- If engaging in a structured exercise routine, start with light workouts 15-20 minutes a day, and gradually work your way up to longer time and intensity. If you’re trying to increase your daily movement, start with performing one of the abovementioned activities for 5-10 minutes when you have moments of downtime throughout the day.

Realistic- Don’t feel the need to make any drastic changes to your daily routine to incorporate rigorous exercise and physical activity. Start slow and gradually increase duration and intensity once your body adjusts. This will help avoid burnout.

Timeline- Aim for goals that are suitable for you and your lifestyle. There’s no rush to meet any fitness deadlines unless otherwise specified by a doctor, or yourself. Instead, focus on enjoying the movement you do incorporate into your routine to make sure its sustainable.

Note: Please consult your physician or health care practitioner before starting any new exercise regimen to ensure it is appropriate for you.

Be more mindful

Mindfulness is about paying attention in the present moment, on purpose, without judgment. Mindfulness means being able to bring direct, open-hearted awareness to what you are doing while you are doing it. Practicing mindfulness helps you tune into what is going on in your mind by bringing awareness to your thoughts and emotions as well as your body by paying attention to any internal or external physical sensations. Mindfulness can be practiced in a variety of ways- meditation, breathwork, walking in nature, exercise, physical activity and movement, cooking, eating, everyday tasks like laundry, cleaning, or even making your bed. There are countless moments throughout the day where one can practice mindfulness- ironically enough, you just have to pay attention to when those moments present themselves.

Mindfulness encourages curiosity and compassion for individuals and their environment. the evidence is clear that incorporating mindfulness into your lifestyle has a profound impact on our experience as human beings by tapping into a transcendental, restful state that beneficially alters our physiology thus improving quality of life. Practicing mindfulness has been linked to decreased anxiety, stress, depression, mood balance and regulation, emotional reactivity⁶ aging, improved immune function⁷, chronic pain management^8,9, and better sleep¹⁰

Tip for increasing mindfulness:

1. Go for a walk outside, pay attention to your surroundings. The way the air smells and feels on your skin, the sounds of the wildlife or cars passing by, the color of the foliage, how your feet make contact with the earth with every step.
2. Be present while eating by paying attention to the way food tastes, think about where it came from, the journey it took to make its way onto your plate, what senses its satisfying, the texture, smell, and sound it makes while chewing.
3. Practice mindful breathing. Take deep breaths and pay attention to how your belly rises and falls with each breath. Feel your chest expand with air and release entirely.

Mindfulness is a personal journey, there’s no right or wrong way of practicing it. Simply, try and pay attention to the routine motions of your life and practice gratitude for being alive rather than simply existing.

You can implement the abovementioned New Year’s resolutions by yourself, but research has shown that working in groups of people with the same or similar goals yields higher success rates and longer-lasting behavior change¹¹. Working in a group setting also provides a means of accountability and support when facing challenges to keep you on track with integrating new habits in order to reach your goals. Call 201-488-6678 to take advance of new groups Specialized Therapy Associated is offering this January!

Did you know we have a Board Certified Health and Wellness Coach on staff? If you would like personalized support and guidance on how to implement any of the above suggestions, please call Specialized Therapy Associates at 201-488-6678 to schedule your complimentary consultation. Our Health Coach, Anna Sandbank, LCSW, INHC, NBC-HWC will speak with you to learn more about your goals, and how she can support you to make them a reality in 2021.

By Taylor Groff, MS, Functional Nutritionist

About the Author:

Taylor Groff is a functional nutritionist that specializes in using evidence-based nutrition and food as medicine to treat the root cause of any illness- physical, emotional, and/or metabolic- that affects our ability to live a happy, healthy, and fulfilled life. Taylor helps move individuals into a state of optimal health by providing the tools and resources necessary to make informed health choices through teaching basic nutrition principles and providing personalized nutrition plans. Taylor focuses on the client as an individual with their own genetic uniqueness, health history, lifestyle, and cultural influences, and designs a food plan that is personal to them based on their health needs to ensure compliance for sustainable success.

Taylor has her M.S. in Human Nutrition and Functional Medicine from the University of Western States and her B.S. in Biological Sciences from Rowan University. She enjoys being outside in nature, going for hikes with her dog, and cooking healthy recipes. Taylor works alongside our Board Certified health coach, Anna Sandbank, designing personalized nutrition plans for clients.

References:

1. Oscarsson M, Carlbring P, Andersson G, Rozental A. A large-scale experiment on New Year’s resolutions: Approach-oriented goals are more successful than avoidance-oriented goals. PLoS One. 2020;15(12):e0234097. Published 2020 Dec 9. doi:10.1371/journal.pone.0234097
2. Stanhope KL. Sugar consumption, metabolic disease, and obesity: The state of the controversy. Crit Rev Clin Lab Sci. 2016;53(1):52-67. doi:10.3109/10408363.2015.1084990
3. Purohit V, Mishra S. The truth about artificial sweeteners – Are they good for diabetics?. Indian Heart J. 2018;70(1):197-199. doi:10.1016/j.ihj.2018.01.020
4. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143-1211. doi:10.1002/cphy.c110025
5. Ceria-Ulep CD, Tse AM, Serafica RC. Defining exercise in contrast to physical activity. Issues Ment Health Nurs. 2011;32(7):476-478. doi:10.3109/01612840.2010.525692
6. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011;31(6):1041-1056. doi:10.1016/j.cpr.2011.04.006
7. Black DS, Slavich GM. Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Ann N Y Acad Sci. 2016;1373(1):13-24. doi:10.1111/nyas.12998
8. Hilton L, Hempel S, Ewing BA, et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017;51(2):199-213. doi:10.1007/s12160-016-9844-2
9. Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. Int J Yoga. 2015;8(2):128-133. doi:10.4103/0973-6131.158476
10. Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med. 2015;175(4):494-501. doi:10.1001/jamainternmed.2014.8081
11. Paul-Ebhohimhen V, Avenell A. A systematic review of the effectiveness of group versus individual treatments for adult obesity. Obes Facts. 2009;2(1):17-24. doi:10.1159/000186144

The post Keeping New Year’s Resolutions first appeared on Specialized Therapy.

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In a cohort study recently published in Lancet Psychiatry, researchers set out to determine whether a COVID-19 diagnosis increased the risk of diagnosis with subsequent psychiatric illness (primarily anxiety, depression, dementia, and insomnia) in weeks shortly thereafter. Additionally, the researchers evaluated whether or not having a psychiatric illness increased the risk of contracting COVID-19. The results they found were astonishing.

There has been much concern over the lasting psychological sequelae as a result of contracting COVID-19. Until recently, the documented effects of coronavirus on mental health and on patients with mental illness have been limited. Several studies have investigated the impact of COVID-19 on mental health but only through anecdotal evidence via surveys and self-reported symptom questionnaires. To date, none have looked at official psychiatric diagnosis as a result of COVID-19 making this a novel study with clinically applicable findings.

The study used an electronic health record database from 54 health-care organizations across the United States and selected approximately 62,000 individuals diagnosed with COVID-19 between Jan 20, 2020 (date of first recorded COVID-19 case in the U.S.) and Aug 1, 2020, for the cohort. Of these cases, approximately 73% had no previous mental health diagnosis and were compared to control groups hospitalized for conditions independent of COVID-19 (i.e. influenza, other respiratory tract infections, skin infections, cholelithiasis, urolithiasis, and fracture). Confounding variables such as predisposing conditions and behavioral risk factors were accounted for and factored into the statistical analysis of the study results.

The primary outcome of this study, diagnosed with a psychiatric illness 14 to 90 days after being diagnosed with COVID-19, showed a 58% to 224% increased likelihood of the first-time diagnosis with a psychiatric illness compared to controls. Furthermore, the estimated probability of diagnosis with a psychiatric illness after COVID-19 was 5.8% after 90 days post-diagnosis with the most common diagnosis being anxiety disorders (adjustment disorder, generalized anxiety disorder, PTSD, and panic disorder) at 12.8% followed by mood disorders (9.9%).

Figure 1- Curves represent the onset of first psychiatric diagnosis 14 to 90 days after being diagnosed with COVID-19 compared to control groups diagnosed with other respiratory tract infections1.

Results indicated a low probability of psychotic disorder diagnosis in the 14 to 90 days after COVID-19 diagnosis (0.1%) similar to control groups without COVID-19 diagnosis. The rate of first or relapsed psychotic disorder was 0.9% which was significantly higher than controls. The probability of insomnia diagnosis was significantly higher in the COVID group than in control groups at 1.9% and the probability of being diagnosed with dementia in adults 65 years of age or older was 1.6%, more than double the control group. The probability of being diagnosed with any psychiatric illness in the 14 to 90 days after COVID-19 diagnosis was 18.1% compared to controls and those requiring in-patient admission for COVID-19 treatment were at a 40% higher risk of psychological sequelae.

Of note, the control group had higher rates of psychiatric sequelae when health events occurred on or after April 1, 2020, and the differences in outcome between control groups and COVID-19 diagnosed patients were less substantial. Nonetheless, the rate of psychiatric illness was still higher after contracting the coronavirus.

Furthermore, having a psychiatric disorder diagnosis in the year prior to the global pandemic was associated with a 65% increased risk of contracting COVID-19 and was highest in older patients. The results remained significant if it was the patient’s first psychiatric diagnosis, were diagnosed in the past 3 years, among patients whose race was known, no physical risk factors for COVID-19, and problems related to housing or economic circumstances. There was no major difference between the risk of the coronavirus when comparing psychiatric diagnoses against each other.

Based on these findings we can infer that patients diagnosed with COVID-19 have an increased risk for mental illness or symptoms of psychological sequelae in the weeks following coronavirus. It is difficult to say whether this is attributed to the impact of the virus directly or the psychological distress that comes with contracting an infection we still don’t know much about.  However, it is safe to assume that the coronavirus impacts mental health, and those already diagnosed with psychiatric illness are at an increased risk for contracting the virus.

If you would like more information about therapy treatment services, please contact Specialized Therapy Associates at (201)-488-6678 to make an appointment. You can also visit us online at Specialized Therapy.

 

By Taylor Groff, MS Functional Nutritionist

 

References:

1. Taquet, M., Luciano, S., Geddes, J.R., Harrison, P. (2020). Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62,354 COVID-19 cases in the USA. The Lancet Psychiatry. DOI:https://doi.org/10.1016/S2215-0366(20)30462-4.

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What is a Health Coach and How Can They Help Me?

You may have heard of health coaches, but not really know much about what they do and what the benefits are of working with one.

A health coach is different from other providers you may encounter. A coach does not diagnose, treat, or prescribe. A coach is a partner, someone to support and guide you toward optimal health and wellbeing.

A health coach will:

• Assist you to identify your vision and priorities
• Explore your strengths, values, and dreams
• Focus on the present and the future
• Support you to achieve the goals that matter most to YOU

A health coach will not:

• Tell you what to do or give you all the answers
• Focus on what’s wrong or what needs “fixing” (you’re not broken)
• Set the agenda and determine what you need to work on
• Analyze your past, resolve traumas, or manage a crisis

Why Should I Consider Health Coaching?

Working with a coach helps you get from where you are to where you want to be. Health coaching focuses on the “whole person” and is customized to your particular goals and unique needs. There are no one-size-fits-all approaches.

Topics that are commonly addressed in health coaching include, but are not limited to:

• Making healthier food choices
• Managing stress
• Optimizing sleep and energy balance
• Incorporating more physical activity
• Work-life integration
• Self-Care – such as making time for things that bring you joy

Making small, gradual changes over time can yield significant results. Partnering with a health coach can positively impact your body, and mind, and help you take your health to the next level.

To learn more about our health coaching services or sign up for a FREE consultation with our health coach, call 201-488-6678.  Our partners at FxMed Centers, offer the best-in-class integrative health coaches.

By Anna Sandbank, LCSW, INHC, Director of Integrative Mind-Body Health, Specialized Therapy Associates, Fx Med Centers, Xceptional You

Disclaimer: This post is for informational purposes only. It does not constitute medical advice or replace treatment or intervention by a qualified medical or mental health professional.

The post A Health Coach and You: How can they Help You. first appeared on Specialized Therapy.

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• Rest & Relaxation: Stress is one of the most prevalent causes of fatigue. We often react to chronic stress with a fight-flight-freeze response. “Fight” may mean increased irritability or reactivity. “Freezing” may look like shutting down or disengagement. And “flight” may entail feeling a need to escape or run away. Day to day threats, whether real or perceived, and the cascade of hormones and neuro-chemicals that follow, can leave your system depleted and in need of serious repair. Implement one new relaxation technique such as meditation, reading, journaling, listening to inspirational music or whatever allows you to feel calm.

• Sleep: Sleep is one of the most underrated tools we have. Clearly, lack of quality sleep can leave you feeling tired, but did you know that over time, being sleep deprived can set you up for mental and physical illness? Sleep is needed for cellular repair, detoxification, brain health, immunity, and balanced mood and hormones. Our non-stop culture and 24/7 access to information and entertainment can trick you into thinking of a full night’s sleep as optional. If you are struggling to fall asleep, waking in the night, or wake up and do not feel rested, start with the basics: eliminate exposure to blue light, have a wind-down routine, make sure your bedroom is sufficiently cool and dark, and avoid working in bed.

• Nutrients: Food is meant to make you feel nourished. But if what you are eating leaves you feeling fatigued, it may be due to a food sensitivity, such as gluten, poor blood sugar balance, or a lack of micro-nutrients such as vitamins, minerals and antioxidants. Beyond avoiding sugar bombs and reading labels, focus on adding in a rainbow of vegetables each day. Eat a combination of fat, fiber and protein from whole-food sources to avoid spikes and crashes in your energy levels. Work with a practitioner to try an elimination diet or get tested to rule out any food sensitivities.

• Movement: Physical activity doesn’t have to mean a grueling workout. In fact, studies show that more moderate exercise is less likely to contribute to inflammation than a more strenuous regimen. Do what you enjoy most, whether that’s walking, biking, tennis, dancing, swimming, yoga or MIIT (moderate- or medium-intensity interval training). Movement is important for your body and mind, supporting detoxification pathways, mood, insulin sensitivity, stress, immunity, longevity, and yes, energy-balance. Speak with your health or medical practitioner prior to starting a new exercise plan, especially if you are recovering from an acute illness, have a chronic condition or suspect adrenal issues.

• Connection: Whether you are still adjusting or have already adapted to life “at home”, this can be a time of significant isolation, even for those with family or friends nearby. Detachment from significant others, withdrawal, or even a feeling of disconnection from yourself, can be read flags. If you don’t feel secure spending time with loved ones even while physically distant, outdoors, with a mask, try spending time in nature. Connection to the natural world can increase perspective, optimism, and take you beyond the four walls of your home, or your mind. Speaking of nature…

• Sunlight: You know how plants need sunlight to thrive? So do we. If you are finding yourself spending days on end indoors, this can definitely contribute to low energy and fatigue. There are plenty of ways to venture out in a safe and secure way. This may mean a walk around the neighborhood. Perhaps a day trip to a botanical garden or beach. Try hiking in a forest, boating on a lake, or even a picnic in a local park. You can even make it a point to have a meal outside on your deck, patio or yard each day. Sunlight is an important source of vitamin D and can help lift your mood, boost immunity and help you get more restful sleep.

• Tech break: More than ever, we are attached to our devices. In addition to excess exposure to blue light and its consequences for sleep, bombardment by media images of danger and suffering, or increased sedentary lifestyles, both the American Academy of Pediatrics and American Heart Association advise dramatically reducing time on tech for both children and adults. This can help combat fatigue. Even if you and your family need to stay connected for work and school, identify certain times each day or places in the home, to have a “screen-free zone” such as the dinner table or between 10pm and 8am. Experiment by staying off media for several hours or even one whole day to sense the difference in how you feel. Focus on what you will gain, such as time or energy, instead of what you will potentially miss out on.

• Functional Medicine: Many illnesses can lead to fatigue, in some cases extreme. Functional medicine uses root-cause assessment and resolution to find out why you are having the symptoms, and provides a more comprehensive plan for how to address them. If you suspect an illness such as autoimmunity, fibromyalgia, anemia, chronic fatigue syndrome, adrenal insufficiency, gut imbalance, infections, or thyroid issues, a functional medicine practitioner can help you combat fatigue and can offer a more lasting solution. Learn more at https://fxmedcenters.com/

• Therapy or coaching: Fatigue and exhaustion can be serious. Don’t ignore the signals. Depression, anxiety, bipolar disorder, alcohol use disorder, and many other conditions can increase fatigue, and if you have fatigue, it can make these conditions harder to manage. If you are struggling with your emotions, mood, relationships, or traumas, consider working with a therapist. If you are interested in implementing some of the above lifestyle suggestions, but aren’t sure how, or would benefit from more support to follow through, a coach can partner with you to work toward your goals and help you make your vision a reality. Call 201-488-6678 to learn more or schedule your first appointment to help combat fatigue.

By Anna Sandbank, LCSW, INHC, CMHIMP, Director of Integrative Mind-Body Health, Specialized Therapy Associates, Fx Med Centers, Xceptional You

Disclaimer: This post is for informational purposes only. It does not constitute medical advice, or replace treatment or intervention by a qualified medical or mental health professional.

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