Month: December 2013

Categories
Adolescence Holidays Mental Health Mindfulness Recovery Self-Care Service Spirituality Teen Activism Wellness

Resolution, Schmesolution: Create a New Year Theme

© 2013 sarit z. rogers — all rights reserved

It’s that time: New Year’s Eve celebrations are upon us! For many, it’s the time of year often met with party plans and resolutions. Parties and resolutions together sound like a juxtaposition and affect some legitimate irony, but nevertheless, they go together for most people every 31st of December. However, if you are in recovery, have clearer eyes and hopefully a wiser mind, things might look a bit different during this time of year.

 

There are several articles offering tips and guidelines for setting up the “perfect” New Year resolutions, 0r embarking on a New Year cleanse, or signing up for a New Year workout plan. The one thing all of these have in common is the idea that you can and will actually commit to changing a bevy of major things just because it’s the New Year. Sadly, many fail or abandon those impassioned resolutions after a few weeks. One article in particular stuck out to me. This article suggests creating a theme for the New Year rather than a resolution. A New Year’s Theme! That is right in line with the New Year Intentions I have suggested in the past. Both of these, a theme or an intention, are something that can easily be created, worked with and maintained throughout the year. Rather than seeking perfection, or a grand, finite accomplishment, a theme or intention allows one to slowly change behaviors and invite the possibility of more long-term, sustainable changes.

 

What might your New Year’s Theme or Intention be for 2014?

 

Kindness: The wonderful quality of being friendly, generous, and considerate. You can choose to practice random and not so random acts of kindness throughout the year. Make it a year of being kind when you might otherwise be gruff. Invite some personal curiosity and investigation about what it might be like to respond to difficulty with kindness instead of anger or fear. It’s an interesting one to work with, but everyone can be kind and deserves kindness in return.

 

Mindfulness: Also looked at as keen “awareness,” mindfulness is an astute awareness of reality and the present moment.  It is an acknowledgement that things are just as they are in that moment. If you make mindfulness your New Year theme, perhaps you will begin by investigating the contemplative practices of meditation and yoga. Or perhaps it might mean choosing not to use your cell phone when you are walking around and instead bringing your awareness to your surroundings and becoming more present. It might mean driving without the radio on, or not always having your cell phone nearby. It might mean eating dinner without the television on so you can be more present with your family. Remember, it is not about perfection; this is a practice.

 

Wellness: If you are desirous of changing your health or the way you eat or the amount of activity you engage in, this is a wonderful theme. You might do this by ruling out meat for one day a week, or by eating more greens. You may choose to limit your caffeine, or cut down on your cigarettes or vape pens: eventually you may even quit! You can increase your wellness, that healthy balance of mind, body and spirit, even if you start small. In fact, small changes over a long period of time have a longer lasting effect.

 

Movement: Increase your physicality in 2014. You can start with walking more or riding your bike. If you usually drive to the corner store or to a meeting that’s only a mile away, try riding a bike once a week! The more you do ride your bike or walk, the more it might become a habit. Honestly, there’s no concrete rule about how long habits take to form or break. Instead, look at this as small opportunities for personal change.

 

Service: Make 2014 your year of being of service! Take a commitment at a meeting and keep it for a year. Volunteer to feed the homeless. Volunteer at an animal shelter once a week. Find a cause you believe in and get involved in raising awareness about it. Being of service is the fulcrum of recovery; “We can’t keep it unless we give it away” is one of the most-often repeated sayings relating to being of service. Write it on something you can always see to remind you to get out of yourself and into action.

 

No matter your theme or plan, the New Year is a time of reflection and growth. It is an opportunity to reflect on the past year so we can grow into the new one. May you ring this New Year in with self-care, compassion, kindness, and great joy. We wish you a wonderful New Year celebration and look forward to celebrating and growing with you in 2014.

Categories
Adolescence Mental Health Prevention Recovery Stress

8 Ways to Kick Stress to the Curb

Stress can be really high at this time of the year. Family reunions aren’t always easy, money can be tight, and if you are newly in recovery, the temptation to imbibe is high. The reality is, stress if everywhere no matter the time of year; it’s how we manage it that makes the most difference. Developing quality coping skills is an essential piece to managing stress. Here are 8 tools to help you manage your stress and have fun while doing it!

 

1: Create some healthy rituals: take a bath before bed, do yoga or meditation in the morning before you start your day or before you retire at night.

 

2: Get outside: take walks, go on hikes, do whatever you need to do to get some sunshine (even in December) and absorb some of that healthy Vitamin D. If going outside isn’t an option (say, you are in Maine and there’s an ice storm!), adding plants to your home or workspace can elicit a similar sense of calm and reduce stress.

 

3: Do something that is relaxing and which allows to turn off your head: do a puzzle, knit or crochet, read a book, draw, go surfing or skiing. Essentially, do something that focuses doing something with your hands or body.

 

4: Use positive imagery or meditation to ground (stay connected):

 

A: Check in with your mind and body and visualize a safe space where you are rooted to the earth, and connected to your breath and body. Find an image that is soothing for you and breathe into that heart space.

 

B: Place one hand on your belly and one hand on your heart: breathe into your hands for a minimum of 3 cycles of 10 breaths.

 

5: Exercise: go for a run, walk, or hike. Take a spin class, or go to yoga. Get your endorphins going. You’ll be amazing at the stress relief you find!

 

6: Breathe. Take long, deep breaths. The longer your exhale, the more efficient you are at activating the parasympathetic nervous system.

Try this: breathe in for the count of 4, breathe out for the count of 5.

Do this several times. In layman’s terms, the parasympathetic nervious system is what calms you down. It is essentially the emergency medical technician of your nervous system. The best thing about the breath: It’s portable, you do it all the time, and it’s easy to use.

 

7: Have a dance party.  Put on some silly tunes and rock out in your kitchen, or living room, or wherever the mood strikes you. The goofier, the better.

 

8: Say “No.” You don’t have to always say “Yes” to someone’s request. If your plate is too full, say “No”! Creating those boundaries will lesson your stress. You can only do so much.

 

Be kind to yourself this holiday season and beyond and Kick Stress to the Curb. As the Buddha said, “You yourself, as much as anybody in the entire universe, deserve your love and affection”

 

Categories
Feelings Holidays Mental Health Prevention Recovery Self-Care Stress Wellness

Compassion and Kindness Over Holiday Hustling

We are neck deep in last-minute holiday madness! Traffic is catawampus, and the stores

are loud and overly crowded. I am noticing and experiencing a real hustle and bustle to get things done for the upcoming Christmas holiday, but for many of us, holidays can represent added stress and perhaps anxiety.

 

How about flipping the holiday coin, so to speak, and leaning into the recovery work you’ve been doing around stress and anxiety? Try taking a look at this holiday as an opportune time to work with your discomfort and begin to hold some internal space for it. You may begin to notice some of the other amazing things that occur during this time of year: joy, friendship, abundance, and generosity, community and togetherness.

 

Here are some thoughts on how to do this while also taking care of yourself at the same time:

 

Self-care: You need to care for yourself first before you can care for others. You can’t do anything effectively if you are pulling from an empty well. So, what does that self-care look like for you?

 

Be of service: Do one random act of kindness every day (more if you are inspired).

 

1. Buy a coffee for the person behind you at Starbucks.

 

2. Buy a homeless person a meal.

 

3. Help someone with their groceries at the market.

 

4. Volunteer at an animal shelter.

 

5. Offer to help an elderly neighbor or with their groceries.

 

6. Take a commitment at a meeting. The greeter commitment is a favorite because you get to meet new people.

 

Be kind (to yourself and to others), even when you don’t want to.

 

Practice compassion. “Sympathetic concern for the sufferings and/or misfortunes of others.” There’s a difference between pity and concern: Compassion isn’t a way to feel sorry for someone. It’s an opportunity to show care and kindness to the suffering of others.

 

These small acts of kindness and service during the holidays may actually decrease our focus on stress and anxiety created around the holiday itself. Acts of kindness and compassion facilitate connection with others and allow us to let go of some of that stress and anxiety we are holding onto. Connected action allows us to reconnect with the roots of what the holiday is really about: community, love, and togetherness.  Ironically, all that running around to get last-minute items actually makes us disconnected.

 

So, I leave you with this: a video of two 16-year-olds engaging in random acts of kindness. They dress up as superheroes, wearing tights and capes, and running around paying for people’s food, giving tips to waitresses without even ordering, helping people out when they see they’re struggling to pay for something, and feeding a homeless guy. What can you do this holiday season to practice random acts of kindness? You don’t need a cape and tights, just some willingness to be kind.

 

 

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Categories
Adolescence Communication Mental Health Parenting Recovery Therapy Trauma

Healthy Boundaries Make for Healthy Teens

© sarit z rogers

What steps can you take to ensure that you aren’t in violation of someone’s boundaries? For example, not everyone enjoys being hugged, nor is it always appropriate to express that level of touch. From the perspective of a teacher or a therapist, one must understand the innate power differential that exists between teacher and student or therapist and client. One is looking to the other for advice and pedagogic elucidation, and one is holding the power to elicit such information. We therefore need to be thoughtful in our approach to employing touch in these situations.

 

In a therapeutic environment such as Visions, we address more than substance abuse and mental illness; we are facilitating the excavation of trauma and creating safe boundaries. It’s important to maintain awareness around our own sense of boundaries and how execute them. Asking ourselves these questions and contemplating the answers through talking to our peers and writing them out will help you discern where you may need some work, and where you are strongest:

 

  1. What does it mean to set boundaries?
  2. Is it hard to say “no”? If so, what does saying “no” feel like?
  3. How do I feel when my boundaries are crossed?
  4. What is my reaction internally and externally?
  5. Am I afraid to set boundaries? Why?
  6. What is my history around setting boundaries?

 

As clinicians and teachers, it’s imperative that we know and understand where our weak spots are so we can work on them. For some people, it’s not uncommon to wait until someone pushes us to our edge before we set a limit. The desire to please others or to be liked plays a part here, and our own backgrounds and upbringing will also effect how we interact with others. Perhaps we come from a family where hugging and touch is part of the norm. It may be natural for us to reach out and hug someone when they are suffering, but it’s not always appropriate.

 

Hugging a client may be a violation of a boundary, but if the client has been traumatized in some way, they may not know how to set that boundary. Likewise, if a client persistently tries to hug you, you have to maintain a firm boundary so they learn to understand what is and what is not appropriate. I was volunteering at my son’s school recently, and a kid came up and hugged me, not wanting to let go. It was a child I don’t know and it was a clear violation of my boundaries and the school’s rules. I gently moved away and held a boundary with this child until he moved on. Teens look to us as examples to learn from and to emulate. If we don’t show strong, safe boundaries, they won’t be able to either. Understand that the boundaries we create encourage freedom to be who you are while creating a safe container for healing and recovery.

Respecting boundaries applies to parents too. If the family dynamic has been compromised, parents have to work to rebuild a healthy and safe family structure. Creating solid boundaries is key in that process. Adolescents love to push buttons and stretch boundaries; they are smack dab in the center of their individuation process. That doesn’t mean you, the parent, have to give in. Remember: “No” is a complete sentence, and when it’s said with certainty and conviction, it makes all the difference. A wishy-washy, non-committal “no” may as well be a “maybe” or a “yes.” Poor limits leave room for negotiation where there shouldn’t be.

We all have a part to play in creating safe limits whether we are parents, teachers, or clinicians. Kids, in their infinite wisdom and testing behaviors, demand strong limits, whether they admit it or not. Boundaries create safety. They provide defined parameters in which to develop and grow. So as much as a teen may push, inside, they really do respect a firm “No” and a defined environment.

Categories
Addiction Prevention Substance Abuse Synthetic Drugs

Taking a Look at Krokodil–The Flesh-Eating Street Drug

We’ve done several blogs on the street drugs Molly, K2 and Spice, and now it’s time to take a look at Krokodil. Krokodil is a homemade heroin substitute birthed in a rural part of Russia. Its primary ingredient is desomorphine – a morphine derivative once used in Switzerland in the 30s under the brand name Permonid because of its effectiveness and reputation for being short-acting with a quick onset–it’s around 8-10 times more potent than morphine. The street use is far different and much more sinister.

 

Krokodil is manufactured from what is purported to be a simple synthesis of codeine combined with ingredients such as paint thinner, iodine, and red phosphorus (among other things).  Toxic city! And it’s aptly named Krokodil because its use can turn your skin black, green and/or scaly—like a crocodile. David DiSalvo at Forbes wrote that it is “Essentially a corrosive acid with opiate effects, it (sic) destroys body tissue the way battery acid eats through plastic, opening large sores that can go all the way to the bone.”  Russia is the largest consumer of heroin in the world, and Krokodil is its street-ready replacement since  heroin has become harder and harder to obtain. The extreme poverty in rural Russia and desperation for escape is fueling a dangerous addiction.

 

So far, krokodil isn’t a real threat to the US, where heroin and other street drugs are easy to come by. However, when two patients in Ohio claimed to be using the drug, and were showing signs they were suffering from the consequences of krokodil use, Dany Thekkemuriyil and Unnikrishnan Pillai, both physicians at SSM St. Mary’s Health Center in Richmond Heights, Mo, reported their findings to the American Journal of Medicine. Right now, the main issue with this particular synthetic drug relies on its prevalence in other countries.  Purportedly, the cases in the US that were initially believed to be krokodil have not been confirmed and none tested positively for desomorphane. What we are especially seeing is the International effects of a dangerous street drug borne out of poverty and hosted by severe addiction and despair. It is cause for concern from a global standpoint. This is also a great reminder to remain knowledgeable about what drugs are out there, not to encourage panic, but to arm ourselves with clearer understanding and awareness. The truth is, we need to be more aware of drug use, carry out proper disposal of medications after they are no longer needed, and begin using healthier resources to manage our stress and discomfort. There’s no need to start playing scientist to get away from our feelings.

 

Categories
Adolescence Recovery

Risk-Taking Behaviors Hardwired in Adolescence

(Photo credit: JohnONolan)

In a recent study from Temple University, psychologists Laurence Steinberg and Jason Chein, CLA ’97 discovered that teens are more likely exhibit risk-taking behaviors with friends around but not for the reasons we typically think! In fact, these researchers took their study away from humans and researched the behaviors of mice. Their findings challenge the assumption that “most people attribute the peer effect on adolescent risk-taking to peer pressure or the desire to impress friends.”

 

Steinberg and Chein raised several mice in same-sex triads and monitored their alcohol consumption as teens and as adults—half of them were tested alone and the other half were tested with their “peer mates.” The researchers found that the adolescent mice drank more alcohol when their peers were present than the adult mice.  Steinberg says,

 

“The outcome of this study, in combination with our other recent findings involving human teens, indicates that the peer influence on reward sensitivity during late adolescence is not just a matter of peer pressure or bravado or in any way dependent on familiarity with the observer. Because adolescents find socializing so rewarding, we postulate that being with friends primes the reward system and makes teens pay more attention to the potential payoffs of risky decisions.”

 

In 2011, Steinberg and Chein did a similar study, researching the brain activity in teens, young adults, and adults as they made decisions during a simulated driving game. They determined a similar result: adolescents took more risks when they knew their peers were watching them.  In another study by Steinberg and Chein, they delved further into their theory and found that familiarity doesn’t play a part in this behavior. Teens typically take more risks when they are surrounded by their peers.  Laurence Steinberg suggests, “Adolescents’ reward-seeking behavior may in fact be a hardwired, evolutionarily-conserved process.”

 

Teens like to take risks. It’s in their nature and part of their developmental process. The persistent swagger, braggadocio, and desire for autonomy are par for the course. Parental awareness is key: we can accept some of it and laugh it off, but the dangerous actions and risk-taking behaviors need to be addressed. We can certainly teach accountability, even to a risk-taking teen.

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Temple University. (2013, December 9). “The presence of peers affects adolescents’ reward-seeking behavior.” Medical News Today. Retrieved from
https://www.medicalnewstoday.com/releases/269798.

Logue, S., Chein, J., Gould, T., Holliday, E. and Steinberg, L. (2013), Adolescent mice, unlike adults, consume more alcohol in the presence of peers than alone. Developmental Science. doi: 10.1111/desc.12101

Categories
Adolescence Education Mental Health Recovery Treatment

The Benefits of Blending School and Treatment

There is tremendous value in blending school and treatment. Many clients come to us

(Photo credit: theirhistory)

having fallen off-track in their education as a result of substance abuse and mental health issues. There may also be undiagnosed learning disabilities that need to be addressed. Falling grades and school pressure can create another layer of stress and panic for a teen. When an adolescent comes to treatment, it is our responsibility to provide them with both treatment and educational support that fosters an environment of safety and encouragement around learning and healing. At the same time, providing school and treatment simultaneously allows us to notice where an adolescent needs extra support so we can provide that client with adequate educational and clinical support.

 

I looked to Daniel Dewey, our Residential Director of Education, and Joseph Rogers, our Educational Coordinator at our Outpatient Day School for some insight and perspective, particularly since they each see both sides of the education/treatment pendulum. Daniel sees our clients from their initial point of treatment, while Joseph spends time with our clients during their aftercare process. Both of them promote and create foundational pieces to add to the bedrock of an adolescent’s recovery; they invite curiosity about learning, provide support during times of difficulty, and provide individualized methods of teaching to facilitate and nurture a healthy outlook on education.

 

Daniel gave me some wonderful insight when he said, “School is important for treatment success; when a resident can stay on track (or in many cases gets back on track) they will have a stronger foundation for their aftercare. School can be a big stressor, so if school can work with treatment, we feel residents will be better equipped to leave Visions and follow their academic path. Additionally, doing well in school tends to be a source of self-esteem for adolescents.  We want our clients to feel good about learning. Many of our clients come into treatment hopeless. It is our goal to help them see the intrinsic value in education and to guide them toward a meaningful life.”

 

Joseph gave us similar insights, which also help identify the continuum that occurs with school and treatment. He said,  “The practical piece of joining treatment and education is having the benefit of rolling enrollment – clients can enroll at any time, increasing their opportunities of getting back on track. Additionally, students may not be emotionally able or prepared to go back into a normalized educational setting. Having them in a setting that is therapeutically structured for their safety gives them the chance to practice their new behaviors before they go back to their regular school, and because we have clinicians on staff, we can react to and notice a change in behavior quickly and effectively.”

 

We understand the importance of creating a therapeutically alive and nourishing environment for our clients and their families. Placing school in the treatment arena allows us to support our clients at optimum levels, and it provides a multi-level aspect to the healing process. Blending school and treatment from the residential and outpatient perspective is a necessary stone in the path to wellness. It is beneficial to the adolescent, building confidence and self-esteem, and it is advantageous for parents to see their children simultaneously succeed in their education and in their substance abuse and mental health treatment.

Categories
Holidays Mental Health Recovery Teen Activism Wellness

Practicing Kindness, Compassion, and Generosity Every Day

Kindness (Photo credit: -Reji)

Every day is a day for practicing kindness, compassion, and generosity. In fact, these qualities and practices shouldn’t be relegated to once a year around the holidays. However, that’s often the time when we hear about it the most.  Around Thanksgiving, there’s a flood of people who commit to feeding the homeless. Ironically, that’s the one time of year that the homeless aren’t actually seeking food. The shelters, the food banks, the plethora of good Samaritans are all providing that one hot, nourishing meal. The day after Thanksgiving, however, many of us move on with our lives…until next year, when we commit to feeding the homeless of helping the helpless.

 

What happens if we consciously choose to practice kindness and compassion in this way every day? What if we decide to be of service, and practice kindness, compassion, and generosity as a way of living our lives? Would we be happier? Would we be less stressed? Would our mental health improve or at least be less overwhelming? I would garner a resounding yes to these questions.

 

Consciously choose to be kind, compassionate, and generous…every day:

 

By doing so, we have the opportunity to get out of ourselves and realize that we are not, in fact, the center of the universe. In the AA big book, alcoholics (and I am going to include addicts as well) are referred to as “selfish and self-seeking” or as the “actor, director, and producer” of their own show. By choosing to be kind, compassionate and generous in our daily lives, we have a chance to overcome this state of mind. Being of service is key.

 

Practice Joy:

 

Happiness is contagious. If you can find one joyful thing to focus on or go back to during your day, your day will be brighter. Surround yourself with joyful people, have random dance parties, revel in the little things that bring you joy. I giggle every time I hear my dog snore, or when little kids laugh, or when my son cracks a joke. Joy is everywhere, even when things feel dark.

 

Practice Gratitude:


Pay attention to the little things and find gratitude in that: the way the light hits a flower, the fact that you got a parking spot…right in front, waking up at home with family, seeing your kids, a shared smile with a stranger, or a shared joke with a coworker.  The list can go on. Essentially, begin looking at the seemingly banal and find some gratitude there.

 

Things that have gone wrong or which present difficulty for us is also something to be grateful for: These are often our greatest teaching moments.

 

Thanksgiving may have passed, but your ability to engage in compassionate acts, kindness, and gratitude are alive and well.  These practices contribute to better mental health, a fuller life, and a higher level of optimism. Being present and honoring what’s happening right now is a gift and an opportunity to open your heart.  When you show someone kindness, they are more apt to show someone else kindness. It’s a wonderfully positive domino effect!

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Great read and inspiration:

4 Happy Feelings That Are Contagious

Emotions Are Contagious–Choose Your Company Wisely

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