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Guest Post: The Ins and Outs of Drug Testing

A drug testing program

Laboratory (Photo credit: tk-link)

can be an important part of a company, school or drug rehabilitation center’s policy. Some parents have even taken it upon themselves to initiate drug testing in their own homes in the interest of keeping their children drug free.

And while most drug testing programs use the urine drug testing method, there are other ways of testing for substance abuse. We will look at the three most common drug testing methods and the advantages and disadvantages of each.

Instant drug tests and lab drug tests

 

All drug testing falls into one of these two categories.

 

Instant tests, as the name implies, can be done on the spot and give you instant results in just a few simple steps.

 

For laboratory testing, you of course have to go to a laboratory where the tests are performed with sophisticated equipment. Samples can be collected either at the laboratory or collected off site and taken to the lab for testing.

 

Drug testing programs in business or institutional environments will usually include a two step process that includes both instant and laboratory tests. An instant test will be performed initially and if that returns a positive result, a follow up test on the sample will be performed at a laboratory. These lab tests are important because instant test results aren’t admissible in court. If the test result is to be used for a legal matter, such as termination of employment, for example, the sample must be laboratory tested for confirmation purposes.

 

The obvious advantage of instant drug testing is that it gives you instant results. The instant drug testing kits are also inexpensive compared to booking laboratory time for drug testing. With many kits, it’s also possible to test for multiple drugs at the same time. Some of them can even test for over a dozen drugs that include all the common street drugs, plus prescription drugs.

 

As for disadvantages, aside from the fact that the results are not admissible in court, another knock on instant drug tests is that they do give the occasional false positive reading. Even worse, they also give the occasional false negative reading.

 

On the laboratory side, the advantages are that the testing is handled by professionals and the results can be used in court, as they confirm the presence of drugs. The expense, plus the time it takes to get results, which ranges from hours to weeks, are disadvantages to laboratory testing.

 

By combining instant drug testing and laboratory testing, costs can be kept down by primarily using the instant tests and only sending the samples that give a positive result away for laboratory confirmation.

 

Different Types of drug testing

 

Although you may occasionally see blood and sweat referenced in terms of drug testing, and both those bodily fluids can be used, the three most common ways of drug testing are by using samples of urine, saliva or hair.

 

It is possible to use an instant testing kit when using urine or saliva to drug test. With these kits, you can collect a sample anywhere (you’ll need a private place for urine, obviously) and test the substances right on the spot. Or, you can collect the samples and have them sent away to a laboratory for testing.

 

Hair testing cannot be done instantly. Hair samples can be collected any place, but the actual testing will have to be done at a laboratory.

 

Urine

 

As far as the most common way to drug test, urine reigns supreme. It’s used in the majority of employment testing, pre-employment screening, military and sports drug testing.

 

Depending on the type of drug and other factors like a person’s body composition, urine tests can detect drugs in a person’s system from a few hours after they’ve ingested them until about a week afterward, maybe a bit longer.

 

The instant urine drug tests require a person to give a sample of a certain size and then seeing how that urine reacts with specific chemicals meant to detect drug metabolites.

 

Tests come in different formats like testing strips, where you dip the strip into the urine, or testing cassettes where you have to transfer some of the urine onto the cassette. A popular instant urine test for obvious reasons is the all-on-one cups where you get the sample donor to fill a cup and you put a lid on the cup and push a button to enact the test, never needing to actually interact with the liquid.

 

Laboratory urine tests will involve doing an instant drug test (known as immunoassay tests) and if the results are positive, running a more sophisticated (and expensive) test that usually involve gas chromatography–mass spectrometry or a similar type of test.

 

Obviously the advantages are that this type of testing can be done quickly and relatively inexpensively, plus, because it’s the most common type of drug testing, most people are familiar with it already.

 

The disadvantages of urine testing are that the sample collection can’t quite be done anywhere. The collection process is also a bit invasive. In some organizations like the military, sample collection must be watched.

 

And urine tests can be cheated. Some common forms of cheating include:

 

  • swapping in someone else’s clean urine,
  • drinking excessive amounts of water or other liquids to dilute the sample, and
  • adding a foreign substance (salt, vinegar, bleach etc.) to the sample.

 

Fortunately, these types of cheating can be easily thwarted. Temperature strips can detect when urine isn’t body temperature, which a fresh sample would be. Also, observation of the sample collection prevents swapping. Many tests can detect watered down samples and properly trained testing technicians will be able to spot a diluted sample, not to mention that most drugs aren’t water soluble so this won’t help people cheat in a lot of cases anyway. Many modern instant tests are also equipped to detect adulterated samples, as well as the aforementioned properly trained drug testing technicians. Laboratories will have safeguards in place to detect cheating.

 

Saliva

 

Often referred to as oral fluid tests, they involve taking a swab of fluid from the mouth of the sample donor. The results are available instantly and these tests can detect drug use from about an hour after usage to a few days after usage depending on the type of drug.

 

The relatively short period of detection is one of their disadvantages.

 

However, a clear advantage is that the collection process for saliva testing can be done anywhere and can be observed without privacy concerns.

 

As far as cheating, it has been noted that gum and cigarettes can interfere with the results of these tests, so precautions have to be taken to ensure no gum is chewed or cigarettes smoked immediately prior to the test.

 

Hair

 

Hair testing involves cutting several dozen strands of hair from a person’s head or body and sending them to a laboratory for testing (the sample collection can also be done in some labs). Short hair is perfectly fine to use and, as mentioned, body hair can also be used. And while cutting off a person’s hair is obviously somewhat invasive, the hair is cut from the back of the head from a few different spots so as to not be obvious.

 

In the lab, the hair will be liquified and then split into its various components to check for drug metabolites. A huge advantage for hair testing is that it can check for drug use as far back as three months prior to the date of the test. And, not only can it detect the type of drug used, but also how frequently it was used.

 

Another huge advantage is that it is impossible to cheat. The internet is full of “advice” for people on how to cheat a hair drug test, but no shampoo, dye or bleach can change the molecular makeup of the hair, which is what the tests look at.

 

However, aside from the aforementioned invasiveness, hair testing has other disadvantages. It’s more expensive than either urine or saliva testing, there is no instant option and drug metabolites won’t show up in hair until about a week after usage. So, for example, if a person used cocaine on Tuesday and a hair sample was taken from them the following Thursday, the cocaine usage from two days beforehand would not be detected.

 

Whether used in a professional environment or in the home, drug testing can help keep employees, students, children, athletes and others free from the harmful effects of drugs. Each has its own advantages and disadvantages and which one is best for any given situation will depend on cost and other factors.

 

About Our Guest Blogger: Lena Butler

Lena Butler is a health blogger and customer service representative for TestCountry, a San Diego based point of service diagnostic test service provider that offers a wide range of laboratory and instant drug and general health testing kits. You can follow Test Country on Twitter and on Facebook. Follow Lena on Twitter as well!

Categories
Depression Feelings Mental Health Recovery

How Do You Overcome a Fear of Happiness?

Do you suffer from a fear of happiness?

Grumpy Cat (Photo credit: Scott Beale)

Now, that may seem like an odd question but it makes a lot of sense. Sometimes, we fear happiness because we don’t think we deserve it, or because we chalk it up to being something for those “other people”—the ones who “have it all” or so we think.  A fear of happiness may also be a residual effect of systemic trauma and abuse, which subversively sends us messages to say we don’t deserve happiness. Unfortunately, it is not uncommon for someone to feel unworthy of love, joy, serenity, wellness, and safety when they enter recovery. It takes a community of consistent support, via clinicians, peers, and family to be able to transform the attachment to misery.

 

It’s easy to get stuck in what is familiar and therefore comfortable. Conversely, it’s incredibly difficult to confront that perceived comfort to ask yourself if you deserve better. According to a recent article in Scientific American, Paul Gilbert, a psychiatrist at Kingsway Hospital in England, and his colleagues found that “a fear of happiness correlates highly with depression—but that the dread manifests in numerous ways.” Paul Gilbert goes on to say, “Some people experience happiness as being relaxed or even lazy, as if happiness is frivolous and one must always be striving; others feel uncomfortable if they are not always worrying. It is not uncommon for people to fear that if they are happy about something, it will be taken away.” Research is showing that there is a correlation between a fear of happiness and a decline in mental health. Avoiding happiness can lead to depression. Findings have shown individuals with a major depressive disorder are apt to repress any emotions associated with positive or negative stimulus more than a healthy subject would.

 

Take the Quiz: Are  You Afraid of Happiness?

 

One of the interesting things I’m seeing in this research is the urging for clinicians and clients to work through the fear of happiness as they would any other fear. Much like anything else you are afraid of, overcoming that fear takes a process of taking consistent baby steps. In the case of happiness, learning how to experience glints of happiness and or moments of pleasant emotions is an essential component in finally discovering the ability to be happy.

 

I also want to acknowledge there are some who view happiness as a luxury—something for those who don’t have as much to suffer from. This is particularly the case when happiness is directly associated with “stuff,” ie., having a smart phone, a fancy car, that guy or that girl, the “right” clothes, or being part of the popular crowd.  When we attach happiness to things, what we may find instead is disappointment. Here, happiness isn’t so much feared as it is resented.  Working on that resentment is a different process and one that still requires unpeeling the resentment piece by piece to get to its core. The fact is, we all deserve to be happy.

 

How have you overcome a fear or resentment of happiness?

 

 

Categories
Parenting Recovery

5 Challenging Teen Behaviors: Parenting With Awareness

Parenting a teenager is no walk in the park.

Embarrassing parents – swan duckling (Photo credit: @Doug88888)

They are hard-wired to defy, irritate, be irritated,rebel,question, and be dramatic; what better way for a human being to learn how to be authentically who they are, right? As a parent, however, those adolescent behaviors can be frustrating and overwhelming. A key component to working with this behavior is creating good boundaries. Setting really clear boundaries shows teens they are safe.

 

Here are 5 challenging teen behaviors and suggestions for healthy parenting responses:

 

1:  Oh the Drama! Everyone is horrible and out to get them, life is full of “he said,” “she said” problems and absolute statements like, “Mom! You just don’t UNDERSTAND!”

Parents, this is a great opportunity for mirroring. While you know that the world isn’t out to get your teen, learning how to respond to them kindly is important for their emotional safety. With mirroring, your job is not to analyze or sympathize but to reflect back what was said. In doing so, you are saying to your teen, “I see you,” something teens often don’t feel from adults but desperately need. Being “seen” is something vital to building self-awareness and confidence. They need to know they are being seen and heard without being judged. Here’s an example of mirroring:

Teen: “School was horrible, everyone’s a jerk,”

You: “I hear today was difficult at school.”

In this example, you are actively listening instead of analyzing the problem or trying to fix it. Sometimes, kids just need to vent.

 

2: “I hate you!” “You’re ruining my life!” “Why don’t you let me do ANYTHING?!”

In adolescence, teens are continuing to individuate. They are trying to find out who they are as individuals — separate from who their parents are. As a result, teens attempt to pull away from the familiarity and safety of their familial setting in order to find their own authenticity, and often times they do this harshly. This is not easy to watch and it is harder still not to take the behavior personally. However, this doesn’t mean parents become doormats for their kids or receptacles for abusive behavior. Create boundaries and disallow abusive language or violent behavior while continuing to support the process of discovering oneself. Your job as the parent is to remain calm amidst the storm: A:  adolescence is temporary, and B: your parents survived. Ensure you are getting time for yourself and for self-care. Remember, if you are an empty well for yourself, you are an empty well for your child.

 

3: Not THAT friend.

Rest assured, there will come a time where you will feel with absolute certainty that one of your teen’s friends is questionable. Before you toss this friend to the wolves, ask yourself why this kid is so triggering for you. Are you reminded of something? Do you see yourself in this child? Are the parents troublesome? Do you have information your child doesn’t have about the family? Understanding why we’re reacting the way we are can be profoundly helpful. It may prevent us from projecting our fears onto the innocent. This also presents an opportunity to open up a dialogue with your teen about safe friends, safe behaviors, as well as to talk about the red flags for dangerous behavior. After that discussion or series of discussions, if a friend is truly dangerous, you have to set firm boundaries. Sometimes arming your teen with knowledge will allow them to see the wolf in sheep’s clothing themselves. However, sometimes, it won’t and it will encourage a teen to rebel further. In this case, you may have to set firmer boundaries or take more drastic measures. You are at the helm of the parenting ship and it remains your responsibility to create and maintain safe boundaries for your teen and your family.

 

4: “You’re so embarrassing!”

It’s so tempting to hug and show affection to your teen, especially if you come from a family that is demonstrative with their expressions of love. But nothing is more embarrassing to a teen than having their overenthusiastic parent insist upon squishing their son or daughter in front of their friends. In fact, it’s mortifying. So, as much as you hate to do it, try and curb your enthusiasm, at least while you’re in public. The overarching message: love your teen but don’t show it. Ew.

 

5: “Put the phone DOWN!”

Oh, technology, what would we do without you? Everything has been made so much easier because of the advances in this area, and we are at a place in our culture where we depend upon it for efficiency. As I’ve mentioned in another post, we have unfortunately taken this tool for connection and unfortunately become terribly disconnected. To help families reconnect, I suggest setting some rules aka boundaries around phone use. Limit phone use (texting and calls) until homework is done and ask everyone to turn them off at dinner.  Make a commitment to connect in real time, it’s invaluable for opening the heart.

 

Our teens are growing up and becoming the best humans they can be. Our job as parents is to nurture them into the big shoes of adulthood. We have to do our best not to take their sharp twills to heart, to honor them as individuals, and to provide them with support, boundaries, and encouragement. Parenting teens can be extraordinarily challenging, especially if there is substance abuse or mental illness involved. If the latter is the case, please seek help. You don’t have to trudge the parenting path alone.

Categories
Adolescence Recovery Self-Care Wellness

3 Things in the Way of Asking for Help

Help! (Photo credit: Rainier N.)

Is asking for help a challenge for you or someone you love?

 

We often create more suffering as a result of our desire to control the outcome of a situation versus lessoning our suffering by asking for help. Frequently for those in recovery, whether from substance abuse, mental illness, or a combination thereof, asking for help is a learned skill. It’s something that is derived from doing step work, working with a therapist, and going to process groups. Sometimes asking for help requires that we confront the very thing we are struggling with: ego.

 

What does not asking for help look like?

 

1. Loss of Control. Assuming that one will lose control of a situation if they ask for help will inevitably create higher levels of stress. The fact is, we cannot do everything ourselves, at least not efficiently or without risk to our mental health. In our efforts to be in control, we end up feeling out of control and overwhelmed.

Ask yourself: “Would I rather do several things that are mediocre or one or two that are phenomenal?”  Or “Would it be better for me to do a little bit less but with more awareness and less stress and more effectively?”  I have honestly found that slowing down and asking for help increases one’s efficiency and lowers stress.

 

2. Fear.  Fear is another component in one’s unwillingness to ask for help. It could be a fear of not being good enough, a fear of being viewed as less than, or a fear of failure. We can turn our backs on fear or we can face it. In order to healing and evolve in our recovery, the only way out of this mess is through it. Think of it this way, the shadow on a wall is far larger than the person or thing making the shadow. That shadow tantamount to your fear: far larger than what is creating it. Asking for help is liberating. You are good enough; you are not a failure.

 

3. Perfectionism. “It has to be perfect!” “If I don’t do it, then it won’t be done ‘right.'” Does this sound familiar? You know how to do what needs to be done, and you can do it “right,” or faster than anyone else, right? Wrong. This sense that something won’t be done correctly unless we do it ourselves is a lie we tell ourselves to justify our inability or fear of asking for help. I am a perfectionist, and I can tell you, this character defect gets in my way more often than not. It is the “shadow” I work with when I struggle with asking for help. What I have started to learn is that perfection is in everything: it is in the flaws, the nicks, and the wrinkles. Embracing that has enabled me to ask for help.

Whether you are the control freak, in fear, or a perfectionist or a combination of all three, take this opportunity to pause and take some steps toward change. There is no reason you should have to do everything on your own, or from fear of judgment. With each new venture is an opportunity to do it with less suffering, and less drama.

Remember:

1: It’s ok to “not know.”

2: Perfection is a perspective.

3. Letting go is liberating.

4. Asking for help leads to self-care.

5. You cannot do this alone.

Categories
Adolescence Mental Health Recovery Self-Care Wellness

Emotional Sobriety: 5 Tools For Self-Regulation

Angry Kid (Photo credits: Giphy)

What is Emotional sobriety?

Is it perfection? Is it always feeling good or being happy, or optimistic? And what happens if you don’t meet perfection, or you have a bad day, feel anxious, angry, sad, or gasp, pessimistic?

 

Emotional sobriety is the ability to self-regulate– to self-soothe in times of duress. It is not a call to perfection. For an alcoholic, addict, or one with fragile mental health, learning to self-regulate is a foundational tool for their recovery and something they begin to learn in treatment. Therapists and counselors work tirelessly to encourage clients to begin the process of looking inward, learning to nurture themselves and hold space for the difficulties human beings often face.  Emotional sobriety is something that forms after the first stage of sobriety is attained. With it comes the ability to be present for your emotions and the ultimate goal is to become nonreactive. Sometimes, that may mean sitting with the discomfort of your emotions until they pass, and that isn’t easy.

 

Ingrid Mathieu, Ph.D, author of Recovering Spirituality talks about Emotional Sobriety with uncomplicated clarity. In her Psychology Today blog “Stop the Self-Diagnosis,” she says, “Emotional sobriety is less about the quality of the feeling (“good” or “bad”) and more about the general ability to feel one’s feelings. Being restored to sanity isn’t about getting the brass ring—or cash and prizes—or being ‘happy, joyous, and free’ all the time, but it is about being in the present moment, whatever it happens to look like.” You can enjoy the rest of her article here.

 

Here are 5 tools for self-regulation that can help you with attaining Emotional Sobriety:

 

1. Take a time out: Walk away, take 10 breaths or 20 if you’re still heated. Do some work to ground yourself and come back to your body. When we are not regulated, we tend to be outside of our bodies, placing our hands to our bellies, or on the ground or on something solid can help remind us to be present.

 

2. Meditation: I often suggest that one practices what are called the brahma viharas (a Pali word–the language of the Buddha–which means “heavenly abode”): they are often referred to as the heart practices in Buddhist meditation. They include: Metta (lovingkindess), Compassion, Forgiveness, and Sympathetic joy  and Equanimity (the ability to be like a tree in the wind: fluid and non-reactive to the “weather.”).

 

3. Yoga: Yoga can be a workout or it can be what it was meant to be: a moving meditation. Trust me, if you are not breathing, and focused, you will fall over in your tree pose. Yoga will allow you to learn to recognize your reactions to discomfort and respond to them differently.

 

4. Take a walk or go on a hike: Just moving our bodies can help us calm down. A walk around the block can make sometimes get you out of your anger and despair.

 

5. Stop the negative self-talk: This one is tough. We tend to berate ourselves on a regular basis, “ugh, I’m so dumb,” “I’m fat,” “I can’t do this.” I could go on and on. Think about it this way, would you say that to someone you love? I didn’t’ think so.

6. Find and work with a therapist if you need to. A skilled clinician can facilitate a path to self-discovery, healing, and self-care. There’s nothing wrong with seeing a therapist; if anything, it’s mental health insurance. Being human is tough work!

 

I leave you with one of my favorite stories, applicable to Emotional Sobriety and the work it requires to obtain:

An old Cherokee is teaching his grandson about life. “A fight is going on inside me,” he said to the boy.

“It is a terrible fight and it is between two wolves. One is evil – he is anger, envy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego.” He continued, “The other is good – he is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion, and faith. The same fight is going on inside you – and inside every other person, too.”

The grandson thought about it for a minute and then asked his grandfather, “Which wolf will win?”

The old Cherokee simply replied, “The one you feed.”

 

Which wolf are you feeding?

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.

 

 

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
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

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