facebook
twitter
mental health
“Mental health problems do not affectthree or four out of every five persons but one out of one.”
(Dr. William Menninger)
mental healthG. K. Chesterton once wrote: “Angels can fly because they take themselves lightly.” And Proverbs 17:22 says that “a happy heart is good medicine.” I’d add that human beings can heal (at least partially!) from a host of different illnesses if they learn how to laugh. Here are just a few ways our bodies, minds, and spirits begin to mend with a dose of humor.
I know this first hand, having sat in a community room of a psych ward watching a video of a comedian poke fun at depression. Like everyone else occupying a chair in that room, I was scared to death. Of many things … That I would never smile again. Or love again. Or even WANT to love again. I was fearful of life, and everything it involved.
That panic didn’t instantly transform into a hearty chuckle once the psych nurse popped in the funny video. But the climate of the room was noticeably different. Patients began to open up more, to share some of the details they had left out in the prior group therapy session.
Humor disengages fear because it changes your perspective: of the past and of the present. The traumatic childhood episode loses its tight grip on your heart if you can place it into the “ridiculous” category of other stories from the past. With a playful perspective, you can remove yourself from the marital problem that has you debilitated with anxiety. Laughter forces a few steps–some much-needed distance– between a situation and our reaction. We all would do well to follow the advice of Leo Buscaglia: “When you get to the end of your rope, tie a knot and hang on. And swing!”
Charlie Chaplin once said, “To truly laugh, you must be able to take your pain and play with it.” I suppose that’s why some of the funniest people out there—Stephen Colbert, Robin Williams, Ben Stiller, Art Buchwald—have journeyed through periods of torment.
There is an unspoken message hidden within a chuckle–even the slightest cackle– that says this: “I promise, you’ll get through this.” Just like the comforting hug of your mom when you were three. In fact, New York City’s Big Apple Circus has used humor to console sick children since 1986, when they started sending teams of clowns into hospital rooms with “rubber chicken soup” and other fun surprises. “It’s for the children, yes,” explains Jane Englebardt, deputy director of the circus, in an “American Fitness” article. “But it’s also for the parents who, when they hear their children laugh for the first time in days or weeks, know everything’s going to be O.K.”
Like any exercise, laughing relaxes you, and works against chronic stress that most Americans wear on the shoulder. Mehmet C. Oz, M.D., a heart surgeon at New York-Presbyterian Hospital/Columbia University Medical Center in New York City, explains why this is so in a 2005 “Reader’s Digest” article:
When you push any engine, including your body, to its maximum, every once in a while it slips a gear. The ways the body manifests that are: irregular heartbeats, high blood pressure, and increased sensitivity to pain. When people use humor, the autonomic nervous system just tones down a bit to take it off high gear, and that allows the heart to relax.
Apparently the psych nurses at Laurel Regional Hospital weren’t the only ones gathering patients around the TV to watch funny flicks or videos. Dr. Elias Shaya, chief of psychiatry at Good Samaritan Hospital in Baltimore also tries to instill the importance of laughter in his patients. Says Dr. Shaya: “I advocate finding ways to laugh by watching comedy or engaging in looking up jokes and sharing them.”
“Humor rooms,” which encourage people to use humor in their recovery from any kind of illness, are now available in some hospitals. And science backs these efforts. In a study published in the Journal of Holistic Nursing, humor very definitely seemed to diminish pain. Says Dave Traynor, M.Ed, director of health education at Natchaug Hospital in Mansfield Center, Connecticut in “American Fitness”: “After surgery, patients were told one-liners prior to administration of potentially painful medication. The patients exposed to humor perceived less pain as compared to patients who didn’t receive humor stimuli.”
Whenever I prick myself accidentally, I tell a joke, and my finger doesn’t bleed! Well, not exactly. But if you are laid up in bed with a terrible strain of the flu that your four-year-old brought home from her play date yesterday, try to find an itsy-bitsy thread of humor in your situation, and you’ll be back to work in no time. Or, better yet, dwell in the misery and stay away from the cubicle longer.
In 2006 researchers led by Lee Berk and Stanley A. Tan at Loma Linda University in Loma Linda, Califormia, found that two hormones—beta-endorphins (which alleviate depression) and human growth hormone (HGH, which helps with immunity) increased by 27 and 87 percent respectively when volunteers anticipated watching a humorous video. Simply anticipating laughter boosted health-protecting hormones and chemicals.
In his “American Fitness” article, Dave Traynor explains a separate study at Arkansas Tech University, in which concentrations of immunoglobulin A were increased after 21 fifth graders participated in a humor program. (I’m nervous to hear about the details of that fifth-grade humor program, because my kids roar whenever you throw out a bathroom term.) Laughter was once again found to increase the ability to fight viruses and foreign cells.
The same research team at Loma Linda, California, conducted a similar study recently to see if the anticipation of laughter that was shown to boost immune systems could also reduce the levels of three stress hormones: cortisol (”the stress hormone”), epinephrine (adrenaline), and dopac, a dopamine catabolite (brain chemical which helps produce epinephrine).
They studied 16 fasting males, who were assigned to either the control group or the experiment group (those anticipating a humorous event). Blood levels showed that the stress hormones were reduced 39, 70, and 38 percent respectively. Therefore, researchers suggest that anticipating a positive event can reduce detrimental stress hormones.
I remember playing the game of “Ha” as a young girl at my third-grade slumber party. I would lay my head on my friend’s tummy, and she would lay her head on another friend’s tummy, and so on. The first person would start the chain of laughs with a simple, “Ha!” The second person, “Ha Ha!” The third, “Ha Ha Ha,” at which point everyone would break into hysterics. About absolutely nothing. The way a person’s abdomen tightens and moves when she says “ha” makes you want to giggle.
My point: laughter is contagious. That’s why there are 5,000 laughter clubs around the world—where people laugh for no reason at all. Say what? According to Dr. Shaya of Good Samaritan Hospital, “These clubs have exercises that teach how to move your face, how to laugh more intensely to involve the shoulders, then the belly.” Laughing yoga classes are also popular today.
Humor is like gratitude in that it nurtures optimism, and Dan Baker writes this in “What Happy People Know”:
[Appreciation] is the first and most fundamental happiness tool. … Research now shows it is physiologically impossible to be in a state of appreciation and a state of fear at the same time. Thus, appreciation is the antidote to fear.
So if humor can change a perspective on a painful memory of the past or a gnawing issue of the present into opportunities to laugh at the inherent craziness of life at times, then a person can better facilitate his own healing.
This is good marriage advice for anyone. But especially for the person prone to anxiety and depression. Most of Eric’s and my fights end with one of us making a sarcastic remark that is met with a snicker, and then a yuk, and then a roar. Voila! The quarrel is magically resolved! Sort of.
Humor is a way to articulate those truths that are so difficult to express otherwise. It’s handy language for someone like myself that doesn’t like to use big words, who is still fretting about her low verbal SAT scores because the college administrators didn’t think they were funny. If only they had read this article!
Therese J. Borchard writes the daily Beliefnet.com blog Beyond Blue (voted by Psych Central as one of the Top 10 Depression Blogs)mental health
feeling "less than.""Any attempt to impose your will on another is an act of violence..." (Ghandi)
Resisting Control
Imposing Your Will On OthersThe right to make your own choices is a precious one. We grow when we have the freedom to decide our own paths and determine what makes us happy. Yet there are those who are inclined to try and control others. They may be driven by insecurity, envy, fear, or the need for power. These people are deeply critical of themselves in their own minds, and underlying that critical nature is unhappiness. Their need to feel sure-footed and secure is quenched by controlling those around them, whether they are friends, colleagues, or even pets. However, nearly everyone has found themselves imposing their will upon others at one time or another.
Trying to impose your will on others can be tempting for many reasons. You may feel that your way is the best way or that you have a keener insight into the direction their life should be taking. But, in imposing your will, you are indirectly saying, "I want to control you." Even when you have the best of intentions, others may end up resenting you for your actions. It is always helpful to remember that it is possible to influence people and change their behavior through education or example without imposing your will on them.
If you've caught yourself being a bit bossy on a regular basis, make a note of it. Write down what the situation was and why you acted the way you did. You may have pushed a friend to try something new, because deep inside you wanted to try it yourself but were feeling hesitant. Or you may be unjustly interfering with work teammates, because you aren't sure of their abilities. Next, make an effort to understand and accept their preferences and ways of doing things. It can feel natural to impose your will when you feel that you "know best." But there is a freedom to trusting others to find their own methods and joys, even when they might differ from yours. Sometimes the best course of action is to step back and relinquish control. You may, in doing so, see everything from a different point of view.
Sometimes in life it’s helpful to have signposts that we can see to help bring us back to the present moment and reinforce a certain way of being that we aspire to. Just like signs on the road may help remind us to slow down or children crossing, we can use short verses in our day to day to remind us to be how we want to be.
Check for auto-pilot reaction before moving on: Take a moment to check in with any judgments that might be arising right now. For example, “short verses? Is he nuts? How could that ever help me?” or “What is this, an affirmation, those never work.” Or “why am I even continuing to read this?” If anything like this arises, this is normal, just take a moment to notice the automatic judgment, let it be, take a breath to help ground to the here and now and then gently continue on with the next paragraph.
Acclaimed author, teacher, and Monk, Thich Nhat Hanh uses short phrases all the time to support himself in being more present, grounded, and aware in daily life. He has taught this practice to medical professionals, Psychologists, and students for many years now. He teaches the practices of walking and/or breathing and using these phrases to support us in calming our distressed minds and being more present to every day life.
For example,
These are just some examples; you can make up your own that fit for you. You can do this while walking or just sitting and breathing. And of course, most important of all, don’t take my word for it, try it for yourself. If it’s not for you, cast it aside, but give it a shot. Pay attention to how you are feeling physically, emotionally, and mentally before doing it and then again after you do it for a few breaths.
I was reading a friend's blog today, and her post reminded me of my thoughts on the subject of being a cracked pot. 
Does this seem like a ludicrous question to you? It has taken the health care community long enough to begin to reintegrate the mind and body connection. How challenging would it be to see individuals incorporate spirit along with the mind and the body? We tend to be better served when we think of ourselves as whole individuals comprised of mind, body and spirit. I recently read an article online regarding the role spiritual coping plays in recovery from depression. Quote: Depressed seniors who believe their life is guided by a larger spiritual force have significantly fewer symptoms of depression than those who do not use religious coping strategies. Moreover, this relationship is independent of the amount of social support those individuals receive, according to results of a prospective study presented at the 2002 annual meeting of the American Psychiatric Association.Article found at Mental Health Today."This is a pretty remarkable study–and when you see these kind of data coming out from both medical and psychiatric populations, it’s hard to continue ignoring religion as a variable in the recovery from depression," said Harold G. Koenig, MD, associate professor of psychiatry and of medicine at Duke University Medical Center, Durham, N.C.
According to study author Hayden Bosworth, PhD, attempts in the literature to distinguish the effects of religion from the effects of social support on depression have led to mixed success (Husaini BA et al. Int J Aging Hum Dev 1999;48:63-72). Dr. Bosworth, associate director, health services research and development, Durham Veterans Affairs Medical Center, and his colleagues attempted to address the issue by examining the effects of religious practices, coping mechanisms and social support on recovery among individuals diagnosed with major depression.
"These results indicate that clinicians should encourage reconnection with religion as a way of coping in patients whose spirituality has been important to them," concluded Dr. Bosworth.
"Physicians need to pay attention to their patients’ religious beliefs and practices," added Dr. Koenig. "Rather than continuing to see it as a liability or unhealthy crutch, they should see it as a potential strength in overcoming depression."
–Daniel Ko
Table. Questions Asked About Religious Practices and Positive and Negative Religious Coping
Religious Practices
Frequency and nature of:
- attendance at religious services and other religious activities at places of worship
- prayer outside of a church or synagogue
- watching or listening to religious programming
- reading the Bible or other religious or inspirational literature
Positive Religious Coping
Agreement with the following statements:
- "I think about how my life is part of a larger spiritual force."
- "God and I work together as partners."
- "I look to God for strength, support and guidance."
Negative Religious Coping
Agreement with the following statements:
- "I feel God is punishing me for my sins or lack of spirituality."
- "I wonder whether God has abandoned me."
- "I try to make sense of the situation and decide what to do without relying on God."
One of life’s hardest lessons to learn is that you can only change yourself.Some people spend inordinate amounts of time and energy upset, angry, or frustrated by other people’s thoughts and behaviors.
But to what end? You can rail against the rain or feel sanguine about the snow, but there’s not a whole lot you can do about it. Why should we, by default, believe we can change another person’s — an independent, thinking self just like us — behaviors and thoughts with just a few choice words? If you think about it for a minute, it sounds kind of ridiculous.
Yet we don’t think about it when we have an emotional reaction to someone else’s behavior or words. We say things like, “How could they say such a thing!” or “How can anyone be so rude!?” or “Don’t they know how much they hurt me? Why do they do that?!”
We often react in this way because our emotions are a part of most people’s innate decision-making skills. We react and respond emotionally to emotional needs of our own, rather than in a logical, rational manner. So when someone touches one of these emotional needs, we can respond in a way that may not make a whole lot of sense to an outside observer.
What you can do, just once, is to make a polite request for another to stop the behavior that you find frustrating, annoying or disturbing. But that’s it, just once (or maybe twice, if you feel the person really didn’t hear or understand the initial request). After that, you just become a nag and will be ignored. Repeating something over and over again doesn’t suddenly make people more aware of themselves, it just makes them aware of how annoying you can be.
There’s no magic to stopping trying to change other people’s behavior. Catch your thoughts (by writing them down in a journal or blog, for instance) when you find yourself saying something like, “I wish she wouldn’t do..” or “I can’t believe he thinks that…” — things like that. Making a note of it, mental or otherwise, allows you to pause your automatic thinking before you jump to the next step in your response (which is usually to say something to the person).
If you’ve already said something, now’s the time to stop and go no further. Unless you’re the other person’s parent, they’ve probably already heard it and may have even tried stopping the behavior. Hearing it again isn’t going to suddenly change their behavior.
People can spend weeks, months and in some cases years in psychotherapy working on changing their thoughts or behaviors. That’s because such change often takes that long to understand, practice, and then implement. Behaviors most important to others are also likely behaviors that are important to ourselves and not readily changed, even if we wanted to. They sometimes are integrated part of another’s personality or way of thinking about and looking at the entire world.
So save yourself some frustration today and try to learn to stop trying to change others. Focus instead on changing your own faults and you may find yourself living a happier and more peaceful life.
Whom do we blame when we fail? The short answer is "everyone but ourselves." Extensive research in psychology (Jones & Harris 1967, Ross 1977) has shown that when we fail, we tend to attribute the cause of our failure to reasons outside of ourselves: The market was weak. The inputs were poor. The weather was bad.
Think about it. When was the last time you failed to complete something on time at work - and why? Most people will list reasons that seem to be completely beyond their control. But now consider the last time a colleague or a subordinate (or family member or friend) failed to deliver on a project. Whom did you blame then? Well, if you're like most people, you blamed the colleague or subordinate.
This phenomenon, dubbed the Fundamental Attribution Error, is a pervasive bias that affects all of us to some degree, but why? Psychologists would argue that in our attempt to preserve our self-respect and self-esteem that we internalize our successes and externalize our failures. In other words, we like to like ourselves! Seems innocent enough, maybe even healthy, right? The problem is when "liking ourselves" turns into complacency, and we stop seeing room for improvement. Clearly there are times when we are to blame for our failures.
So how do we sort through our bias to narrow in on that slippery but useful thing we call "reality?" That's where peers come in. Since they're biased in the opposite way that we are, they're a neat check to our own perspective. That is, if we consistently internalize our successes, others will consistently externalize them, and the reverse with failure. Presto!: We compare notes, and start to get a more nuanced picture of what's contributing to our downfalls - and as importantly, of what'll deliver the most and the richest success.
mental health
counseling
"The consequences (of PTSD and domestic violence) on families and children in communities across the United States are an emerging concern says Monica Matthieu, Ph.D., an expert on veteran mental health and an assistant professor of social work at Washington University in St. Louis.
'Treatments for domestic violence are very different than those for PTSD. The Department of Veterans Affairs (VA) has mental health services and treatments for PTSD, yet these services need to be combined with the specialized domestic violence intervention programs offered by community agencies for those veterans engaging in battering behavior against intimate partners and families.'
Matthieu and Peter Hovmand, Ph.D., domestic violence expert and assistant professor of social work at Washington University, are merging their research interests and are working to design community prevention strategies to address this emerging public health problem.
'The increasing prevalence of traumatic brain injury and substance use disorders along with PTSD among veterans poses some unique challenges to existing community responses to domestic violence' says Hovmand.
'Community responses to domestic violence must be adapted to respond to the increasing number of veterans with PTSD. This includes veterans with young families and older veterans with chronic mental health issues.'
Even as the demographic of the veteran population changes as World War II veterans reach their 80s and 90s and young veterans completing tours of duty in Iraq and Afghanistan, the numbers of living veterans who have served in the United States military is staggering. Current estimates indicate that there are 23,816,000 veterans.
Matthieu says there are evidence-based psychological treatment programs that can be a great resource for clinicians to learn how to identify and treat PTSD symptoms. However, identifying battering behaviors among veterans with active PTSD symptoms may be difficult and may require consultation and referral to domestic violence experts.
Research in the VA shows that male veterans with PTSD are two to three times more likely than veterans without PTSD to engage in intimate partner violence and more likely to be involved in the legal system.
'Community violence prevention agencies and services need to be included in a veteran’s treatment plan to address the battering behaviors,' says Hovmand.
.Veterans need to have multiple providers coordinating the care that is available to them, with each provider working on one treatment goal. Coordinated community response efforts such as this bring together law enforcement, the courts, social service agencies, community activists and advocates for women to address the problem of domestic violence. These efforts increase victim safety and offender accountability by encouraging interorganizational exchanges and communication'."
counseling
When I think of what it takes to be happy, I have discovered that contentment, joy, happiness and gratitude have less to do with circumstances and much more to do with personal choice. I heard a quote a long time ago attributed to Abraham Lincoln: "Most people are about as happy as they make up their minds to be." I don't think I believed that as a young person, I still believed that things happened TO me, not that I chose how to react TO things. 
______________________________________________________________mental health
therapy
mental health
selah
spirituality
community