Behavioral Health
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The Mind-Body Connection
Blog
Butterflies in the stomach. Sweaty palms. A racing heartbeat. A shaky voice.
These are just a few well-documented cases of how stress or anxiety (aka your mental health) can bring on real physical symptoms. After all, we’ve all experienced these kinds of nerves before a big presentation or an important date. But what happens to the body when these “nerves” turn into longer bouts of anxiety and depression?
The short answer: It can have a serious impact on your health.
And what if you struggle with a chronic illness, like diabetes, high blood pressure, or even cancer? That can impact your mental health.
The good news — understanding this mind-body connection can help you take charge of your whole health — mental, physical and emotional. Even better, there are steps you can take to reduce your stress and improve your health.
Let’s dive in.
How Mental and Physical Health Influence Each Other
Researchers have been studying the connection between mental and physical health for years. They’ve asked the big questions, like “How does our mental health affect our health?” and “Does a chronic condition put you at higher risk of a mental illness?”
Here are just a Few Interesting Findings:
Depression may cause a wide range of physical symptoms and health conditions, including memory trouble, an increased risk of heart attack and heart disease, and weight gain and loss.
Anxiety can bring physical symptoms like dizziness and sweating and also lead to long-term health issues, such as gastrointestinal trouble, high blood pressure, eczema and other skin conditions.
Mental health can also impact the immune system. Researchers found that individuals who express prolonged periods of stress may have a weaker immune system, ultimately making it easier to come down with illnesses like the common cold or strep throat.
Individuals with chronic conditions are also at higher risk of developing depression or anxiety, according to research from the National Institute of Mental Health.
Boost your Mental and Physical Health
When it comes to staying mentally and physically strong, it comes down to the basics. Most of these tips won’t surprise you, but they are great ways to keep your body in tiptop shape and your mind (and emotions) feeling sharp.
Get moving. Exercise has countless physical and mental health benefits. A quick 30-minute walk (or even less) around the neighborhood can help strengthen your heart, lungs and muscles; and boost your mood with a rush of “feel-good” chemicals like endorphins.
Rest up. A good night’s sleep connects to a stronger immune system and reduced stress — among many other benefits. Adults should aim for seven or more hours of sleep.
Focus on friendships. Your social health is an important part of your physical and mental health. Spending time with friends and loved ones can influence health behaviors and even mortality risk. What better excuse to call up a friend and meet them for a cup of coffee or (even better) a walk around a nearby park?
Eat right. Sure, it can be tempting to reach for that delicious (but not-so-nutritious) snack of potato chips or candy bar. But, noshing on some fresh fruit and veggies will help your body and brain feel stronger than ever. Vitamins and minerals, like B vitamins, omega-3 fatty acids, vitamin D and probiotics, may help manage symptoms of depression and anxiety and support important body functions like the immune system, brain function and bone strength.
Ask for Help When You Need it
It can be hard to admit you’re struggling with your mental health. Just remember, you are not alone. The National Alliance on Mental Health Institute (NAMI) estimates that 1 in 5 adults in the U.S. experience mental illness. Another organization (Mental Health America) found that more than of adults living with mental illness, including anxiety or depression, don’t seek treatment.
There’s no shame in getting help to better manage your mood, emotions and mental health. There are proven approaches to help you cope with feelings of anxiety, depression and fear, including therapy, medication and more.
If you’ve been struggling with your mental or physical health — or both — your primary care doctor or a mental health professional can help. Schedule an appointment and, together, find ways to improve your overall health and wellness so you can feel your best.
Authors
Eshe Montague is the director of our behavioral health program at Luminis Health Doctors Community Medical Center.
Behavioral Health
General Page Tier 3
Mental Health: Why It’s Finally Trending
Blog
What do pop star Lady Gaga, NBA legend Magic Johnson and British royal family member Prince Harry all have in common? Besides being famous, they’ve all been speaking up recently on an issue that didn’t use to get much attention—mental health. Our Luminis Health experts say the conversation is coming not a moment too soon.
We’re now seeing the value of mental health
By sharing their experiences, many celebrities, athletes and other public figures are putting in bold headlines what many people have struggled with quietly for years. Previous generations might have swept mental health problems under the rug for fear of being thought of as “weak,” but we now know that silence can do more harm than good.
Developing your emotional, psychological and social wellbeing is a sure sign of strength. It helps you get along well with the people around you and make good choices throughout your day. And working to maintain positive mental health can pay off throughout your life. For example, strong mental health helps us all:
Cope with stress
Contribute to our communities
Feel happy and safe
Reach our full potential
Work productively
When celebrities talk about their mental health challenges, it helps spread the word that it’s OK to speak up when you’re not feeling quite right. And it’s OK to ask for help when you need it. Our minds are just as important to take care of as the rest of our bodies, and just as important to our overall health.
We’re learning from the pandemic
We’re also talking more about our mental health lately because COVID-19, of course, delivered it such a big blow. So many of us experienced stress, worry, fear and anger and the heavy toll those all can take on our lives and health.
In the summer of 2020, the Centers for Disease Control and Prevention (CDC) noted a major increase in the number of people reporting behavioral health symptoms. In one survey, one in three people said they were feeling symptoms of anxiety and depression, and one in 10 said they were having serious thoughts of suicide. Those rates are nearly double what the CDC would have expected before the pandemic.
Awareness also continues to grow around children’s mental health issues. Pediatric emergency rooms have seen an increase in mental health visits during COVID. The mental health needs of kids and adults will continue, and it’s important to keep talking about how to make sure we address them.
We’re talking more about how to cope
Thankfully, it has become more common to talk about the everyday ways you can support your mental health. We now know some healthy strategies that can help us all cope in hard times. For example:
Finding time to connect with others
Getting enough sleep
Staying physically active
Helping others
Trying to stay positive
When that isn’t enough, there’s another key step—finding help. New resources are being set up in our communities, schools and workplaces to connect more people to professional mental health resources where and when it’s needed. Luminis Health, for example, recently broke ground on a new mental health facility in Prince George’s County and is taking other steps to meet community needs.
Join the conversation
Celebrities might have started the mental health conversation trending, but you don’t have to be famous to join in. Check in with your friends and loved ones to make sure they’re truly doing OK and offer your support. And if you’ve been feeling “off” yourself lately and think you might need help, talk to your primary care provider. They can quickly connect you to the right resources to help you start feeling more like yourself again.
Together, we can get past old stigmas and shine a new light on how we can help each other. Our mental health is too important to ignore.
Authors
Eshe Montague is the director of our behavioral health program at Luminis Health Doctors Community Medical Center. To learn more about the services coming to Prince George’s County this summer, visit Luminis.Health/BehavioralHealth.
Behavioral Health
General Page Tier 3
Take Back Control of Your Mental Health
Blog
We’ve been living in a “state of survival” for some time. Life with COVID-19 has taken a toll on us, physically and mentally. Each phase of this pandemic has brought its own set of worries. Now, vaccines are widely available and society has continued to reopen. We don’t need to be in survival mode anymore. But its effects will linger for some time, possibly years. Coping with a traumatic event like a pandemic is hard on all of us, especially those with mental health conditions. That’s why, as we reenter the world after what we’ve experienced, it’s important to keep our bodies healthy, as well as our minds.
Be empowered with your mental health
Lowering our defenses takes time. The world has changed. So have we. Instead of trying to pick up where we left off before the pandemic, it’s helpful to approach our new normal with caution, positivity and grace.
Here’s how you can strengthen your mental health:
Find peace, understand that much of the recent challenges were out of your control. You are entitled to your feelings. Accept them. Cut yourself a break.
Fuel your body
Restrictions are loosening, and gyms are reopening. Take advantage. Physical activity is good for your body. It produces hormones (endorphins) that help you feel good. It also strengthens your mind, giving you a sense of accomplishment. Find an activity that gets you moving and motivated. And focus on eating well. The food you consume has a major impact on how you feel. Many of us turn to food for comfort during traumatic events. Now is the time to concentrate on shaping a diet that supports your mental and physical wellness.
Connect with others
Concert venues are again welcoming fans, and capacity limits are being lifted. There’s no substitute to physically being with family, friends and new acquaintances. So grab a coffee, play some tennis, or take a walk. Social experiences can help fill any voids you’ve been feeling.
Go at your pace
You’ve never gone through a global pandemic before. After restrictions, shutdowns and cautious activity, you’re now returning to what was once “irresponsible” or even “dangerous.” Identify your boundaries. Are you comfortable being masked in a movie theater? Are you ready to attend an indoor birthday party? Being truthful with yourself and planning when to draw the line is one way you give yourself control. There is no “right time.” There is only “your time.” And be mindful of others. You may be ready to enjoy an indoor concert, but your friend may not be. Accept that we all move at our own speed and comfort level.
Make a list of things you want to do
Chances are, you can do more now. Trying new things and going new places pushes you out of your comfort zone and confirms that you can overcome the unexpected. Revisiting your favorite restaurants and entertainment venues can also make you feel comforted and refreshed. Most public gathering places have measures in place for you to enjoy their services safely. Respecting these guidelines helps keep you protected.
Limit your news
Many people say they felt most powerless over the pandemic when they watched the news. Limiting how much time you spend reading or watching news reports can help you feel more in control. If you’d like to stay informed, check out the highlights, then move on.
Ask for help
We’ve gotten used to quarantine life, and resuming a more normal life is yet another adjustment to make. Change can be hard, but don’t let fear and anxiety consume you. We continue to process traumatic events after they are over. Reach out to friends and family or seek a trained mental health professional for help. More people are seeking mental health services today than ever. Whether you feel deeply affected by mental illness or you simply need someone to hear your concerns, licensed mental health specialists are committed to helping you process traumatic events and inspiring you to a more peaceful mental state.
Authors
Eshe Montague is the director of our behavioral health program at Luminis Health Doctors Community Medical Center.
Behavioral Health, Infectious Disease
General Page Tier 3
Eating disorders have spiked in teens during the pandemic
Blog
From the start of the COVID-19 pandemic, we knew to be concerned about our physical health. But what we didn’t think as much about — especially since we couldn’t have foreseen the true impact it would have on our lives or the length of time it would last — is how it could affect our mental health. And today, we’re still learning.
In general, we know the disruption we’ve all faced — from fear of the virus and drastic changes to our daily routines to complete isolation — isn’t good for us. And while some effects were already known, others reveal themselves every day.
For example, we’re just now beginning to understand the connections between the pandemic and mental health issues that often plague teenagers, including eating disorders.
Check out these recent observations:
According to the National Eating Disorders Association, calls, texts and online chats to their helpline increased 58% from March 2020 to October 2021.
A recent study shows a 25% jump in eating disorder-related hospitalizations for 12-18-year-olds overall.
Girls 12-18 years old were hospitalized for eating disorders 30% more during the pandemic.
The numbers are clear. And that means parents have a reason to be concerned. Learn more, so you can be ready if your teen needs help.
What are eating disorders?
Eating disorders are serious but treatable illness that affects people mentally and physically — and there are many types. People are most familiar with anorexia nervosa (self-starvation by severely reducing calories to lose weight) and bulimia (purging after eating an excessive amount of food). But other eating disorders can involve binge eating, obsessing over healthy eating, abusing laxatives and compulsive exercising.
What’s behind the jump in eating disorders in teenagers?
The pandemic pummeled teens’ daily routine and structure: Schools closed their doors and extracurricular activities, including beloved sports, came to a halt. But what hit them the hardest? Hanging with friends — a teen’s lifeblood — wasn’t an option (or was limited at best).
Eating disorders are often related to control, so it makes sense that the uncertainty and stress of the pandemic could be a powerful trigger. When life feels turned upside down, someone with a tendency toward disordered eating could easily turn to controlling food — how much, what or when they eat — to feel like they’re in control of something.
For example, stuck at home with less structure and more access to food, teens may binge-eat to deal with anxiety and stress. Then, if weight gain hits, they may go to the other extreme, restricting food and becoming overly focused on exercise.
It’s no surprise: Social media fuels the fire. With school and activities limited, teens turned to their phones to feel connected to someone. They spent more time than ever scrolling through sites such as Instagram and TikTok. And although teens may feel less alone when they’re online, excess screen time exposes them to negative messages.
What are signs of an eating disorder?
Even today, with most schools and activities up and running again, stress and uncertainty still linger. Teens, like everyone else, are trying to live with the reality that COVID-19 is here to stay. Unfortunately, eating disorders continue to be how many teens try to cope.
Changes in your teen’s regular eating and exercise habits are signs your teen may be struggling. Keep an eye out for these signs and take action if you notice:
Defensiveness about food
Obsessive workouts
Preoccupation with counting calories
Refusal to eat specific categories of food
Skipped meals
Sudden weight loss
Also pay attention to what your teen’s saying. For example, comments about food — feeling guilt or anxiety about what they’re eating or not eating — or unhappiness about their body are red flags of a brewing eating disorder.
Know how to help your teen
Talking with teens can be tricky, but it’s the place to start if you suspect they’re using food or eating in an unhealthy way. Be direct and ask what’s going on without launching into a lecture. They’ll be more receptive to discussions in small doses. Focus on your concerns for their health, not body shape or size.
Stumped for what those conversations should cover? Start with:
Emotional eating. Help your teen understand how food can be a way people deal with emotions. Explain how talking through problems with friends, family or a counselor is a more effective (and healthy) way to cope with a problem.
Healthy eating habits. Talk about eating when hungry and how to fuel their body to be healthy and strong. Make regular meals together a habit.
Media messages. Help your teen understand that social media, television shows and movies portray unrealistic (and often “doctored”) body types as normal.
Positive body image. Ask your teen how they feel about how they look, and explain how healthy bodies come in all shapes and sizes.
Remember, as a parent, you’re setting an example. Practice the attitudes about food, eating and body image you want them to have. Reaching for ice cream for comfort after a tough day at work or bashing your “thunder thighs” every time you put on shorts is a message you’re sending that eventually sticks. You may think your teen isn’t listening or watching, but they are.
Finally, don’t assume eating issues are “just a phase” your teen will grow out of. Research shows dealing with concerns about an eating disorder early and getting professional help are key to successfully treating it. Start by scheduling an appointment with your teen’s primary care provider. Sometimes it takes hearing something from someone other than mom and dad for a message to get through. But it may take more. If so, your doctor can offer the appropriate support or referral your teen needs.
This article originally ran in the Enquirer Gazette.
Authors
Lauren Fitzpatrick, MD, medical director, Luminis Health Pediatric Emergency Department.
Primary Care, Weight Loss, Wellness, Uncategorized
General Page Tier 3
5 ways to make those healthy habits stick
Blog
Every year, there’s no shortage of stories exploring all the ways you can get healthier. Exercise and weight loss generally top the list of resolutions people set for themselves as the calendar year turns over, but research shows that around 80% of them are dropped by February.
Here are five things you can do to increase your chances of setting an attainable health goal this year — and sticking with it.
1. Determine your “why”
You may never have heard of a “why” statement, but you’ve probably heard of company mission statements. (Consider JetBlue’s widely cited credo: “To inspire humanity — both in the air and on the ground.”) A personal “why” statement is essentially the same thing. It simply answers the question of why you’re doing whatever it is you’re doing.
To make something a habit, you first have to understand why you’re doing it. Why does a certain goal mean something to you? It can’t be something you’re doing just because someone else is doing it or because you think you should.
For instance, if a doctor tells you to eat better and lose weight because it’s good for your health, will that compel you to work toward that goal? How about if you know that by eating better and losing weight you’ll be able to run around and play with your grandchildren? Now that’s a great “why.”
For every goal you want to accomplish in 2022, make sure you first establish your reason. It’s what inspires you to take action.
2. Be specific
When you’re planning healthy changes, it can be hard not to reach for the moon. But generic goals, like “I’m going to exercise more this year” or “I’m going to eat better,” rarely work because they lack focus. Instead, set small, measurable milestones to chart your progress to a larger goal.
For instance, you could plan to cook one more meal at home a week than you currently do. That small change could help you eat healthier overall. Not to mention save you money on takeout.
If you want to exercise more and think getting into running could be a good way to do it, you could sign up for a 5K race that’s six months away. Suddenly, you have a large goal to reach, but plenty of time to reach it. To get started, you could set small goals to reach the larger goal. First, focus on running a mile, then increase your distance to two miles and, finally, to three.
By breaking down a lofty goal into smaller, more manageable chunks, you’re able to see improvement and celebrate accomplishments along the way.
3. Focus on the journey
Health is about the journey, not the destination. Just as you shouldn’t focus on vague or overly ambitious goals, you should celebrate small wins. Maybe you went to bed 15 minutes earlier every night this week as a small step toward a long-term goal of getting more sleep. That’s an accomplishment.
Health is a lifestyle. It’s not something you achieve and then leave behind. If you’re working toward regularly cutting a certain number of calories from your diet, for example, you wouldn’t abruptly wipe your hands of it the first time you reached your goal. Health is something you continually have to work at to make it a lifestyle.
4. Make movement count
Sure, the U.S. Department of Health and Human Services recommends 150 minutes a week of moderate-intensity activity, but remember, some activity is always better than no activity. Just start with a five-minute walk if you don’t have much time. But look for ways to add movement to your days. Maybe you take the steps instead of the elevator. Maybe you park on the far side of the parking lot when you go to the grocery store. Maybe you skip that after-dinner glass of wine and take the dog for a 20-minute walk instead.
If you’re mindful of getting in movement, it will become intentional. Plus, the health benefits of movement are numerous. Physical activity can help:
Boost your mood and improve your sleep
Lower your risk of heart disease and certain cancers
Help manage diabetes and high blood pressure
5. Practice gratitude
Be grateful for what you have instead of jealous of what you don’t. Gratitude helps reduce stress, which can lead to chronic inflammation and an increased risk of certain conditions like heart disease and diabetes when long-lasting.
Being able to cope with stress to reduce these ill effects is why self-care is so important. Prioritize time for yourself. Take a walk to clear your head or add a lavender-scented candle to your desk.
Filling your bucket so you’re mentally and physically strong enough to tackle all those goals you’ve set for yourself is crucial. But be kind to yourself if you fall short of achieving a goal. There aren’t any hard-and-fast deadlines for healthy habits. Be grateful for the opportunity to try, try again.
Authors
Stefanie Osterloh, CRNP, is a family nurse practitioner with Luminis Health Primary Care in Crofton, Md.