- Behavioral Health, Men's Health, UncategorizedGeneral Page Tier 3BlogEven a tough guy goes to the hospital if a tree falls on his head. So why won’t men seek medical help when their world comes crashing down on them, as it can with depression? Nearly 6 million American men experience depression each year, yet few seek treatment. Perhaps men don’t realize that depression is a disease—not a weakness. Or maybe they’re not aware that successful treatments exist. No matter the reason, depression is a disease that shouldn’t be ignored by anyone—including men. Recognizing depression “The vast majority of people who seek treatment for depression end up feeling better,” says Raymond Hoffman, MD, a psychiatrist and the medical director of mental health and substance abuse at AAMC. It’s a good idea to visit your doctor if you’re experiencing these signs and symptoms of depression: loss of energy or increased fatigue restlessness, anger or irritability a lack of interest in favorite activities sleep problems changes in appetite excessive feelings of sadness, worthlessness or guilt trouble concentrating, remembering or making decisions thoughts of, or attempts at, suicide Your doctor can check to see if physical problems are affecting your emotional health. Plus, he or she can refer you to a therapist or counselor who will work with you to relieve your symptoms. It’s OK to ask for help “It may not be easy to talk about how you’re feeling,” Dr. Hoffman says. “But depression can seriously interfere with your work and personal life. Acknowledging it and getting treatment can help you get your life back to normal.” Originally published Oct. 23, 2014. Last updated May 31, 2019.
- Behavioral Health, Men's Health, Women's HealthGeneral Page Tier 3BlogMost parents know about the importance of play for their children to develop essential life skills. But did you know about the importance of play for grown-ups, too? When you think of the word play, you probably imagine a group of children running around, chasing a colorful ball as they laugh and cheer. But play is so much more than that, and it’s not restricted to a certain age group. Play can be defined simply as engaging in activity for pure enjoyment and recreation. Play is for everyone, regardless of age (or profession) Former UK Prime Minister David Cameron admitted to playing Angry Birds on his phone as a way to decompress after a long day. Soccer star David Beckham credited Lego toys for saving his life, saying that they served as therapy for a brain injury he sustained after a jet crash. Barack Obama said he enjoyed playing basketball or golf as a way to relax. The best thing about play, besides the fact that it’s something you enjoy, is that while you’re doing it, it’s benefiting your overall wellbeing and impacting your health. It can fuel your creativity, emotional wellbeing and ability to problem solve. It’s part of evolution, but it’s also healthy During one of his TED talks, Peter Gray, research professor of psychology at Boston College, said, “from a biological evolutionary perspective, play is nature’s means of ensuring that young mammals, including young human beings, acquire the skills that they need to acquire to develop successfully into adulthood.” And more research is revealing that the benefits of play for adults are myriad: It’s good for your stress levels. Play can trigger the release of endorphins, the body’s natural feel-good chemicals. These promote an overall sense of wellbeing and can temporarily relieve pain. It improves your brain function. Playing games that challenge the brain – such as chess and puzzles – can help prevent memory problems and improve brain function. This can also help ward off depression. It stimulates your mind and boosts activity. And, it makes you more productive. More companies – like Google – have set up play stations and encourage employees to play and collaborate. This, in turn, helps foster team building and cooperation within the company. It’s a win-win situation. It improves your relationships. Laughing and having fun with others can foster empathy, compassion, trust and intimacy. Developing a playful nature can help you loosen up in stressful situations, break the ice with strangers and make new friends. As Dr. Gray puts it, play is by definition creative and innovative. It is an outlet where we, as human beings, can experience joy, learn to get along with peers, practice empathy and get over narcissism while improving our health. Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March. “It’s the getaway to vitality” Play is the gateway to vitality according to the National Institute for Play (NIFP). Play is uniquely “rewarding, it generates optimism, seeks out novelty, makes perseverance fun, leads to mastery, gives the immune system a bounce and fosters empathy.” Play is also powerful in creating a sense of community. For example, some treatment centers for drug or alcohol abuse turn to outdoor recreation and play as a vital part of their recovery programs. It’s a way to spark an individual’s interest in sober activities. Adventure therapy, for instance, requires individuals to engage in outdoor activities while working with others to problem solve and overcome challenges as a team. And although it’s part of therapy, it’s also a form of play that is helping individuals work on their addiction while having fun. The benefits of outdoor recreation include increased attention span, improved relaxation, decreased anxiety, reduced blood pressure and decreased risk of depression. Adventure therapy is just a term used to describe what’s known as experiential education. Play is no different. You can learn life skills and improve your health while playing. And just as children turn to play when they want to distress – or just enjoy their time – play can help you be the best versions of yourself when facing “adult problems,” like career stress, parenting, marriage and the many other responsibilities that come with age. Don’t think of play as a waste of time or as an activity that’s only for children. Instead, consider it an investment in your overall mental and physical wellbeing. Let's play Need a few ideas for fun play? Pick a hobby and make time for it. Make some time to do the things that you enjoy the most. Make sure you find joy in the process of that hobby and don’t just focus on the end product. Do something fun with others. Doing fun things with others is key when it comes to playfulness. Whether it’s playing with others, participating in a specific activity or just going out for coffee to catch up, consider spending some time with someone else. Play games. You can always create your own game with those around you, with or without the use of a device. Try racing someone up a hill, walking faster than them until you reach the end of the street or go outside and play ball. Visit a park or a playground. Go out in nature and have some fun. This not only boosts your mood, but it can also be a fun way to socialize. When was the last time you got on a swing? Try it! It’s so much fun. Be present. Playful people are those who take the time to appreciate beauty in the world. Practice mindfulness and pick a flower, step on the leaves and laugh as they crunch, feel the cool breeze against your face on a breezy day or go jump in that puddle of water that accumulated after the last rainstorm. Enjoy the process, just as much as you would if you were a child again. Author Mark Sakraida is the adventure therapy coordinator at Pathways, AAMC’s substance use and co-occurring disorder treatment facility.
- Men's Health, Weight Loss, Women's HealthGeneral Page Tier 3BlogMost of us know that good nutrition is important for good health. However, when we hear catch phrases like “calcium deficiency” or learn a new multivitamin just hit the shelves, it can make us wonder if we are getting enough vitamins and minerals. Do we really need to take additional doses? First, let’s talk about these nutrients. There are 13 vitamins – vitamin C, A, D, E, K and the B vitamins. Vitamins help your body grow and work the way it should. Minerals have different jobs in which they help you resist infections, keep your nerves healthy and help your body get energy from food. By following the MyPlate guidelines, a nutrition guide published by the USDA Center for Nutrition Policy and Promotion, you will get enough of most of what you need from food. In addition to a balanced diet, some people may need nutrient supplements depending on their situation. For example, older adults, pregnant women and people who are food insecure are at increased risk of nutrient deficiencies. Some individuals are limited in their food choices because of allergies, special diets, medical conditions, intolerances or because they are following a vegetarian or vegan diet. For example, animal foods are the main source of vitamin B12. So people who follow a vegan diet need to eat fortified foods and or take a supplement. Vitamin D might be a concern among infants, children and young adults, especially for those that do not drink milk. Therefore, they will likely need a supplement. Adolescent girls, meanwhile, may need more iron. As people age, it can be difficult to get enough vitamin B12. Getting B12 from fortified foods or taking it as part of a multivitamin can help raise B12 in our blood. As we get older, our bodies are not as skillful at absorbing certain nutrients. B12 is one of those. READ MORE: What you eat can affect your mental health On the other hand, real food contains healthy components a pill can’t give us. Plant foods have thousands of beneficial plant substances called phytochemicals that interact with one another in many ways, some of which scientists may not even understand yet. The greater the food variety, the more the potential beneficial interactions. When we get nutrients from a pill, we lose the fiber in these foods and, according to studies, these vitamins also fail at preventing cancer, dementia, heart disease or Type 2 diabetes. People who eat foods rich in those vitamins instead of going for pills only are at less risk of these diseases. Nutrients work synergistically, meaning you need the right balance of nutrients. A deficiency in one might appear as, or worsen, a deficiency in another. For example, vitamin E enhances vitamin A absorption. Vitamin A and E together lead to increased antioxidant capabilities, protect against some forms of cancer and support a healthier gut. Zinc is required for vitamin A transport, while vitamin C aids in iron absorption. This is only a snapshot of the many nutrient interactions happening in our bodies and their co-dependencies. Your doctor can order tests to help determine if taking a supplement would be good for you. A registered dietitian can evaluate your diet and make recommendations to meet your personal needs given your food preferences. As always, check with a health care professional to see which vitamins and minerals you may need and how to best take them. Remember, eating a balanced diet mainly consisting of fruits and vegetables is the first step towards the right direction. Authors Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
- Men's Health, Weight Loss, Women's HealthGeneral Page Tier 3BlogThere is no shortage of surprising new health studies. But how do you know which are worth your attention? When it comes to nutrition, it’s easy to get caught up in the hype. Let’s look at which headlines to heed or ignore: “Celery juice is the new diet.” The latest internet sensation promotes celery juice as a weight loss and digestion remedy, attesting that it can even contribute to reducing inflammation and preventing cancer. There is no evidence that celery juice helps with weight loss, especially with the juicing process stripping away the fiber and feeling of fullness. There is also no evidence it improves digestion. When it comes to cancer prevention, studies show that certain types of fruits and vegetables either protect against certain cancers or have components that protect against cancer. However, there is no specific research on celery juice and this benefit. The whole celery has a flavonoid, which shows some anticancer effects. Bottom line: Eat the whole celery for its anti-inflammatory properties that promote the health of gut lining and may help regulate digestion. Like anything else, celery juice is not a cure-all and drinking it will not eliminate other unhealthy eating habits. “Dark chocolate relieves stress.” Two studies revealed that dark chocolate-influenced gene activity of participants, increased anti-inflammatory agents and increased infection-fighting cells. The studies also suggest chocolate could positively affect brain function. However, the studies never measured stress, inflammation, mood, memory or immunity. Bottom line: Presently, a large clinical trial is testing a supplement with cocoa flavanols on heart disease, stroke and memory. Even if the results of the study show that cocoa can help, you would have to eat 600 calories worth of dark chocolate a day to receive the therapeutic dose and reap the benefits. “Carbohydrates fuel cancer.” This idea tends to resurface from time to time, hinting that sugar feeds cancer. There is evidence, in fact, that higher insulin levels occur because of high sugar intake along with extra weight around the waist. However, the current thought is that insulin itself can get a tumor started. Evidence shows that people with high insulin levels have a higher risk of breast and colorectal cancer. Bottom line: Cut back on added sugar but do not count on that to prevent or halt the spread of cancer. “Your liver needs cleansing.” The liver is the workhorse organ for blood cleansing, blood cell making and bile production – it does not need your help. There is no validity to claims that we need to rid our livers of toxins. Bottom line: Our organs cleanse our systems of unhealthy substrates without wasting your money on ever-changing potions. “Beans and nightshade vegetables are toxic.” It appears that lectin (a type of protein found in beans and nightshade vegetables that can bind to sugar) is the new gluten. Lectin foods are well tolerated by most people. They are not ‘anti-nutrients’ but, in fact, deliver a host of nutrients, fiber and health benefits. Bottom line: Lectin foods are mostly denatured with cooking and we have antibodies that deal with them. While some people do not tolerate these foods, telling everyone to avoid them is irresponsible. If you are looking for credible nutrition information, it can be hard to find in a sea of conflicting information. It can be frustrating and confusing. Here are some red flags to look for: A story that appeals to your emotion — especially through fear — also twisted science, no science or only anecdotes. Keep in mind that good science evolves slowly. Pay close attention to how your body reacts to certain foods and diets, and do what works best for you. Authors Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
- Behavioral Health, PediatricsGeneral Page Tier 3BlogAs a mom, I am always thinking of the many things I have learned from my experiences. As a psychiatric nurse, I am thinking of how to promote the mental health of our children and help them grow into compassionate, social and competent adults. One thing I have come to understand as an adult is how powerful and essential it is to give our children words to use to identify feelings. You may have seen the charts that have 20 or so feelings and faces that go with them. That’s great for older kids but overwhelming to little ones. For me, it boils down to these five emotions: mad, glad, sad, lonely and scared. I found that my daughter and I communicated more easily when something difficult was going on if she could identify the feelings. Mad (angry): When a child is mad, if they can use their words, that is great! We as parents can help them know what is appropriate depending on their age. For a younger child, learning to use words instead of biting, scratching or hitting another person is crucial. One of my favorite things was to ask my daughter to draw about it. We know that coloring is almost meditative. Another tactic is to encourage physically letting out that energy through sports, running, hitting a pillow, etc. One of my personal favorites is to have a screaming minute in the car with windows rolled up to get out that anger in a safe way. Glad (happy): If a happy moment comes, no matter how small, help your child celebrate that feeling. You can then help them call upon that memory when it is needed. For example, “Nick, do you remember when you had that great soccer game last month and how good you felt? I know you can do this science project and feel as good about yourself!” Sad: This is a hard one. Children all feel sad once in a while, it comes with being human. If your child is sad for long periods of time, talks about hurting or killing him/herself, or does a self-harming action, it is time to seek professional help. Contact your pediatrician, call a mental health professional and get the needed support. If it’s urgent, call 911 or take your child to the nearest emergency room. Depression is bigger than just being sad. The National Suicide Prevention Lifeline number is 1-800-273-TALK (8255). Lonely: This is another hard experience that children have. Peers, siblings and family are so important to them. If there is a fight with a best friend, they can feel terrible. You know your child best. If there is a time when your child has no friends, does not like going to school, etc., it would be good to investigate further. A real possibility that we know occurs is bullying. If that is happening, help your child by making it easy to be around other kids who have similar interests. Pets can also help with loneliness. Scared: As an example, I’ll share a personal story. My daughter was 7 years old and in a new school when 9/11 happened. The school immediately cancelled classes and went into day care mode. She knew something was wrong as the parade of the other children were picked up. Finally, she and another boy were the only ones left with their teacher. When I could finally leave the hospital and pick her up, she hugged me and cried, telling me how scared she was because she did not know what was happening. We talked a lot about it that evening and for many months. When a child is scared, they need information and reassurance. With all of the upsetting news, it is good to help your child process the things they are hearing about at school, from other people and from the news. Understanding your child’s feelings is so important. You are their first and best teacher. You can give them the foundation they need as they grow and learn about life. There are so many good resources on the internet for parents. The mental health of our children is one of our best resources for a positive world. Author Jo Deaton is the senior director of nursing for Mental Health at Anne Arundel Medical Center. She can be reached at 410-573-5454. Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.
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