- Behavioral Health, PediatricsGeneral Page Tier 3BlogA child’s brain is like a sponge. From the moment they are born to approximately age six, a child’s brain can soak up infinite amounts of information. During adolescence, the brain is still developing, making young children susceptible to the information they receive. In fact, the teenage years are a critical time of vulnerability to substance use disorders due to the brain’s malleability, according to research by the National Institute on Drug Abuse. Adolescents have creative and innovative minds, but unless you teach them about things they need to protect their mind, it is easy for them to fall into a trap of destructive decision-making behavior. The young people I know are curious, eager and ambitious. They are drawn by things that can give them instant gratification and are eager to invent new things. This is not a negative, and as parents, we can use this energy to help our children grow and make better choices. Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March. Communication and education are two of the most important keys in the fight against adolescent drug misuse and abuse. Parents are going to have to boost their efforts and get more comfortable with talking to their children about drugs. Here are some steps you can start with: Be in the know. Take time to educate yourself on the drug trends in the community and on the internet. Learn about drugs on the market and where they are sold. If you understand the effects of drug use and know the facts, you can give your child helpful information and clarify any doubts or questions. Know their social circles. Know the people your child is hanging out with and where they live. Kids who hang out with friends who use drugs are likely to want to try it out themselves, especially those who feel socially isolated and are trying to fit in. Show interest in knowing your child’s friends and their parents. Talk to your kids daily. Engage in conversations and pay attention to how your child is feeling. Create an environment of trust where your child does not feel judged. Make it clear that you’re available and willing to sit down to have an open conversation and listen. Encourage good decision-making skills. Let your child know his or her opinions are important and interesting. Praise all efforts and guide your child through things that he or she doesn’t know about but believe to fully understand. Be supportive. Recognize when your child is going through a hard time and show him or her that you have their back. An accepting environment, where your child feels like he or she can talk without fear of punishment or reprisal, increases the chances of your child turning to you for help and advice. Knowing this information will prepare you to start a conversation with your child. Parents are often surprised how comfortable a child is talking about drugs. Many kids are actually bothered by friends using drugs and have questions for their parents but they just don’t know how to approach parents or are too scared to do so. READ MORE: The power of parents in preventing substance abuse Make talking and communicating with your child a regular part of your day. The earlier we can teach our children about the dangers of drugs, the better the chances we have of them not wanting to try them. At least by the time they can choose for themselves, they will be able to make an informed decision. Author Keshia Brooks, BSPH, MBA, is supervisor of Prevention Education and Family Wellness at Pathways, Anne Arundel Medical Center’s substance abuse and mental health treatment facility. You can reach her office at 410-573-5422. Ask questions, find resources and learn more at askAAMC.org/HealthyMinds. Originally published May 8, 2018. Last updated Jan. 21, 2020.
- Behavioral Health, Men's Health, Women's HealthGeneral Page Tier 3Blog“Put on your oxygen mask first” might sound cliché, but it’s the best metaphor for self-care. How many times have you felt burned out but continued to push yourself past your limits? How many times have you put your needs on the back burner for your family despite being exhausted? And how many times have you said “yes” when really what you wanted to say was, “no, not today”? Being a parent is a beautiful gift. By nature, you begin to let go of your priorities to take care of your children. You can’t help but give them your all, even if that means coming home after a busy day and continuing to pull energy from a tank that otherwise feels empty. Your children need you. Now more than ever before as the discussion around mental health is at an all-time high. The statistics are eye opening. One in 5 children ages 13-18 have or will have a serious mental illness at some point during their life, according to the National Alliance for Mental Illness (NAMI). Another finding shows that suicide is the third leading cause of death in ages 10-24. You play a crucial role in your child’s wellbeing and mental health, but caring for your child can have an impact on your health too. To best care for the people you love, you must first take care of yourself. Here are some steps you can take: Practice self-care. No, you’re not being selfish — this is important to remember. Self-care has become a trendy term but most people don’t put it into practice. A good way to start is to first give yourself permission to do it and focus on yourself, even if just for a day. Identify replenishing activities that work for you. Scrolling through your phone, being on social media or watching TV are activities that occupy your time but do not replenish you. Instead, try taking a walk, going for a jog or sitting somewhere surrounded by nature. Savor doing activities that replenish you and look forward to doing them. Know your limits. It’s OK to ask for help or delegate chores and responsibilities to others when you don’t feel like you can take on more. Not being able to do everything by yourself is not a sign of weakness. It is realistic to know your limits and to prioritize self-care. Look at the big picture and re-center. Centering helps you be a consistent and stable parent for your children. If you’re always involved in a frenzy of activities, you won’t be able to do this. Practice mindfulness — being present in the moment with full awareness and without judgment of thoughts and feelings — instead of being distracted by what’s next on the list. Engaging in self- care activities and reminding yourself of core values can help with centering. Set realistic expectations. Don’t compare yourself to other parents. Parenting is not a competition. What might be a priority for you might not be for another parent. Identify what is important to you and your family. Is it spending more time together? Sharing more things? Going out to the movies? Set your own goals and expectations, and focus on those. Schedule alone time. Yes, you’re allowed to do this! Listen and take care of yourself. Meditate/relax. Take a break from the “motor mind” by deep breathing, being a witness to the thoughts in your mind, or listening to music that uplifts you. This is a good way to relax, be present and unwind from your hectic day-to-day. Ask for help. Approximately 1 in 5 adults in the U.S. — 43.8 million — experiences mental illness in a given year, according to NAMI. Don’t be afraid to seek professional help or talk to your doctor about issues you may be experiencing. By taking care of your own physical and emotional health, you’ll be better equipped to serve as a role model for your child and/or handle the challenges of supporting someone with a mental illness. Neglecting your own emotional needs can lead to depression or anxiety down the line. Don’t forget that your children are watching and will learn from you how to deal with stressful situations. Be in tune with yourself. You can’t live a life that’s fulfilling and meaningful if you’re always focused on others. Like they tell you on an airplane, you can’t help the person next to you if you don’t have your oxygen mask on first. Authors Raymond Hoffman, MD, is medical director of Anne Arundel Medical Center’s Mental Health and Substance Use services. To reach him, call 410-573-9000. Aruna Gogineni, Ph.D., LCSW-C, is a mental health practitioner and researcher at Anne Arundel Medical Group (AAMG) Mental Health Specialists. To reach her, call 410-573-9000. Originally published Jan. 21, 2019. Last updated Jan. 13, 2020.
- Behavioral Health, Community, Giving, Pediatrics, UncategorizedGeneral Page Tier 3BlogDogs really are man’s best friend. That’s why you shouldn’t be surprised if you see some walking the halls of our hospital and visiting patients in their rooms. At AAMC, we harness the healing power of pets with more than 25 volunteer pet therapy teams. Each team is made up of a volunteer from the community who owns a pre-trained and certified dog. Therapy dogs can help put people at ease both emotionally and physically. Their visits often create a happier, calmer atmosphere not only for patients, but for family and friends as well. Katherine Tighe and her dog, Suzie, along with fellow volunteer George Benoit and his dog, Kallie, have provided pet therapy at AAMC since 2015. They make frequent stops to the emergency room, as well as the pediatric, cancer, joint replacement and elderly care units. “My dad was in and out of hospitals and rehab centers for years before he died,” says Katherine, an animal-assisted therapist and social worker. “He was growing more and more depressed and unhappy.” Then she remembers one day she came to visit him in the rehab facility, and something was different. “There was this black lab there who had stolen my father’s slipper. He was going up and down the halls trying to get back his slipper,” she says. “My dad enjoyed it so much, and it made me happy to see him have a spark again.” Adds George, “One time we walked up to a woman who was waiting for a loved one in surgery.” She started petting Kallie and immediately began crying. “Somehow the dogs give people an emotional release.” “We’ll go in a room where a child is afraid and screaming in pain, and he will see the dog and calm down immediately,” Katherine says. “The whole demeanor changes, and it’s beautiful.” Dogs must go through basic obedience training and pass a canine good citizen test. The team receives an extra level of training that focuses on managing difficult situations and evaluating the dog’s temperament. We partner with five organizations to certify pet therapy teams: Caring Canines, Pets on Wheels, PAWS-AAC, Fidos for Freedom and Pet Therapy International. For information about our pet therapy team, or to learn how your dog can become certified to visit patients, call 443-481-5050. Originally published Feb. 15, 2017. Last updated Jan. 7, 2020.
- Weight Loss, PediatricsGeneral Page Tier 3BlogChildhood obesity is a debilitating disease that can affect children physically and mentally. As a child, it’s easy to gravitate toward snacks that come in bright, colorful wrapping or grab a tasty, sugary drink without thinking much of the long-term effects. But, if your child combines consistent poor diet choices with other factors, this can lead to childhood obesity. Childhood obesity is a growing epidemic in the U.S., with the percentage of children and adolescents affected by obesity tripling since the 1970s. Data shows one in five school age children and young people in the U.S. has obesity, making it the most common chronic disease of childhood, according to the Centers for Disease Control and Prevention. Parents should be aware of factors that contribute to childhood obesity. These include genetics, metabolism, eating behaviors and physical activity, sleep schedule and negative events that a child might have experienced. There are health risks linked to childhood obesity that can have a harmful effect on the body in more than one way. Obese children can experience high blood pressure and cholesterol, diabetes, breathing problems and joint discomfort, among other conditions. Obese children are also susceptible to psychological problems, such as depression, anxiety and low self-esteem. It’s important that you help your child develop a healthy relationship with food from the very beginning. My best advice for parents and guardians is to keep it practical, primarily focusing on nutrition and physical activity. Here are some steps in preventing childhood obesity: Develop a healthy relationship between a child and food. Focus on the health factor, not the body factor to prevent developing a negative relationship between a child and food. Be careful how you talk about weight. Tell your child you want to help them focus on eating foods that are healthy. Eat healthy. Eating five or more servings of fruits and veggies per day can reduce the risk of heart attack, stroke, cancer and early death. Get more hours of exercise per day. I recommend 60 minutes every day. This includes walking or any other aerobic activity. An easy way to make exercise fun is for your child to get involved in a team sport, play with other children in the park or go biking. If you yourself practice this, your child will be more likely to do it and develop it as a habit. Remember, they look up to you! Stay away from sugary drinks and snacks. Focus more on the produce aisle and stay away from high sugar drinks and high calorie snacks. Limit these to special occasions so your child begins to develop the habit of having these every once in a while and not as frequently. Instead, try a new fruit or vegetable every month. Practice mindful eating. We tend to eat more when we’re distracted. Instead of watching TV, practice mindful eating and being present. This also allows for more family time and having conversations with each other. Sleep. This is very important. If your child sleeps less than nine hours a night, he or she is more likely to be obese. Make sure your child has a regular sleep schedule. This will also help your child have the energy he or she needs to get through the day. If needed, consider seeing a nutritionist. It won’t be an overnight change, but you can start by changing your child’s diet and encouraging healthy weight loss (no more than two pounds a week if they’re a child or adolescent, and no more than one pound per month if they’re between two and five to make sure they get the nutrition they need to grow). When you make these little changes, you’re setting them up to make good decisions for the rest of their lives. Author Deon Edgerson-George, MD, is an internal medicine physician and pediatrician at Luminis Health Primary Care.
- Men's Health, Weight Loss, Women's HealthGeneral Page Tier 3BlogGive up soda, start an exercise regime or start meditation. These might be just a handful of goals you have for the new year. But by the end of January, 36 percent of New Year’s resolvers have thrown their hands up in the air and said, “Better luck next year.” It’s normal to want to reboot your life come Jan. 1, but before you go crazy with your New Year’s resolutions list, you want to consider these common mistakes that could set you up for failure, rather than success. Mistake #1: You set your goals too broad. Goals like losing weight, eating healthy and exercising are too ambiguous to execute. Make sure your resolution passes the SMART goals test. It should be Specific, Measurable, Attainable, Realistic and Timely. Instead of aiming to eat more vegetables, commit to incorporate at least one vegetable in at least two meals per day. Mistake #2: You don’t hold yourself accountable. If there are no consequences surrounding your goal, you are more likely to make excuses, fall behind or give up. You have to put yourself in a situation that makes it difficult to slack off. If you thrive on encouragement, ask a friend, family member or a trusted health expert to make sure you are on track with your goal. For example, if your resolution involves exercise, participate in a team challenge or set non-negotiable exercise dates with a friend so you can’t bail at the last minute. Mistake #3: You’re not tracking your progress. Monitor your progress. Whether it’s stepping on the scale, tracking your workouts or journaling your activities, tracking what you do can increase your chances of following through with the changes you need to make. It also allows you to recognize and celebrate milestones along the way, a process that’s vital to keeping you confident and motivated. Mistake #4: You allow lapses to become relapses. Slip ups will happen, but successful resolvers use these to strengthen their determination. Recognize your mistake and learn from it. Confidence is a strong predictor of success. To boost your ‘can do’ attitude, focus on playing up your strengths and don’t get hung up on your weak spots or missteps. If you are dining at a friend’s house or are at a party, you can bring a side of fruits or vegetables next time to ensure you have healthy options available. Mistake #5: You do not develop realistic plans to achieve your goal. A goal without a plan is just a wish. Before you take action, make a list of things you can do each day to achieve your goal. Then, include weekly and monthly milestones you want to hit. Breaking your goal down into several smaller short-term goals helps you stay focused and feel accomplished, even on hard days. Effective New Year’s resolution ideas to get you started: Do your daily workout in the morning. You’ll be less likely to schedule something over your exercise time or skip it because of a last-minute change in your schedule. Make a workout date with a friend. If weather precludes outdoor activities, invite your friend to your house and get your sweat on in your living room with a streaming fitness program. Slowly change your diet. Eat two extra servings of vegetables every day for a month. Get creative. Try one new dinner idea every week that has a lot of vegetables. Make a slow-cooker meal every Sunday. Eat the leftovers or repurpose the rest for meals later in the week. Turn to homemade food. Bring your lunch to work every day for the next month. Hydrate. Drink a glass of water every morning when you wake up and before every meal. Consume less carbs. When eating out, swap your carb-filled sides (such as fries or rolls) with vegetables or fruit. Pick one or two, but no more than three specific, measurable, attainable yet realistic resolutions that are compatible with your schedule and fitness level. Start small and build on these after they are implemented and habitual. Make this year the one where you accomplish the resolutions you have set for yourself! Authors Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555. Originally published Jan. 7, 2019. Last updated Dec. 30, 2019.
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