- Behavioral Health, PediatricsGeneral Page Tier 3BlogAs parents, we put our children’s medical needs first. When our kids have a tummy ache or fever, we don’t hesitate to call the pediatrician. These health needs are easy to identify. But when it comes to our children’s mental and emotional health, symptoms and signs of distress may not be as easy to spot. A mental health crisis occurs when a child has thoughts and feelings that can lead them to hurting themselves or others. That interfere with their ability to do everyday things or present a deterioration in their functioning. Here are tips to help you recognize the signs before and if a mental health crisis in your child occurs. Signs of distress Pay attention to behaviors that are contrary to your child’s baseline behavior, such as: Persistent physical aches that continue after a visit to your pediatrician Sudden changes in sleeping or eating patterns Bed wetting that is inconsistent with expected age development Unusual clinginess, whining or crying While signs vary from young children to teenagers, signs of a mental health crisis where you should seek immediate professional help include: Significant distress and/or out of control behavior that is difficult to calm down Verbalizing suicidal thoughts or plans Self-injury Harming others and/or animals Signs you might see in teenagers in need of mental health support include: Isolation and avoiding social activities Drastic mood swings Excessive irritability, anger, worry or fear Distress Deviant or odd behavior or ideas Signs of a mental health crisis requiring immediate professional help include: For example, your child is not able to complete school work or study, maintain relationship with others or take care of themselves. Dangerous thoughts or behaviors. This often means thoughts of death and suicide, and/or self-injury Violence Panic attacks Feelings of hopelessness, helplessness, worthlessness or pessimism Prevention Become informed on mental health and mental illness through books, credible websites, workshops, speaking to professionals, and by speaking to other parents who are in similar situations. You can also build protective factors around your child. Building protective factors are as simple as having family meals together, giving specific praise to your child, monitoring their use of technology and engaging in mindfulness activities. Equally important is being present in your child’s life. This means spending quality time together, fostering open communication, listening without judgment and providing support. Don’t be afraid to seek help If you think your child is experiencing a mental health crisis, don’t be afraid to seek professional help. For immediate help, call 911, the Crisis Response Team for your county, or crisis a hotline like the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Author Maria Winters, LCPC, is a mental health clinician at AAMC. You can reach her at 667-204-7311.
- Behavioral HealthGeneral Page Tier 3BlogShould you stress about stress? Stress is part of life, but its impact on your health can be more serious than you might think. While eliminating stress entirely may not be realistic, managing it effectively could be life-saving. It’s important to understand how stress affects your body—and what you can do to take control. Stress and your body’s systems Your body is equipped to handle stress in small doses. But heavy stress—especially over long periods of time—can take a toll on every aspect of your health, from your mental and emotional wellbeing to your physical condition. And physiologically speaking, stress can affect every one of your body’s systems in one way or another. Stress and your heart health When you become stressed, your heart rate increases and your heart muscle contracts—which means your blood vessels pump more blood to different parts of your body, temporarily raising your blood pressure. When your heart rate is consistently higher, and stress hormones increase your blood pressure on a regular basis, it can significantly multiply your risk for a heart attack or stroke. Stress and your gastrointestinal (GI) tract The neurons in your gut constantly communicate with your brain. Stress can affect this communication and trigger bloating, pain and other discomfort. And high levels of stress over time can often lead to chronic GI conditions, like irritable bowel syndrome (IBS). Stress and your musculoskeletal system When your body becomes stressed, your muscles tense up. Chronic (constant) stress causes your muscles to be in a continuous state of guardedness, which can cause stress-related disorders. For example, chronic muscle tension in your shoulders can lead to migraines and tension headaches. For many people who have chronic pain conditions related to musculoskeletal disorders though, stress-relieving activities can bring significant relief. Stress and your respiratory system Stress can manifest itself as shortness of breath and rapid breathing. While this isn’t typically a problem for people without respiratory disease, it can harm those who have conditions such as asthma and chronic obstructive pulmonary disease (COPD). In fact, some studies suggest that high amounts of stress can trigger asthma attacks. Stress and your nervous system Stress triggers your body’s “fight or flight” response, which signals your adrenal glands to release hormones. When the crisis is over, your body usually returns to its normal state. But chronic stress can cause a long-term drain on your body. Stress and your reproductive system For men, chronic stress can affect testosterone production, leading to a decreased sex drive and sometimes causing erectile dysfunction. It can also reduce sperm production. For women, stress can cause missing or delayed periods, which in turn affects their ability to conceive. In addition, it can make premenstrual syndrome (PMS) much worse. Managing your stress Stress management can be challenging, but it’s a necessity. The good news is that making small, incremental changes can pack a big punch. Consider trying these strategies: Aim for seven to nine hours of sleep each night. Sleep has remarkable restorative power, and you’re more likely to be able to manage stress when you’re well-rested. Connect with others. Spending time with family and friends can be a pleasant distraction from life’s struggles. Loved ones can lend a listening ear and laughter is always good medicine. Eat a well-balanced diet. A healthy diet that’s heavy on fruits, vegetables and whole grains will go a long way toward helping you feel your best. Food is fuel for the mind and body. Exercise regularly. Physical activity releases endorphins, which are your body’s natural feel-good chemicals. Aim for 30-minutes of exercise a day at a minimum. Try proven relaxation techniques. Whether it’s yoga, meditation, music, art or journaling, relaxation techniques can help your mind—and body—find much-needed balance. Meet with a therapist. A therapist, counselor or other professional can help you understand the root of your stress and come up with long-term plans for stress relief. Support when you need it A Luminis Health Behavioral Health provider can help you figure out the cause of your stress and offer additional ways to manage it. If stress is disrupting your life or putting your health at risk, make an appointment with someone from our team today. Authors Crystal Osuchukwu, LCPC, is a licensed clinical professional counselor. To make an appointment with Crystal, please call 301-623-4352.
- Behavioral Health, WellnessGeneral Page Tier 3BlogYou’ve probably heard about the nationwide debate on the safety of food dyes. The Food and Drug Administration (FDA) has proposed phasing out artificial food dyes by 2027. It has left parents with many questions. The hard truth? If you’ve noticed your child building up nervous energy or getting cranky after a bright red candy or neon-yellow sports drink, it’s likely a reaction to the dyes. In fact, studies have shown kids with attention deficit hyperactivity disorder (ADHD) may be more sensitive to food dye compared to other children. But here’s the good news: Increasing awareness of how your kids respond to dyes, along with ideas for limiting exposure to them, can go a long way toward keeping your family healthy. What are food dyes? Food dyes are chemicals added to foods and drinks to enhance their color. You’ll often find them in candy, cereal, sodas, sports drinks, fruit snacks and even healthier foods like yogurt. In the United States, the most common food dyes include: Red 3 Red 40 Yellow 5 Yellow 6 Green 3 Blue 1 Blue 2 These dyes are usually made in a lab using synthetic materials such as petroleum. They don’t provide the body with any nutrients; they are there solely to make foods and beverages more visually appealing. How do food dyes affect behavior? Food dyes can affect a person at every age and stage of life, but they seem to affect growing children most significantly. According to researchers, there’s a strong connection between food dyes and behavior problems like hyperactivity. This means your children may have trouble sitting still, focusing on tasks or staying calm after eating foods with dye. It’s important to remember though, that all children are unique and react in different ways. Some feel fine after; others are more sensitive; and some have an actual allergy to dyes. For this reason, it’s important to pay attention to any changes in your child’s behavior after eating or drinking foods with dyes. How do dyes affect the body? The link between food dyes and health is still being explored. But scientists suspect that food dyes affect several physiological functions, including brain function, hormone levels and the immune response. Children who are sensitive to food dyes may experience bothersome symptoms like: Anxiety Headache Hyperactivity Irritability Itchy rash Trouble focusing Some recent research also suggests that certain dyes can disrupt the balance in your child’s gut and cause inflammation, which is the body’s way of reacting to something it dislikes. Over time, this can make it harder to maintain good health. Children who are allergic to food dyes will experience more severe—and sometimes life-threatening—symptoms like: Breathing trouble Dizziness or fainting Feelings of impending doom Hives Low blood pressure Sudden and debilitating headache Swelling in the face, lips, tongue or throat Tightness in the chest If your child has mild reactions to food dyes, it’s important to talk with a doctor right away. A skilled care team can help you pinpoint the cause of your child’s symptoms and create a plan to help manage them. Your doctor may also connect you to an allergist for specialty care if needed. More severe and concerning reactions may point to a dye allergy. Seek emergency care right away or call 911 if your child has severe swelling, trouble breathing, faints or has chest pain. What can we do about it? Fortunately, you can take steps to protect your family. Start by: Increasing your awareness about food dyes and how your child responds. Planning meals and snacks around dye-free foods, such as fruits, veggies, eggs, oatmeal and other unprocessed foods. Reading labels on packaged foods and drinks to eliminate ingredients like Red 40, Yellow 5 and Blue 1. Talking to your child’s school about offering snacks that don’t have artificial dyes. Trying dye-free brands of their favorite foods. Many companies are using natural colors like beet juice, turmeric or carrots. We’re in this together Food should help us feel good, both inside and out. If your child experiences symptoms after eating or drinking, and you suspect dyes may be the culprit, our team is here to help. Our dietitians can help you identify which foods work best for your family and support you in making informed, nourishing choices. If you’re concerned that food dyes may be affecting mental health or behavior, our behavioral health specialists can help you understand, manage and prevent related challenges. Authors Colleen Kiley, MS, RD, is a lead diabetes educator for Luminis Health Diabetes and Endocrine Specialists. To make an appointment, please call 443-481-6700.
- Behavioral Health, WellnessGeneral Page Tier 3BlogKids have busy lives…and so do you! If you and your children feel overwhelmed by summer activities like sports, camps, chores and more, it might be time for a mental health day. I like to call them ‘Family Skip Days.’ According to the most recent Prince George’s County Community Health Assessment, almost a third of middle and high school students felt sad or hopeless enough that it impeded their normal activities. That’s why mental health days are just as important for kids as for grown-ups. While it might feel challenging to fit one of these days into our busy schedules, it’s important to prioritize mental health and wellbeing to help the whole family recharge. What are the signs? While everyone feels down at times, you might consider a mental health day if your child is feeling persistent sadness or showing frustration that does not match the situation. Remember, summer should be fun. You can look out for these signs too: Changes in sleep or appetite Difficulty concentrating or completing tasks Increased irritability or anxiety Negative comments on social media Noticeable stress of feelings of being overwhelmed Physical complaints (like stomachaches) without a clear cause Withdrawal from social activities Threatens to harm or kill oneself Many of these signs may be more obvious in teens, but harder to spot in younger children. Watch for signs like frequent, unexplained temper tantrums, persistent nightmares, or ongoing disobedience and aggression. Whatever the signs, children of all ages can benefit from mental health days. Tips for a successful mental health day with your child Mental health days should be fun and relaxing, not stressful. Here’s how I make these days easy to schedule and fun for my own family: Schedule wisely: Pick a day when your family has the fewest obligations to reduce the stress of rescheduling other events. Start the day strong: Sleep in and help your children pick out or make their favorite breakfast in their pajamas. Pick enjoyable activities: It will feel more special if your kids can help decide the activity. Consider giving them options that are local and budget-friendly to make the day easy on your wallet. Connect with your kids: Ask your child if there’s anything on their mind or if something is bothering them. You can talk while you’re cooking, playing or walking to a park. Rotate the time: If you have multiple children, rotate activities so that each child has some one on one time with you. Don’t be afraid to ask for help: If your child expresses feelings of anxiety, depression or other mood disorders, you may consider reaching out to a behavioral health professional. It’s okay that your kids are not okay. If you think that your child could benefit from meeting with a behavioral health professional, you can book an appointment online without a referral at Luminis.Health/BehavioralHealth. For urgent matters, visit the Behavioral Health Urgent Care at Luminis Health Doctors Community Medical Center in Lanham. At the urgent care, walk-in appointments are available Monday through Friday, from 7:30 AM to 3:30 PM. Lastly, the most important thing is to get out of the house and enjoy your time together. Put away the phones and turn off the TV and game consoles. A mental health day is not about checking out, it’s about checking in with your child and being present without any distractions. Authors Dr. Jesselina Curry is the System Medical Director for Ambulatory Behavioral Health Services at Luminis Health.
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