May 072012

Anorexia Nervosa affects families in a devastating way. Parents feel rejected by their beloved off-spring, bewildered by what to do, and endlessly helpless. They feel criticised by friends, schools and medical professionals (even when this isn’t the case). Anorexia also has a devastating effect on siblings – suddenly the whole family life is geared around the patient. And of course, the frequently life-long or fatal effects of Anorexia on the sufferer have been well documented.

At PS, we take a family-based Maudsley and psychodynamic approach to treating Anorexia. For adolescent patients, parents only attend the initial consultation with our Director Kristina Mamrot. Kristina assesses the patient and the family, ensures appropriate medical and allied health supports are in place, and then consults with the GP. If she feels we are able to help the family, the young person is allocated to a psychologist, and the parents are also advised to work with a psychologist. Siblings in distress who may be flying under the radar are also assessed and supported as needed. The treating psychs case manage to ensure the best outcome. Our approach revolves around support for the entire family and working collaboratively with GPs.

Apr 282012

It is common to work with a person who puts others first, and who can’t say ‘no’. To these people, placing their own needs first feels rude and selfish. Much of our work is exploring why listening to our needs is wrong, and how to develop assertiveness.

Assertiveness is expressing your thoughts, feelings, beliefs and opinions in a manner that doesn’t violate the rights of others. Other communication styles are: aggressive – violates the rights of others, passive – violates our own rights, passive-aggressive – where someone is essentially being aggressive, but in an indirect, seemingly non-aggressive way (for example sulking in an attempt to manipulate someone instead of yelling).

People sometimes confuse being assertive and being aggressive. But there is a subtle difference in the words used, the time taken, the volume and tone, and the body language. Passive people are also likely to struggle with low self-esteem, lowered mood and feel more anxious. If we don’t communicate what we’re really thinking and feeling, we’re in danger of agreeing with and fulfilling other people’s needs, instead of our own. This can result in feeling we lack control of our life, and can lead to resentment.

Some typical ways we think and feel that affect assertiveness are: self-defeating beliefs (if I assert myself, others will get upset), lack of assertive language or know-how, heightened anxiety when the situation calls for assertiveness so that we can’t think or act clearly, cultural and generational influences (assertiveness not as valued in some cultures, women belonging to older generations were taught not to express their needs or opinions).

Being assertive or passive is a learned behaviour and thinking style. We are all born assertive – think about babies and how they assert their need to be fed when they are hungry. But gradually as babies and small children, our environment teaches us to adapt our behaviour to fit in. For example if pleasing others was important in your family when you were growing up, you are likely to think and behave like this, whereas if yelling and threatening others to get your needs met was the norm in your family, you are likely to think and behave like this.

Like any skill assertiveness needs to be practiced. Remember it’s your right to express yourself in an appropriate manner. Keep it brief and be honest but not rude. Use ‘I’ words instead of ‘you’ words (for example ‘I feel irritated when I’m interrupted’ versus ‘you annoy me when you interrupt me’). Speak with warmth – friendly but firm. Don’t apologise or give elaborate reasons why you can’t do something, or disagree with someone- it’s your right to express yourself. Learn to manage your anxiety in situations when you want or need to assert yourself (get help with this if you can’t do it on your own).

 

Personal Trainers now have empirical proof for the psychological effects of tiredness on exercise. As Personal Trainers know, if a client is feeling psychologically tired, they’re going to struggle to push themselves further or continue with an exercise.

Researchers at the University of Zurich have discovered a mechanism in the brain which triggers reduced muscle performance to ensure that a person’s psychological limits aren’t exceeded. So when our muscles are tired, our brain says, time to stop. As well as opening up a new field of research into the role of the brain in muscle fatigue, these findings suggest that motivating clients through their fatigue may have an impact on their performance. Fascinating.

A review of previous research has found that physical activity positively influences academic performance in children. Well, I guess you’re not surprised – you guys see the benefits of exercise every day. But at least science is catching up with research that supports the positives of exercising.

The researchers at Vrije University Medical Center in Amsterdam found that when children exercise, blood and oxygen flow to the brain helps brain function by increasing levels of hormones which decrease stress and improve mood.

Getting Started

Sometimes, just getting out there to walk or go to the gym feels almost impossible, despite our best intentions. If you’re not motivated, getting started is unlikely to happen. A study in the Journal of Sport & Exercise Psychology, asked participants to rate their intention to exercise for the week ahead (motivation), while measuring their physical activity with a pedometer.

Interestingly, motivation fluctuated from week to week, probably due to demands on time. But people with consistently strong motivation to exercise had the best chance of following through and exercising.

Equally interesting was the finding that people who were strongly motivated to exercise during the week, tended to give up on the weekend. The researchers suggested that people appear to have different systems which motivate their behaviour during the week and on weekends.

So perhaps when working with clients, Personal Trainers could address motivation during the week separately to motivation on weekends.

Now, we don’t need to preach to anyone about the benefits of getting enough sleep. For a whole host of reasons, let alone an ability to cope better when stressed, adequate sleep is essential. Here’s another argument to add weight to the get-enough-sleep debate.

Recent research (Journal of Clinical Endocrinology & Metabolism, 2012) found that in people with one night of sleep loss, the brain region that contributes to appetite sensation is more activated in response to food images. The researchers at Uppsala University studied the brains of 12 normal-weight males while they viewed images of food after a night of normal sleep and a night without sleep. They found that lack of sleep activated the area of the brain involved with a desire to eat.

This research may explain why people with poor sleep habits are at risk of gaining weight over time.

Really? You can catch weight loss like you can catch the common cold? Quick – let’s all stand next to someone on a diet…

A study published online in Obesity examined the effects of teammates and social influence on individual weight loss during a weight loss competition. The study examined the 12 week (2009)‘Shape Up Rhode Island’ campaign, where over 3300 overweight or obese individuals (BMI > 31) competed in almost a thousand teams. The results found that being with others with similar health goals while working to achieve the same thing was a strong characteristic of those who lost weight. Interestingly, team leaders lost the most weight, perhaps due to their increased engagement in the campaign and increased motivation.

It is much better to exercise and diet in a group for support and motivation.

The adage eight hours work, eight hours play, eight hours rest, might sound outdated, but in our psychology practice, we believe it holds sound advice. In our modern day, time-poor lifestyles, the first thing sacrificed is play, closely followed by rest. But although this allows us to squeeze everything into our day, it may hold very negative consequences for us.

Recent research published in Public Library of Science online journal (Jan 25, 2012) found a robust association between overtime work and depression, in 2000 middle aged British civil servants. In fact, the odds of suffering a major depressive episode more than doubled for those who worked 11 or more hours a day, compared to those who worked between seven and eight hours a day.

The message is clear – work less and feel happier.

Apr 182012

When a person overuses the internet, or uses the internet in a problematic way, they may be struggling with an internet addiction. For most people, internet use is generally productive BUT it becomes a problem when it starts to interfere with our day-to-day life, our work or our personal relationships. There are different kinds of internet addiction:

  1. Feeling more comfortable with online friends than in face-to-face relationships
  2. Playing games or gambling
  3. Online shopping and auctions
  4. Compulsively surfing the net
  5. Social networking like Facebook, instant messaging, chat rooms
  6. Blogging
  7. Stock trading
  8. Internet pornography and cybersex.

Internet addiction is described as an impulse control disorder, which is similar to pathological gambling. People can become addicted to the internet to alleviate their feelings of loneliness, stress or boredom. Losing yourself online can quickly relieve or distract us from those feelings, and provide an escape from the day-to-day problems we all experience.

Like most addicts, internet addicts are likely to suffer from emotional problems such as depression and anxiety. Over 60% of people seeking treatment for their internet addiction claim they are involved in sexual activities online which they consider inappropriate, such as: internet pornography and/or explicit sexual online conversations. More than half these people are also addicted to alcohol, drugs or tobacco. One of the problems with internet pornography is the effect it has on actual face-to-face relationships: partners feel cheated on, or undervalued, and online relationships tend to be idealised – how can reality match up to internet ‘fantasy’?

Signs that internet use may be a problem include:

  1. Losing track of time online – start intending to use for an hour and then finding many hours go by
  2. Trouble completing tasks at home and work
  3. Becoming isolated from family and friends
  4. Feeling defensive or guilty about using your time this way
  5. Experiencing a sense of euphoria about your internet use
  6. Carpal Tunnel symptoms
  7. Eye problems such as dry eyes, or headaches
  8. Back and neck pain
  9. Weight gain

It’s tricky to treat internet addiction, because many people have to use the internet for work, so it can be impossible to go ‘cold turkey’. Try these tips:

  1. Strengthen support networks – build face-to-face relationships. The more real friendships a person has, the less they will need the online ones.
  2. Keep track of when they start their internet use and when they finish. Work on a gradual reduction plan – set a timer and encourage them to get off when they plan to, no matter what.
  3. Change routine so they’re busy when they usually use the internet, and don’t replace other things like sleep with internet use. For example, if they usually go online at night, organise something else, and when it’s finished, go straight to bed

 

Research has confirmed what most of us already know – staying home with the kids is bloody hard work. In the December 2011 issue of the Journal of Family Psychology a longitudinal study of over 1300 mothers over ten years found higher maternal well-being in Mums who worked part-time rather than those who worked full-time or were not working.

It seems that those women who can strike a balance between work and family are happier. And that’s where the secret lies – in learning how to find the balance. When you work it out, can you let the rest of know…

Apr 182012

Take a moment right now to take a slow, deep mindful breath. Empty your lungs completely, squeezing out every wisp of air, then inhale fully and deeply through your nose, from the bottom of your lungs to the middle, then the top. Now, close your eyes or stare at a blank space, and take two more mindful breaths. Not bad eh?

Yet we struggle to remember or find time in our day to centre ourselves with three deep breaths. The mindful breath brings your attention to the here and now, focusing your thoughts on the breath, and giving you much needed breathing space during the day (pun intended!). If you’re anything like us, you’ll have every intention in the world of stopping every hour or so to do this exercise. We all know the benefits of slowing down and centering ourselves. And to help us remember, a mindful community in the United States (where else) have created a nifty mindful clock. Check it out at http://www.mindfulnessdc.org/mindfulclock.html. You just download it onto your computer and set it to go off every hour, when you down tools and centre yourself with three mindful breaths.

© 2010 PS-Counselling Website maintenace by Ask Charly Leetham