Sunday, 15 October 2017

TRAUMA IS NOT A ONE OFF EVENT OR OCCURENCE

Hi everyone, apologies for not blogging this year but I hope you are all well.


This is not a blog per se but information I have collated to give my community that has had a tragic occurrence, the deaths of three local skydivers on Friday, here at Mission Beach in North Queensland, Australia.
Please note, this is relevant to this incident and for people in Australia, hence the help numbers and organizations at the bottom will differ in other countries.




As you can imagine this has affected the whole community.
With any trauma, it does not just affect the people directly involved but family, friends, relationships, mental wellbeing and some people may cope at the time but develop Post Traumatic Stress Disorder weeks, months and even years later.








TRAUMA INFORMATION 15/10/2017
Any event that involves experiencing or witnessing actual or threatened death, serious injury, or violence has the potential to be traumatic. Almost everyone who experiences trauma will be emotionally affected, and there are many different ways in which people will respond. Most people will recover quite quickly with the help of family and friends. For some, the effects can be long-lasting.

Traumatic events include things that happen to you directly, or to someone you are close to.

An event can be traumatic if you witnessed it happening to someone else, or if you were involved in it.

If you were the first on the scene of a serious accident, or disaster.

If you learnt that a friend or family member was involved in a life threatening event, was seriously injured, or died suddenly and unexpectedly.

Traumatic events are emotionally distressing. While most people will recover on their own, for some the experience can lead to mental health issues such as posttraumatic stress disorder (PTSD), depression, anxiety or substance use. Trauma can also affect your own relationships.
IT IS IMPORTANT TO REMEMBER THAT MANY PEOPLE DO NOT EXPERIENCE SYMPTOMS STRAIGHT AWAY, IT CAN BE WEEKS, MONTHS OR EVEN YEARS LATER.


PLEASE KEEP THIS SOMEWHERE WHERE YOU CAN ACCESS IT, IN CASE YOU OR A FAMILY MEMBER OR FRIEND MAY BENEFIT FROM THIS INFORMATION AT A LATER DATE, EVEN IF YOU DO NOT THINK YOU HAVE BEEN AFFECTED.


When something traumatic happens, it is often overwhelming, and it can be hard to come to terms with what has happened. The experience is likely to be very different from anything you have gone through before. It can mean you question things that you have always thought were true.


For example, you might no longer believe that the world is a safe place, that people are generally good, or that you are in control of what happens to you. When people talk about their world being turned upside down after a traumatic event, it might mean these big picture beliefs have been shattered.


COMMON EFFECTS TRAUMA CAN HAVE ON PEOPLE

1. Repeated, disturbing memories, thoughts, or images


of a stressful experience from the past?


2. Repeated, disturbing dreams of a stressful


experience from the past?


3. Suddenly acting or feeling as if a stressful experience


were happening again (as if you were reliving it)?


4. Feeling very upset when something reminded you of


a stressful experience from the past?


5. Having physical reactions (e.g., heart pounding,


trouble breathing, or sweating) when something


reminded you of a stressful experience from the


past?


6. Avoid thinking about or talking about a stressful


experience from the past or avoid having feelings


related to it?


7. Avoid activities or situations because they remind


you of a stressful experience from the past?


8. Trouble remembering important parts of a stressful


experience from the past?


9. Loss of interest in things that you used to enjoy?


10. Feeling distant or cut off from other people?


11. Feeling emotionally numb or being unable to have


loving feelings for those close to you?


12. Feeling as if your future will somehow be cut short?


13. Trouble falling or staying asleep?


14. Feeling irritable or having angry outbursts?


15. Having difficulty concentrating?


16. Being "super alert" or watchful on guard?


17. Feeling jumpy or easily startled?
 


Children can react differently than adults.
Children and teens can have extreme reactions to trauma, but their symptoms may not be the same as adults. In very young children (less than 6 years of age), these symptoms can include:

Wetting the bed after having learned to use the toilet
Forgetting how to or being unable to talk
Acting out the scary event during playtime
Being unusually clingy with a parent or other adult
Fear of being separated from parent
Losing previously-acquired skills (such as toilet training)
Sleep problems and nightmares
Somber, compulsive play in which themes or aspects of the trauma are repeated
New phobias and anxieties that seem unrelated to the trauma (such as a fear of monsters)
Acting out the trauma through play, stories, or drawings
Aches and pains with no apparent cause
Irritability and aggression  


Older children and teens are more likely to show symptoms similar to those seen in adults. They may also develop disruptive, disrespectful, or destructive behaviors. Older children and teens may feel guilty for not preventing injury or deaths. They may also have thoughts of revenge.




Risk Factors and Resilience Factors for PTSD
Some factors that increase risk for PTSD include:
Living through dangerous events and traumas
Getting hurt
Seeing another person hurt, or seeing a dead body
Childhood trauma
Feeling horror, helplessness, or extreme fear
Having little or no social support after the event
Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss of a job or home
Having a history of mental illness or substance abuse
Some resilience factors that may reduce the risk of PTSD include:
Seeking out support from other people, such as friends and family
Finding a support group after a traumatic event
Learning to feel good about one’s own actions in the face of danger
Having a positive coping strategy, or a way of getting through the bad event and learning from it
Being able to act and respond effectively despite feeling fear
Impact of PTSD on relationships and day-to-day life
PTSD can affect a person’s ability to work, perform day-to-day activities or relate to their family and friends. A person with PTSD can often seem disinterested or distant as they try not to think or feel in order to block out painful memories. They may stop them from participating in family life or ignore offers of help. This can lead to loved ones feeling shut out.


It is important to remember that these behaviors are part of the problem. People with PTSD need the support of family and friends, but may not think that they need help.


When to seek help for PTSD



A person who has experienced a traumatic event should seek professional help if they:

don’t feel any better after two weeks

feel highly anxious or distressed

have reactions to the traumatic event that are interfering with home, work and/or relationships

are thinking of harming themselves or someone else.

Some of the signs that a problem may be developing are:

being constantly on edge or irritable

having difficulty performing tasks at home or at work

being unable to respond emotionally to others

being unusually busy to avoid issues

using alcohol, drugs or gambling to cope

having severe sleeping difficulties.


How can you help a loved one with post-traumatic stress disorder?

You can take steps to help a loved one cope with stress brought on by a traumatic event.

A person with acute stress disorder (ASD) has severe stress symptoms during the first month after the traumatic event. Often, this involves feeling afraid, flashbacks or nightmares, difficulty sleeping, or other symptoms. If your loved one has symptoms that last longer than a month and make it hard to go about daily routines, go to work or school, or handle important tasks, he or she could have post-traumatic stress disorder (PTSD).


Whether your loved one has ASD or PTSD, assessment and counseling (psychotherapy) by a professional can make a critical difference in recovery. Encourage him or her to talk to a doctor or trained mental health provider.


You can also help by being a supportive listener, without attempting to "fix" the situation. Here are some suggestions:


Be willing to listen, but don't push. Make sure your loved one knows that you want to hear about his or her feelings. But if the person isn't ready or willing to talk about it, don't push. Just reassure your loved one that you'll be there if and when he or she is ready.


Choose a time to talk. When you're both ready to talk, choose a time and place where you'll be free of distractions and interruptions. Then truly listen. Ask questions if you don't understand something. But avoid any urges to second-guess, to give advice or to say, "I know just how you feel." Let your loved one take the lead

Try to prepare for PTSD triggers. Common triggers include anniversary dates; people or places associated with the trauma; and certain sights, sounds, or smells. If you are aware of the triggers that may cause an upsetting reaction, you’ll be in a better position to help your loved one calm down.


Don’t take the symptoms of PTSD personally. If your loved one seems distant, irritable, angry, or closed off, remember that this may not have anything to do with you or your relationship


Educate yourself about PTSD
Recognize when to take a break. If you sense that the conversation is becoming too intense for your loved one, provide him or her with an opportunity to stop for now and take up the conversation again on another day. Then follow through.


Get help if talk of suicide occurs. If your loved one talks or behaves in a way that makes you believe he or she might attempt suicide, respond calmly, but act immediately. Make sure the person is not left alone. If it's safe to do so, you may want to discreetly remove pills, firearms or any other objects that could be used for self-harm, and get help from a trained professional as soon as possible. You can also encourage the person to call Suicide to talk with a trained counselor. If there's immediate danger of suicide, call 000 or your local emergency number right away.


Coping with traumatic stress is an ongoing process, and there is no specific time frame for recovery. You might have many conversations with your loved one over weeks or months as he or she processes the traumatic experience during or after a period of professional care.


You'll be of more help to your loved one if you learn about Acute Stress Disorder and Post Traumatic Stress Disorder from trusted medical sources and encourage your loved one to follow treatment recommendations.


And don't forget to take care of yourself. Coping with trauma that happened to a loved one can be difficult to deal with, and it can make it harder for you to help your loved one if you don't take care of yourself. Take time for the things you enjoy, accept help from others when needed, and make an appointment to see a mental health professional if you're struggling to cope.


Where to get help

Your doctor
Minister/Pastor
Mental health specialist, such as a psychiatrist, psychologist or social worker.
Visit an emergency center at your closest hospital
Community health center










Lifeline Australia – 13 11 14










Suicide Call Back Service
1300 659 467










Kids Helpline
1800 55 1800










MensLine Australia – 1300 78 99 78










Suicide Call Back Service – 1300 659 467










Beyond Blue – 1300 22 4636










Veterans and Veterans' Families Counselling Service – 1800 011 046


 


 

Monday, 13 February 2017

Mindful eating.

This blog is a follow up to my previous one regarding emotional eating.

I suggest that you read it first so you understand the concepts discussed here, as I will only mention them briefly.
Emotional eating is when people use food as a way to deal with feelings instead of to satisfy hunger.
In the previous blog we also looked at the difference between physical hunger and emotional Hunger.


Mindful eating
(also known as intuitive eating)


Is a concept with its roots in Buddhist teachings, it aims to reconnect us more deeply with the experience of eating and enjoying our food.
Sometimes referred to as “the opposite of diets,” mindful eating is based on the idea that there is no right or wrong way to eat, but rather varying degrees of consciousness about what we are eating and why.
The goal of mindful eating, is to base our meals on physical cues, such as our bodies’ hunger signals, not emotional ones like eating for comfort.


Mindful eating is not a diet, or about giving up anything at all. It’s about experiencing food more intensely and for the pleasure of it.
You can eat a cream bun, if you wish...  you might find that you enjoy it a lot more.
Or you might decide, halfway through, that your body has had enough.
Or that it really needs some salad, fruit or vegetables. 

When people tend to be prone to emotional eating, the food they choose is known as their "Comfort" Foods.

We all have our own comfort foods. Interestingly, they may vary according to moods and gender. One study found that happy people seem to want to eat things like pizza, while sad people prefer ice cream and cookies. Bored people crave salty, crunchy things, like chips. Researchers also found that guys seem to prefer hot, homemade comfort meals, like steaks and casseroles. Girls go for chocolate and ice cream.


This brings up a curious question: Does no one take comfort in carrots and celery sticks? Researchers are looking into that, too. What they're finding is that high-fat foods, like ice cream, may activate certain chemicals in the body that create a sense of contentment and fulfillment. This almost addictive quality may actually make you reach for these foods again when feeling upset.
http://kidshealth.org/en/teens/emotional-eating.html#


Breaking the Cycle


This is a skill, that you don’t just acquire overnight.
It takes practice, and there will be times when you forget to eat mindfully, and there will be starts and stops.
But with practice and attention, you can become very good at this.
To achieve this you will need to learn to pay attention to:
  • Why you feel like eating, and what emotions or needs might be triggering the eating.
  • What you’re eating, and whether it is healthy or not.
  • The look, smell, taste, feel of the food you’re eating.
  • How it makes you feel as you taste it, as you digest it, and throughout the day.
  • How full (or sated) you are before, during and after eating.
  • Your emotions during and after eating.
  • Where the food came from, who might have grown it, how much it might have suffered before it was killed, whether it was grown organically, how much it was processed, how much it was fried or overcooked, etc.


How to learn to eat mindfully.


1. Eat slower
2. Savor the silence
3. Silence the phone. Shut off the TV.
4. Pay attention to flavor
It can be hard to notice what you are even eating, let alone truly savor all the different sensations of eating it. If you are trying to introduce mindful eating to your family, consider talking more about the flavors and textures of food.
5. Know your foodEven when you have no idea where the food you are eating has come from, try asking yourself some questions about the possibilities: Who grew this? How? Where did it come from? How did it get here? Chances are, you’ll not only gain a deeper appreciation for your food, but you’ll find your shopping habits changing in the process too.
6. Set your boundaries. Make a list of which foods are a “yes”, which are “maybe, sometimes”, and which are a “no”.


​Visualize success.


How often to we watch ourselves fail in our own minds? Or replay our mistakes? What if you were to visualize yourself succeeding?
​Reframe your thoughts. Replace the thought of “I can’t have that” with “I choose to have something else”. Instead of focusing on limitation or lack, focus your attention on abundance and gratitude for what you do have. And remember, you can learn to like new things.
​Challenge your thoughts. Do you interpret the thought of “I just ate something bad” as “I am a bad person” or “I’ll never be able to do this”? Respond to these thoughts in the manner you would for a friend. Use a kind, compassionate voice with yourself. These thoughts could be challenged with this: “I made a decision that was not in my best interest. That does not mean I’m a failure or that I can’t make healthy decisions. I just feel that way right now because I just made an unhealthy choice, but every moment is another opportunity to make a different choice. So now, I’m going to be present and make a good choice in this moment.”
​When you succeed, celebrate! When you make a good decision pay attention to how good you feel and relish that feeling. Keep a journal of your successes to motivate you.
http://nutritionstudies.org/overcoming-emotional-eating/


I hope that you found this interesting and helpful.
Even if you do not just eat for comfort by considering the above may make you appreciate it even more.
All comments and feedback welcome.




REFERENCES


http://www.nytimes.com/2012/02/08/dining/mindful-eating-as-food-for-thought.html?pagewanted=all
https://zenhabits.net/what-is-mindful-eating/



 
 
 





Saturday, 4 February 2017

If you are one of those people that tell a binge eater to just "stop" then you need to read this please.







"Binge eating" also known as "comfort eating" does NOT mean someone is a "pig", guts" or other derogatory names used... they have an underlying issue or illness in the majority of cases.
They are not in control of their relationship with food and until this is addressed can not just "stop".


In this blog I would like to explain why, address any unhelpful beliefs and attitudes towards emotional eaters and hopefully help some vulnerable people in the process.


The majority of people that eat emotionally are overweight, which also as well as increasing risk of health issues, decreases their self esteem and self confidence.
In many cases this compounds the problem and leads to further over eating. A vicious cycle.


Emotional Eating can become more of a problem in stressful periods of our lives so please, if you know someone that is doing this, then be supportive, do not judge them, offer your help, share this blog and if still concerned, encourage them to seek professional counseling.






What is Emotional Eating?


Physical hunger is a gradual sensation that we feel in our stomach, and any food seems appealing.
We usually feel good after eating.

Emotional hunger comes on suddenly and people will crave specific foods.
With emotional hunger they can have snack after snack and nothing hits the spot.
They often feel guilty after emotional eating.

Why do people do it?

It’s because they are not hungry for food. 
They are hungry for something else.
It might be stress relief. It might be a distraction. It might be a quick escape. It might be a treat. It might be a feeling of control (in a counterintuitive way).
Keep in mind: It’s never about the food that they are craving.
It’s about what the food allows us to avoid.

How do I know if I am eating for physical hunger or for emotional hunger?

The best way to determine this is known widely as "the broccoli test."
Simply ask yourself this question:
Would I eat broccoli right now? If you answer “yes” then you are physically hungry. Go ahead and eat.
If you answer “no” then you’re emotionally hungry. You are not actually hungry for food. You are hungry for something else (stress relief, a distraction, a quick escape, etc.).
The idea is that when we’re physically hungry any food is appealing. If the thought of vegetables doesn’t sound appealing we’re not physically hungry.


Triggers for emotional eating:

Identify your emotional eating triggers
What situations, places, or feelings make you reach for the comfort of food? Most emotional eating is linked to unpleasant feelings, but it can also be triggered by positive emotions, such as rewarding yourself for achieving a goal or celebrating a holiday or happy event. Here are some common causes of emotional eating:


Stress – Ever notice how stress makes you hungry? It’s not just in your mind. When stress is chronic, as it so often is in our chaotic, fast-paced world, it leads to high levels of the stress hormone, cortisol. Cortisol triggers cravings for salty, sweet, and high-fat foods—foods that give you a burst of energy and pleasure. The more uncontrolled stress in your life, the more likely you are to turn to food for emotional relief.
Stuffing emotions – Eating can be a way to temporarily silence or “stuff down” uncomfortable emotions, including anger, fear, sadness, anxiety, loneliness, resentment, and shame. While you’re numbing yourself with food, you can avoid the emotions you’d rather not feel.
Boredom or feelings of emptiness – Do you ever eat simply to give yourself something to do, to relieve boredom, or as a way to fill a void in your life? You feel unfulfilled and empty, and food is a way to occupy your mouth and your time. In the moment, it fills you up and distracts you from underlying feelings of purposelessness and dissatisfaction with your life.
Childhood habits – Think back to your childhood memories of food. Did your parents reward good behavior with ice cream, take you out for pizza when you got a good report card, or serve you sweets when you were feeling sad? These emotionally based childhood eating habits often carry over into adulthood. Or perhaps some of your eating is driven by nostalgia—for cherishes memories of grilling burgers in the backyard with your dad, baking and eating cookies with your mom, or gathering around the table with your extended family for a home-cooked pasta dinner.
Social influences – Getting together with other people for a meal is a great way to relieve stress, but it can also lead to overeating. It’s easy to overindulge simply because the food is there or because everyone else is eating. You may also overeat in social situations out of nervousness. Or perhaps your family or circle of friends encourages you to overeat, and it’s easier to go along with the group.

How to deal with emotional eating?

If you don’t know how to manage your emotions in a way that doesn’t involve food, you won’t be able to control your eating habits for very long. Diets so often fail because they offer logical nutritional advice, as if the only thing keeping you from eating right is knowledge. But that kind of advice only works if you have conscious control over your eating habits. It doesn’t work when emotions hijack the process, demanding an immediate payoff with food.
In order to stop emotional eating, you have to find other ways to fulfill yourself emotionally. It’s not enough to understand the cycle of emotional eating or even to understand your triggers, although that’s a huge first step. You need alternatives to food that you can turn to for emotional fulfillment.


What are some of your personal triggers and when do they occur?
1.
2.
3.


What can I try to do to replace addressing them without resorting to Emotional eating?
1.
2.
3.


Examples:

Alternatives to emotional eating

If you’re depressed or lonely, call someone who always makes you feel better, play with your dog or cat, or look at a favorite photo or cherished memento.
If you’re anxious, expend your nervous energy by dancing to your favorite song, squeezing a stress ball, or taking a brisk walk.
If you’re exhausted, treat yourself with a hot cup of tea, take a bath, light some scented candles, or wrap yourself in a warm blanket.
If you’re bored, read a good book, watch a comedy show, explore the outdoors, or turn to an activity you enjoy (woodworking, playing the guitar, shooting hoops, scrapbooking, etc.).




Summary


This has just been an information session to outline what may be helpful to know regarding people that are Emotional Eaters and I have heavily referenced the content.
I mentioned above, (good on you for those that noticed) .... that many Emotional Eaters are not in control of their relationship with food.  
If you would like more information regarding what this means, it is related to what we call "mindful eating" which looks at our relationship with food.
I plan to write a follow up blog on the topic as did not want to have this one too long and complicating if I connected the 2 concepts together at once.
Please send me any questions you would like me to address.


If you have had any experience with Emotional Eating, or would like to see how you go implementing the above suggestions, I would love to hear from you.


Please note:
Emotional eating often affects people with mental health issues, especially depression.
If you think this may be an underlying factor then please seek professional help.



References:

https://www.helpguide.org/articles/diet-weight-loss/emotional-eating.htm