Category: Uncategorized

  • Relationship / Marital Problems

    Mental Health

    Signs & Causes

    Few, if any, relationships are perfect. Problems are bound to occur. The problems most often linked with marriage and other relationships include:

    *  Failures in communicating

    *  Misunderstandings

    *  Negative feelings, such as being hurt, put down, ignored, abused and/or lonely

    *  Power struggles

    *  Acting out to get attention. Ways to do this include pouting, whining, nagging and complaining

    *  Addictive behaviors

    Other problems arise when partners have different needs in a relationship. Common differences include:

    *  Money

    *  Sex

    *  Work

    *  Child-rearing

    *  “In-law” or other family problems

    *  Time and how it is spent (i.e., studying, partying, golfing, watching TV)

    Most of the time, these problems can be worked out by the persons involved. Professional help should be sought, though, if any of the following apply:

    *  The problems are severe

    *  The problems keep you from doing your daily tasks

    *  You cannot resolve the problems on your own

    *  You want to strengthen your relationship(s)

    Questions to Ask

    Self-Help

    Ways to Improve Communication

    *  Avoid blaming the other person. This puts him or her on the defensive and prevents communication. When blaming starts, listening stops.

    *  Take 51% of the responsibility for listening to what is being said. Ask questions to clear up what you don’t understand.

    *  Be sincere, honest, and show concern in your conversation. Don’t be sarcastic or make fun of the other person.

    *  Try to let go. Before getting into an argument, ask yourself if the issue can simply be “let go.” Ask the other person, too. If you both say yes, drop it and don’t let it re-surface at a later time.

    *  It’s alright to discuss problem issues, but be certain that you focus on how to solve the problem, not placing blame for it.

    *  Put yourself in the other person’s shoes. Try to see his or her point of view.

    *  Remind each other of the many positive strengths of the relationship. Build on these strong points. Don’t dwell on the negative ones.

    *  Don’t bring up old issues, disputes or grudges. When past problems enter in, the  conversation can get out of hand.

    *  Timing is critical. Ask yourself if it is the right time to bring up an issue. If the other person is undergoing problems with work, school, kids, health and/or family, adding yet another problem to their burden is not likely to solve the issue. It may serve to cause them more anguish. If possible, wait until the other person’s burden has lightened to bring up yet another problem.

    *  Don’t approach an issue with the idea of changing the other person’s mind or convey an attitude that you’re right and he or she is wrong.

    *  Share the issue. The problem belongs to both you and the other person. Work to understand your partner’s position first, then to have him or her understand your position.

    *  Omit distractions. Don’t attempt to discuss an issue while driving a car, taking care of children, doing a household chore or doing anything that will take your attention away from the issue and the other person.

    *  Make sure you know your own position and   be ready to state it clearly to the other person.

    *  Communicate in an assertive way.

    – State your position in terms of what your feelings about the issue are.

    – Don’t make demands of the other person or put them down.

    – Use “I” rather than “you” messages. For example, if you are upset by the fact that the other person has begun to neglect their appearance, instead of saying “You look like a slob,” it would be better to state “I like it better when your appearance is neat.”

    *  Listen with your heart. Hear what the other person is saying regardless of how they say it. Allow him or her to be comfortable while they are stating their position. Don’t take an “attack” position and wait tensely for your turn to talk. Don’t interrupt them while they are speaking.

    *  Make a plan. This should consist of what you can do to solve the issue and what you are willing to do. Knowing these things in advance can speed the solution and reconciliation process.

    *  Go in peace. Let the discussion of a problem run its course and end in peace with both of you at ease. Don’t continue to “stew” over who said what, the decisions that came out of the argument and whether the other person gained more than you did in the bargaining session. If you still feel uncomfortable with the solutions, re-state your position and try again. Be aware, however, that some issues may not be able to be changed. For example, in the case of differing sexual desires/needs, forcing or asking that your partner engage in sexual activity beyond their desire for it will not benefit you or your partner and will only cause more tension.

    Jealousy

    *  If you experience abnormal jealousy in relation to situations or persons in your life, the following suggestions may be helpful:

    *  Admit your jealousy. Pretending there is no problem or that it is not a serious problem only compounds the issue.

    *  Look for the cause of the jealousy. Some of the causes may be:

    – Your present or a past partner cheated on you which has caused you to feel insecure. Your partner seems to pay more attention to others, work or social friendships. Members of the opposite sex find your partner attractive and pay a lot of attention to him or her. You fear your partner may one day lose interest in you and seek another partner.

    *  Express your fears and concerns to your partner.

    *  Learn about jealousy. Read books on the subject, talk to people who live with jealous persons to get an idea of what it’s like to experience a partner’s jealous responses. Or, talk to other people who experience extreme jealous feelings themselves.

    *  Communicate. Talk to your spouse/partner about your feelings. Perhaps they are doing something they are not aware of that is causing you distress.

    *  Talk to a counselor if you cannot curb your jealous responses on your own.

    *  If you are the victim of someone’s abnormal jealousy or if you know someone who is abnormally jealous, the following suggestions may help you deal with them:

    – Be supportive. Recognize that your partner has a problem and encourage them to work on their behavior. Give them positive feedback as they progress.

    – Hold your ground. If your partner questions you, state your explanation clearly and without anger.

    – Be objective. Try to see the situation from your jealous partner’s point of view when possible. Avoid doing things that may be causing their jealousy and spend quality time together as a couple.

    – Don’t provoke jealousy. If you know your partner is prone to certain jealous reactions, don’t flirt with people in their presence, don’t ridicule, antagonize or tease your spouse/partner about their jealousy. Don’t leave “fake clues” to an alleged infidelity.

    – Don’t isolate yourself. Do not withdraw or avoid other social relationships. This can be the consequence of dealing with a violent or  otherwise abusive jealous person.

    *  Seek professional help. If you and your partner cannot work out your jealousy problems through communication, companionship and trying to create an otherwise satisfying relationship, consult a counselor.

    Sex

    *  Discuss your sexual needs with your partner.

    *  Ask your partner about his or her sexual needs.

    *  Develop areas where both you and your partner have compatible needs/desires.

    Money Matters

    *  Set financial goals. Decide together what you want to accomplish within a certain time (example: 6 months, 5 years, throughout life). Continue to review and modify your plans, if necessary.

    *  Organize financial records. Keep track of statements, check stubs and receipts. These can help monitor spending.

    *  Establish a credit history in both partners’ names.

    *  Limit the number of credit cards you have, how much you charge on them or get rid of them entirely. Opt for credit cards with the lowest interest rates, if you use them.

    *  Get professional help from an accountant, financial planner or other specialist if you need help managing your money.

    *  Develop a realistic budget. You can do this in one of two ways:

    – Single Fund – Both partners have a joint account and agree that “what’s mine is yours.” This works if both of you can agree on a budget and spending practices.

    – Separate Finances – This works well if both partners work. Each person is responsible for an agreed-on portion of the household costs. They are then free to do whatever  they wish with the rest of their money with no resentments from the other partner.

    Minding Your Mental Health Book. Published by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Plan For Emergencies

    Medication

    Close up of hands filling a medication pill holder.

    Do you have a plan for what to do about your medicines during an emergency?

    One-week supply:Have a 7-day supply of medications and other medical supplies. Check expiration dates every six months.

    Storage tips:Store medications in labeled, child-proof containers in a dry, cool place. For refrigerated medicines, plan for some temporary storage.

    An important list:Include a medication list (prescription and non-prescription) and phone numbers for your doctors and pharmacies. Include copies of current prescriptions.

    ID cards:Always keep health insurance and prescription drug cards with you to replace damaged or lost medication, if needed.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Do You Live With A Sleepwalker?

    SELF-CARE CORNER

    Young women sleepwalking.

    If you or a family member sleepwalks, you may know the signs well. It often involves doing some of the following during sleep:

    *  Sitting up

    *  Walking around

    *  Talking

    *  Getting food or eating

    When a person is sleepwalking, it can be confusing or even frightening for others in the house. They look like they’re awake. They may say or do things that don’t make sense. But the person won’t remember saying or doing anything when they wake up.

    Sleepwalking happens during deep sleep. This is often early in the night. It can happen to children and adults.

    Is it dangerous?

    Many people feel alarmed when a family member starts sleepwalking. Sleepwalking itself isn’t usually dangerous. The best thing to do is to make sure the sleepwalker can’t get hurt. Here’s how to do it:

    *  Keep the home – and especially their room – picked up. Make sure things like electrical cords are out of the way. Have children pick up their toys, books or other objects.

    *  Keep exterior doors locked. If you can, use extra locks that are difficult to open, such as a chain lock or a dead bolt.

    *  Close and lock all windows at night.

    *  Never yell at or shake someone who is sleepwalking. Instead, guide them safely back to their bed.

    *  Consider putting a gate across stairways. Use gates that are designed for this purpose.

    How to avoid it

    Some people may be more prone to sleepwalking. However, there are ways to lower the chances of it happening. They include:

    *  Don’t drink alcohol.

    *  If you are taking anti-depressant medicine, talk to your doctor about it. Some of these medicines can cause sleep problems. There may be a different medicine that works for you.

    *  Go to bed at the same time every night.

    *  Make sleep a priority. Adults should get at least seven hours. Children often need much more than this. Ask a doctor how much sleep you or your child should get.

    Seeing a doctor

    If sleepwalking happens a lot, talk to a doctor. There is no test for sleepwalking. But your doctor can check for other sleep problems or health conditions that may be causing sleep problems.

    Source: American Academy of Family Physicians

    © American Institute for Preventive Medicine

  • Listen To Your Ears

    SELF-CARE CORNER

    Workers with safety gear protecting head, eyes and ears.

    It’s easy to take hearing for granted. But without proper care of your ears, you could end up with hearing loss or ear problems.

    Worried about wax

    Your body makes ear wax to protect your ears. Wax keeps dust and other particles from getting inside.

    Only clean the outside of your ears with a tissue, washcloth or cotton swab. Never stick anything, including a cotton swab, in your ear. This will push wax farther down into the ear and can create a harmful blockage.

    If you feel that there’s a lot of wax in the ear, you can safely try to soften it with a drop of mineral oil or glycerin. Your doctor can also remove ear wax blockages without damaging your ear.

    Saying no to noise

    One of the most common reasons people lose their hearing is exposure to loud noises. This can happen very quickly after a loud sound like an explosion. Or, it can happen over time if a person is exposed to loud sounds for months or years.

    You can help prevent noise-induced hearing loss with one simple tool: ear plugs. Wear them when going to a loud concert, watching fireworks or attending loud events. Wear them when mowing the lawn or using loud power equipment at home.

    If you have a job where you are exposed to noise, make sure you are using the right hearing protection. You may need something more powerful than ear plugs for certain jobs. Talk about this with your employer.

    Use headphones with care

    The World Health Organization says people should limit how much they use headphones. Don’t use them more than one hour a day. Keep the volume as low as possible, but no louder than 60 percent.

    Noise-cancelling headphones help you keep the volume low because they block out sounds around you. But, you should not use these when driving, cycling or walking because you won’t be able to hear possible dangers nearby.

    Talk to your doctor about your hearing health. Together, you can decide when you may need a hearing test.

    Sources: American Academy of Family Physicians, National Institute on Deafness and Other Communication Disorders

    © American Institute for Preventive Medicine

  • What To Know About Blood Clots

    SELF-CARE CORNER

    Veins on the back of a women's leg.

    Healthy blood is designed to clot. When blood clots, it prevents heavy bleeding. But, if a clot happens inside a vein, it can be dangerous. This is called a deep vein thrombosis (DVT). Sometimes, the blood clot may move through the body and get stuck in the lungs. This is called a pulmonary embolism (PE).

    Up to 100,000 Americans die from a DVT or PE every year. These clots kill more people than breast cancer, car collisions, and HIV/AIDS combined.

    Signs of a clot

    Signs of a DVT or PE include:

    *  Swelling, tenderness, redness or warmth in one area of the body

    *  Chest heaviness or pain

    *  Sweating

    *  Feeling out of breath

    *  Weakness or fainting

    *  Fast heart beat

    *  Feeling of impending doom

    Know your risk

    Certain things make you more likely to get a blood clot. They include:

    *  Recent surgery or an injury

    *  Being in bed for long periods

    *  Not moving a certain body part, such as a broken leg

    *  Sitting for a long time, including during travel

    *  Higher levels of estrogen from birth control pills, pregnancy or hormone replacement therapy

    *  Medical conditions, such as cancer, Crohn’s disease, ulcerative colitis, heart disease, blood clotting disorders or lung disease

    *  Obesity

    *  Smoking

    *  History of atrial fibrillation (A-fib)

    Reduce your risk

    Talk about your risk with your doctor. You can lower your risk of getting a blood clot by:

    *  Getting up from sitting at least every two hours

    *  Moving around after surgery or being in bed for a long time

    *  Moving legs and feet while on plane trips

    *  Wearing loose-fitting clothes while sitting for a long time

    *  Exercising regularly

    *  Wearing compression stockings if recommended by your doctor

    What to do?

    If you think you or a loved one might have a blood clot, see a doctor right away. A blood clot can be treated if it’s caught early. Sometimes, doctors use medicines that dissolve the clot. Other times, doctors will perform surgery to remove the clot.

    Sources: American Society of Hematology, Centers for Disease Control and Prevention

    © American Institute for Preventive Medicine

  • Different Shoes For Different Sports

    BE FIT

    Pair of shoes with apple and water bottle.

    If you play sports, shoes are important. Wearing the wrong shoes can sideline you with foot injuries and pain. Follow these guidelines to keep feet happy.

    Basketball, tennis and volleyball shoes should have:

    *  A thick, stiff sole that absorbs impact

    *  High ankle construction for quick changes in direction

    *  Lighter weight with a sole designed for quick starts and stops

    Soccer shoes should have:

    *  A good quality footbed to support your arch type

    *  The correct stud type for the ground you play on: soft, hard, firm or turf

    *  Molded rubber cleats

    Football and lacrosse shoes should have:

    *  High ankle support, especially for linemen and players who move side to side

    *  Good traction on a grassy field in wet and dry conditions

    *  Proper fit – don’t use hand-me-downs

    Baseball and softball shoes should have:

    *  Support to prevent arch pain

    *  No metal baseball spikes for athletes younger than 13

    *  Multi-cleats for children ages 11-15

    Running shoes should have:

    *  Good shock absorption for high-impact forward motion (not side motion)

    *  The right arch type for you (high, medium, low)

    Source: American Podiatric Medical Association

    © American Institute for Preventive Medicine

  • How Walking Can Change Your Life

    BE FIT

    Image of couple and pet dog walking along beach.

    Many people don’t exercise because they believe it takes too much time or money. They may think they need to spend an hour at the gym each day to get healthier. These myths could be standing in the way of a healthier life.

    Exercise is a universal way to improve health. We know that physical activity can reduce the risk of heart disease, diabetes and even cancer. It also boosts energy levels and can help you sleep better. But there’s another benefit to exercise that many people may not know about: better mental health.

    If you are thinking about being more active, a walking program is a tried and true favorite form of physical activity. As an exercise, walking is easy to begin and maintain. Plus, it needs no special skills or expensive equipment, and can be done year-round, outdoors and indoors.

    For those who thought they didn’t have time to walk or exercise, there’s good health news. Even a small amount of exercise can help you feel better mentally by reducing feelings of depression and anxiety, and improving cognition.

    Getting a treadmill: Questions to ask

    Treadmills have been a mainstay in gyms for years. Many people also get one for their homes. They’re simple to use and can adjust to your fitness level. But should you buy one? Here’s what to consider:

    How much money do you want to spend?

    A new treadmill can cost hundreds – or even thousands – of dollars. But many people can get used treadmills for a fraction of the cost. If you buy a used one, make sure to test it first to be sure it works. Ask the seller if they have the instruction manual.

    Can you do other indoor exercise?

    You don’t need a treadmill to get a good workout inside. You can turn on music and dance or use a fitness video or interactive game. Consider how many days per year you would need the treadmill because of bad weather. Then, weigh that against the cost.

    Will it “work”  for you?

    Do your research before making the investment. Check out online reviews of the exact treadmill you’re considering. Find out if it’s good for running, walking or both. Will it work with your height? Taller people often need a longer treadmill belt.

    Source: Centers for Disease Control and Prevention

    © American Institute for Preventive Medicine

  • Zone Minutes Explained

    BE FIT

    Women looking at watch before exercising.

    When we are active, our heart and muscles increase the circulation of blood throughout the body. The more we get our heart pumping, the more efficient the body becomes at using oxygen.

    Zone minutes refer to the amount of time spent in any activity that gets the heart rate elevated into a range that promotes health. We all need a certain amount of time in the “zone” to keep our heart, muscles, lungs, and brain in peak condition.

    Getting at least 30 zone minutes a day, or 150 a week, is the recommended minimum for good health.

    The heart-rate zone

    Your recommended heart-rate zone depends on your age and physical condition. The simplest way to find your zone is to calculate 220 minus your age. This tells you your maximum recommended heart rate in beats per minute (BPM).

    In general, you earn zone minutes for activities that get you to 50-85% of your maximum heart rate.

    For example: A fifty-year-old in good health has a maximum heart rate of 170. When engaged in moderate to vigorous activity, their heart rate should be in the zone of 85-145 BPM.

    Activities to get in the zone

    To reach 150 zone minutes per week, make time for activities that get your heart pumping. Remember your zone minutes require moderate to vigorous exertion. Here are some great options:

    *  A moderately paced walk

    *  Playing a sport

    *  Biking

    *  Swimming

    *  Dancing

    *  Weight training

    If you’re new to being active, check with your doctor before you start. In the beginning, stick with moderate activity and don’t overexert yourself. As your body becomes more efficient, you will likely feel more comfortable in your target heart rate zone.

    Tracking your zone minutes

    There are many options for tracking how many zone minutes you accumulate each day. Choose the option that works best for you.

    *  Use a smartwatch to track your heart rate and minutes in the zone.

    *  Wear a heart rate monitor when you exercise to make sure you get in your ideal range.

    *  Do the talk test when being active: if you can talk and sing easily, you’re at a low intensity; if you can talk but not sing, you’re at moderate intensity, and if you cannot comfortably talk or sing, you’re at high intensity.

    © American Institute for Preventive Medicine

  • Consider An Exercise Stress Test

    Fitness

    Image of man performing a stress test.

    An exercise stress test measures the heart’s response to physical exertion and can give your doctor an idea of how safe it would be for you to exercise and at what intensity you can exercise with relative safety. If you undergo an exercise test, your doctor will ask you to either pedal a stationary bike or walk on a motorized treadmill that increases in speed or grade. Electrodes placed on your chest will monitor your heart activity. Your blood pressure will be monitored, too.

    Should you have an exercise stress test? According to the National Heart, Lung, and Blood Institute, exercise stress testing isn’t routinely done to screen for problems, such as coronary artery disease (CAD). Usually, you will have to have symptoms of CAD before a doctor recommends exercise stress testing.

    You should check with your doctor about the need for an exercise stress test. In general you may be advised to have an exercise stress test if:

    *  You plan to start a vigorous exercise program and you are a male over the age of 45 or a female over the age of 55, especially if you have:

    – Diabetes or kidney disease.

    – Very high blood pressure.

    – Very high LDL (bad) blood cholesterol.

    – A family history of heart disease or many risk factors for it.

    *  You have chest pain during physical activity.

    *  You have a diagnosed heart ailment, lung disease, or metabolic disorder.

    *  You feel faint, get a rapid heartbeat, or feel a fluttering feeling in your chest when you exercise.

    *  You get short of breath at rest or when you exercise.

    *  You have had an abnormal resting electrocardiogram (ECG).

    Page image from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine