Monday, November 19, 2012

Thanksgiving Blessings: Appreciating What You Have

As the calendar turns to Thanksgiving this week, it seems a good time to reflect on the blessings, people, and things we have in our lives, as well as being grateful for the bad stuff we don't have. Thornton Wilder wrote "We are most alive in those moments when our hearts are conscious of our treasures." Too often, I see people take the special people in their lives for granted, not realizing the true value of those closest to them.

In his book,"How to Want What You Have: Discovering the Magic and Grandeur of Ordinary Existence" (Holt and Company,1995), therapist Timothy Miller does a brillant job of illuminating the grass is greener sort of longing that many people have, assuming that some other path taken in life would be more satisfying. Many people make the mistake of thinking, "If I just had this, life would be perfect."

Wanting what you have, and seeing the goodness in it is the surest way to create satisfaction, contentment, and joy. As Miller suggests, daily practice of compassion, attention, and gratitude is the surest way to be content.We all will do better at this some days than others, and that's okay. Contentment and happiness are not steady states of being. It is in cultivating the daily habits of compassion, attention, and gratitude that we become better at creating a receptiveness for appreciating the little joys of daily life.

It is a mistake to tell ourselves that we will be happy when....(we finish college, get married, get our dream job, have a certain amount of money, have children, get the house we want, get divorced, or move someplace else, etc.). It's elusive. Wherever you go, there you are, so we need to be able to enjoy now as an incredible gift, making the most of each day and each interaction. We want to keep a keen awareness of how good it is to love others, to be loved, to feel strong and healthy, to enjoy sunsets and nature, to appreciate art and music, and all the other little things that make life worth living. Loving life is in the details of our ordinary days.

Miller points out, wisely, that the desire for more often does harm. It does indeed. I have worked with a number of individuals in counseling over the years who really regreted losing something precious, like a relationship, because they didn't realize how valuable it was. Sometimes people put what is most important in their lives at risk in order to have something they falsely believe is more or different. Note how many celebrities are successful in their careers, but unsuccessful as partners or parents.

Focusing on identifying non-compassionate thoughts, about yourself and others, and replacing them with compassionate ones is a good start in cultivating more contentment. Next, act compassionately. Move away from the judgement of others. It is not your job, and it will not bring you inner peace. Be as attentive as possible to others, and be observant of yourself. Finally, practice living in reverence and gratitude. Express your gratitude to others.

Thanksgiving is a wonderful time to refocus ourselves on what is most important. Don't miss an opportunity to tell someone close to you this week what you love or appreciate about them. Contentment has a great deal to do with being here now, and recognizing goodness, beauty, support, and love. If you want to truly prepare your heart for Thanksgiving, and feel really blessed, consider all the gifts that you have in your life that money cannot buy. I have a number of people in my life that I feel blessed to be close to, and then there are those two crazy golden retrievers who are pretty wonderful, too.

Tuesday, November 13, 2012

Mending a Broken Heart

Break-ups are hard at any point in life, but almost everyone has been through it once or more than once. It's a part of our human experience, and helps us appreciate the fragile nature of close relationships.

What do we need when a relationship ends? How can we process what has happened? What can we do to help ourselves move through the grief?

It's important to remember that loss is always felt in direct proportion to how attached we were to that person. The more attached the two of you were, and the more your lives were intertwined, the greater the feelings of  loss you will experience.

Allow yourself to feel the loss, including the shock, the sadness, the anger, the regrets, the bargaining in your own mind about if things had only been different. All of these feelings are normal. Grief is always easier and less complicated if you deal with it at the time of the loss. Look through old pictures if you feel the need. Listen to songs that remind you of that person if you want to. Let yourself cry if you can; tears are healing.

Avoid alcohol or drugs as you are grieving your loss. It will bury your grief, and delay you dealing with the painful feelings until sometime later, when it will be more difficult to deal with. Grief therapists notice that losses that don't get dealt with at the time can show up later in that person's life, when some subsequent loss occurs and it hits doubly hard.

Activate your support system. Let your close friends and family know what has happened, and that you need them to be available to support you. It's okay to spend some time alone, but spend some time with your friends and family and allow them to lift your spirits. Work and school can be healthy distractions, too.

Reflect about the insights and lessons you may have learned from this relationship. What will you do the same in a future relationship? Will you be more attentive, more open, or choose someone with different traits? Perhaps you have learned some lessons about what is important to you in close relationships.

Take extremely good care of yourself. Eat nutritiously. Grief is heavy emotional work, so be sure to get your sleep. After a break-up is an excellent time to step up your exercise. It will help you relax, sleep better, work out anger, and get a healthy dose of endorphins. You may want to change a few things---perhaps a different hairstyle, a new outfit, or something else that boosts your self-esteem a bit.

Take your time healing. It isn't a race to get back out there and begin dating again. It's healthy to take your time developing yourself again after a break-up. Focus on your friends, your career, your family, and your interests. It's important to learn how to not be in a relationship, and be by yourself.

Loss is a part of life. Time passing helps, as well as feeling your feelings. This is the only healthy way through the journey of grief. You can work through the grief process and even grow from it.

If you are stuck, feel you are slipping into depression, or can't figure out how to move through the pain to the rest of your life, meeting even a time or two with a therapist who is trained in grief work can be very valuable in moving you forward.

Break-ups happen. Some of the challenge is finding your way through it, feeling and processing your grief, and learning from the journey along the way. The human heart is an amazing and resilient thing.

Thursday, November 8, 2012

Why do Marriages Last Better In New Jersey?

In the October 14th edition of The New York Times, I found an article in the wedding section with some interesting demographic data about staying married. Recently, the Census Bureau released its 2011 American Community survey, showing New Jersey ranking last among the states for its percentage of residents age 18 and older who are divorced.

A different study by Philip Cohen, a professor of sociology at the University of Maryland looked at the states with the lowest of divorces the previous year compared with their populations, finding these states to be Delaware, Massachusetts, New Jersey, New York, and North Dakota. All of these states had rates of divorce about 6-7% per 1,000 people, compared to 31 states that have above a 10% rate.

The Director of the National Center for Family and Marriage Research at Bowling Green State University in Ohio, Susan Brown, suggests that the data about less divorce in New Jersey has a lot to do with the demographic trends for first marriage there. Long-term marriages are more likely when couples marry later, have a higher level of education, and are more financially stable. In New Jersey, it seems that more people are delaying marriage until they are more ready for it and have fewer risk factors for divorce.

According to American Community’s 2011 survey, 23% of Americans married that year were between 18 and 24 years old. In New Jersey, only 13% of newlyweds were that young. The same survey found that of people 31% of Americans married in 2011 had a bachelor's degree or higher education. In New Jersey, this figure was 42%.

Public Policy professor Andrew Cherlin from Johns Hopkins notes that the divorce rates tend to be lower in the northeastern states because of this trend to marry later and at a higher educational level.

Recessions tend to have a mixed effect on the rates of divorce. While job loss, unemployment, bankruptcy, foreclosure and other economic instability are bad stress for couples, it may be that some couples do not separate or divorce because they cannot afford the additional expense of setting up and maintaining two households, plus legal costs.

Other writers wonder if other factors make divorce in New Jersey less likely. There are many foreign-born residents, which may reduce divorce rates. Unemployment is not as high in New Jersey as some other states. Perhaps the stress and impact of Hurricane Sandy will impact the next set of divorce statistics. Some question whether married people in New Jersey have a lower happiness set-point than those in other areas, or if they are settling.

At the very least, these national statistics about trends in marriage and divorce give us an interesting dialogue about that factors that make splitting up less likely. For my own daughters, and all the young people I work with in counseling, I still hope you will take your time. Don't partner too early. Finish your education and get financially stable on your own if possible before taking on the huge commitments of marriage and family. Be sure to get some pre-marital counseling so you know how you will deal with decisions, religion, parenting, finances, family, and sex.

Your core self isn't truly developed until close to age 30, so if you marry before then, it's anybody's guess if you will still be a fit with your partner later on. Give yourself the best chance at marital happiness and success that you can, because there are plenty of challenges you can't control in life. 

Thursday, November 1, 2012

Keeping the Happy in your Holidays

Remember when you were a child and the holidays were pretty magical? It might have been your favorite part of the year, other than your birthday.

Too often, adults dread the turn of the calendar to November, with the extra workload of the holidays: cooking, shopping, meal planning, wrapping gifts, more demands on your time, extra expenses, decorating, cleaning, entertaining, thinking of brilliant gift ideas. It's enough to make one want to schedule a long nap to rest up!

It's time to take back your holidays. This article is geared to help you stage your own holiday makeover so that you can put the joy and meaning back into the season, and not go passively into all the regular routines without some careful checking in with yourself and the people who matter most to you.

It can be helpful to make a list of the holiday tasks you normally do, and consider what brings you the most joy. If you live alone, you can do this by yourself. If you live with family, you can have a meeting with the family to find out what means most to each person. What is each person's favorite part of each holiday? What can you cut out because the effort isn't worth it?

Try to delegate and find out who can do what task to help bring the holidays together. Could meals be made into shared events where each person contributes a dish? Could your son, daughter, grandson or granddaughter home from college help you with decorating and un-decorating? Could you bring food in? Could you make things more casual? Ask for help! Some of the joy is in putting the holiday together, not just showing up for it. Don't hog all the tasks for yourself, or you are likely to resent it (and your resentment will leak out).

Could you schedule some self-care into your holiday season? Perhaps you could schedule some breaks for you to exercise, get a massage, watch a favorite holiday movie, or do something else that restores you. If you have been losing weight and taking care of yourself, maybe you want to reconstruct your holiday menus to not create backward motion on your health goals. You can also increase non-food related holiday activities, like seeing a play or a concert together. Those peanut butter balls are not going to be easy to burn off after the holidays. If we get a little creative, spending time together doing active things can be a refreshing change from one holiday meal after another.

Think creatively about doing things in a new way that would fit your life now. This would be a good time to suggest drawing names for gifts in your family, rather than trying to find and fund gifts for every single person. It's not worth stressing yourself out, or incurring debt that could depress you in January when you get the bills. Perhaps you can make this a cash-only holiday season, and avoid charging on credit cards.

You might have to update your holiday plans given the changes that have occurred in the past year. I am working with people in counseling that have moved into a smaller home space this year, and have had to rethink having all the adult kids stay over. Maybe the adult kids can stay in a nearby hotel, and meet up for some part of each day with you if you are hosting.

If you have divorced, been through a break-up or death this year in your life, it's definitely time to revisit your take on the holidays. Give yourself the permission and authority to rewrite the regular traditions, or keep them the same depending on what feels most comforting to you.

Seek peace and acceptance with your family during the holiday season. Don't expect miracles. Try to lower your sensitivities to slights, be generous with your forgiveness, and realize it's not your job to judge other family members. Choose to wage tolerance and extend yourself if you can.

Cut where you like, but don't cut out the meaningful things. If faith is important to you, or volunteering in some way during the holidays to get some perspective, then schedule that in first. It could be that you want to extend your holiday season and make plans to see close friends before or after, rather than getting too stressed and tired.

Keeping your own energy level up is important. Try to get your rest, exercise, and not get overwhelmed. Try to set boundaries with negative, toxic, demanding, and unreasonable people. Pay special attention to pacing yourself. Take breaks from entertaining and hosting.

Take control, and make this your new, updated, and improved holiday season. You just might have a lot more fun, and bring back some of the magic. Lighten up, and go for the joy!

Thursday, October 25, 2012

What is a Good-Enough Parent?

Psychologist, writer, and researcher Bruno Bettelheim coined the term "good enough" parent. It's a useful one.

It reminds parents they don't have to be perfect to do a really good job at parenting. It gives parents hope, because most insightful, conscientious parents are able to reflect on their own shortcomings as a parent. Sometimes it isn't until we become parents ourselves that we develop more compassion for our own parents, ourselves, and parents everywhere who not only are raising children, but also trying to support the financial needs of the family, balance work and family, meet multiple children's needs, and  stay happily partnered. Parenting is a big job if it's done well.

Sometimes part way into living out the dream of having a family, loss occurs. There may be a death or a divorce which creates even more challenges: moving, financial stress, single parenting, more isolation, and even less support. The parenting needs to continue, and sometimes there is hardly time for a parent who is going through loss or crisis to catch their breath. Conversely, having children to rally and refocus for after a huge loss can be helpful and grounding. I am often supporting people in just this situation in my counseling practice, and try to help the person see their role in helping their children through a family crisis as a good choice for their attention, as opposed to dating again right away, or something else.

As a family therapist who has worked with children, teens, and families for more than 20 years, here are some of the traits I think good-enough parents need:

1.      The ability to apologize when you blew it, overreacted, etc. –sincerely, and from the heart.

2.      Being present, as much as you can and still support the family. Being present also means that you are available emotionally, not focused on an addiction or your own compulsions.

3.      Listen more than you talk. Most parents lecture far too much, especially with teens. If you listen more, you'll be amazed at how your child or teen may open up more.

4.      Follow through. Do what you say you are going to do. Be count-on-able. My own children are in college and have launched into adult life, and I still feel that being a parent of your word is critical to your credibility with your child.

5.      Have traditions and rituals for connecting with your children and family. Think mealtimes, family activities you do together, worshipping together, one-on one dates with your child/children, homework help.

6.      Be your authentic self. A parent with good self-esteem, a sense of purpose, and a sense of humor all make you more real to your children. Express yourself with your own little twists that are uniquely you. I personally love serving breakfast waffles for dinner sometimes to mix it up, and love playing the board game Apples to Apples with the whole family. Hmmm, that gives me some excellent ideas for when my girls are home Thanksgiving weekend from college!

7.      Be consistent. Try your best to have regular meals, bedtimes, and homework times. Try to set and enforce clear family rules fairly and calmly. Speak softly and carry logical consequences.

8.      Encourage your child. My theory is that each child is different (have you ever noticed your differences from your sibling, if you have one?) Our job is to figure out who we've been sent, and how to help them develop their natural strengths and interests.

9.      Do not compare. Don't compare your child to their siblings, to you at their age, or to their friends. All of those comparisons create distance between you and your child, tension between siblings, and are not useful. Communicate to your children that they each have a special and unique place in your family and your heart.

10.  Don't give up. Some stages are magical in the parenting journey. Others are heart-breaking and upsetting. You are the parent, and good-enough parents go the distance.

11.  Be warm. Express your love for your child. Point out their strengths. It is in childhood that we learn to attach successfully with others, because we first learned how to securely attach to mom and/or dad.

12.  Play together. Can you remember when your parents played with you, or taught you to do something they enjoyed? Those positive experiences put something into your account with a child, so that when you have to discipline, there is something on account from which to withdraw.

So the good news for parents is: you don't have to be perfect. You can be good-enough, and that's just fine. As Bettelheim wrote, "not only is our love for our children sometimes twinged with annoyance, discouragement, and disappointment, the same is also true for the love our children feel for us." For everything to work, we don't have to be perfect as parents, and our children don't have to be perfect for us to love them either.

Monday, October 22, 2012

Good Mood Basics

How are you sleeping? How are you eating? Do you exercise?

When I am concerned about a client's anxiety or depression, these are some of the first things I want to know. If you are not sleeping or eating well, it can make your mood problems much worse. Exercise is a wonderful, natural mood stabilizer.

Sleep is a huge issue for most people in modern life. A number of studies show we still need as much sleep as our great grandparents did in 1900, but we get much less. We also sleep less than people did in 1950.

Many teens are especially short of sleep. Teens have major changes going on in their bodies, and need more sleep than adults. It doesn't help their moods when teens are overtired. Many teens are up past midnight on school nights, and then have a very difficult time getting up for school in the morning. Many teens send and receive text messages late into the night.

Sleep researchers recommend we gear down our brains in the last hour or two before bedtime. There are physiological challenges that we get from the impact of computers and television in the pre-bedtime hours. The light from each of these technologies can activate our brains, and make it harder to fall asleep.

Experts suggest that we downshift in the last hour before bed by doing something quiet, like reading, talking with someone, or listening to music. A relaxing shower or bath could also set the stage for a peaceful entry to sleep. Lowering the light intensity in the room during the winding down time period can also help ease sleep.

Good sleep hygiene also includes keeping your bedtime and waking time as consistent as possible, 7 days a week. Big variations in either time frame can mess up your sleep cycle. Getting into a good sleep pattern will help your mood. If you have trouble staying asleep, don't lie in bed tossing and turning. If you can't get to sleep after 20 minutes or so, get up, change rooms, and do something quiet, like reading until you feel sleepy. Go back to your bedroom when you are tired. We want to associate the bedroom will peaceful sleep. This is why it's best not to study or keep a home office in your bedroom.

What about stabilizing your mood with good nutrition? Many people skip breakfast, and begin their day with nothing in their stomachs. Other people skip meals. We do best with something nutritious every 3-4 hours. If you have a busy day planned, pack up some portable healthy snacks and take them with you to work or school. You can also stash some snacks in your car trunk.

Many teens eat no breakfast, and then skip lunch at school. If your teen has a tendency to do this, you may want to take them grocery shopping with you to pick out healthy, portable options. You may also want to make the 3:00 or 4:00 time frame the main meal of their day, as it is when many teens are at their hungriest.

If you are not sure what you should be eating, or what number of calories you should be eating, even one session with a good registered dietician can be extremely informative and helpful. My favorite dietician is able to help you make a grocery list of snack and meal items that fit your lifestyle, and are easy. Eating well can help reduce anxiety and depression symptoms.

Limiting your intake of alcohol and caffeine is also key to stabilizing your mood. Alcohol is a depressant, which can make depression worse and complicate any medication you may be taking. Caffeine is a stimulant which can make an already anxious person more anxious, and interfere with your sleep cycle. Limiting sugary foods will also help you get off the mood roller coaster!

For my patients that are anxious or depressed, I also want to make sure that they are exercising if their doctor has given them clearance to do so. It's amazing what a 30 minute walk a day can do to increase endorphins, and give people a needed mood boost. It can also help you sleep better.

Feeling bad? Start with the basics of sleep, eating well and exercising regularly. They are simple ideas, but they each have a huge impact on how you are dealing with your emotions, relationships, and life challenges. If you need more help, consult a good therapist who does cognitive therapy to reduce depression and/or anxiety symptoms.