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Wednesday, January 29, 2014

Getting Your Mind RIght

This first month of the year is often full of people, myself included, sharing their thoughts on how to be more physically well by modifying physical activity and nutrition.  As January wraps up I’d like to dig deeper into a dimension of wellness that gets neglected a lot, emotional health.  Many people think not being in the midst of an emotional breakdown equates to emotional wellness.  Similarly, others believe taking prescription medications or seeing a mental health professional means their emotional wellness is covered.  The problem with both these ways of thinking is it can make you a passive participant in your own emotional well-being.  As any cardiologist can tell you, taking the meds and seeing a specialist will only take you so far if you don’t engage in activities on your own that support those therapies.  Floating through life overlooking your emotional health until a crisis occurs is also not the best strategy.  As with physical health, there needs to be some prevention and maintenance to ensure emotional wellness.  Below are a few simple steps to start taking care of your emotional health.

Determine what brings you joy in life.  This is about identifying what you enjoy and being OK with it.  Be honest.  Do you like to sit at home and read a book while drinking a cup of hot tea?  Do you like to travel internationally and party with the locals until the early morning hours?   Is there is nothing in the world that warms your heart more than hearing your children laugh?  Once you stake a claim to what brings you joy, figure out how to make that a more frequent part of your life experience.  This may mean shifting priorities in terms of time management and finances, but the benefits in terms of your emotional well-being will be worth it.

Don’t get caught up in other people’s vortex of negativity.   While we like to focus on the power of positive thinking, it is important to remember the corollary.  There is power in negativity.  It is nice to believe your positivity can overcome the negative attitude of others.  In reality, that is only true when the negative person is willing to meet you half-way.  Trying to bring sunshine into the lives of those who are determined to remain bummed out can be a futile effort.  Let me be clear.  There is a difference between the occasional therapeutic vent and a constant doom and gloom perspective.  Some people are perpetually negative and even mean-spirited.  Spending time in that environment is not without repercussions on your emotional health.  A negative perspective has the ability to bring down even the most Pollyanna among us.  Particularly when you are trying to get your own mind right, it is beneficial to scale back the self-pitying folks in your world.  Don’t be dragged into their downward spiral.  

Stop doing the things you hate doing.  There are dreaded items on everyone’s to-do list.  Sometimes the best thing to remove the dread is to relocate the items to someone else’s list.  The most important part of any to-do list is that the activities get done, not who completes them.  Taking into account cost and feasibility, some tasks need to be outsourced.   It could be as small as buying the birthday cupcakes from bakery instead of making them or as large as having someone cater Thanksgiving dinner.  Some things are still being done by you simply because it has become expected.  It may be time to modify the expectations of the people in your life.  Admit you were wrong in thinking how much fun it would be to tend the lawn when you bought the house.   Hire someone else to do it.  While many solutions involve a fee, in the end you may come out ahead from the perspective of time better spent on other activities.   You may also avoid the financial burdens associated with the coping mechanisms you currently employ to deal with the stress of yet another thing to accomplish.  For the benefit of your emotional well-being it may be worth the investment. 

Don’t always be available.  This comes down to valuing your own time.  Other people respect your time when you teach them it is to be respected.  Some of us fall into the trap of saying yes just because we can’t think of a “good” reason to say no.  It can be an honor to be asked to participate in a project or to attend a function.  However, “no” can still be an appropriate response.  Once you have established yourself as the safety valve, other people learn to wait you out when a task arises.  Whether it is agreeing to chair a committee at your child’s school or to pick up extra call as a physician, don’t feel like it always has to be your duty.  You may end up harboring bitterness towards others simply because they choose to exercise the same right of refusal you have.  Just because there is a space in your schedule does not mean it has to be filled with other people’s priorities.  Time is precious and using it wisely is a key to emotional health.

Be grateful.  How well we deal with most situations in life is a matter of perspective.  Approaching life with an attitude of gratitude helps us to handle its difficulties as well as its blessings.  Recently, I heard a sermon about gratitude which brought up two important points I’d like to share.  First, comparison deactivates the desire to appreciate.  It is very easy to be unappreciative of good things in your life if you are constantly measuring them against what others have.  Second, gratitude begins where entitlement ends.  Thinking something is owed to you tends to make it feel less worthy of thanks.  One way to maintain a grateful spirit is to regularly count your blessings.  Whether it is every day, every week, or even just once a month, writing down at least one thing for which you are grateful automatically puts you in a better head space.  Also, knowing you are going to put it in writing causes you to be more conscious of things for which to be grateful.  Try it and see if there is an effect on your emotional well-being.

Initially, some of these tips may seem like a license to be selfish.  However, consider how you would feel if the same advice was being given to someone you love instead of to yourself.  Remember the first step in emotional health is loving yourself as much as anyone else. 



Wednesday, January 15, 2014

Wellness for Beginners


As we start 2014, I would like to give a brief primer on how to approach life with a mindset of wellness.  Everyone wants to do big things when a new year begins.  However, most big results are the culmination of doing the proper little things.  Achieving optimal health and wellness is a great example of that.  Health was defined by the World Health Organization in 1947 as "a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity".  Halbert Dunn (aka the Father of Wellness) said that wellness should cultivate a "zest for living" by incorporating the following five dimensions - emotional, social, intellectual, spiritual and physical.  Below are some simple ways to keep on the path of wellness in all its dimensions.  Here’s to a zesty new year!


NUTRITION
  • Eat more fruits and vegetables (at least 5 per day).
  • Eat the rainbow of whole foods.
  • Drink more water (baseline about 3 liters for men and 2.2 liters for women).
  • Don't skip meals.
  • Stop drinking sugary drinks.
  • Limit alcohol consumption.
  • Limit eating food prepared outside the home.
  • Don’t use your kids as an excuse to stock your pantry like a candy store.
  • Remember dessert can be a piece of fruit.
  • Don't be afraid of carbs, just make sure you pick the healthy ones.


PHYSICAL ACTIVITY
  • Walk 30 minutes at least 5 days per week.
  • Add resistance training to your exercise regimen.
  • Stretch.
  • Spend less time sitting during the day.
  • Use the stairs more.


INTELLECTUAL
  • Read a book or a long magazine article that has nothing to do with work.
  • Do crossword puzzles or sudoku.
  • Play cards or board games with your friends and family.  Strategy flexes your brain.
  • Always put forth your best effort at work.  Even if your job is mindless, it may be a stepping stone to something more intellectually stimulating.


SOCIAL
  • Don’t let other people define fun for you.
  • Make a date with your significant other at least once a month.
  • Talk to your kids about something other than chores and school.
  • Have family game/movie night.
  • Communicate with your best friends regularly.  Receiving a random note written with real-deal paper and pen is always a pleasant surprise. 


EMOTIONAL
  • Remember it is OK to say no just because you don't want to do it.
  • Do something just because you enjoy it.  Not everything has to be tied to some greater societal good.
  • Have at least one person to whom you can vent honestly, but don’t abuse the privilege.
  • Don't be afraid to ask for help or a break.
  • Use your vacation days.
  • Find someone who fills your tank when everyone else has drained it.
  • Tell the people you love that you love them, often.


SPIRITUAL
  • Figure out what you personally believe and how it affects your life.  Blindly accepting what your mama, grandmama, or clergy tells you is simple, but it tends not to sustain you in times of personal crisis.
  • Determine what brings you peace and take time to reflect on it every day.
  • Be kind. 

Wednesday, January 8, 2014

Finding My Essence of Strength

In September 2010 I made the decision to leave my job as an obstetrician-gynecologist to pursue my own personal wellness.  At the time I did not have a clear picture of what wellness was for me but I was confident the current situation was not it.  Six years in private practice, after four years each in medical school and residency training, had left me emotionally and physically drained.  It was a classic case of burnout.  After some down time for rest and rejuvenation, I realized I wanted to return to work in a capacity where I was still able to help other people.  The groups that always touched my heart the most were those struggling with excess weight and my fellow burnt out physicians.  Unsure how I could help the latter, I knew I could address the former by working as a personal trainer. 

Exercise had been a significant source of enjoyment and stress relief for me throughout my life.  I loved helping clients experience the same as they also reached their fitness goals.  However, as I became more successful as a personal trainer, I found myself reverting back to the old feelings of constant exhaustion.  It made no sense to me because theoretically I had a much less stressful job now.  The fact was I managed to bring the same maladaptive life skills to personal training that I had as a full-time ob/gyn.  Despite spending my entire adult life figuring out how to rid my world of illness, I had never learned how to maintain my own wellness.  Once I acknowledged I am best able to help others when I do what I need for myself, I made a special effort to focus on all aspects of life that contribute to my well-being.  Putting systems in place to ensure I keep my true purpose in mind and consistently make decisions in line with that purpose helped me find the peace I had been seeking since I stopped practicing medicine. 


At the same time I was acquiring satisfaction in my life, I was conversing with several of my physician friends who were expressing extreme dissatisfaction with their situations.  That is when it became clear to me how I can be of service to not only doctors, but all people in healing professions.   As a group, healers are particularly prone to putting the needs and desires of others ahead of themselves to the detriment of their own well-being.  Physicians are just the tip of the iceberg when it comes to healers who are unwell.  The qualities of those who dedicate a significant amount of time and effort to keeping others healthy or returning them back to good health make them susceptible to self-neglect.  They often develop behavioral patterns to get through the rigors of their daily responsibilities which leave only enough reserve to care for others and not themselves.  As one who has seen the issue from both sides, I feel it is my mission as a wellness coach to help healers recognize their ability to improve their situations and to start making the life changes necessary to be well.