Friday, November 30, 2012

Sandy Update 3: Top Five Reasons You're Eligible to Apply for SBA Disaster Assistance | SBA.gov

Sandy Update 3: Top Five Reasons You're Eligible to Apply for SBA Disaster Assistance | SBA.gov

If you have property destruction from Sandy, please read this very important article.  You don't have to be a business owner or to have insurance to apply for a low interest loan from the Small Business Administration.  You might also be able to apply even if you live in a Coastal Barrier Zone.  Most loans are made at four percent! The remainder are at six percent. Read the article for complete details.

Monday, November 26, 2012

PTSD and the Holiday Season

Here’s the sad truth. PTSD often worsens during the holiday season. One would hope it was different, that holiday cheer, food, friends and good spirit would pop up like champagne on one of those commercials we see on TV where people are toasting each other, smiling and all looking fit, young and strong. But alas, it is not and here are some reasons why:

1) Holidays come with lots of triggers. We can be around too many people or too few. Even if we want to be with people, loneliness can be enhanced by the inability to connect in the midst of deep emotions such as fear, grief, or rage. There is no lonely like the lonely that comes in the midst of a group of friends or family.

2) We tend to eat foods that aggravate our nervous system. PTSD causes an inflammatory reaction in the body (see my HPA Axis posts). When we pile on the sugar, alcohol, fatty foods and just plain junk that pervades holiday fare our delicate and taxed nervous system can come under a lot of strain. Eating aggravates our anxiety, and anxiety aggravates our eating, repeating until New Year’s Resolutions come.

3) Feelings of self-loathing tend to emerge more strongly in holiday season. Perhaps we are trying to live up to an unattainable ideal of our religious faith or maybe proximity to family reminds us of our (and their) shortcomings. Whatever the reason, the phenomenon is real.

4) There is a lot of stimuli in the environment! Bright lights, flashing lights, loud music, smells, endless holiday music, crowded shopping environments all add to the load on the nervous system. Not to mention traveling on overcrowded airplanes and roads in dangerous weather. Not exactly a good environment for the hypervigilant and stressed.

If you think avoiding the holidays is easy, just watch the hilarious movie, Christmas with the Kranks. A lucky few might escape to Hawaii or a cruise but even then the holidays follow and are on our mind (if not our neighbors).

So, what to do? If you see a therapist and can afford it, scheduling extra sessions can be helpful. For those of us not lucky enough to have that resource, protection from the holiday barrage starts with our own awareness.

Pace yourself. Take some time every day to see what it is you do and don’t want to do. Say ‘no’ as often as you must. Stop worrying about hurting other people’s feelings, and focus on healing your own. Remind yourself that this, too, shall pass. For it will.

Better yet, dig down in yourself to find your own meaning of the holiday – whether it is about religion, vacation, or promoting your business, find the meaning that will be best for you.

Move into alignment with the season. In Chinese philosophy, winter is a time to move inside, to become dormant like the plants outside, resting so that our roots will be nourished and the plant flourish in the Spring. This is my favorite meaning of the winter holidays: renewal, self-nourishment, quiet companionship with those you love, sleep. Lots of sleep.

So here is my wish for you in the holiday and end of year time: Know when you are triggered and move to take care of yourself as needed. Cultivate compassion in your heart for yourself and others. Rest. Eat well. (And read The Trauma Tool Kit as needed.)

Happy Holidays.




Tuesday, November 13, 2012

Research is in: Meditation works!

Meditation appears to produce enduring changes in emotional processing in the brain

The good folks at Mass General Hospital (MGH), Boston University and other research institutions have shown conclusively in a research setting, for the first time, that an 8-week meditation program affected brain function in a positive way even when the subjects were not meditating.  The amygdala (our crisis response center) was positively affected by their modest practice.  Highly recommended reading!(Click on the title to go right to the article.)


Monday, November 5, 2012

Helping Kids Recover From Hurricane Sandy

Children can be particularly vulnerable to distressing weather and events. Most parents have not been taught to look for signs that children are under stress, or even intense stress. This blog, by request, will give you some tips on helping your children recover from Sandy.

First know that your child is stressed. Some signs that children are stressed include:

- repetitive talk about the event
- repetitive drawing of the event
- unusually irritable
- unusually withdrawn
- needy and clingy
- more forgetful than usual
- having trouble regulating emotions: laughing silly “highs” crash into sullen “lows”
- hair-pulling (trichotillomania)
- disturbed eating
- disturbed sleep


We forget what it is like to be a child. Under 14 years of age, children have some awareness that they cannot survive without adult assistance; this is especially true for very young children. Children watch their parents very carefully and take their cues from them about whether they should be upset or not. In addition children have losses in the storm that adults may trivialize or not realize the depth of the loss. For instance, a parent may not know that a stuffed animal was more like a best friend, or that a destroyed work of their art has taken away a precious sense of self. Because parents are suffering their own losses and in survival mode they may not feel like children are dealing with anything significant, but, of course, they are.

Here are some ways to help your child heal in the aftermath:

1) Limit media exposure of the event. Adults tend to watch traumatic events obsessively but we know from 9/11 that this can create traumas in kids who may not understand that they are seeing the same event repeated rather than several different events. TV may make them think the world is ending

2) Set some “processing” time aside every day for your kids where they can express their feelings. Young children (3yrs-8yrs) might be encouraged to color, draw a picture, or engage in puppet play. 8-12 years olds might want more information about storms, or just to spend time playing games. (Experienced child therapists know that most kids need to be occupied with a game or activity in order to talk about their feelings.) Teenagers may be able to sit and talk if they are mature, and are invited to participate in a judgment free zone. Also, ball throwing and basketball hoop shooting are excellent ways to get kids to open up. During this time turn off your phone and your own agendas and create a lot of space to just listen or answer questions.

3) Try to keep a normal rhythm to the day, even if you are in a shelter. Have regular mealtimes, structured activities and a bed time.

4) Speaking of bedtime, be aware that sleep may be difficult at first. Kids may be having unpleasant dreams processing the storm. Be patient and non-judgmental about this, while helping maintain a schedule.

5) Monitor your own reactions. Calm yourself down as much as possible. Do not share horrible new stories with your kids or in earshot of them. They will be alarmed but will not tell you.

6) Understand that quiet kids may not be OK. Invite them to play with you or help you with simple chores. Reinforce any sharing with your attention and love.

7) Provide lots of hugs and affection. Take time for yourself and for them. You both need the contact!

8) If your child has a pronounced behavioral change reach out for professional help ASAP. Red Cross will have referrals for free and low-income therapy professionals.

9) Be active in reassuring your children that life will get better. Hold the optimism for them, even if you are feeling discouraged. This is kind and wise parenting.

10) Lastly, cultivate patience! Be patient with your kids and be patient with the city and be patient with yourself. Stop and breathe as needed. Practice self-care and stay aware of your own needs! Then you won’t resist the children’s needs when they are up.

Know that there are so many of us pulling for all of you and your kids. Be well and be safe!