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Licensed Psychologist

Am I Too Fat?

We constantly receive messages from family, friends and even physicians implying that there is a correlation between weight and well -being. You will be happy, healthy, and successful if you are skinny. You must lose weight in order to live a good life. If you do not fit this mold, you may feel shame or be stigmatized. Unfortunately, this approach has not been successful. Most people who diet gain the weight back. People resort to sneak eating and are unable to enjoy the foods that they love. They may under-eat or over exercise. Periods of food deprivation only result in the body raising the set point and becoming heavier over time. Weight cycling has been shown to lead to poorer health. BMI has often been used as to assess a person’s health status. However, it has been found that people who fall into the obese category according to their BMI are often physically fit than those who are slimmer. Surprisingly, they have actually been shown to have half the mortality of people who are thin and more sedentary. A much better approach is to focus on wellness, encouraging people of all sizes to respect and take care of themselves. Physical activity could be encouraged for pleasure as well as for health benefits. Eating would be in response to hunger and satiety cues rather than a diet plan. Foods would not be labeled as “good or bad”. This approach would respect people of all sizes. They would not be judged based on their body size but instead encouraged to take care of their physical and emotional needs.

35 Gifts Your Children Will Never Forget

Originally posted at www.becomingminimalist.com/35-gifts-your-children-will-never-forget Own less. Live more. Finding minimalism in a world of consumerism. “You give but little when you give of your possessions. It is when you give of yourself that you truly give.” – Kahlil Gibran I have countless holiday memories. Most of them center around faith, family, and traditions. Very few childhood memories actually include the gifts I received. I distinctly remember the year that I got a blue dirt bike, the evening my brother and I received a Nintendo, and opening socks every year from my grandparents. But other than that, my gift-receiving memories are pretty sparse. Which got me thinking… what type of gifts can we give to our children that they will never forget? What gifts will truly impact their lives and change them forever? To that end, here is an alphabetical list of 35 Gifts Your Children Will Never Forget.
  1. Affirmation. Sometimes one simple word of affirmation can change an entire life. So make sure your children know how much you appreciate them. And then, remind them every chance you get.
  2. Art. With the advent of the Internet, everyone who wants to create… can. The world just needs more people who want to…
  3. Challenge. Encourage your child to dream big dreams. In turn, they will accomplish more than they thought possible… and probably even more than you thought possible.
  4. Compassion/Justice. Life isn’t fair. It never will be – there are just too many variables. But when a wrong has been committed or a playing field can be leveled, I want my child to be active in helping to level it.
  5. Contentment. The need for more is contagious. Therefore, one of the greatest gifts you can give your children is an appreciation for being content with what they have… but not with who they are.
  6. Curiosity. Teach your children to ask questions about who, what, where, how, why, and why not. “Stop asking so many questions” are words that should never leave a parents’ mouth.
  7. Determination. One of the greatest determining factors in one’s success is the size of their will. How can you help grow your child’s today?
  8. Discipline. Children need to learn everything from the ground-up including appropriate behaviors, how to get along with others, how to get results, and how to achieve their dreams. Discipline should not be avoided or withheld. Instead, it should be consistent and positive.
  9. Encouragement. Words are powerful. They can create or they can destroy. The simple words that you choose to speak today can offer encouragement and positive thoughts to another child. Or your words can send them further into despair. So choose them carefully.
  10. Faithfulness to your Spouse. Faithfulness in marriage includes more than just our bodies. It also includes our eyes, mind, heart, and soul. Guard your sexuality daily and devote it entirely to your spouse. Your children will absolutely take notice.
  11. Finding Beauty. Help your children find beauty in everything they see… and in everyone they meet.
  12. Generosity. Teach your children to be generous with your stuff so that they will become generous with theirs.
  13. Honesty/Integrity. Children who learn the value and importance of honesty at a young age have a far greater opportunity to become honest adults. And honest adults who deal truthfully with others tend to feel better about themselves, enjoy their lives more, and sleep better at night.
  14. Hope. Hope is knowing and believing that things will get better and improve. It creates strength, endurance, and resolve. And in the desperately difficult times of life, it calls us to press onward.
  15. Hugs and Kisses. I once heard the story of a man who told his 7-year old son that he had grown too old for kisses. I tear up every time I think of it. Know that your children are never too old to receive physical affirmation of your love for them.
  16. Imagination. If we’ve learned anything over the past 20 years, it’s that life is changing faster and faster with every passing day. The world tomorrow looks nothing like the world today. And the people with imagination are the ones not just living it, they are creating it.
  17. Intentionality. I believe strongly in intentional living and intentional parenting. Slow down, consider who you are, where you are going, and how to get there. And do the same for each of your children.
  18. Your Lap. It’s the best place in the entire world for a book, story, or conversation. And it’s been right in front of you the whole time.
  19. Lifelong Learning. A passion for learning is different from just studying to earn a grade or please teachers. It begins in the home. So read, ask questions, analyze, and expose. In other words, learn to love learning yourself.
  20. Love. …but the greatest of these is love.
  21. Meals Together. Meals provide unparalleled opportunity for relationship, the likes of which can not be found anywhere else. So much so, that a family that does not eat together does not grow together.
  22. Nature. Children who learn to appreciate the world around them take care of the world around them. As a parent, I am frequently asking my kids to keep their rooms inside the house neat, clean, and orderly. Shouldn’t we also be teaching them to keep their world outside neat, clean, and orderly?
  23. Opportunity. Kids need opportunities to experience new things so they can find out what they enjoy and what they are good at. And contrary to popular belief, this doesn’t have to require much money.
  24. Optimism. Pessimists don’t change the world. Optimists do.
  25. Peace. On a worldwide scale, you may think this is out of our hands. But in relation to the people around you, this is completely within your hands… and that’s a darn good place to start.
  26. Pride. Celebrate the little things in life. After all, it is the little accomplishments in life that become the big accomplishments.
  27. Room to Make mistakes. Kids are kids. That’s what makes them so much fun… and so desperately in need of your patience. Give them room to experiment, explore, and make mistakes.
  28. Self-Esteem. People who learn to value themselves are more likely to have self-confidence, self-esteem, and self-worth. As a result, they are more likely to become adults who respect their values and stick to them… even when no one else is.
  29. Sense of Humor. Laugh with your children everyday… for your sake and theirs.
  30. Spirituality. Faith elevates our view of the universe, our world, and our lives. We would be wise to instill into our kids that they are more than just flesh and blood taking up space. They are also made of mind, heart, soul, and will. And decisions in their life should be based on more than just what everyone else with flesh and blood is doing.
  31. Stability. A stable home becomes the foundation on which children build the rest of their lives. They need to know their place in the family, who they can trust, and who is going to be there for them. Don’t keep changing those things.
  32. Time. The gift of time is the one gift you can never get back or take back. So think carefully about who (or what) is getting yours.
  33. Undivided Attention. Maybe this imagery will be helpful: Disconnect to Connect.
  34. Uniqueness. What makes us different is what makes us special. Uniqueness should not be hidden. It should be proudly displayed for all the world to see, appreciate, and enjoy.
  35. A Welcoming Home. To know that you can always come home is among the sweetest and most life-giving assurances in all the world. Is your home breathing life into your child?
Of course, none of these gifts are on sale at your local department store. But, I think that’s the point.

Statement Of APA President In Response to Texas Church Shootings

Calling it a 'mental health problem' distracts from finding real solutions to gun violence, Putente says WASHINGTON – Following is the statement of APA President Antonio E. Puente, PhD, in response to the shootings at a Texas church that left at least 26 people dead and 20 others wounded, and President Trump’s assertion that the attack was a “mental health problem”: “The vast majority of people with mental illness are not violent. A complex combination of risk factors, including a history of domestic violence, violent misdemeanor crimes and substance use disorders, increases the likelihood of people using a firearm against themselves or others. “Firearm prohibitions for these high-risk groups have been shown to reduce gun violence. The suspect in this case, Devin Patrick Kelley, exhibited several of these red flags. “Gun violence is a serious public health problem that requires attention to these risk factors, as well as more research to inform the development and implementation of empirically based prevention and threat assessment strategies. Calling this shooting a ‘mental health problem’ distracts our nation’s leaders from developing policies and legislation that would focus on preventing gun violence through a scientific, public health approach.”

Obesity and Cancer

Obesity and inactivity could someday account for more cancer deaths than smoking if current trends continue, a leading cancer expert says.  As the rate of smoking decreases, other unhealthy habits threaten to offset the progress in reducing cancer deaths, says Richard Wender, a physician and chief cancer control officer at the American Cancer Society (ACS). A study in the New England Journal of Medicine last fall found 13 types of cancer were linked to excess body weight.  There's no guarantee that obesity and inactivity will surpass smoking as a cancer cause, Wender says, but the possibility is startling. "Who would’ve thought we’d ever see the day where what you eat (and) exercise, could account for more cancer deaths than smoking?” he asks.  The connections between smoking and too much exposure to the sun and cancer are well known, but the connections between nutrition and exercise and cancer are less known and harder to determine. Calculating cancer's link to obesity is difficult in part because of an overlap in cancer risk factors, says ACS' Rebecca Siegel, strategic director of ACS' surveillance information services.   Siegel comments that 20% of cancers are caused by poor diet, alcohol consumption, a lack of physical activity and/or excess weight.  However, that 20% cannot be combined with the 30% of cancer deaths caused by cigarette smoking since poor people are more likely to be obese and to smoke than those who are more affluent people.  A striking 50% of all cancer deaths could be prevented by following the basics of a healthy lifestyle, says Wender. That includes diet and exercise and having regular cancer screenings and getting the HPV vaccine that helps prevent cervical cancer and likely oral cancer and for Hepatitis B, which can lead to liver cancer.

The Changing Reasons Why Women Cheat on Their Husbands

A link to an article on CNN.com. One of the more interesting facts in Esther Perel's new book, State of Affairs: Rethinking Infidelity, comes near the beginning. Since 1990, notes the psychoanalyst and writer, the rate of married women who report they've been unfaithful has increased by 40 percent, while the rate among men has remained the same. More women than ever are cheating, she tells us, or are willing to admit that they are cheating -- and while Perel spends much of her book examining the psychological meaning, motivation, and impact of these affairs, she offers little insight into the significance of the rise itself. Read the full article...

Managing Traumatic Stress: Dealing with the Hurricanes from Afar

Originally published by the American Psychological Association Even if you were not directly affected by the hurricanes, you may be distressed from watching images of the destruction and worrying about people’s who lives have been turned upside down. This can be especially true if a relative or loved one was affected by the disaster. APA offers the following suggestions for managing your hurricane-related distress:
  • Take a news break. Watching  endless replays of footage from the disasters can make your stress even greater. Although  you'll want to keep informed - especially  if you have loved ones affected by the disasters  -  take a break from watching  the news.
  • Acknowledge your feelings. Some feelings when witnessing a disaster may be difficult for you to accept. You may feel relief that the disaster  did not touch you, or you may feel guilt that you were left untouched  when so many were affected. Both feelings are common.
  • Keep things in perspective.  While the disaster can feel overwhelming, it is important to appreciate those things that continue  to be positive and a source of well-being and strength.
  • Find a productive way to help if you can. Many organizations are set up to provide  financial or other aid to victims of natural disasters. Contributing enables you to participate in the recovery and engage proactively.
  • Control what you can. There are routines in your life that you can continue and sometimes you need to do those and take a break from even thinking about the disasters.

How Do I Know If I Need Therapy?

Originally Published by the American Psychological Association Most of us face struggles at some point in our lives. These struggles may include stress at work, difficulty with a romantic partner, or problems with a family member. Alternatively, struggles may include emotional symptoms such as depression or anxiety, behavioral problems such as having difficulty throwing useless items away or drinking alcohol too often, and cognitive symptoms such as repetitive upsetting thoughts or uncontrolled worry. Sometimes, life's struggles can be eased by taking better care of yourself and perhaps talking about the issues with a supportive friend or family member. But there may be times when these steps don't resolve the issue. When this happens, it makes sense to consider seeking the help of a qualified licensed psychologist. How do you know if therapy is needed? Two general guidelines can be helpful when considering whether you or someone you love could benefit from therapy. First, is the problem distressing? And second, is it interfering with some aspect of life? When thinking about distress, here are some issues to consider:
  • Do you or someone close to you spend some amount of time every week thinking about the problem?
  • Is the problem embarrassing, to the point that you want to hide from others?
  • Over the past few months, has the problem reduced your quality of life?
When thinking about interference, some other issues may deserve consideration:
  • Does the problem take up considerable time (e.g., more than an hour per day)?
  • Have you curtailed your work or educational ambitions because of the problem?
  • Are you re-arranging your lifestyle to accommodate the problem?
A ‘yes’ response to any of these questions suggests that you might wish to consider seeking professional help. Remember that sometimes a problem might be less upsetting to you than it is to the people around you. This does not automatically mean that you are in the know and your friends or family are over-reacting to you. Rather, this situation suggests that you may wish to think about why the people who care about you are upset. Clearly, the decision to enter into therapy is a very personal one. Numerous advances have been made in the treatment of psychological disorders in the past decade and many therapies have been shown scientifically to be helpful. As you think about whether therapy might be helpful to you, remember that many psychological problems have been shown to be treatable using short-term therapy approaches. Learning more about different approaches to therapy might also help you to discern if one of them sounds like a good fit with your personality and approach to life. Given the range of therapeutic options that are available, you don‘t need to continue to struggle with a problem that is upsetting and/or getting in the way of other parts of your life. Help is available.

The Walking Wounded

From the January 2013 Monitor on Psychology by Dr. Siri Carpenter:

Excerpt: "Tempted to read just one more email before you sleep?  Don't.  New research finds that not getting enough sleep - whether because of our insatiable desire for digital media or more traditional sleep disturbances - has far-reaching effects on physical and psychological health." Read the full article.

Containment in Relationships

While the vicissitudes of ordinary discourse in relationships may be easy for many of us, this is by no means the case for everyone. What can we make of the times when words are not treated as simply the best tools we’ve come up with for communicating our private experiences to others, but instead serve as triggers in relationships- triggers that can lead one to feel quite threatened or to feel the need to marshal whatever defenses may be available in one’s arsenal? What can we do when seemingly ordinary attempts at communication lead to feelings of humiliation, woundedness, or unbidden vulnerability? Unfortunate circumstances such as a history of trauma in relationships, bullying, or chronic humiliation are only a few of the things that can lead a person to feel a sense of danger about making contact with another person’s point of view. Rather than experiencing another’s perspective as food for thought, an opportunity for meaningful reflection or increased intimacy, or helpful feedback about one’s interaction with the external world- those of us wounded by past traumas may at times experience others’ ideas as weapons of destruction that can lead to painful and concrete outcomes such as disruptions in the ability to think, the visceral experience of being slapped in the face, a rush of adrenaline or “out of control” emotion, or even physiological distress/illness. And since meaningful relationships typically require a level of communication that involves a regular open exchange between oneself and others, relationships can be a minefield for those who experience the other person’s mind as a potential source of danger and distress. This is, of course, not only difficult for the one who feels so raw to the other’s impact, but is also difficult for the partner or loved one in relationship with such a person. It is certainly not easy to speak freely of one’s impressions, needs, or observations- only to have this easy conversational flow be treated as an act of aggression or a threat. It is also not easy to be on the receiving end of defenses such as rage, counter-attack, or distance and withdrawal. And so, the fate of a conversation between two partners very much depends on each person’s ability (not just willingness!) to hear and take in the other’s communications without feeling unduly threatened, as well as each partner’s ability to accommodate to the other’s capacities (or lack of capacity) to do the same. One partner may need to learn how to tone down a sense of reactivity to the other’s communications; the other may need to figure out how to speak in a way that will expand his loved one’s tenuous ability to hear and to be aware. Whether it’s feedback about oneself that is felt to be painful; awareness of the other’s needs, separateness, or vulnerability; or even perhaps just the unknown of what we may come to feel, know, or remember when talking with another, finding ways to help the people we love most be able to stretch their capacities to listen and to know, is often a task left to the one who is perhaps a little less wounded- or vulnerable- in the moment. (And of course the one who finds himself positioned in the more vulnerable position can shift from one minute to the next!) So, how do we take some of the sting out of talking, thinking, and listening? One of my favorite techniques is the simple one of “asking permission”. By the simple act of asking another’s permission before we offer our thoughts, we avoid catching the person off-guard; we give the other a sense of healthy control; and we create a sense of receptivity which can open up space for our words can to enter willingly and gently, rather than by force. We can also communicate in ways that allow the other to “save face”, whether it’s during a shared parallel activity (like cooking together in the kitchen) or while sitting side by side (in the car, for example), easing the pressure often demanded by direct face to face communication. We might use metaphor, stories about our own selves, or open-ended comments that reduce the sense of threat that the other may experience from a more direct communication. Perhaps the best gift we can give another is to simply hold stuff inside ourselves until the other is truly ready for us to share it. Processing and containing our own thoughts, feelings, and perspective until the time seems right to “put it out there”, can give those we love the much needed space they may need in order to heal from past assaults and impingements to their own sense of self and integrity of being…allowing them slowly to trust that inviting in another may actually be a rewarding experience rather than a threatening one. Is this a gift you can give to those who need it most? Originally posted on Goldstein Therapy- Clifton, NJ