Emotional and Mental Health

Doctor, Doctor: Ignoring the Symptoms

I could probably use her real name: she’s been dead over 20 years. I met her one night in the emergency room during my residency training. She had been bleeding for months, and finally became so weak that she allowed her family to bring her to the hospital. She hadn’t seen a doctor in years.
Periodically it’s a good idea to do a mental check of the different areas of your life, and see if there are symptoms you might be ignoring. Symptoms that need to be dealt with before they get worse, and before the problem becomes deadly.

Hot Flashes, Power Surges, Grey Hair – and Wisdom

I’m getting old!
That’s a very subjective statement. I don’t feel old. And I do subscribe to the adage “You’re only as old as you feel.” Do I guess I’m not old.
As a gynecologist I speak with many middle-aged women about very personal things. Passing through the menopause transition is sometimes very emotionally challenging. Although freedom from the risks of pregnancy is usually a welcome change, issues of body image, desirability, mental and physical health, and multiple life pressures are difficult for many of them to manage.

A Big Enough Reason

Making a change is hard. Habit, routine, addiction, convenience, or a thousand other reasons keep us doing the same thing over and over again, even if it’s terribly unhealthy. Or dangerous. Or even deadly.
It takes a big enough reason to endure the anxiety, setbacks, difficulty, or even pain that may be involved in making a lifestyle change. Sometimes that reason is positive, where the outcome you wish is enticing enough to work hard for. Sometimes that reason is negative, where the pain of remaining where you are is big enough to force a change.

Food for the Soul: Learning to Feed Yourself

We get hungry! And it starts from the day we’re born.

A newborn baby needs to be fed every 2-3 hours. They are completely dependent on others for the timing, quantity, and quality of the food they receive.
Later a child learns to feed themselves. Food preferences develop, and we have an increasing control over how much food, what kind of food, and when we eat. Eventually everything about what we eat is our own choice.
Food for the soul is just like that. When we’re immature we are dependent on others for any stimulation, human communication and connection, and spiritual nurturing we receive. Eventually we need to learn to feed ourselves.
Three things you need to consider in learning to mentally/emotionally/spiritually feed yourself:

Doctor, Doctor: The Hope Factor

We all hope for something.
At least I HOPE you hope for something. The loss of hope is dangerous – of course mentally, but also physically. Hope is an especially powerful force for good in our health.
Science has been able to demonstrate the very real biologic effects of hope. Believing and expecting that something good can happen, for example, can block physical pain. With even a little bit of hope the brain releases endorphins and enkephalins – substances that act like morphine in eliminating pain and providing a sense of well-being. The pain lessens a little, which increases hope that the pain may lessen even more. It creates a positive cycle leading to healing.

Step-Parenting for Adults

Parenting is forever. Sure, the details change through the years. And for the most part the load gets lighter. But children are always on your heart. You will ALWAYS be a mom or a dad.
And the same goes for step-parenting. Some of those realities have become especially clear to me recently. I married late in life – I was 48. My husband had two adult sons with families of their own. I became a step-mother under perhaps the easiest of possible circumstances. And yet there was still a very real process of adjustment in becoming a family.

Doctor, Doctor: Are You Addicted?

Alcohol. Drugs – legal and illegal. Tobacco. Those are the “usual suspects.”
But there are a whole lot more: food, pornography, sex, gambling, internet/tech use, exercise, and more.
Is addiction a physical problem? A mental health issue? A spiritual matter?
Yes, yes, and yes. It’s all those. And if you struggle with any addiction and you don’t address each one of these areas, you are very unlikely to experience any real healing or relief. As with most things, it’s a matter of body, mind, and soul.

Doctor, Doctor: Your Mental/Emotional Health

Sometimes I cry. Sometimes I get angry. Sometimes I feel strong, and sometimes I feel very small. Sometimes I get anxious and upset. Sometimes I feel so happy I can’t imagine ever having a bad day ever again. Sometimes I feel like I could change the world, and sometimes I feel like nothing I do makes any difference.
Life has emotional content, and that’s a good thing. One of the best signs of psychological health is the ability to experience the whole range of human emotions.

Healing begins

Where Does Healing Begin?

As a doctor I can give you pills. I can recommend changes in your lifestyle that can improve your health. I can do surgery at times. Once in a while I might even save someone’s life. But can I heal you?
As someone wanting to be healthy you might get all the exercise you need. You might follow careful healthy eating habits. You might get enough sleep and take plenty of vitamins. But will that heal you?
As a minister I can pray for you. I can teach you about having a relationship with God, and faith. I can introduce you to Him and help bring you into His presence. But can I heal you?

What is Your Body Telling You?

Our physical body takes a hit when we experience stress. Even if that stress is not especially negative or traumatic, our body takes the wear.
And if the stress involves danger or trauma, or continues over a significant period of time, our body may just “shut down” in some way.
It has been estimated that 75% or more of the time a patient visits a primary care physician the true reason is stress, psychological difficulty, or something related.

Sad woman

When Only Tears Will Do

Last weekend I was around plenty of tears. This time they were not mine, but those of other women sharing their stories.
I had been invited to be part of a conference on domestic violence, addressing the emotional, physical, legal, and spiritual aspects of this terrible reality. During the final session the participants were invited to say whatever they wished, and they started sharing their stories.
And they cried!

Olympic Rings

Faster, Higher, Stronger: Your Gold-Medal Run

The 2012 Olympic Games in London have just come to an end. For these two weeks every two years I spend more time watching sports on TV than probably the entire two years between them.
Names like Michael Phelps, Usian Bolt, Gabby Douglas, Missy Franklin, Oscar Pistorius, and others are now household words around the world. There’s something about the Olympic Games that draws us in.

Doctor, Doctor, Tell Me

I do it almost every day. Someone doesn’t feel well. They come to see me as a doctor and talk about their symptoms. I ask questions, do an exam, order tests, and prescribe treatment. For some “simple” medical problems, that is enough.
But more often than not there are so many more issues beyond just the physical symptoms. If I ignore these other factors, the patient may or may not get better. And I have done the patient poor service.

The Bad (or Good) News about STDs

There’s one part of my job as an OB-Gyn physician that I dread. And I’ve had to do it several times in the last two weeks.
I dread telling a woman that she has just been diagnosed with an STD.
Within just the past few days I’ve had to address HIV, HPV, herpes, and chlamydia. There’s just no easy way to tell someone that kind of news. The tears, the physical distress, the fear, often the shame, in a woman’s face just tears at my heart.

A Time for Everything

The Byrds sang it: “A time to every purpose under heaven.”
I wonder how many people who still sing Turn! Turn! Turn! realize that the lyrics were taken essentially word-for-word from the Bible, Ecclesiastes ch. 3. It talks about a truth that those of us who live in this super-charged ultra-fast over-connected society often forget.

A Salute to all Caregivers

I have not been a caregiver in the sense that many are. But if the statistics hold, one day I may be. The number of adults serving as caregiver to a parent, a spouse, or another family member is enormous.
With more of us living longer, the number needing care for illnesses such as Alzheimer’s or other dementia, stroke, or other brain disorders is only getting larger. Numbers can’t describe the emotional, financial, and physical toll caregiving takes on one’s life.
Not having experienced caregiving myself I’m sure anything I say would be inadequate to honor those who take on the responsibility for caring for a loved one. But I do want to say Thank You!

Alzheimer’s Disease: A Scary Thought

What was I going to write about? Oh yes, I remember. I just had a senior moment there.
Have you ever felt like that? Are you worried about whether it’s “just” a “senior moment”, or something much more scary – Alzheimer’s?
Losing one’s mental capacity ranks near the top on any list of fears about the future as people get older.

Did You Build Your Health?

President Obama stirred up some strong controversy last Friday when he stated in one of his speeches, “If you’ve got a business, you didn’t build that. Somebody else made that happen.” While the politics of that statement have occupied a great deal of the airwaves over the past few days, I have a different take on this controversy. What about your health? Who is responsible for your health or the lack thereof?

HALT: Five Ways to Stay Filled Up

We human beings are needy. It seems like we are always leaking and in need of getting filled up.
Our souls need communication, intimacy, encouragement, challenge, hope, meaning, depth, joy, and love. And when we don’t experience these, we go looking.
And it’s in the LOOKING that we can get into trouble.

steps to forgiveness

Steps to Forgiveness

Holding on to wrongs done to you will eat away at your soul, and eventually your body and mind. We have heard about forgiveness from preachers, and well we should. But I believe we need to hear more about forgiveness from doctors.

Hope Is A Choice

Hope is a powerful biologic force.
We know, for example, that even a relatively small degree of hope can lessen physical pain through the release of endorphins and enkephalins – natural brain substances that block pain and cause a sense of well-being.

Declare Your Independence

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Why Should I Change?

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Don’t Run: Do SOMETHING!

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Wisdom to Know the Difference

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It’s Not Just About Me

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Do Less to Do More

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A Victim No Longer

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You’re Single, Still?

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Are We There Yet?

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I HOPE I’ve Changed!

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Person needing help

What Breaks Your Heart?

How do you know what you’re supposed to do? How do you find your purpose? How do you figure out…

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