CAN IMPROVING YOUR EMOTIONAL INTELLIGENCE REDUCE YOUR STRESS?

Have you ever wondered why some people are more successful and happy than others?  Have you ever met or known friends or other people who were very smart but did not succeed as well as the friend or person with a clearly lower IQ (intelligence quotient)?  I certainly have known numerous persons much smarter than I who were far less successful than I would have thought.  Well, you say, maybe they had fewer good breaks than others.  While there may be some truth to that, the reality is that much personal and business success and happiness has to do with how we manage our emotions and relate emotionally to others.

I used to be fond of saying to consultees and supervisees that most people don't get fired from their jobs because of their technical incompetence but rather because they can't get along interpersonally with other people in the organization. This point was reinforced in an interview I saw with Dr. Daniel Goleman.  If you don't know who he is, he is a psychologist generally credited with popularizing the term Emotional Intelligence in his 1995 book titled "Emotional Intelligence: Why it can matter more than IQ".  During the interview he noted that he was giving a speech to a room full of hundreds of CEOs of major companies.  He asked how many had been valedictorians or salutatorians and only three CEOs stood up.  His point was that what we think of as general intelligence may not convey as much potential for success as how we identify and manage our emotions as well as respond to others.  Basically, that is the definition of Emotional Intelligence (EI).  

The concept of EI comes out of the idea of "multiple intelligences" which was originated in the 1980s by Dr. Howard Gardner, who asserted that cognitive intelligence did not explain all of our functioning.  While there are academic differences about the extent to which EI indeed is a specific form of intelligence, the idea has helped make us aware of the importance of emotions in positive self and other relationships.  There is available research showing that EI affects your work performance, physical health, mental health, and relationships.  At work, some companies are using assessment of EI in the employee selection process and have found that individuals in sales positions with high EI have higher productivity than those low in EI.  I have written often about stress management. Improving EI involves learning how to relieve stress before you suffer serious health problems including hypertension, immune disorders, heart attack, stroke, and acceleration of the aging process.  Uncontrolled stress can also impact your mental health, making you vulnerable to anxiety and depression. If you are unable to understand and manage your emotions, you’ll also be open to mood swings, while an inability to form strong relationships can leave you feeling lonely and isolated.  Finally, in terms of relationships, when you understand your emotions and learn how to control them, you can express how you feel more clearly and understand how others feel.  Your communications overall will improve. We discuss all these areas in our book on stress management (I Can’t Take It Anymore: How to Manage Stress so It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056. For additional information about the authors, book, and other stress related topics, visit our website at www.manageyourhealthandstress.com.  

For our present purposes, there are five main elements of emotional intelligence:

1. Self-awareness.  If you're self-aware, you always know how you feel, and you know how your emotions and your actions can affect the people around you.

2. Self-regulation.  This refers to your ability to inhibit emotional impulses and responses and decisions.  It is about staying in control.  However, in this area, keeping calm is critical to self regulation.  Proper breathing and mindfulness are useful and activate areas of your anterior frontal cortex where decision making is centralized.  See other posts on progressive muscle relaxation for more in this area.

 3. Motivation.  You work consistently toward your goals and get into the "flow", as Dr. Goleman refers to it.  You become absorbed in your actions.  

4. Empathy.  When you have empathy, or compassion, you are able to put yourselves in someone else's situation. You can listen when someone needs you to do so.  .

5. Social skills.  You are able to listen to others whether they are calm or upset, help others consider options and feel heard while giving support.  I realize these are tall orders for some but we all can do better in this area.

There really are three key ideas as outlined by Dr. Goleman in his interview.  One is to tune into your emotions.  Simply becoming more aware of what you feel is a great first step.  Second is to manage the negative emotions.  Once you identify a negative emotion, you can begin to examine from where this comes and what kind of thoughts (cognitions/beliefs) are driving the negative feelings/emotions?  All too often these are overgeneralized, catastrophic, and invalid thoughts. However, you need to identify the emotion first.  Third is to strengthen the positive emotions. Follow a similar strategy.  From where is the positive emotion coming, focus on it and the accompanying thought.  Your job is to increase the amount of time you spend on positive emotions.  As you are more able to do this, you will recognize the process and be able to listen, understand, and help yourself and others.

For now, tune in to emotions, manage the negative ones, strengthen the positive ones.  Good luck on your journey. 

Dr. Paul Longobardi

For more information on these and related matters, please visit my website at www.successandmindset.com

HOW TO HELP YOUR YOUNG ADULTS COPE WITH STRESS - SIX TIPS

Recent surveys have indicated the high incidence of anxiety and depression in our young adults. In a survey of more than 153,000 freshman done through UCLA's Higher Education Research Institute results included findings that anxiety and depression are challenges for college freshmen with only about half of them reporting a high level of emotional health. Other studies have noted the physical manifestations of stress including sore throats, cough, flu, and upper respiratory problems.  First year dropout rates have run as high as 20%. However, some colleges are trying to help with stress reducing activities such as massage therapy and yoga.  

While almost everyone agrees that the high school and early college years present many challenges, I wonder if enough time and effort is spent to assist younger people to manage stressors in a capable manner.  Massage and yoga are helpful techniques.  However, there are many additional strategies and techniques available as part of a comprehensive package to equip young persons earlier to develop a sense of mastery as they face stressful circumstances. We discuss many of these strategies in our book on stress management (I Can’t Take It Anymore: How to Manage Stress so It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056. For other information about the authors, book, and stress related topics, visit our website at www.manageyourhealthandstress.com.

However, for our present purposes, there are six strategies/techniques which would help your young people cope better and sooner so that so much psychological repair is not necessary in their adulthood:

1.  Cognitive restructuring.  This has to do with how we view the events in our life.  Listen to the people who lament, "I'm so stressed out", or "This person/event is stressing me out".  What that person is saying is that events control them and their view of their ability to cope successfully is low.  In fact, it is why some psychologists advocate training primary school children in modifications of cognitive therapy.  Why?  I have worked with so many patients who incorporated negative/limiting beliefs about themselves as children such as "I'm incapable/unlovable/unlikeable because . . . someone said so".  To be able to identify, challenge, dispute, and change these false beliefs earlier would have interdicted years of suffering and limitations in life happiness and well being and the need for psychotherapy.  The young person who can develop a cognitive sense of self-mastery still will worry about final exams but will neither make themselves physically sick nor create a state of anxiety or depression.  

2.  Relaxation strategies.  As noted earlier, some colleges are on the right path.  Of course, there are available multiple strategies to include meditation, mindfulness, yoga, progressive muscle relaxation, and massage.  Mindfulness and meditation approaches have been introduced in some graduate schools of business to assist future business leaders to manage their physical reactions.  Might this not be as helpful at even earlier ages?

3.  Time management.  A source of stress for many adults is the failure to plan, prioritize, and set limits as to their work and possible interruptions.  Do you take on too many obligations and fail to plan for interruptions, say yes to everything and everyone even when you don't want to?  Do you then feel pressured to get done that to which you overcommitted?  Good time management can help you as well as young adults who must juggle many school, social, and daily life activities in a newly independent life.  I contend that teaching them such skills even before college would help prevent the frequent feeling of overwhelmn.  

4.  Self-affirmations.  Acute stress can help rote memory, which is probably why so many "crammers" for exams actually do satisfactorily. However, if the task involves more complex problem solving increased stress interferes.

In the last several years there is new research indicating that self-affirmation can lessen the interfering effects of stress on problem solving.  I prefer the definition that an affirmation is a statement that describes your goal in its completed state.  For example, if the young person is trying to lose weight, their self affirmation might be that "I am feeling lean and powerful at my perfect body weight of 170 pounds".  Creating and using self-affirmations daily can increase problem solving and goal attainment.

5.  Exercise.  Many observers decry the lack of physical fitness in the young.   Yet, we all know that exercise and physical activity help improve general physical as well as mental health, leaving us with a sense of well being.  However, less well known is that physical activity may facilitate the brain reorganizing itself in response to stress.

In recent research published in the Journal of Neuroscience, a team based at Princeton University reported that physical activity reorganizes the brain so that its response to stress is reduced and anxiety is less likely to interfere with normal brain function.  Suffice it to say that the elimination of physical education in primary and high schools is not helping the ability of youth to gain the benefits of stress reduction.

6.  Social support.  Social support is the degree and quality of our connections with others.  In the mental health field, it has long been known that even the presence of one confidante buffers to some extent the onset/degree of depression, from which many youth suffer.   For the young people of today, they live in an era where frequently social interaction is defined in terms of connections on social media.  Yet, without connection to real humans, there is increased risk for adverse physical and mental health outcomes.  Social support moderates the effects of some of the other stress factors.

So let's go back to the struggling, stressed student facing final exams.  I would suggest that a formalized stress management program in high school and in the first year of college would cut into the 20% drop-out rate noted above.  Perhaps even more helpful could be to consider adapting stress management strategies and programs to both primary and earlier high school levels.  In doing so, might we not cut into the hundreds of millions of dollars lost each year to stress related illness in adults in American business?  Might we not improve quality of life for so many young persons and help them develop the sense of self-mastery which will facilitate their enjoyment and success in life?   As the old saying goes, "An ounce of prevention is worth a pound of cure".  I think this is true in stress management as well. 

Best of luck on your journey.

Dr. Paul Longobardi

For articles on these and related topics, please see my website at www.successandmindset.com

FIVE LIFE AND STRESS MANAGEMENT LESSONS WE CAN LEARN FROM CHRISTOPHER COLUMBUS

As a person of Italian heritage on Columbus Day, and always interested in life and stress management as well as leadership issues, I sometimes wonder what leadership lessons we can learn from Christopher Columbus.  Well, several years ago I was fortunate enough to come across this enlightening post on the very topic from Mr. Larry Boyer.  He is a regular LinkedIn Top Contributor.

More than 500 years ago Christopher Columbus set sail and discovered America. Was this a grand achievement for a man, a nation, humanity or generations to come? What are the lesson of personal achievement and leadership that Christopher Columbus has taught us?

Today we focus so much on the activity, the man and his deeds that we miss the deeper importance of Christopher Columbus. Did Columbus discover America? Did someone else? If he thought he discovered India did he really discover America? Was America really “discovered”? What about the treatment of the natives by Columbus and those who followed him? Christopher Columbus was revered by and inspired generations for a reason that is often overshadowed by today’s critiques.

What are lessons learned from Columbus which we can use to help us in our lives today?

5 Leadership Lessons from Christopher Columbus

Luck favors the prepared

Be Bold. Be Different

Ignore Nay Sayers

Find people who believe in you

Let go of the familiar and safe

LESSON ONE: Luck Favors the Prepared

Was Columbus just lucky? One of the first criticisms of successful leaders and visionaries is they were just lucky to be at the right place at the right time. Anyone could have done the same thing. It’s just lucky this person did it and someone else didn't. Columbus was trying to sail to India and was just lucky he found something else instead.

What appears to be a lucky happenstance is the result of years of work and preparation. Leaders make luck happen through preparation. Columbus spent years developing his idea and going around Europe looking for financial backing. He had to believe and convince others that the world might be round. Like any great leader, Columbus spent a lot of time getting prepared for his opportunity. So, when an opportunity appears for you, be ready to both recognize it and to be able to take advantage of it. This involves planning, goal setting, prioritization, and focus. These are all key elements in managing life well and reducing stress when compared to poor planning, lack of goals, no priorities, and lack of focus. They are among the topics in our book on stress management in your life (I Can’t Take It Anymore: How To Manage Stress so It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056. For information about the authors, book, and other topics on stress, please visit our website at www.manageyourhealthandstress.com. But let’s get back to Columbus.

LESSON TWO: Be Bold. Be Different.

Columbus had a bold idea. An idea that was different from everyone else around him and certainly different from his seafaring peers. In his day ship captains kept in sight of the shore, ensuring they would not fall of the edge of the Earth or be consumed by sea monsters. Columbus understood that if he continued to do the same thing everyone else was doing, he would at best continue to get the same results as everyone else. If you want to achieve something great it is going to have to be by doing something different than what everyone else is doing.

LESSON THREE: Ignore the Naysayers

Everywhere Christopher Columbus went people laughed at him for his idea that the Earth was round as he traveled Europe looking for support. He was sent away time after time. His peers and colleagues in the sail industry thought him to be a mad man for making such suggestions. Everywhere he went sharing his idea he was dismissed, ridiculed and marginalized. It is very easy to stat to listen to the voices of the naysayers. They will always be around. Leaders who believe in their mission will ignore the naysayers and continue moving forward. It’s not just leaders who deal with naysayers. You too likely have people in your life who don’t support your goals and plans. Some of them may even be in your family. Your challenge is nonetheless to move forward with goals and dreams.

LESSON FOUR: Find People Who Believe In You

Leaders know they cannot be successful alone. They need the support of people who believe in them. Even if those people are uncertain themselves they believe enough to put themselves on the line and be part of your team. Queen Isabella and King Ferdinand of Spain were the first. And then there were the people on his crew. Each of his supporters may have had different goals and objectives than Columbus, but they were all aligned in support him in his efforts. Undoubted some were less supportive than others. It doesn't matter. Great leaders use this support, whatever the level, to charge forward. Time and time again, I have discussed the need for a support network that contributes to your success. None of us can accomplish alone all that we want. Build your support network. There’s a chapter in our book on this process.

LESSON FIVE: Let Go Of The Familiar And Safe

Finally, perhaps the greatest lesson from Columbus’ leadership is to let go of what is familiar and safe and have the faith that you and your supporters will have what it takes to face the unknown, adapt and move forward. Columbus literally did this in that we simply cannot replicate in today’s business world or personal world. However, we do know what it means to feel secure and not want to take chances with your career and finances and avoid taking risks. Those who let go and take a chance may fail at first. Getting up and moving forward, past your comfort zone, is where success lies. Leaders in life face their fears and move forward.

What have you learned from Columbus that you apply in your life today? I hope it is to be prepared, differentiate yourself, ignore the naysayers, develop your support network, and move out of your comfort zone. Yes, that can feel stressful but you can do it.

Best wishes in your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

FIVE TIPS FOR LESS STRESS AND A HEALTHIER BRAIN

What have you done consciously this week both to reduce stress and have a healthier brain? We all aspire to live more at peace but life often gets in the way. However, it is easy to forget that stress affects the health of your brain for good or bad, depending on how you handle your life and thoughts. Are you living up to your full potential? Or are you allowing life’s challenges to overcome you? Well, you can live in more peace and harmony. We discuss these issues in detail in our book (I Can’t Take It Anymore: How to Manage Stress So It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at https://www.amazon.com/dp/1542458056. For more information about the authors, book, and other information on stress, please visit our website at www.manageyourhealthandstress.com.

However, for the present discussion, I am indebted to Dr. Jennifer Jones, Ph.D., a psychologist, for summarizing five daily habits that you can incorporate into your routine, starting today:

1. Sleep to reduce stress.

When you sleep, you process stress and trauma. So, one of the simplest and most effective things you can do is to get your full seven to nine hours of sleep every day.

2. Rise with the sun.

Circadian rhythm is the “master clock” in your brain that synchronizes all your body’s clocks. Abnormal circadian rhythm is associated with obesity, diabetes, depression, sleep disorders, hormone dysregulation, bipolar disorder and seasonal affective disorder. Clearly, none of these conditions are good for life management. So, arise with the sun. If you are a parent, this habit will come naturally as most kids naturally wake with the sun and are happy to be your alarm clock.

3. Take fish oil.

Fish oil has positive benefits on brain health. It assists with memory and heart health. Make it a part of your daily routine.

4. Be mindful and tap into quiet time.

Meditation taps into your subconscious mind (just below consciousness) and has innumerable neurological benefits. You can engage in helping breathing, often called 4-2-4-2. Inhale for four seconds, hold for two, exhale for four seconds, hold for two before repeating. It’s one of the easiest breathing exercises I know. You also can focus on the breathing and less on daily cares and concerns. With breathing, meditation and mindfulness techniques, you can train your mind for a happier, healthier, more enjoyable life.

5. Make yourself uncomfortable.

Your brain needs novelty to grow. How do you know when you’re doing something that’s “new enough”? When it feels uncomfortable, awkward, weird, strange or it scares you. By doing things daily that are out of your comfort zone, you allow your brain to develop new branches of neurons (also called dendritic pathways). The brain is capable of regenerating, thought impossible a generation ago. Make your best use of it.

So, there are many ways to enhance your brain functioning and reduce your vulnerability to a stressful reaction to life’s challenges. I wish you well on your journey to a healthy, harmonious life.

Dr. Paul Longobardi

For more information on these and related topics, please see my website at www.successandmindset.com

HOW DOES YOUR BRAIN AFFECT YOUR MONEY SPENDING?

Well, the holiday season is quickly approaching again and you will be persuaded, cajoled, guilt induced, and otherwise encouraged to part with your money.  Just today, there were news stories about the potential shortages and price increases of holiday items secondary to tariffs. Are you more or less susceptible to such influences by both your psychological history and the state of your brain?  As a psychologist, I certainly acknowledge the influence of both our experiences and our brains on our current behaviors.  This is the old nature/nurture debate which has been around seemingly forever. Several years ago, I wrote a post titled "Is mothering instinctive or learned?" in which I discussed nature/nurture relative to mothering. So you might want to think about the influences of nature and nurture on your spending before the coming onslaught of marketing. Also, holiday shopping time is often a stressful one for many people. To assist you in reducing problems in that area, please see our book (I Can’t Take It Anymore; How to Manage Stress so It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at https://www.amazon.com/dp/1542458056 . For more information about that book, the authors, and other information on stress, please visit our website at www.manageyourhealthandstress.com . However, for now, let’s continue to focus on your brain and money.

Now I go to a variety of seminars.  I went to one called the Millionaire Mind Intensive.  It is based to a large extent on the best selling book by T. Harv Eker titled "Secrets of the Millionaire Mind".  In both the book and at the seminar, a major premise is that we have come to our beliefs about money (so-called "money blueprint") secondary to our life experiences, e.g. from parents, authorities, etc.  During the seminar we were encouraged to consider whether we were predominantly savers or spenders.  However, while many people believe that money handling habits solely come from parents or caregivers, some current research is showing that our habits aren’t just based on conditioning and money management lessons we learned as kids. There are spenders and savers in the same families, kids who grew up in poverty and still develop great wealth, and heirs who blow the family fortune.

So what brain forces shape the way you view money?  In his book "Coined:The rich life of money and how its history has shaped us", author Kabir Sehgal noted three ways in which the state of your brain influences your financial behaviors:

1. Money heightens neural activity

When you are negotiating about money, your nucleus accumbens is stimulated.  This is a part of the brain tied to reward circuits. In one study, researchers scanned the brains of 12 people as they played games for money. Mr. Sehgal wrote that everyone in the group experienced heightened neural activity, especially in the nucleus accumbens. When the researchers compared their brain scans with those of addicts who were high on cocaine, they found they were almost identical. Thus, money stimulates reward centers in the brain.

2. Brain scans reflect risk-taking behavior

Mr. Sehgal noted another study examining why investors make irrational financial decisions. The researchers found they could predict whether a participant would choose to buy a riskier security, like a stock, or a less risky one, like a bond, just by scanning their brains. The subjects who had naturally elevated stimulation of their nucleus accumbens would most likely buy the stock.

3. Ties to the emotional areas of your brain 

In an article by Suzanne Kearns in Money Crashers titled "Psychology of money-How saving and spending habits are programmed in your brain", she discussed a study in which participants’ brains were scanned as they pretended to make buying decisions. Researchers observed activity in an area of the brain called the insular cortex, which is stimulated when you experience something unpleasant. The more stimulation in the insular cortex, the less likely you are to keep doing what you’re doing. When it comes to money, insular cortex stimulation can reduce your spending.  Researchers concluded that people who have more insular cortex activity in their brains are more likely to be savers, and those with less tend to be spenders.  Spenders can end up in financial trouble later in life, and savers can end up with regrets because they did not spend. Recognizing which one you are can help you reach a healthier balance, just as I learned in my seminar.

Spenders have a difficult time delaying gratification.  What can you do to cut back on spending?  Kearns offers the following suggestions in her article:

1.  Never use credit cards or other lines of credit. By using cash, you force yourself to consider just how much you’re spending.2.  Withdraw cash from your bank account yourself, so that you can see the dwindling balance.Pay as you go.  Pay for everything as it comes, and you’ll better understand how all that money goes away.3.  Be vocal about your savings goals. If you tell close friends and family how much you intend to save and by what date, they’ll hold you accountable. This is one of the several things I ever learned in social psychology classes.  Making a "public" pronouncement makes you more likely to carry out the promised activity.  4.  Reward yourself when you meet your savings goals, but only by spending a responsible percentage of what you saved.5.  Stop and ask yourself before each and every purchase whether or not you truly need the item. Know the difference between needs and wants.6.  Look at the future, no matter how uncomfortable it is. Ask yourself questions like how much money you’ll need to retire, or how you’ll pay for your child’s college education.

Savers don't get away either.  Savers sometimes miss out on life's joys based on feeling uncomfortable when spending, even when some of the joys may be inexpensive.  So it may be time for savers to loosen their grip on the money and enjoy spending a little more.  Kearns has some tips here as well:

1.  When it’s time for something pleasurable, like a vacation, distance yourself by paying with a credit card. You’ve already set your budget and you have the cash to cover it, so now you can take your mind off of the expense and relax.2.  Be vocal about your spending goals. When you’re planning to make an exciting purchase, even if it sounds like a boring necessity, tell everyone you know and set a date to close the deal.  Remember, it's the social psychology power of a public pronouncement.3.  Treat your purchases as a reward for something that you’ve done well, so they’ll take on more value in your mind.4.  Ask yourself about your future:  Do you really want to have regrets over the things you didn’t do because you wouldn’t spend some money on enjoyment?

One other good idea for both savers and spenders comes from Dr. Thomas Gilovich, a psychology professor at Cornell University.  He noted that often we assume that there is more value when we buy a material object rather than an experience like a concert or vacation.  This is because we think we will be happier for a longer time because the object lasts longer. However, recent research does not support that assumption.  Adaptation leads us to be happy with material objects initially but that happiness does not last.  So Dr. Gilovich suggests that rather than buying the latest gadget, invest money on experiences like traveling, learning new skills, going to exhibits or other events.  He noted that "Our experiences are a bigger part of ourselves than our material goods;  You can really like your material stuff. You can even think that part of your identity is connected to those things, but nonetheless they remain separate from you. In contrast, your experiences really are part of you. We are the sum total of our experiences."

So invest (spend) in your experiences.  You will remember and value them as well as be happier about them over the long run.  Examine the psychological influences on your mental "money blueprint".  As always, your mindset (core set of beliefs) has great power over your financial spending habits.  However, be mindful that your brain is susceptible to some extent in driving you toward being a saver or a spender.  Best wishes for successfully navigating the spending challenges of the upcoming season.  

Good luck on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

SEXUAL HARASSMENT AND ITS EFFECTS ON PSYCHOLOGICAL AND PHYSICAL HEALTH

Sexual harassment is in the news again.  Allegations have been raised about the current Supreme Court nominee. This follows high profile incidents such as the resignation of CBS chairperson Les Moonves last week. Frequently, much attention has focused on the alleged perpetrators.  But just what are the effects on the victim?

First, let's clarify the range of sexual harassment.  Sexual harassment can take many forms. Sometimes, it’s just a single sexist comment, an off-color joke, or a comment about how good someone looks. These one time incidents, though annoying, probably won’t have a long term effect on the victim. However, there are some harassment victims who are subjected to humiliation, unwanted advances, inappropriate touching and oft repeated lewd comments. For these victims, the harassment can take its toll on the person's mental and physical health.

Second, how prevalent is sexual harassment?  Most estimates indicate that approximately 33% of women and up to 16% of men have experienced some form of sexual harassment in the workplace.  These are lower end estimates.  Some surveys have suggested that incidence rates can go as high as 70% for women and 45% for men.   Of course, sexual harassment can occur in any venue, not just work.

Third, while victims of sexual harassment can experience strained relationships in the workplace, they are at increased risk for numerous health and psychological effects.  For example, the alleged victim of the Supreme Court nominee, a psychologist, has reported numerous symptoms of anxiety, depression, and traumatic stress reactions. Here are some key effects suffered by many victims:

1.  Negative change in worldview

What are the effects of experiencing street harassment or inappropriate comments at school or in the workplace?  What is it like to be groped, ogled, objectified, left to be uncomfortable? Experiences like this are not simply unpleasant at the time, but often inform a woman’s worldview for years to come.  They change the way women behave and effect their sense of safety and security in their world.  The negative experience continues long after the incident itself in how victims relate to others, plan for events, dress, and view themselves.  

2.  Depression

Many victims of sexual harassment suffer from chronic, long term depression.  They have self doubt, frequently blame themselves, feeling responsible for what happened.  I have treated numerous individuals with depression who have histories of sexual harassment and abuse in their backgrounds.  They have pent-up hostility, often having been pressured to maintain silence and "not make a big deal of it".  They often are accused of being overly sensitive and are re-victimized.

3.  Post-traumatic stress disorder

Many studies have found a link between experiences of sexual harassment and symptoms of post-traumatic stress disorder (PTSD), which includes re-experiencing the trauma and avoiding people or things that may remind the victim of the harassment.

4.  Blood pressure

In a 2008 study in the journal Social Science Medicine, authors Kriegera, Chena, Waterman, Hartman,  Stoddard, Quinn, Sorensen, and Barbeau questioned 1200 Boston union employees about sexual harassment in the workplace and gave them a health exam. Researchers discovered that victims of sexual harassment, 23 percent in all, experienced elevated heart rates and other physiological effects such as stress which can lead to cardiovascular disease.   Sexual harassment may trigger the same type of physiological reactions as stress, which is thought to raise the risk of cardiovascular disease.  For a more detailed discussion of all aspects of stress, please see our book (I Can’t Take It Anymore: How to Manage Stress so It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at https://www.amazon.com/dp/1542458056. For other information about the book, authors, and stress, please visit our website at www.manageyourhealthandstress.com.

5.  Sleep problems

When victims of sexual harassment experience mental and emotional problems, it often leads to such problems as loss of appetite, headaches, weight fluctuations, and sleep disturbances. Sleep disturbances can in turn lead to other serious health problems, such as hormonal imbalance, an increased risk of high blood pressure as mentioned above, and a weakened immune system.  The sleep problems in part may be because victims experience stress and anxiety and this affects sleep habits.  

6.  Suicide

Sexual harassment can increase the risk for suicide.  This is due to the effects of depression, anxiety, and the changed world view of victims.  Studies indicate increased suicidal behavior following sexual assault.  However, in surveys up to 15% of women who had experience sexual harassment, including unwanted sexual touching, reported making suicidal attempts within the past six months.  

It is clear that sexual harassment has enduring psychological and physical health effects for many victims.  The high incidence of such behaviors necessitates continuing interventions in schools and workplaces. We need as well a fundamental shift in the way we treat women and model appropriate behavior for young men in their relationships with women.  For victims of sexual harassment, if you think you are suffering from the effects noted above, reach out and get assistance.  There is no need to suffer without help.  Good luck on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

WHAT CRITICAL MIND SKILLS DO YOU NEED FOR LIFE SUCCESS?

We know that there are skill areas needed for success in life. These can include technical knowledge, getting along in organizations, good relationships and communication, among many others. However, sometimes less noticed is the need to bring your mind into shape as well.  Doing so can take you to the next level in your life.  We discuss these concepts in detail in our book (I Can’t Take It Anymore: How to Manage Stress So It Doesn’t Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056. If you want more information about the book, authors, or on stress management, please visit our website at www.manageyourhealthandstress.com. However, for the present purposes, there are three critical mind mastery skill areas on which to focus:

1.  Adaptability.  This is your ability to manage change in your life and business.   It is obvious that the more adaptable and flexible you are, the more likely you are to succeed.  However, we often do not view ourselves as able to do so, often siding with the belief  "we are how we are".  This is a fixed (versus growth) mindset leading us to believe we can't change and that we know and are all that we can become.  That dichotomy has been discussed by Dr. Carol Dwieck in books and articles. Fortunately, neuroscience has shown us that we are far more influenced by our environments than we might have thought.  This includes the persons with whom you associate, activities on which you work, and your thoughts.  Changing those thoughts physically changes your brain.  Also, your mindset about change will affect and be influenced by those around you to include family, friends, and co-workers.  Someone with a fixed mindset likely will not fit well with a group of changed oriented, growth mindset individuals.

2.  Management of Limiting Thoughts.  Controlling your inner thoughts of self-doubt is manageable but not simple.  Self-doubt is one the major reasons limiting the life success of many people. Your overly critical inner voice really is trying to keep you safe, a very human motive.  However, it keeps you back and never is really true.  Is it really true that "I'm not good at sales", "I always mismanage my children", and "I never take advantage of opportunities"?  No, but you can change negative inner voices when you first identify them, then challenge them,  and finally replace them with more adaptive thoughts. Until then, you will hold yourself back.  You can retrain your brain with more adaptive and successful inner voices.  Some people do this with well targeted positive affirmations much like a pilot light ignites successful operation of an appliance.

3.  Rebalance of focus.  Decision making is critical to all our life successes. Life is full of decisions.  The successful person balances their attentional focus between the logical, thinking side of their brain, and the more emotional, feeling side. When these two sides are in relative balance, you make better decisions for yourselves and your life.  This is the left brain/right brain distinction but reality is more complex.  Suffice it to say for now that the breadth and direction of your attentional style combined with relevant interpersonal characteristics influence the type of person you are.  For now, take stock of yourself, get feedback from others about your degree of balance, and consider what adjustments to make to your benefit.

Good luck on your journey. Your mindset either helps you or takes you out of the game of life. Remember, change your thoughts, change your results.

Dr. Paul Longobardi

For additional information on these and related topics, please visit my website at www.successandmindset.com   

HOW ARE YOUR RELATIONSHIPS INFLUENCING YOUR HEART HEALTH?

It is well known that stress negatively influences your heart health.  What we are learning is that there also is a connection between the happiness of our relationships and our cardiac health.  For example, married people tend to live longer and have better health than their single counterparts.  However, in some recent research including studies at the University of Michigan, it has been found that the quality of the relationship affects heart health.  Stressful marriages can negatively affect cardiac health.  For example, when the wife is stressed, the husband's systolic blood pressure went up.  If the marital relationship was going badly, both partners saw increases in blood pressure but more so for the husband.  When husbands were stressed, wives' blood pressure tended to drop, considered a function of the increased network of resources for wives to deal with the stresses.  It also was noted that when spouses fought more, they had thicker carotid arteries, a risk for poor cardiac health.  

There also are findings from research work at the University of Pennsylvania that married people survive heart attacks more often than singles and recovered better over two years than patients divorced, separated, or widowed.  Finally, researchers in Switzerland found that married people on average were 4.4 pounds heavier than single people, yet another risk factor for poor cardiac health.  The conclusion was that married people were less active and would benefit from doing physical activity together.    

While the work noted above dealt with marital relationships and is of course correlative, it is likely that ongoing stressful relationships in other venues contribute negatively to heart health as well.  These venues particularly would include work relationships where there is considerable research consistent with the conclusion that ongoing stressful work interactions contribute to decreased health in multiple areas including heart health.  Findings from the Health Advocate group show that nearly three-quarters of American workers surveyed in 2007 reported experiencing physical symptoms of stress due to work. According to statistics from the American Psychological Association (APA), a startling two-thirds of Americans say that work is a main source of stress in their lives – up nearly 15 percent from those who ranked work stress at the top just a year before. Roughly 30 percent of workers surveyed reported “extreme” stress levels.  Whatever the root causes, stressed workers tend to be fatigued, prone to mistakes and injuries, and are more likely to be absent. And most significantly, they incur healthcare costs twice as high than for other employees. The consequences of stress-related illnesses, including heart disease, cost businesses an estimated $200 to $300 billion a year in lost productivity.  In our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) we discuss these topics and many more about stress. The book is available on Amazon at https://www.amazon.com/dp/1542458056.  For information about the authors, the book, and more information about stress, please see our website at www.manageyourhealthandstress.com.  

How, for our present discussion, what does all this mean for you?  How are your relationships both marital and others?  Do you feel stressed by them?  If so, you likely are.  While there is no one answer to solve these issues, there are several strategies worth considering:

1.  Communicate better.  I know that this is a big task.  However, consider sometimes just listening when the other party is stressed and don't offer solutions quickly.  This is particularly difficult for males who tend to be solution oriented, as discussed in Dr. John Gray's book "Men are from Mars, Women are from Venus".  If need be, consider going to relationship therapy.  If at work, you might want to get help for yourself rather than suffer the heart consequences of work stress.

2.  Find ways to relax physically.  This can entail relaxation strategies from mindfulness to yoga to progressive muscle relaxation, all useful in counteracting the physical effects of stress to include increased blood pressure.  Also, make time for physical exercise of some kind consistent with your health, such as walking.  We discuss all these strategies in our book.

3.  Increase your social network.  As was noted above for wives who did not show a blood pressure increase even when their stressed husbands did, there is abundant research evidence that having an available social support network buffers our reaction to stressful situations. Women tend to establish wider social networks than men but we all can benefit from a wider set of social resources.  What does your social support network look like?  Is there at least one person with whom you can share your concerns? 

4.  Re-evaluate your mindset.  What conclusions are you making about particular relationships? If you say "there is no hope and this is the way it is", there will be no hope but not for the reason you say.  If you say "he/she is all wrong" it is not true, cuts off communication, and leads quicker to your frustration.  Always interrupt such overgeneralized and catastrophic thinking.

All of the above strategies are discussed in detail in our book.  

The more you can help foster your relationships, the less will be your stress and the better your heart health.  Good luck on your journey.

Dr. Paul Longobardi

For more information on these and related topics, please see my website at www.successandmindset.com

CAN YOU REDUCE STRESS AND MANAGE ADULT ATTENTION DEFICIT DISORDER BETTER?

Do you or a loved one suffer from adult Attention Deficit Disorder (ADD)?  There has been increasing recognition that this is not only a disorder of children.  While many ADD children continue to manifest symptoms in adulthood, there are individuals who have an initial onset of the disorder as an adult.  For both children and adults, the primary symptoms that define ADD include impulsivity, hyperactivity, and inattention.  The National Institute of Mental Health (NIMH) estimates the one year prevalence of adult ADD at 4.1% and a lifetime prevalence of 8.1%. These are millions of individuals suffering from this syndrome.  More men than women are diagnosed with adult ADD.  

I mentioned hyperactivity as a symptom but this is one area that does seem to present a bit differently in adulthood. For example, the overt hyperactivity may not be as prevalent for adults. Rather, the adult may experience feelings of uncomfortable restlessness.  Adults typically display some combination of the following behaviors:

Need to move; feel restless inside, fidgety
Can't sit through meetings, meals, movies
Extremely impatient
Finish people's sentences; draw rapid conclusions; interrupt others
Drive too fast, reckless
Prefer very active job
On the go; low tolerance for frustration
Talk excessively; may make inappropriate comments; interrupt others

Common symptoms of adult ADD include poor attention; excessive distractibility; problems with memory and forgetfulness; frequently losing things; trouble organizing steps in a project; chronic lateness and procrastination; trouble starting and finishing tasks; careless mistakes; and disorganization.

People with ADD cost the economy billions of dollars.  The Center for Disease Control (CDC) noted that this is so because individuals with ADD have more difficulties in school, at work, and in social relationships than those without the disorder. They have higher rates of emergency room visits and automobile accidents, are at greater risk for substance abuse, and experience higher rates of job turnover. The economic cost to American society has been estimated at between $36 billion and $52 billion annually (2005 dollars).

Individuals living with ADD have a greater risk of experiencing stress such as work stress and stressful life events (e.g. bankruptcy, divorce, etc.).  Stress actually can cause ADD symptoms to become worse. So what is stress?  For a complete description and discussion of stress, please consult our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056.  For information on the book and authors as well as other information on stress, please visit our website at www.manageyourhealthandstress.com.  For our current purposes, stress onset usually occurs when we anticipate or perceive danger or a threat.  When you subjectively feel stressed, it is usually because of a change that you don't feel able to handle. Clearly, different people have different senses of what is stressful to them. Some examples include: a long wait in a line, being stuck in traffic, a fast approaching deadline at work, a large bill to pay.

Physiologically, when you perceive a stressor, your sympathetic nervous system is activated. The "fight or flight" response is initiated and the stress hormones adrenaline and cortisol are released. Your pulse increases, blood pressure goes higher, and you breathe faster. You are able to respond quickly to get out of danger. Blood is diverted to the heart, brain, and large muscle groups, so you can think and act quickly.  Once the stressor is no longer present, the parasympathetic system takes over from the sympathetic nervous system and gets your body back into its normal state.

Some adults with ADD notice that they enjoy a certain level of stress as it makes them feel motivated, ennervated, and focused.  However, that activation frequently turns into feelings of being anxious and overwhelmned.  This is because we are not designed to stay alert and activated for long periods of time.  Yet, in today's world it is common for people to go from one stressful situation to another.  Unless you are able to manage your stressors, your body remains in "fight or flight" mode.  It is well established that chronic stress has numerous negative effects on physical and mental health to include increased risk for colds and flu, illnesses such as heart disease and stroke, as well as depression/anxiety and substance use and abuse.  

    So what can you do as an adult with ADD to better manage your stressors and reduce the likelihood of being overwhelmned?  There are several steps for you to employ, most of which are relevant to stress management even if you do not have ADD:

1.  Identify what causes you stress - This is usually the first step to solve most problems.  Start noticing what stress "triggers" exist for you?  To help, consider the following areas:

     a.    Physical environment.  This might include the route you travel to work, distractions on the train or bus, and how you can plan to manage these with less stress.

     b.   Relationships.  Is there tension and stress with people in your life?

     c.   Money.  Do you have financial worries?

     d.  Life events.  Have there been or are there upcoming or present major events, e.g. births, deaths, marriages, illnesses?

     e.  Lifestyle or behavioral issues.  Are you having health challenges, not taking care of yourself, living a disorganized life, having problems managing your time and meeting deadlines, abusing alcohol or drugs?

2.     Problem solve to find different ways to handle the problems you identified above.  For example, if you are having health challenges, you can make a plan to schedule exercise, see your primary care provider, get more rest, take some time for yourself, etc.    

3.     Make a stress management plan and implement it.  While some stressors may be out of your complete control, most are not.  It is important that you plan on a daily/weekly basis to get out of activation mode and reduce your stress.   Here are eight tips to better manage your stressors:

1.  Exercise.  There is research support for the assertion that if you engage in 150 minutes per week of cardiovascular and muscle strengthening exercise that your health benefits physically and mentally increase.  

2.  Get regular sleep and make it a priority.  No one handles stress well burdened by a chronic lack of sleep accompanied by fatigue.

3.  Eat healthy foods.

4.  Reduce caffeine and sugar.

5.  Avoid alcohol and cigarettes.

6.  Practice deep breathing and muscle relaxation.  In other posts and in our book I've written about the positive effects of progressive muscle relaxation (PMR) on health.  PMR combines positive imagery, proper breathing, and reduction of muscle tension.

7.  Get a massage regularly.  In our book, I've written about the positive effects of therapeutic massage on general relaxation as well as reduction of muscle tension and anxiety.

8.  Change how you speak to and about yourself.  This is a hallmark of a successful mindset approach. Much of our malaise is caused by what we say to and about ourselves rather than what actually is happening.  

So, the answer to the title questions is yes.  As challenging as it is to live with adult ADD, how you manage the inevitable stresses of life will either help you live with higher well being or suffer even more.  What are you doing currently to manage your stressors?  As I always say, how you react to stress is a choice.  Make yours a healthy one.  Best wishes on your journey.  

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

FOSTER SUCCESS AND REDUCE STRESS

Success breeds success.  Haven't we all heard that phrase?  But what does it really mean, particularly in a contemporary environment of brain training?  In some earlier posts I mentioned the work of Dr. Earl Miller of MIT on how our brain responds to successful outcomes (he used monkeys).  We learned that successful experiences, even small ones, trigger the release of dopamine, a neurotransmitter associated with pleasure.  What about learning from our mistakes?  We hear that a lot too.  Well, in the same study by Dr. Miller, mistakes teach us what not to do but not what to do.  As Blair Singer, trainer and advisor to Rich Dad Robert Kiyosaki notes, we should spend less time on strengthening our weaknesses but rather building on our strengths.  Even more critically, the absence of success with no apparent mistake leaves us unsure with relatively little learning taking place at all.  Therefore, focus on successes, even small ones, and your brain dopamine will help solidify the learning.  I'm not saying to ignore your mistakes but rather to focus on the successes and do more of what got you to them.   It's brain science and good life practice.  From a brain perspective, successes interfere with stress elevation in the form of increased cortisol, a stress hormone.  If you want to learn more about stress and it's role in your life, please see our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056.   For more information about the book and authors as well as other information on stress management in your life, please consult our website at www.manageyourhealthandstress.com.  

For now, here are five actions you can take in your life:

1.  Look to experience success, not to learn from mistakes.  Focus on examining your success and try out what you think worked to get that success again.  If you must discuss mistakes, emphasize what was correct so you begin to head in a successful direction.

2.  Attend to your mindset.  Don't allow negativity to dominate.  If you do, you'll be stimulating more cortisol, which interferes with successful thinking.  You'll become more frustrated and make more mistakes.  Take a break if you must and come back with a new perspective.

3.  Practice.  Actually, that was my piano teacher's favorite word.  When you practice the same behavior which resulted in success, you build stronger neural pathways.  Focus on what you get right, ignore what you get wrong.

4.  Celebrate.  Celebrate your wins and ignore your mistakes unless your failure can be harmful.  As Blair Singer mentions from a Neuro-linguistic Programming (NLP) perspective, celebrating wins anchors them in our brain.

5.  Give positive feedback.  This is what you can do with and for others.  Notice what significant others in your life do which is right and let them know as soon as possible. They too will benefit from the dopamine boost.  Be as consistent as you can with this.

So notice your and others' successes and repeat them.  Then indeed success will breed success.  Good luck on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

HOW YOU CAN USE THE "THREE P's" TO HELP YOU BE MORE RESILIENT IN LIFE

Many times the question is asked: "How it is that some people handle similar stressful life challenges with less distress than others?".  The answer lies within the core of cognitive therapy and actually goes back as far as Epictetus and the Roman stoics in the first century AD. Specifically, how you view challenging events in terms of your thoughts and attributions leads to your degree of emotional distress more than the challenging event itself.  

In considering resilience in recovering from losses, I am reminded of the "Three Ps" identified by psychologist Dr. Martin Seligman.  The "Three Ps" are: Personalization, Pervasiveness, and Permanence.  Let's look at each in turn:

1.  Personalization.  This is the belief that a challenging event happened because of something you did not do.  What is critical to recognize is that not everything bad happens because of some lapse on our part.  My clients often blame themselves for not somehow having recognized a sign or symptom that might have prevented a bad outcome for them or someone in their life.  In fact, I have worked with numerous patients and clients who personalize most distressing events.  These events range from more minor ones such as inconveniences of everyday life to major ones such as the death of loved ones.  I have been working with a client who believes that there must be something she could have done to prevent the death of her ex-husband of fifteen years in a car accident in a different city where she was not present.  Frequently, the people who personalize often have overly strongly held beliefs around taking responsibility and being in control in most areas of their life.  While taking responsibility and trying to arrange events are generally good qualities, beating yourself up about not having total personal control does not help your situation.  Yet, I have seen many persons who blame themselves incessantly.  One of my favorite books is by don Miguel Ruiz titled "The Four Agreements: A Practical Guide to Personal Freedom".  The second of the four agreements is: Don't take anything personally. Once you can begin to ask yourself, "How could I really personally have prevented this upsetting event?", you begin to rid yourself of the Personalization problem.  

2.  Pervasiveness.  This is the belief that because something bad happened in one area of your life, it will occur in and affect all areas of your life.  If you make a bad financial decision, does that mean that you will make bad decisions in all areas of your life such as in your work, as a parent, etc.?  The answer is no unless you believe so and then you will act accordingly to your detriment.  You will feel more defeated and overwhelmned, often sinking into depression.  My own client has come to realize that she is good at her profession and is a good friend to others. This is why counselors often recommend that individuals who have lost a loved one attempt to return to some normality of routine in their lives as soon as possible, though that varies by individuals.  When you can contain your distress to the particular event (loss, frustration, challenge), you will limit its hold on other areas of your life.

3.  Permanence.  This is the belief that your upset will last forever.  As my grieving patient had said, "I don't know if I'll ever feel good again".   However, with encouragement, she was able to recognize that her feelings would not last forever. Sometimes, when I work with individuals dealing with upset, I encourage them to imagine themselves perhaps six months or one year out into the future and what they will be doing and how their life will be.  If nothing else, this technique assists them in beginning to question the permanence of their current distressful emotions.  

The "Three Ps" are similar to the acronym "SUE" I have used in other posts to remember helpful strategies to facilitate your dealing with upsetting events both small and large in life and business.  SUE stands for Specific (opposite of Pervasiveness), Unstable (opposite of Permanence), and External (opposite of Personalization).  Please read my post on "SUE Your Way to Success" for even more information in this area.  We discuss all this in great detail in our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) which is available on Amazon at  https://www.amazon.com/dp/1542458056.  You can read more about the authors and related stress material at our website www.manageyourhealthandstress.com.   

You can use the "Three Ps" or SUE strategies to help yourself deal with the emotional reactions of many of life's challenges, whether in your personal lives or in business.  The key is recognizing that you are clinging to less helpful beliefs.  You'll know by how you feel.  The more distressed you feel, the more likely that a contributor remains your extreme beliefs in your personal responsibility, the pervasiveness of the challenging event on your total life, and the likely permanence of your condition as you see it.  

The optimistic view is that you are more resilient in dealing with life's challenges than you might think.  You learned to think the way you do and see the world as you do.  You can change those beliefs so that you can enjoy your life more as well as handle future challenges large and small with less upset.  Good luck on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

HOW YOU CAN HANDLE STRESS AND SOLVE PROBLEMS BETTER WITH SELF-AFFIRMATIONS

How well do you solve problems under stress?  We all went through having to prepare for exams sometimes at the last minute.  Perhaps you've had to come up with a business proposal on short notice.  In general, it is well known that the effects of acute and chronic stress interfere with problem solving requiring flexibility and adaptation. Acute stress can help rote memory, which is probably why so many "crammers" for exams actually did satisfactorily. However, if the task involves more complex problem solving increased stress interferes.

Yet, in the last several years there is new research indicating that self-affirmation can lessen the interfering effects of stress on problem solving.  What exactly is an affirmation? According to researchers at Carnegie Mellon University, "self-affirmation is the process of identifying and focusing on your most important values".  In my own work, I prefer the definition that an affirmation is a statement that describes your goal in its completed state.  For example, if you are trying to lose weight, your self affirmation might be that "I am feeling lean and powerful at my perfect body weight of 170 pounds".

Using self-affirmation can improve your problem solving skills under pressure.  The research team at Carnegie-Mellon University found that a brief self affirmation activity helped buffer the negative effects of chronic stress on task performance when stress levels were rated by questionnaire, heart rate, and blood pressure.  

But you have to do it right.  When working with clients, I start with the following guidelines:

1.    Start with the words I am.
2.    Use the present tense.
3.    State it in the positive.  Affirm what you want, not what you don’t want.
4.    Keep it brief.
5.    Make it specific.
6.    Include an action word ending with –ing.
7.    Include at least one dynamic emotion or feeling word.
8.    Make affirmations for yourself, not others.

Then it is important to create the affirmation for yourself using the following guidelines:

1.    Visualize what you would like to create.  See things just as you would like them to be.
2.    Hear the sounds you would hear if you already had achieved your vision.
3.    Feel the feeling you want to feel when you created what you want.
4.    Describe what you are experiencing in a brief statement, including what you are feeling.  Start the sentence with the words “I am so happy and grateful that I now . . ."   Make sure it is stated in the present.
5.    Edit it as needed.

Self affirmations work best for you when you combine the above guidelines with visualizations of how things will be when your goal is achieved, whether it is a personal or business goal.  Recite your affirmation at least twice per day.  It's usually helpful to do so in the morning and before retiring for the night.

When you are under high stress, you will initiate better problem solving by taking a little time to create and/or reflect on a self affirmative statement that is important to you.  For example, if faced with a business deadline and you are inclined to feel high levels of stress, create a self affirmation such as "I am happy that I am working well at creating cohesion among my team to complete our sales project".  

This strategy is reasonably easy and you can use it before you enter a high pressure situation or start a self improvement project.  Give it a try.  If you start to do it regularly, you will be surprised at your successes.  If you want to learn more about this and other strategies for handling your life challenges, please read our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056.  If you want to learn more about the authors and stress management, please see our website at www.manageyourhealthandstress.com.   

Good luck on your journey.

Dr. Paul Longobardi

For more information on these and related topics, please go to my website at www.successandmindset.com.

HOW TO MAINTAIN PRODUCTIVITY AND REDUCE STRESS AT THE SAME TIME

It might seem odd to put references to productivity maintenance and stress reduction in the same title. The key is to take time off, another sometimes counterintuitive thought.  How can I get things done if I'm taking off time, you ask?  Well, Stephen Covey, author of "Seven Habits of Highly Effective People", spoke about sharpening the saw, i.e. making sure the tool was sharp.  What is your primary tool? You!!  So, if you want yourself to remain sharp and focused, you are well advised to consider doing this. 

Have you ever found that you do much more work the few days before a holiday?  Have you found that you solve big problems more easily when you are in relaxed state away from the office?   It’s very likely that you have disconnected from work and have more energy and engagement when back at work.  But you say “I can’t take a vacation, I have too much to do”.

Here are four main reasons why not taking time off will cost thousands to your organization in lost productivity:

       Stress related illnesses
       Medical/psychological problems including depression and substance abuse
       Increased absenteeism secondary to the above
       Increased turnover secondary to the above


Why is this so?  Research has demonstrated that people who do not disconnect from work suffer increased levels of exhaustion.  People who do disconnect recover from job/work stress and have increased engagement levels when back at work. 

What if you are a professional?  You have even more of a need to take time off.  The work of professionals involves much thinking and learning, the very activities which consume considerable brain energy.  If you don't build in periods of recovery you will reach a period of mental exhaustion, frequently referred to as burnout.  

What if you cannot take time off and enjoy a holiday?  One way is to select other activities during the week on breaks, after work, or on weekends.  Here are some examples:

     Disconnect completely from work when the work is done.  Exercise or do a hobby that you like.
     Take some small work breaks during the day, e.g. take a short walk, meditate briefly, and listen to music. 
     On daily breaks or weekends, choose more engaging activities such as hobbies, reading, socializing, or exercise.  This is in contrast to passive activities such as sitting in front of computers or television.


These are easy to implement and work great.  These strategies are some reasons I have found that reduce burnout and stress for many clients with whom I’ve worked.  The second reason I consistently get increased productivity for the many individuals and organizations with whom I’ve worked is helping them clear out mental clutter.   If your limiting thoughts get in the way (e.g. "I don't need time away, that's weak or lack of dedication"), then consider changing those thoughts or getting the help to do so. For more information on all aspects of stress management, read our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056  .  For more information about the authors and stress topics, visit our website at www.manageyourhealthandstress.com  .  

Take time for yourself and you will reap benefits in well being and productivity.  Stress is a choice, not a given.

Good luck on your journey.

Dr. Paul Longobardi

For other information on these and related topics, please see my website at www.successandmindset.com.  

 

HOW TO REDUCE STRESS AND AGE BETTER

How well are you aging?  We all too often imprison ourselves in the outcomes of bad thinking and physical habits which interfere with aging well. In an article titled "It's the Little Things" in Time magazine in 2016, Alexandra Sifferlin noted three areas where changes can lead to improved aging and longevity.  These are the areas of diet, exercise, and mindset.  I will focus on mindset.

We know that our thoughts influence emotions which affect us physically.  There is much research about the effects of stress in causing release of stress hormones which trigger negative cardiovascular and other disease states.  However, there is also research in the journal Psychology and Aging about the association of negative stereotypes about aging with brain changes associated with Alzheimer's disease.  In the study noted, twenty-five years after the initial assessment, those individuals with the negative stereotypes had greater loss in hippocampal volume, an area of the brain where neuronal loss is associated with Alzheimer's disease, than persons with more positive views of aging.  Also, on brain autopsy, the individuals with negative views of aging had greater buildup of amyloid plaques and neurofibrillary tangles, markers for Alzheimer's disease.  In other research in the journal European Heart Journal: Acute Cardiovascular Care, it was observed that individuals with negative views of aging had higher risk of heart problems 40 years later compared with people with more positive views of aging.  

So what can you do now no matter where you are in terms of age?  Other research has indicated  that mindfulness meditation (being aware of what you are thinking and feeling in the moment) can reduce stress and slow biological aging.  If you want more detail, please read our book on all aspects of stress (I Can't Take it Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), availabe on Amazon at https://www.amazon.com/dp/1542458056 .  If you want more information about the book, authors, and stress matters, please see our website at www.manageyourhealthandstress.com  .  However, for the moment, let's look briefly at three strategies you can use and which will help you: 

1.  Be aware of your breathing and periodically take a breath, close your eyes, and focus on the present, such as what you hear and feel about you.  This will assist in reducing stress and the negative effects on aging even if you don't engage in a complete mindfulness meditation.

2.  View stressful events as transitory and interrupt any catastrophizing thoughts such as "I can't stand this (yes you can, you just don't have to like it)", or "I'm getting senile because I can't remember where I put my keys (no you're not, almost everybody has such moments)". This will help you limit your reaction to stressful events, which is good for your emotional and physical health.

3.  Maintain or build your social connections.  There's good research evidence about the beneficial effects of doing this as we age and not just when we're young.

As the saying goes, aging is not optional but aging well is.  Catch yourself when verbalizing negative stereotypes and views of aging and interrupt them.  After all, as I always say, Change your thoughts and change your results, including brain aging.  Good luck on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

DO YOU WANT TO SLEEP BETTER?

Sleep problems stay in the news.  In the Los Angeles Times business section for 7/6/18, there was an article titled "Employers wake up to pluses of office naps" by Robert Channick.  The author noted that a third of adults are not getting the recommended seven hours of sleep per night and that sleep deprivation costs the U.S. $411 billion in annual economic losses according to a Rand Corporation study.  We spent an estimated $41 billion on sleep aids and remedies in 2015 according to Consumer Reports.  While there is no definitive answer as to how much sleep any one person needs, sleep experts tell us we need enough sleep to stay awake and alert the next day without caffeine.  For most of us, we don't function well with less than seven hours.  With continued sleep shortages, you can harm your health through depression, heart disease, obesity, and Type 2 diabetes.  Of course, the most frequently prescribed aids are sleeping pills and I will not be discussing these.  Lately I have been working with more patients for whom sleep difficulties are prominent, along with their depression or anxiety.  I am treating the sleep problems concurrently with treatment for the other disorders.  What about you?

For adults who would like to sleep better and reduce reliance on pharmacological aids, there is Cognitive Behavior Therapy for Insomnia (CBT-I), a form of behavioral treatment that focuses on changing habits that disrupt sleep.  The treatment was mentioned briefly in a discussion of sleep issues in the February 2016 issue of Consumer Reports magazine, titled "Get more ZZZs, naturally".  There is a review of CBT-I in the journal Annals of Internal Medicine in 2015 indicating that the treatment helped people sleep on average 26 more minutes per night and reduce their need for medications.  It also was noted that the American Academy of Sleep Medicine recommended CBT-I over sleep medications as a treatment of first choice for chronic insomnia.  I have been using CBT-I principles for many years for referred patients with insomnia.  Of course, I always recommend that you consult first with your primary physician to rule out any physical causes of your insomnia.

So what is involved in CBT-I?   As mentioned, CBT-I  has a goal to improve sleep habits and behaviors. The cognitive part of CBT-I teaches you to identify and modify beliefs that affect your ability to sleep. For example, this may include learning how to control or eliminate negative thoughts and worries that keep you awake. The behavioral part of CBT-I helps you develop good sleep habits and avoid behaviors that keep you from sleeping well.

So, do you want to sleep better?  Well, there are various techniques some or all of which you may need depending on your condition. These include: 

1.  Stimulus Control Therapy. This is a technique I have used frequently.  This method helps remove factors that condition the mind to resist sleep. For example, you might need to set a consistent bedtime and wake time and avoid naps, use the bed only for sleep and sex, and leave the bedroom if you can't go to sleep within 20 minutes, only returning when you're sleepy.  You need to be very motivated for this one but it will help you get better control of the sleep/wake cycle.  I remember one patient who got up 25 (!) times the first night after not falling asleep within 20 minutes.  That was the highest number I ever saw but improvement for the patient came rapidly over the next week.

2.  Sleep Restriction. Lying in bed when you're awake can become a habit that leads to poor sleep. This technique decreases the time you spend in bed, causing partial sleep deprivation, which makes you more tired the next night. Once your sleep has improved, your time in bed is gradually increased.  The trick here is not to take naps the next day as your progress then is completely undermined.

3.  Sleep Hygiene. This method of therapy involves changing basic lifestyle habits that influence sleep, such as smoking or drinking too much caffeine late in the day, drinking too much alcohol, or not getting regular exercise. It also includes tips that help you sleep better, such as ways to decrease your activities an hour or two before bedtime.

4. Sleep Environment.  These are ways you create an improved sleep environment, such as keeping your bedroom quiet, dark and cool, not having a TV in the bedroom, and hiding the clock from view.  You also may need to stow away your cell phone or laptop to minimize interruptions.  The light they emit also is known to interfere with sleep.

5. Relaxation Training. This method helps you calm your mind and body. Approaches include meditation, imagery, progressive muscle relaxation (PMR) and others.  I have written in other posts about such techniques as they reduce stress reactions and they can be very helpful here as well.  I have used PMR extensively in assisting with sleep improvement often in combination with the other techniques above.

6.  Biofeedback. This method allows you to notice physiological signs such as heart rate and muscle tension and shows you how to change them. Some sleep specialists may have you take a biofeedback device home to record your daily patterns.

7.  Paradoxical Intention. Paradoxical intention, courtesy of famous therapist Victor Frankl,  involves avoiding any effort to fall asleep. In fact, it really involves trying to stay awake.  Have you ever been somewhere, maybe even a meeting, where you are worrying that you need to stay awake but continue to fall asleep?  Paradoxically, worrying that you can't sleep can actually keep you awake. Letting go of this worry can help you relax and make it easier to fall asleep.

Whatever method or strategies you employ, good sleep is critical to your health, productivity, and well being.  Adjust your sleep cycle depending on whether you are an early or late riser so as to get enough sleep.  Also, consider cognitive behavioral strategies as a first treatment for insomnia before resorting to medications.  You may be amazed at the power you have over this process.  Readers of this post will recognize that many of these approaches are useful for individuals reporting uncomfortable levels of stress.  We discuss sleep strategies in our book on stress management (I Can't Take it Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at https://www.amazon.com/dp/1542458056.  For information about the authors and book as well as other information on stress management, please see our website at www.manageyourhealthandstress.com.  

Whatever you do, please take some action.  As always, change your thoughts and change your results.  Sleep well my friends.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com.

HOW ARE CHILDREN AFFECTED BY CHRONIC AND SEVERE STRESS?

In the last several weeks, there has been much interest in and concern about the effects on immigrant children on our southern borders of separating them from their parents.  But what do we know about such effects of stress?  There are many health care providers who believe that ongoing stress during early childhood can harm childrens' brains and other body systems. Such stressors can include severe poverty, neglect, sudden traumatic separation from parents, parents' substance abuse and/or mental illness, and familial dysfunction. There also are research findings consistent with the conclusion that chronic and severe stress in childhood can lead to some of the major causes of death and disease in adulthood, including heart attacks and diabetes.  These findings have been reported in mainstream media, recently in a news article in US News and World Report from July 12, 2017 (Stress Can Affect a Child in a Major Way, by Lindsey Tanner).  

Many providers are increasingly adopting what is called "trauma-informed" care.  The approach starts with the premise that extreme stress or trauma can cause brain changes that may interfere with learning, explain troubling behavior, and endanger health. The goal is to identify affected children and families and provide services to treat or prevent continued stress.These services can include stress reduction for children such as breathing exercises, parenting classes, addiction treatment for parents, school and police-based programs, and psychotherapy.

Scientific findings have shown that the brain and disease-fighting immune system are not fully formed at birth and can be damaged by childhood adversity. The first three years are thought to be the most critical, and children lacking nurturing parents or other close relatives to help them cope with adversity are most at risk.

It is important to keep in mind that we are discussing chronic and severe stress during childhood.  Under normal stress situations (for a young child that could be getting a shot or hearing a loud thunderstorm), the stress response is initiated resulting in brief rises in heart rate and elevated cortisol levels and other stress hormones. When the stress subsides or stops, the child's heart rate and cortisol levels return to a more normal level.   However, when stress is severe and chronic, those levels may remain elevated, putting children in a persistent "fight or flight" mode.  

In the article referenced, it was noted that recent studies suggest that chronic/severe stress changes the body's metabolism and contributes to internal inflammation, which can raise risk for developing diabetes and heart disease. In 2015, Brown University researchers reported finding elevated levels of inflammatory markers in saliva of children who had experienced abuse or other adversity.  Also, experiments in animals and humans also suggest persistent stress may alter brain structure in regions affecting emotions and regulating behavior.  This is true for both children and adults.  

As is true for much of science, there is some disagreement among scientists about whether this phenomenon really exists for children given the state of research.  However, given that such findings occur for adults as well, it is reasonable to conclude that exposure to chronic/severe stress during childhood might have such negative health consequences.Much of the recent interest stems from landmark U.S. government-led research published in 1998 called the Adverse Childhood Experiences study. It found that adults exposed to neglect, poverty, violence, substance abuse, parents' mental illness and other domestic dysfunction were more likely than others to have heart problems, diabetes, depression and asthma. In other words, they had experienced more stress.  In fact, the American Academy of Pediatrics supports the theory and in 2012 issued recommendations urging pediatricians to educate parents and the public about the long-term consequences of toxic stress and to push for new policies and treatments to prevent it or reduce its effects.

It is time to focus on screening and intervention in children at risk for the negative consequences of chronic and severe stress.  If you want more information on stress and its effects on your life and that of your family, you can acquire our book on this topic (I Can't Take it Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., P.H.N.), available through Amazon at  https://www.amazon.com/dp/1542458056 .  If you want more information about the authors and the book, please see our website at www.manageyourhealthandstress.com .

Best wishes on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com

DO YOU SUFFER FROM EMOTIONAL PROBLEMS AFTER CONCUSSION?

Just last week I reported on the question above in a presentation at the 12th Annual National Summit on Sports Concussion in Los Angeles, California.  I also discussed what to do and I will discuss that later.  Estimates are that one quarter of persons reported having had a concussion.  According to the Centers for Disease Control (CDC), 1.6 to 3 million Americans suffer concussions yearly. A concussion, also known as a mild traumatic brain injury (TBI), is caused by a bump, blow, or jolt either to the head or the body that causes the brain to move rapidly inside the skull. Loss of consciousness is not necessary for a concussion to occur.  Not all blows or jolts to the head result in a TBI.  A concussion changes how the brain normally functions.  Concussions can have serious and long-term health effects..  A concussion is considered a brain injury. The most frequent causes of non-sport related concussions include falls, being struck by blunt objects, and automobile accidents.  

Most of the time, we hear about the physical and cognitive aspects of concussion, such as headaches, loss of memory and poor attention/concentration.  However, psychiatric complaints are common in concussion.  For example, rates of some common mental health complaints in concussion include depression (25-50%), anxiety (10-77%), sleep problems (30-70%), agitation and aggression (~30%), and suicide (~3x Incidence of people without consussion).  Depression and anxiety, the most common symptoms,  often are not recognized as consequences of a concussion.  Yet, they occur with a frequency to make it advisable to assess for and manage as needed.  

Feelings of anxiety are common in postconcussive syndrome (PCS).  They are associated with a loss of self esteem along with fears of permanent brain damage and may enhance the original symptoms including physical and cognitive symptoms.  Research reports indicate that patients with symptoms at 3 months post-injury were likely to experience high levels of stress and anxiety.  We discuss all aspects of stress in our book (I Can't Take It Anymore; How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056.  For additional information you can visit our website at www.manageyourhealthandstress.com.  

Depression can occur directly or indirectly from the neurobiological results of the brain injury. It also can occur as a psychological reaction to deficits and problems associated with the brain injury.  Finally, it can co-occur with an anxiety disorder.  There are many research studies concluding that over years of follow-up individuals with a concussion have a 3x risk for developing a diagnosable depressive disorder.  The risk becomes even more concerning when we see that the risk for suicide, based on longitudinal studies in numerous countries to include Canada, Denmark, and Sweden all conclude that there is a 3x increase in suicides in the decade following concussion, with the risk increasing if you have more than one concussion.  

There is good news.  There are many direct forms of treatment for the emotional symptoms from concussion.  These include education, support, and guidance; sleep hygiene; relaxation procedures; psychotherapy; medications.  Other treatments for concussion which may assist generally include accommodations, vestibular therapy, physical therapy, cognitive rehabilitation, and vision therapy.

Support and educate benefit patients in that the patient receives information on what symptoms to expect and how to cope with them.  Research studies have shown that the sooner such information is received the better given that concussion is associated with high levels of anxiety.  Participation in a social support group results in improved mood and reduced anger, confusion, frustration, anxiety, depression, and isolation.  

Sleep problems are common in concussion.  Therefore, getting onto a regular sleep cycle is crucial to recovery.  Recommendations include:

Only go to bed when tired
Don’t lie in bed more than 20 minutes
Relax each night before bed
Wake up at the same time every morning
Avoid taking naps
Avoid caffeine after lunch

Relaxation procedures help reduce anxiety in concussion.  I have discussed these procedures in other posts and in our book to include breathing, progressive muscle relaxation (PMR), calming visualization, and meditation.  I like to use PMR as it includes a combination of breathing, relaxing visualization, and progressive tension/reduction of various muscle groups. Some individuals have been using mindfulness procedures to achieve calming states which reduce overactivation in some brain areas.

Cognitive behavior therapy (CBT) approaches have been shown in research to reduce depression and anxiety in concussed persons.  As I have discussed in other posts and in our book, CBT is based on the premise that much of our unpleasant feelings such as depression and anxiety are driven by our thoughts.  In concussed persons with depression, overly general thoughts can include "I'm not the same as I was; I'll never get better; My life will never be right again" among many others.  All such thoughts will contribute to depression/anxiety and a worsening of other concussion symptoms both physical and cognitive.  CBT can assist in helping the concussed person correct their cognitive biases and misattributions about the effects of the concussion, contributing to an improvement in emotional state.  

So, if you or a loved one or friend has suffered a concussion, please be mindful of the emotional outcomes which often are not recognized.  There is much help available.  As always, your mindset when you suffer such an event has much to do with how well and how soon you recover.  May all your thoughts be helpful ones.  Best wishes on your journey.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com.  

HOW TO KNOW IF YOU ARE DEPRESSED OR SUICIDAL AND WHAT TO DO

Like much of the world, I lament the untimely deaths of fashion designer Kate Spade and television personality Anthony Bourdain.  Their deaths by suicide highlight the role of depression in our lives.  Certainly, as a practicing clinical psychologist and neuropsychologist, I frequently treat clinical depression in my patients.  Estimates are that approximately 8% of people over the age of 12 suffer from moderate to severe depression. The signs of serious depression are many and include prolonged sadness or irritability, sleep and appetite disturbances, loss of energy, less interest in pleasurable activities, feelings of guilt and worthlessness, and occasionally thoughts of suicide. Signs of suicide include talking about feeling hopeless with no reason to live or about feeling trapped or being a burden to others, increasing the use of alcohol or drugs, sleeping too much or too little, withdrawing and isolating from others.  

What are some of the causes of depression?  Experts note multiple causes to include genetic vulnerability, stressful life events, medications, medical problems, neuronal transmission, faulty mood regulation by the brain, and one's view of the world.  We discuss these aspects of depression in our book (I Can't Take it Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.), available on Amazon at  https://www.amazon.com/dp/1542458056.  For more information, visit our website at www.manageyourhealthandstress.com. The influence of the brain on how you think and feel as well as how your thoughts (mindset) influence your brain is reciprocal.  In depression, three brain systems are involved:

1.  Hippocampus.  This area of the brain is involved in memory and emotional processing.  Neuroimaging studies have shown how the hippocampus is reduced in size in depressed individuals, possibly secondary to stressful life events resulting in reduced neuronal connections.

2.  Amygdala.  This structure is in the limbic system processing memory and emotional reactions.  This is where, in conjunction with the hippocampus, we relive stressful and fearful events.  The joint influence of the amygdala and hippocampus is where the colloquial phrase "once bitten, twice shy" arises.

3.  Thalamus.  This structure manages sensory input to and from the brain and serves as a relay station for many areas of the brain.  Some research relates this area to manic depression as it links sensory input to pleasant and unpleasant feelings. 

Our view of the world (mindset) further influences whether we react to events in a negative, self-blaming view versus a more growth/adaptive/positive view.  These views in turn influence various brain structures to our benefit or not.

So, how might you deal with your own multiple life challenges to avoid a depressive episode?  I would recommend six actions/strategies:

1.  Make time for your loved ones.  It reduces the psychological over reliance on other aspects of your life, e.g. job, as a source of emotional gratification.

2.  Maintain social relationships.  This is exactly what depressed individuals do not do and is one of the greatest risk factors for clinical depression.

3.  Ask for help.  This sometimes is difficult for people, often men, who are used to being in charge and value their independence.  There is much help available.  In fact, if you think that you may be suicidal, reach out to the National Suicide Prevention Lifeline at 1-800-273-8255.                    .  

4.  Get proper exercise and watch your diet.

5.  Build an identify apart from your job.  You are more than any one aspect of your life.   Get involved in some other activity which you value, it reduces your risk for depression.

6.  Reframe failure and loss.  As I frequently discuss, how you explain setbacks has to do with your mindset.  The idea is for you to identify, challenge, and avoid overgeneralizing statements about setbacks to include "I'm a failure", "I'm no good at business", "This always happens to me", among others.  

     There is much hope for all of us to avoid debilitating depression and you can enjoy your life both business and personal.  

Change Your Thoughts, Change Your Results.  Good luck on your journey.

Dr. Paul Longobardi

For more information on these and related topics, please also visit my website at www.successandmindset.com

HOW DOES YOUR DOGGIE IN THE WINDOW SEAT REDUCE STRESS OF FLYING ?

The surge in emotional support animals (ESAs) on airlines again is in the news.  In the Los Angeles Times business section for June 3, 2018, Hugo Martin wrote a piece titled "Animal kingdom along for a ride".  He noted the 84% increase in incidents of urination, defication and biting by service and support animals during flights on Delta Airlines.  He also observed the 75% increase in passengers bringing emotional support animals onto United Airlines flights.  He highlighted how airlines are struggling with deciding what additional measures and documentation should be needed to travel with such animals.  There has been concern over whether some passengers do not in fact have anxiety, phobias, or panic disorders (among the most common disorders for which such documentation is requested) rather are trying to get a free ride for their pet.  That has spurred some mental health professionals to recommend creation of better standards for determining the need.  I began to rethink the issue of when is your animal a pet and when is it a therapeutic aid, a topic also discussed by Rebecca Clay in an article in the Monitor on Psychology for September 2016.  In the mental health area, there are Emotional Support Animals (ESA), Service Animals (SA, including Psychiatric Service Animals), and Animals for Assisted Therapy (AAT).  The main distinction is that the ESA provides support by its presence alone while a SA has been trained specifically to perform tasks for someone with a disability, such as reminding them to take their medication or checking a room and turning on lights for a person with anxiety.  

Emotional support animals make sense, given the large literature on animals’ ability to reduce human stress and anxiety and provide other health benefits, says psychologist Aubrey H. Fine, Ed.D., a professor of education at California State Polytechnic Institute in Pomona and editor of the "Handbook on Animal-assisted Therapy: Foundations and Guidelines for Animal-assisted Interventions" (2015). Dr. Fine did suggest that some people may be abusing the ESA concept so they can have their pets with them.  Individuals can go online, answer some questions, and receive a certification and jacket for their dog.  In fact, the issue of need for the ESA is a clinical/forensic question involving determination of mental health disability of the individual as well as demonstrated clinical benefit of having the animal present.  The evaluation should be conducted by a licensed professional.

Additionally, there is not much research to support the claim that emotional support animals help people more than traditional pets.  This is according to co-authors Cassandra L. Boness,  Jeffrey N. Younggren, PhD, a psychology professor at Missouri, and Jennifer A Boisvert, PhD, a private practitioner in Beverly Hills and Long Beach, California (Professional Psychology: Research and Practice, 2016). Dr. Younggren's work was noted in the LA Times article.  Their review of the literature revealed little evidence that emotional support animals are effective, The co-authors indicated that "The research we did find was inconclusive".

The certification of ESAs appears to have become a growing industry. There are a number of online commercial entities that specialize in providing SA or ESA certification for dogs and other animals without ever having seen or evaluated a person or their animal. For instance, the United States Dog Registry provides three levels of certification: SA dogs, ESA dogs and therapy dogs. In their advertising, the U.S. Dog Registry states that certification will allow the animal (ESA, SA, or therapy dog) to fly in a commercial airplane for free and will allow the dog in all housing regardless of an existing pet policy.

The media already had taken note of the topic of airline accommodations being made for ESAs.  In a 2014 New Yorker article titled, “Pets allowed: Why are so many animals now in places where they shouldn’t be?” author Patricia Marks reported that the National Service Animal Registry, a private commercial enterprise that sells certificates, vests, and badges for helper animals, signed up 11,000 animals online in 2013, even though the animals may not have merited certification. In a USA Today (2015) article, the editorial staff took the position that while SAs were acceptable, ESAs infringed on other’s rights and reflected an exploitation of law and regulation by animal lovers. The article was critical of how some online commercial entities provide ESA certification.  This point was noted in the LA Times article as having ESAs on board airlines may exacerbate conditions for people with allergies and/or anxiety around animals. As I noted above, some commercial entities render a letter in support of needing an ESA without a licensed mental health professional seeing or evaluating an individual or their pet in person. There are commercial services specializing in online and telephone disability assessments and offering letters of certification to those thought to qualify.   

It is easy to see how an industry has developed around the certification of ESAs, allowing pet owners to have their pets travel on commercial aircraft at no cost. Nonetheless, it is clear to me that these commercial evaluative services are questionable from a professional standards perspective and inconsistent with existent psychological ethics and forensic standards. This media publicity and industry has implications for my fellow psychologists as they might be pressured by patient requests for a letter of evaluation in support of their need for an ESA or certification of their pet.  In fact, at a former clinic where I worked, it was not uncommon to have patients requesting such letters from their clinicians.  

So what are we to do about all this?  It is clear that Service Animals provide specific valuable services.  Animals used in Animal Assisted Therapy also provide clear benefit in a carefully planned clinical program.  And we all love our pets.  But what are we to do about Emotional Support Animals?  It would appear that, given the paucity of empirical evidence to support the concept, more careful evaluations are in order conducted in person by licensed professionals. These evaluations would need to meet more specific criteria such as those suggested by attorney John Ensminger and neuropsychologist Dr. J. Lawrence Thomas in Law and Human Behavior in 2013: 

1.  Confirm that the individual actually has a mental health diagnosis.

2.  Explain clearly how the animal helps lessen the severity of the mental health condition.

3.  Describe how the individual and animal interact, which assumes that the evaluator meets with both.

4.  Explain clearly the possible negative effects of the individual not having the animal with them.

5.  Note any training the animal has had from a qualified trainer, if appropriate.

What is not discussed is how persons can learn to deal with their anxiety and stress about flying without the need for ESAs.  For a complete review of stress management issues, please consult our book (I Can't Take it Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056   .  For details about the book and authors, please consult our website at www.manageyourhealthandstress.com .  

This appears to be an issue gradually getting out of control.  What is needed is a mix of compassion as well as evaluations marked by more scientific rigor and consideration of alternative means of helping fliers with stress related conditions..  This will assist all the travelling public.

Good luck on your journey as always.

Dr. Paul Longobardi

For information on these and related topics, please see my website at www.successandmindset.com. 

HOW DOES GRADUATION RESULT IN STRESS?

Yes, it's that time of year again.  Most high school and college students are going through their commencement ceremonies.  The students have been excited about receiving their degrees and moving on to the next step in their lives.  Those next steps might be further education or employment.  Relief from the immediate stressors of school work, deadlines, exams, and grades will be welcomed by many graduates.  However, what comes next?   Once the traditional stressors are gone, to what new level of normality does the graduate adjust?  

It is worthwhile to remember that commencement (graduation) is an academic and social custom that symbolizes a rite of passage. Commencement imposes your own expectation to achieve and society's expectation that you will perform well in the next phase, whether work or continuing education.  Fear of failure and inherent shame are several of the consequences if the graduate does not meet the internal or external definitions of success post-commencement.  In fact, I am working in psychotherapy with a client whose depressive symptoms and issues in part relate to having graduated from college last year and suffering the loss of the social contacts, feeling the pressure to obtain and maintain employment, and wondering if he is up to the challenges of this new phase of his life.

A consequence of commencement for many graduates is stress.  We discuss all aspects of stress in our book (I Can't Take It Anymore: How to Manage Stress so It Doesn't Manage You; Paul G. Longobardi, Ph.D., and Janice B. Longobardi, R.N., B.S.N., P.H.N.) available on Amazon at  https://www.amazon.com/dp/1542458056 .  For more details about the book and the authors, please visit our website at www.manageyourhealthandstress.com .   In fact, a new term has been coined for a constellation of symptoms describing the anxiety, depression and stress associated with the fear of the unknown inherent in commencement.  That term is Post Commencement Stress Disorder (PCSD).  PCSD was discussed in some detail in an interesting article by Dr. Bernard Luskin, LMFT, in Psychology Today several years ago.  PCSD is a term for a constellation of symptoms affecting new graduates in transition facing the task of choosing, changing or pursuing a career, as well as adjusting to a new phase of life..  Completing a degree brings both opportunity and insecurity to many new graduates as they pursue new plans, goals, and careers.  

Symptoms of PCSD can include:

Feelings you are not in control of your life
Feeling a lack of support after commencement
Feelings of failure if you can not find work in your area after a reasonable search time
Generalized anxiety and tension
Sleep problems
Irritability
Avoidance of normal activities
Graduation can be a stressful time although meant to be a happy time for graduates. However, whatever the causes of PCSD, there are several steps you can take to help facilitate the transition:

Make a plan.  Take a look at what you want the first 3-6 months post graduation to be and implement a plan.  It does not matter what you choose, from an internship to a vacation. The idea is to have a plan of action that helps you organize your time and reduce the anxiety and worry which accompany the feeling of "floating" in your life.

Keep your priorities in perspective.  When it comes to the anxiety over next steps after graduation, remember that you are not alone. There are millions of new graduates each year and the job outlook has improved over the last few years.  It is always important to keep things in perspective as you organize for the struggles of the demands of the next step in your life. Whether you have graduated from college and go on to employment or from high school and are going to college, consider the following.  Create a budget and that will help you lessen the fear of mismanaging your money and can help develop new financial targets and goals. If your ideal job doesn't occur, consider working in areas where you can accumulate reasonable experience to help make that ideal situation happen.  

Confront the future.  As mentioned earlier when discussing make a plan, take action as to what point you want to achieve over the next several months.  It is critical to take some action.  If you focus on a job or school program related to your field of study or interests, it is better than taking no action.  Taking no action will result in the symptoms noted above.  Self esteem and self worth are related to behaviors. Generate positive action and positive feelings will follow. Avoid negative self talk at all costs.  Thinking that "Things will never work out for me" or similar statements will do more to keep you stuck in PCSD than almost anything else.  

As always, stress is a choice we make by how we look at, plan for, and react to the situations in our lives.  You can avoid PCSD.  I wish you well on your journey.

Dr. Paul Longobardi

For more information on these and related topics, please see my website at www.successandmindset.com