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Happy Holidays

Ornaments

Its that time of year again - the holidays. Time for Family, Friends, Loved ones and of course all the stress, frustration and sometimes disappointment that somehow seems more magnified at this time of year. For those struggling with mental health issues the holidays can be even more difficult. Here are eight tips for keeping it all in perspective.

  1. Decide which Christmas activities and traditions are most significant to you. Only participate in those activities that have significance for you and decline the activities which cause stress or are insignificant for you. 
  2. Christmas time tends to be a time when people spend more money than they can afford.  Make a Christmas budget and stick with it.
  3. Take care of yourself.  Eat right, get enough sleep and exercise.  Control your alcohol consumption and limit your indulgence in high fat or sugary foods.
  4. Recognize signs of stress and use relaxation techniques when you begin to get irritated or upset such taking a few deep breaths, going for a walk or taking a break.
  5. Have realistic expectations of family and friends.  Just because it is Christmas, does not mean the attitudes or behaviors of relatives and friends will change.  Accept this and plan how you will respond to help keep the Christmas spirit.
  6. Make time for yourself. This time does not need to cost anything and can include going for a walk or reading a book.   Schedule time for yourself during the busy Christmas period.
  7. Delegate Christmas tasks and ask for help. Communicate openly and remember it’s ok to say “no”. Don’t carry the entire burden
  8. If you experience persistent low mood or anxiety, consider professional help. There is a wealth of experience and expertise available to deal with mental health difficulties.


This Christmas, help spread the word that mental health matters, 1 in 4 people suffer from a mental health difficulty. Help tackle the stigma attached to mental health.

Crisis on Campus: Mental Health

mental-health

Thanks to Brietta Mengel of Top Counseling Schools for permission to use this "info graphic". http://www.topcounselingschools.org/


Thanksgiving

In these difficult times giving thanks, and telling those close to you of your love is more important than ever. Saying the words, and hearing them is important to us all. The following poem says it better than I ever could. Thanks to Lisa LaForge, Executive Director Of Elgin Family Services for sharing her father's poem:

Thanksgiving


Perhaps I should have said it just between
The wine and grace, the wishing and the blessing.
That was the time for words, when the scene
Had just begun, before we passed the dressing.
Before the knife cut deep into the breast
I might have paused, looked up and all around
Into the eyes of each of them.
A jest Came easier, wit tossed into the sound
And lost. Between the stuffing and the pie
Was yet another quiet moment when
I could have told them all. Instead I sighed
And let it pass. Just once before the end
I should have cried: “Listen before you go.
I love you. I just wanted you to know.”



Peter J. La Forge

Mental Health Myths and Facts

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Mental Health Myths and Facts*
Can you tell the difference between a mental health myth and fact? Learn the truth about the most common mental health myths.

Mental Health Problems Affect Everyone

Myth: Mental health problems don't affect me.
Fact: Mental health problems are actually very common. In 2011, about:
  • One in five American adults experienced a mental health issue
  • One in 10 young people experienced a period of major depression
  • One in 20 Americans lived with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression
Suicide is the 10th leading cause of death in the United States. It accounts for the loss of more than 38,000 American lives each year, more than double the number of lives lost to homicide. Learn more about mental health problems.

Myth: Children don't experience mental health problems.
Fact: Even very young children may show early warning signs of mental health concerns. These mental health problems are often clinically diagnosable, and can be a product of the interaction of biological, psychological, and social factors.
Half of all mental health disorders show first signs before a person turns 14 years old, and three quarters of mental health disorders begin before age 24.
Unfortunately, less than 20% of children and adolescents with diagnosable mental health problems receive the treatment they need. Early mental health support can help a child before problems interfere with other developmental needs.

Myth: People with mental health problems are violent and unpredictable.
Fact: The vast majority of people with mental health problems are no more likely to be violent than anyone else. Most people with mental illness are not violent and only 3%-5% of violent acts can be attributed to individuals living with a serious mental illness. In fact, people with severe mental illnesses are over 10 times more likely to be victims of violent crime than the general population. You probably know someone with a mental health problem and don't even realize it, because many people with mental health problems are highly active and productive members of our communities.

Myth: People with mental health needs, even those who are managing their mental illness, cannot tolerate the stress of holding down a job.
Fact: People with mental health problems are just as productive as other employees. Employers who hire people with mental health problems report good attendance and punctuality as well as motivation, good work, and job tenure on par with or greater than other employees.
When employees with mental health problems receive effective treatment, it can result in:
  • Lower total medical costs
  • Increased productivity
  • Lower absenteeism
  • Decreased disability costs

Myth: Personality weakness or character flaws cause mental health problems. People with mental health problems can snap out of it if they try hard enough.
Fact: Mental health problems have nothing to do with being lazy or weak and many people need help to get better. Many factors contribute to mental health problems, including:
  • Biological factors, such as genes, physical illness, injury, or brain chemistry
  • Life experiences, such as trauma or a history of abuse
  • Family history of mental health problems
People with mental health problems can get better and many recover completely.
Helping Individuals with Mental Health Problems
Myth: There is no hope for people with mental health problems. Once a friend or family member develops mental health problems, he or she will never recover.
Fact: Studies show that people with mental health problems get better and many recover completely. Recovery refers to the process in which people are able to live, work, learn, and participate fully in their communities. There are more treatments, services, and community support systems than ever before, and they work.

Myth: Therapy and self-help are a waste of time. Why bother when you can just take a pill?
Fact: Treatment for mental health problems varies depending on the individual and could include medication, therapy, or both. Many individuals work with a support system during the healing and recovery process.

Myth: I can't do anything for a person with a mental health problem.
Fact: Friends and loved ones can make a big difference. Only 38% of adults with diagnosable mental health problems and less than 20% of children and adolescents receive needed treatment. Friends and family can be important influences to help someone get the treatment and services they need by:
  • Reaching out and letting them know you are available to help
  • Helping them access mental health services
  • Learning and sharing the facts about mental health, especially if you hear something that isn't true
  • Treating them with respect, just as you would anyone else
  • Refusing to define them by their diagnosis or using labels such as "crazy"

Myth: Prevention doesn’t work. It is impossible to prevent mental illnesses.
Fact: Prevention of mental, emotional, and behavioral disorders focuses on addressing known risk factors such as exposure to trauma that can affect the chances that children, youth, and young adults will develop mental health problems. Promoting the social-emotional well-being of children and youth leads to:
  • Higher overall productivity
  • Better educational outcomes
  • Lower crime rates
  • Stronger economies
  • Lower health care costs
  • Improved quality of life
  • Increased lifespan
  • Improved family life

* From "mental health.gov"

PTSD Awareness Day

Veteran on PTSD awareness day: 5 ways I am misunderstood
By Jessica Mazzola, NJ.com

Christian Benedetto didn't know he suffered from Post Traumatic Stress Disorder when he first returned home from fighting in the Gulf War in 1991. He did not realize, he said, that the four years he spent in the Marines had affected his mental health.
"I had nightmares sometimes, I had panic attacks," he said. "But it wasn't until I was in my late 30s until I realized that there were things happening that were consequences (of my time in the armed services)."
The realization, Benedetto said, came one night several years ago when his then 5-year-old son jumped into his bed one morning. Benedetto had been having a nightmare, and woke up immediately upon feeling the impact of his son's jump and grabbed the child's arm.
"It scared him a little, but it scared me a lot more," Benedetto said of the incident. He was diagnosed with PTSD in 2013.
The Morris Plains resident said his symptoms have since calmed down, thanks to a mix of medical treatment, diet and lifestyle changes, and yoga. But, awareness about the condition that he said affects millions of people across the U.S. has not improved, he said.
This week -- just in time for National PTSD Awareness Day Saturday -- Benedetto and several business partners launched the
PTSD Journal, a quarterly magazine and website based in Maplewood and distributed nationwide. It targets military members and civilians suffering from PTSD, and for those who interact with them.
"If you look at the statistics, basically everyone knows someone or is somehow affected by PTSD, but people really don't know enough about it," Benedetto said. "When people ask me who this magazine is for, I say everyone."
Benedetto said one of his hopes is to dispel misconceptions that have spread about PTSD. He identified the following as the top five misunderstandings people have about PTSD:

1. PTSD is just a military disorder
Experts agree. Dr. Amy Silvestri Hunter, Chair and Associate Professor of Psychology at Seton Hall University, said though many people think PTSD only affects former soldiers, it's impact is much wider.

"It can happen after many different types of trauma, including personal events such as being a victim of sexual assault or being in a car accident, or second-hand experiences such as seeing traumatic events in the media," she said. "It’s even been reported to occur in some people who have spent time in the intensive care unit of a hospital."

2. Only men get it
"People don't realize who this impacts," Benedetto said. "Victims of sexual assault, inner city kids, and Autistic people are all at a much higher risk of having PTSD."

3. PTSD is a sign of weakness
"Part of this process of making the magazine has been therapeutic," he said. "It has helped me to understand that I am not alone, which is really the most important part."

4. Everyone with PTSD is a threat to others
Knowing how to deal with people with PTSD is one of the most important reasons awareness should be spread throughout the entire community, not just to those experiencing post traumatic stress, Benedetto said.

5. There is a cure
"There is no cure," Benedetto said. "But, you can treat the symptoms...you can work toward (relief) and awareness. That's what I'm trying to do."
Jessica Mazzola may be reached at jmazzola@njadvancemedia.com. Follow her on Twitter @JessMazzola. Find NJ.com on Facebook.


All About Hoarding

Recently, Marcha Howes, one of our therapists did a training for us on "Hoarding". With all the attention this topic has been given recently, in part due to popular reality shows, we all had lots of questions. The following is an artcle that shed some light on the topic:

What is hoarding, and how do I know if I’m a hoarder? What is the difference between hoarding and collecting?

Response from Fugen Neziroglu, PhD, ABBP, ABPP:
Neziroglu.JPG
Hoarding is the compulsive purchasing, acquiring, searching, and saving of items that have little or no value. The behavior usually has deleterious effects—emotional, physical, social, financial, and even legal—for a hoarder and family members.
The descriptions below are typical of someone who hoards:
  • Avoids throwing away possessions (common hoarded items are newspapers, magazines, paper and plastic bags, cardboard boxes, photographs, household supplies, food, and clothing)
  • Experiences severe anxiety about discarding possessions
  • Has trouble making decisions about organizing possessions
  • Feels overwhelmed or embarrassed by possessions
  • Is suspicious of other people touching possessions 
  • Has obsessive thoughts about possessions:
  •  - Fear of running out of an item and needing it later
  •  - Checks the garbage to see if an item was accidentally discarded
  •  May have functional impairments:
  •  - Loss of living space inside the home (no place to eat, sleep, or cook)
  •  - Social isolation
  •  - Family or marital problems
  •  - Financial difficulties
  •  - Health hazards
People hoard for many reasons, among them the belief that their possessions will be useful or valuable in the future, have sentimental value, are unique and irreplaceable, or because they can’t decide where something goes, it’s better just to keep it.
Hoarding vs. Collecting
Hoarding is not the same as collecting. In general, collectors have a sense of pride about their possessions, and they experience joy in displaying and talking about their possessions and conversing. They keep their collection organized, feel satisfaction adding to it, and budget their time and money.
Hoarders generally experience embarrassment about their possessions and feel uncomfortable when others see them. Their clutter often takes over functional living space, and they feel sad or ashamed after acquiring additional items. Also, they often incur great debt, sometimes extreme.
Effective treatment is available from qualified mental health professionals, who can also help the affected family members.
Listen to a podcast about hoarding.

Fugen Neziroglu, PhD, ABBP, ABPP, is the Clinical Director and Co-Founder of the Bio-Behavioral Institute, Great Neck, New York. 

National Nutrition Awareness Month

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March is National Nutrition Awareness Month. Many people do not realize the strong connection between good nutrition and mental Health. Here is an article from the Mental Health Foundation addressing just that issue!

Recent evidence suggests that good nutrition is essential for our mental health and that a number of mental health conditions may be influenced by dietary factors.
One of the most obvious, yet under-recognised factors in the development of major trends in mental health is the role of nutrition. The body of evidence linking diet and mental health is growing at a rapid pace. As well as its impact on short and long-term mental health, the evidence indicates that food plays an important contributing role in the development, management and prevention of specific mental health problems such as depression, schizophrenia, attention deficit hyperactivity disorder, and Alzheimer’s disease.
Nearly two thirds of those who do not report daily mental health problems eat fresh fruit or fruit juice every day, compared with less than half of those who do report daily mental health problems. This pattern is similar for fresh vegetables and salad. Those who report some level of mental health problem also eat fewer healthy foods (fresh fruit and vegetables, organic foods and meals made from scratch) and more unhealthy foods (chips and crisps, chocolate, ready meals and takeaways).
A balanced mood and feelings of wellbeing can be protected by ensuring that our diet provides adequate amounts of complex carbohydrates, essential fats, amino acids, vitamins and minerals and water.
While a healthy diet can help recovery, it should sit alongside other treatments recommended by your doctor.
Food consumption
What we are eating now is very different from that of our recent ancestors. Food production and manufacturing techniques, coupled with changing lifestyles and increasing access to processed foods, mean that our intake of fresh, nutritious, local produce is much lower, at the same time as our intake of fat, sugar, alcohol and additives is much higher. It has been estimated that the average person in the UK and other industrialised countries will eat more than 4 kilogrammes of additives every year.
Over the last 60 years there has been a 34% decline in UK vegetable consumption with currently only 13% of men and 15% of women now eating at least five portions of fruit and vegetables per day. People in the UK eat 59% less fish than they did 60 years ago - decreasing the consumption of essential omega-3 fatty acids.
Healthy eating on a budget
A healthy diet can be more expensive. Fish, fruit and vegetables can be particularly pricey. However, by cutting down on sugary drinks and snacks, takeaways and alcohol, you can save money so you can buy healthier foods.
Take care to buy only as much as you know you can use within the next few days, to reduce waste. You can also cut your costs by taking advantage of special promotions and by shopping at market stalls, which are often cheaper than supermarkets. If you live alone you could save money by splitting purchases with friends (buying bulk is usually cheaper) or by cooking several portions of a dish and freezing some of them. This also saves energy and saves you the effort of preparing meals every day.
Frozen fruit and vegetables are often cheaper than fresh produce and are usually just as good nutritionally (with no wastage). Fresh fruit and vegetables are usually cheapest when they are in season. Beans, lentils and soy mince are also cheaper than meat and just as nutritious.
Regular meals
Eat regular meals throughout the day to maintain blood sugar levels.
Make sure you eat at least three meals each day. Missing meals, especially breakfast, leads to low blood sugar and this causes low mood, irritability and fatigue. If you feel hungry between meals you may need to include a healthy snack eg. fruit, nuts and cereals.
Refined foods
Eat fewer high sugar foods and more wholegrain cereals, nuts, beans, lentils, fruit and vegetables.
Sugary foods are absorbed quickly into the bloodstream. This may cause an initial ‘high’ or surge of energy that soon wears off as the body increases its insulin production, leaving you feeling tired and low.
Wholegrain cereals, pulses, fruit and vegetables are more filling and, because the sugar in these foods is absorbed more slowly, don’t cause mood swings.
These foods are more nutritious as they contain thiamin (B1), a vitamin that has been associated with control of mood, and folate and zinc (supplements of these nutrients have been shown to improve the mood of people with depression in a small number of studies).
Choose:
  • bread – wholemeal and granary rather than white. Also try rye breads, pumpernickel, wholemeal pitta bread, wholemeal chapattis, oat cakes, rice cakes and corn cakes
  • breakfast cereals – choose high fibre, low sugar types eg. wholegrain or bran cereals or porridge
  • rice and pasta – go for Basmati and brown rice (this gives a nutty texture in salads) and wholemeal pasta
  • potatoes – serve boiled new potatoes in their skins (with a little bit of butter) or mashed or jacket potatoes. Potato wedges (lightly brushed with olive oil) are a lower fat alternative to chips and roast potatoes if you are watching your weight. Try sweet potatoes or yams for a change – these are delicious baked.
Aim to eat at least five portions of fruit and vegetables a day eg. 1 glass of orange juice or ½ grapefruit for breakfast, a banana or apple for a mid morning snack, salad at lunch time and then two types of vegetable (a portion is roughly two serving spoons) and piece of fresh or baked fruit for your evening meal.
NB: Green vegetables should be steamed or boiled in a little water and should not be overcooked or you will lose much of the vitamin content.
Avoid sugar and sugary drinks, cakes, sweets and puddings. These are loaded with calories but have little nutritional value and may trigger mood swings because of their sugar content.
Protein in your diet
Include protein at every meal to ensure a continuous supply of the amino acid tryptophan to the brain.
We all need to eat enough protein to maintain our skin, organ, muscle and immune function but recent research suggests that one particular component of protein, the amino acid tryptophan, can influence mood.
Supplements of tryptophan were tested in studies and in some were shown to improve the mood of people with depression. The supplements were not considered safe and were removed from the market. However, you can ensure your brain gets a regular supply of tryptophan by including at least one good sized portion of protein at each meal ie. meat, fish, eggs, milk, cheese, nuts, beans, lentils (dhal), or a meat substitute such as textured vegetable protein or mycoprotein.
NB: Peanuts are low in tryptophan so if you eat them at a meal-time include another source of protein (eg. other nuts) at the same time.
Variety of food
Eat a wide variety of foods to keep your diet interesting and to ensure you obtain all the micronutrients you need.
The more varied your diet, the more likely you are to obtain all the nutrients you need. If you have bread at one meal, try cereal or potatoes, rice or sweet potatoes at the others. Make sure you include at least 2 portions of different fruits and/or vegetables and a protein food at each meal.
Include some red meat and fish, as they are good sources of vitamin B12, another nutrient that seems to be associated with mood. If you are vegetarian or have a limited budget, include fortified soy mince and yeast extract to increase your intake of this vitamin.
Fish in your diet
Include fish, especially oily fish, in your diet.
A few studies suggest that omega 3 oil supplements may reduce symptoms in people with depression on antidepressant medications. These studies are small but we know that a proper balance of omega 3 and omega 6 oils in the diet is important.
To get a good balance of mega 3 and 6 oils:
  • include more omega 3-rich oily fish from sustainable fish stocks – try to include 2–4 portions a week (but no more than 2 portions if you are pregnant or breastfeeding). If buying tinned fish, choose varieties in water, brine or tomato sauce rather than in sunflower oil (this is high in omega 6)
  • if you fry food (eg. stir fries) use an oil high in monounsaturates eg. olive or rapeseed oil
  • choose a monounsaturated margarine or butter for spreading. Avoid margarines or low fat spreads containing omega 6 polyunsaturated or hydrogenated trans fats (trans fats are damaging to your brain and arteries)
  • avoid processed foods such as pies, sausage rolls, crisps and cakes – these are high in saturated and trans fats.
If you don’t like fish you could try an omega 3 supplement (choose one that is purified, contains no vitamin A and has a high eicosapenanoic acid (EPA) content – take no more than 1g EPA per day). If you are vegetarian, try a flax seed supplement (although only a very small fraction of the omega 3 contained in plant products can be used by the body).
Weight
Maintain a healthy weight.
Depression affects different people in different ways. Some people lose interest in food or can’t motivate themselves to shop and cook, so lose weight. Others find they want to eat more and gain weight when they are unhappy. Some medications can also increase or decrease your appetite – if you are concerned that the medication you are taking has made your weight problems worse, speak to your doctor.
Both excessive weight loss or weight gain can make your mood worse and should be avoided. Weight loss and lack of good nutrition will deprive the brain of glucose and the other nutrients that control mood – you may need the advice of a dietitian to help you overcome this problem.
Putting on weight unintentionally or feeling out of control of your eating can increase your depression and can lead to yo-yo dieting, which leaves you further out of control. If you are overweight, follow the advice on healthy eating but be extra careful to limit your fat and sugar intake (no fries, pies, cakes, puddings, sweets, chocolate or sweet drinks), use less fat in cooking, reduce your alcohol consumption, avoid sugary drinks, and increase your exercise levels.
Fluid intake
Maintain adequate fluid intake.
Not drinking enough fluid has significant implications for mental health. The early effects of even mild dehydration can affect our feelings and behaviour.
An adult loses approximately 2.5 litres of water daily through the lungs as water vapour, through the skin as perspiration and through the kidneys as urine. If you don’t drink enough fluids to replace this loss then you will get symptoms of dehydration, including irritability, loss of concentration and reduced mental functioning.
Coffee, colas, some energy drinks and tea all contain caffeine, which some people use to boost energy levels. However, in large quantities caffeine can increase blood pressure, anxiety, depressive symptoms and sleep problems.
Caffeine also has a diuretic effect in the body – it encourages the production of urine and therefore leads to dehydration. For this reason you should not rely solely on caffeine-based fluids.
If you do take drinks with caffeine in them, try to limit yourself to just 3–4 cups per day and drink other fluids such as water, fruit juice and non-stimulant herbal teas at other times. Chocolate also contains caffeine and should be limited to an occasional treat.
Alcohol intake
Limit your alcohol intake.
Alcohol has a depressant effect on the brain and can result in a rapid worsening of your mood. It is also a toxin that has to be deactivated by the liver. During this detoxification process the body uses thiamin, zinc and other nutrients and this can deplete your reserves, especially if your diet is poor.
Thiamin and other vitamin deficiencies are common in heavy drinkers and can cause low mood, irritability and/or aggressive behaviour, as well as more serious and long-term mental health problems.
Because the body uses important nutrients to process alcohol, people who experience depression should consider avoiding alcohol until they have recovered. Even then, because of alcohol’s depressant effects, they should consider drinking only small amounts – no more than once a week.
If you do want to drink alcohol, try not to exceed the recommended safe limits – two units a day for women and three units for men.
1 unit = 1 small glass wine (8 % ABV)
½ pint beer or lager (3.5 % ABV)
1 single measure spirits (40 % ABV)
1 small glass sherry or port (20 % ABV)
 
NB. % ABV is the strength of the alcoholic content. If the % ABV is higher than the examples listed above, then the drink contains more units of alcohol.
Find out more about alcohol and mental health.
Exercise
Exercise regularly
Exercise leads to the release of endorphins – feel-good chemicals in the brain that help us to relax and to feel happy. Exercise is particularly important for people with depression as it also gives structure and purpose to the day. Outdoor exercise that exposes us to sunlight is especially valuable as it affects the pineal gland and directly boosts mood.
Exercise has some other advantages if you are trying to control your weight. For example, the more you exercise, the less you need to cut down on your calorie intake to control your weight. It is also beneficial for heart health and it ensures that you replace fat with muscle, resulting in a more toned body. Exercise also prevents bone mass loss and the increased risk of osteoporosis that can occur if you diet but don’t exercise.
There is no need to join a gym – walking is the easiest, cheapest and best form of exercise and it can be built up as your fitness level increases. Swimming is good for people with joint problems who find weight-bearing exercise difficult. Cycling is also good. Whatever kind of exercise you choose, start with 20 minutes at least three times a week and increase this as your fitness improves.
Find out more about exercise and mental health.
Nutritional supplements
At the moment evidence for the benefits of nutritional supplements is weak, but if you decide to try them:
  • choose a complete one-a-day multivitamin / mineral preparation containing the full recommended daily intake of each vitamin and mineral. These products are relatively safe as they do not contain excessive amounts of any single nutrient (but you should avoid other supplements containing these nutrients, in particular vitamin A as it is toxic in high doses)
  • if your doctor prescribes vitamins or minerals for you, tell him/her about any products you are already taking
  • if you do take a multivitamin supplement, avoid eating liver and other offal products such as pate, as these are also high in vitamin A.
It is important to remember that supplements are not an alternative to a healthy diet and you should still maintain a varied and balanced diet.
Depression and diet 
A number of cross-country and population-based studies have linked the intake of certain nutrients with the reported prevalence of different types of depression. For example, correlations between low intakes of fish by country and high levels of depression among its citizens – and the reverse - have been shown for many types of depression. Complex carbohydrates as well as certain food components such as folic acid, omega-3 fatty acids, selenium and tryptophan are thought to decrease the symptoms of depression.
Those with low intakes of folate, or folic acid, have been found to be significantly more likely to be diagnosed with depression than those with higher intakes. Similar conclusions have been drawn from studies looking at the association of depression with low levels of zinc and vitamins B1, B2 and C. In other studies standard treatments have been supplemented with these micronutrients resulting in greater relief of symptoms in people with depression and bi-polar affective disorder, in some cases by as much as 50%.
Sample meal pattern
Breakfast 1/2 grapefruit / fruit juice
Cereal e.g. wholegrain or bran cereal / porridge, with semi-skimmed milk
or
1–2 slices wholemeal bread / toast with scraping of monounsaturated spread / butter, and kippers / egg / grilled bacon / baked beans
Tea / coffee / herbal tea / water
Mid morning Tea / coffee / herbal tea / water
Fruit / nuts
Lunch 1–2 slices wholemeal or pitta bread sandwich with scraping of monounsaturated spread / butter and filling of fish / meat / egg / cheese / humus / meat substitute / nut butter, with salad
Or jacket potato with baked beans / tuna and corn / chilli con carne / prawn filling, and salad
Or soup e.g. pea and ham / farmhouse broth, and bread
Or salad with meat / fish / egg / cheese, and bread
Or cooked meal – see below
Fruit / yoghurt
Tea / coffee / herbal tea / water
Mid afternoon Tea / coffee / herbal tea / water
Fruit / fruit and nuts / mixed seeds
Dinner 2tblsp Basmati or brown rice / wholemeal chapattis / wholemeal pasta / new potatoes / sweet potato / yam / couscous and 100–120g meat / fish / eggs or bean / lentil dish e.g. chilli con carne / rice and peas / dhal / stir-fried prawns and vegetables and 2 portions of green and root vegetables / large mixed salad
Fresh / tinned fruit / baked fruit and low fat crème fraiche / yoghurt
Tea / coffee / herbal tea / water
Supper Small bowl of cereal, as breakfast, or toast and yeast extract / nut butter / cheese
This advice was written Dr Lynn Harbottle, consultant in nutrition and dietetics at the Health and Social Services Department, Guernsey, sponsored by an educational grant from Nutricia Clinical Care.

Mentally Healthy Recipes
Download recipes from our Feeding Minds guide, including dishes by Anthony Worrall Thompson and other celebrities.
Mentally Healthy Recipes (PDF file, 1.63MB)

Food and Mood Diary
Our printable food and mood diary will help you understand how the way you feel is affected by what you drink and eat.
Food and Mood diary (PDF file, 130KB)

Comunication Tips for Parents

Be available for your children
  • Notice times when your kids are most likely to talk — for example, at bedtime, before dinner, in the car — and be available.
  • Start the conversation; it lets your kids know you care about what's happening in their lives.
  • Find time each week for a one-on-one activity with each child, and avoid scheduling other activities during that time.
  • Learn about your children's interests — for example, favorite music and activities — and show interest in them.
  • Initiate conversations by sharing what you have been thinking about rather than beginning a conversation with a question.

Let your kids know you're listening
  • When your children are talking about concerns, stop whatever you are doing and listen.
  • Express interest in what they are saying without being intrusive.
  • Listen to their point of view, even if it's difficult to hear.
  • Let them complete their point before you respond.
  • Repeat what you heard them say to ensure that you understand them correctly.

Respond in a way your children will hear
  • Soften strong reactions; kids will tune you out if you appear angry or defensive.
  • Express your opinion without putting down theirs; acknowledge that it's okay to disagree.
  • Resist arguing about who is right. Instead say, "I know you disagree with me, but this is what I think."
  • Focus on your child's feelings rather than your own during your conversation.

Remember:
  • Ask your children what they may want or need from you in a conversation, such as advice, simply listening, help in dealing with feelings or help solving a problem.
  • Kids learn by imitating. Most often, they will follow your lead in how they deal with anger, solve problems and work through difficult feelings.
  • Talk to your children — don't lecture, criticize, threaten or say hurtful things.
  • Kids learn from their own choices. As long as the consequences are not dangerous, don't feel you have to step in.
  • Realize your children may test you by telling you a small part of what is bothering them. Listen carefully to what they say, encourage them to talk and they may share the rest of the story.

Parenting is hard work
  • Listening and talking is the key to a healthy connection between you and your children. But parenting is hard work and maintaining a good connection with teens can be challenging, especially since parents are dealing with many other pressures. If you are having problems over an extended period of time, you might want to consider consulting with a mental health professional to find out how they can help.
Special thanks to:
Molly Brunk, PhD, Center for Public Policy, Virginia Commonwealth University
Jana Martin, PhD, Psychology Regional Network, Los Angeles, California
Nancy Molitor, PhD, Northwestern Health Care, Evanston, Illinois 
Janis Sanchez-Hucles, PhD, Old Dominion University, Norfolk, Virginia
Taken from an article by the American Psychological Association.
http://www.apa.org/helpcenter/communication-parents.aspx

Now Accepting Medicaid Insurance

We are very excited to announce that we are now able to accept Medicaid. It has been a long process but we will now be able to provide services to those who have Medicaid as their form of insurance. Do not hesitate to call if you have questions. We look forward to serving you.