Tuesday, December 3, 2024

James Donaldson on Mental Health - How to Handle Holidays After a Death in the Family

James Donaldson on Mental Health - How to Handle Holidays After a Death in the Family

Grief can make special days harder



Writer: Rachel Ehmke


Clinical Expert: Jamie Howard, PhD


What You'll Learn


- How might kids feel on important days after someone has died?
- What can parents do to help children process their grief?
- How can families make special days easier for kids?
- Quick Read
- Full Article
- Acknowledge emotions
- Make a plan
- Memorialize
- Ask for help

The year after a loved one has died is especially hard. The first Thanksgiving, Mother’s Day or special event like a graduation can make kids feel sad. You may think the best idea is to skip the celebration. But skipping it can sometimes make kids feel even worse. Thinking and planning ahead can make these hard days easier and even bring some joy to them.


It’s important to let your kids know that it’s OK for them to feel sad. Trying to pretend that everything is fine just makes kids feel like it’s not OK to have feelings. On the other hand, it’s probably best if you don’t let your kids see you at your most upset moments, since they might feel scared.


It’s very normal for kids to go in and out of sadness. They may be sad one minute and want to play the next. That’s very healthy, especially for little kids who might not get exactly what’s going on.


It can really help to plan out the day. Let kids know what’s going to happen and who will be there. That gives kids a sense of control and security. It also helps to include favorite family traditions. Those shouldn’t disappear because a loved one has died. In fact, they can make the day feel special.


Finding a way to talk or share memories about the person who died or do something that they loved can also help kids deal with grief. And parents need help on hard days, too. It’s good to get family and caregivers to take some of the burden off you or just give you a break.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy


www.celebratingyourgitfolfife.com


Link for 40 Habits Signup
bit.ly/40HabitsofMentalHealth


If you'd like to follow and receive my daily blog in to your inbox, just click on it with Follow It. Here's the link https://follow.it/james-donaldson-s-standing-above-the-crowd-s-blog-a-view-from-above-on-things-that-make-the-world-go-round?action=followPub


When you’ve lost someone you love, the year that follows is inevitably a year of firsts without that person. Celebrations like the first Thanksgiving, birthday or Mother’s Day without someone who played a major role in your and your family’s life will be especially hard. This is also true for personal milestones, like graduations and first days of school, many of them involving children. What’s the best way to face these days when, rather than feeling festive, you’re feeling the loss most keenly?


Depending on the occasion and your grief, you may even be wondering if you should skip the day altogether. Trying to ignore important occasions can also be painful, so that probably isn’t the best strategy. For families coping with bereavement, it isn’t uncommon to experience moments of joy along with some sorrow on significant days. Thinking ahead of time about how to make the day easier for your family can help.


Acknowledge emotions


First, acknowledge that this will likely be a difficult day for your family. Recognizing this is important. Sometimes families — both parents and children — feel they need to put on a brave face when they are feeling sad. But it is OK to feel sad and show grief. “As a rule of thumb, avoidance is a bad idea because it makes us feel worse in the medium and long term,” notes Jamie Howard, PhD, a clinical psychologist who specializes in trauma. “Our emotions don’t really respond well to being closeted. They find a way out.” Hiding your own grief can also make your children feel like the sadness they may be feeling is bad. However, try not to let children see you at your most upset moments, as they may begin to worry about you or feel insecure.


Let the children know that however they are feeling is fine, and they don’t need to hide it. If they want to say, “I really miss him,” that’s OK. On the other hand, kids also shouldn’t feel that they are expected to be miserable all day. It is common and healthy for kids to go in and out of grief, and take comfort in playing. Younger children in particular, who might not realize the significance of the day, will probably want to play and have fun, and that’s fine, too.


Make a plan


Dr. Howard says it’s a good idea to make a plan for how the day will look, and to share that plan with the kids. Making it somewhat predictable, so they know what to expect, who will be there, and what it will be like can make everyone feel like they have a little more control.


If you are churchgoers, you might plan to go to church first thing and then go home and have breakfast. Or maybe you’ll wake up, make pancakes together and then take a walk. If people are coming over for lunch, let the children know who will be coming over. Then maybe next on the schedule they’ll have some free time to play or hang out before dinner.


Do what you can to include favorite traditions when you are planning your day, too. It may feel bittersweet, but people find comfort in traditions, and they can help the day feel special.


Memorialize


Remembering is part of grieving and part of healing, so think about doing something to memorialize your loved one. It will be sad, but Dr. Howard says it can help in the grieving process. In the case of a deceased parent, for example, maybe that means taking the occasion to talk to the kids about how special their mother was, tell favorite stories, and let the kids know that some of the things that she taught them will be with them forever, even though she isn’t here now. If she really liked flowers, maybe you could plant some flowers in honor of her. If she liked to collect things, maybe you could put her collection in a place you’ll pass by it frequently, and think of her.


Ask for help


One very important consideration when making a plan for the day is for parents and caregivers to consider what they can get through emotionally, and what might be helpful to them. Parents should certainly ask for other family members and close friends to be on hand to support them  if that would be useful. Maybe a relative could help make dinner, play a game with the kids, or even just be present  to backstop or take over if a break is needed.


Frequently Asked Questions


How might kids feel on holidays after the loss of a loved one? What can families do to support kids on holidays after the death of a loved one?


It can really help to plan out holidays after the death of a loved one. Let kids know what’s going to happen and who will be there to give them a sense of control and security. Keep up favorite family traditions — those shouldn’t disappear because a loved one has died. Should you skip holiday celebrations the first year after a loved one has died?


https://standingabovethecrowd.com/james-donaldson-on-mental-health-how-to-handle-holidays-after-a-death-in-the-family/

Monday, December 2, 2024



James Donaldson on Mental Health - Depression rates rising in preteens. Mental fitness tools can help.
By Jennifer Lubell, Contributing News Writer

Depression rates rising in preteens. Mental fitness tools can help.

A U.S. surgeon general’s advisory last year raised alarms about loneliness and social isolation in the U.S. A sobering example of this epidemic is the dramatic rise in suicide rates among kids 8–12 years old over the last two decades. 

Many children and teens face mental health, emotional wellness or substance use challenges. In fact, 40% of high school students report persistent feelings of sadness or hopelessness. Meanwhile, in 2023, more than 5.3 million children 12 to 17 years old—about 20% of adolescents—had a current diagnosed mental or behavioral health condition such as depression, anxiety, substance use disorder or suicidal thoughts. While these issues are treatable, it can be difficult for parents and caregivers to know how to help or where to find support.

AMA Health System Program

Providing enterprise solutions to equip your leadership, physicians and care teams with resources to advance your programs while being recognized as a leader. 

Meanwhile, from 2001 to 2022, there were 2,241 U.S. preteens who died by suicide, which is a significant increase over a 20-year period, according to a study published in JAMA Network Open. Suicide rates among preteen girls rose disproportionately compared to boys, and preteens who were Black had the highest rates of suicides. The findings signify an urgent need to better engage with preteens.

That is why The Permanente Medical Group is taking steps to accomplish this, offering a plethora of “mental fitness” tools such as well-being apps, therapy and support groups to help young people cope with loneliness, isolation, stress, depression and suicidal thoughts. 

As a preventive care model, The Permanente Medical Group’s goal is to find problems before they manifest. 

“This is why screening families and pediatrics is so important,” said Matthew Holve, MD, associate chair of child and adolescent psychiatry at The Permanente Medical Group in Northern California. 

Matthew Holve, MD

The Permanente Medical Group is a member of the AMA Health System Program, which provides enterprise solutions to equip leadership, physicians and care teams with resources to help drive the future of medicine.

Across the Permanente Medical Groups, physicians and care teams screen for moods as well as adverse childhood experiences, “which is consistently one of the best predictors we have for future mental health concerns,” said Dr. Holve. 

Impact of COVID-19, social media 

Multiple factors have contributed to the rise in depression and social isolation among children 8 to 12. For example, preteens are very aware of unrealistic standards and what levels they should be performing at, from an academic and extracurricular standpoint, according to Dr. Holve. This contributes to increased stress in their world. 

Increasing numbers of preteens and teens are also facing housing or food insecurity. There’s also evidence that spending more than three hours on social media a day can exacerbate mental health problems in teens and young adults, Dr. Holve noted. Preteens without a lot of adult guidance or supervision often get exposed to inappropriate content that could lead to harm such as depression and isolation.

Meanwhile, the COVID-19 public health emergency was particularly damaging for preteens. That is because the closing of schools—a primary source of social engagement—along with the loss of sports, theater and music left many kids without meaningful outlets or connections.

Screening, evidence-based therapy help

Having an integrated care system is a huge advantage for addressing these types of problems, said Dr. Holve. 

“We use universal screeners to identify a wide range of mental health problems for youth,” he said, noting that if problems are identified, embedded therapists in the pediatric clinics can quickly address the issue. 

The U.S. Preventative Services Task Force (USPSTF) recommends screening for anxiety in children and adolescents 8 to 18 years old. The USPSTF also recommends screening for major depressive disorder in adolescents 12 to 18 years old.

Patients may also get a referral to the psychiatry department where they can receive individual therapy, educational classes, therapeutic groups or medication.

Therapy is extremely important in addressing depression, said Dr. Holve “We all have thoughts and patterns of behavior that negatively affect our mood. Many therapies like cognitive behavioral therapy help us challenge these patterns so we can respond more positively to our situation.” 

Evidence-based therapy tracks for things such as trauma-focused cognitive behavioral therapy and dialectical behavioral therapy are also under development. 

Medication can certainly help with treating depression, but Dr. Holve clarified that it's never the first line approach. It assists with regulating sleep, energy and appetite, which makes it easier for patients to engage in therapy or change what they need to change, he noted. 

The standard of care in physician well-being recognition

Institutions in this article have been honored by the Joy in Medicine™ Health System Recognition Program.

Learn More

24/7 well-being apps

Different types of apps make it easier for Kaiser Permanente patients to seek mental health support. Apps introduce therapeutic skills such as breathing, relaxation and cognitive behavioral approaches. 

“Their real advantage is the convenience and availability,” said Dr. Holve. 

Most preteens and teens have very complicated schedules. Being able to access these tools when they need them or have breaks in their schedule, makes them useful.

Learn more from the AMA about how the right mobile apps can help boost your patients’ mental health.

Look for “functional” changes

Parents can do their part by flagging changes in behavior. That is because “preteens and teens are not always the most communicative bunch,” said Dr. Holve. Too often, they will not come to their family and say, “I'm depressed.” Instead, they might be more irritable or look sad or withdrawn.

“I always advise families to look for functional changes. Monitoring changes in sleep, appetite, energy—those are good, objective ways for parents to notice what's going on,” he said. 

Kaiser Permanente’s “Presence of Mind” videos are a great educational resource for families. They highlight why mental health is important, how to recognize issues, and how to talk to about those issues as a family.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

www.celebratingyourgiftoflife.com

Link for 40 Habits Signupbit.ly/40HabitsofMentalHealth

If you'd like to follow and receive my daily blog in to your inbox, just click on it with Follow It. Here's the link https://follow.it/james-donaldson-s-standing-above-the-crowd-s-blog-a-view-from-above-on-things-that-make-the-world-go-round?action=followPub

More screening, earlier intervention

Outside of the home environment, many high schools are focusing more on mental health education, teaching mindfulness and self-care. 

“We need to do the same for preteens to help counter the toxic stress that many youth are facing,” advised Dr. Holve. To intervene sooner, health systems and schools should be doing more screening for depression and adverse childhood experiences.

The patient success stories make it all worthwhile. Kids who have been hospitalized multiple times after suicide attempts have gone on to thrive by undertaking a new sport or landing a role in the school play.

“Friends and family always ask me if it's sad being in my job. While it's certainly hard at times, it’s actually very rewarding as the vast majority of people get better,” said Dr. Holve.  https://standingabovethecrowd.com/?p=13330

James Donaldson on Mental Health - Enjoy the Holidays With Mindfulness

James Donaldson on Mental Health - Enjoy the Holidays With Mindfulness

Slow down and get more out of this busy season



Writer: Jill Emanuele, PhD


Clinical Expert: Jill Emanuele, PhD


As soon as the Halloween costumes have been tucked away, and the candy is disappearing, suddenly we realize that the holidays are coming….FAST. Thoughts of presents, turkeys, cards, relatives, parties, and shopping begin to dizzyingly swirl in our heads. And so the holiday rush begins, and we often find ourselves becoming champion multitaskers.


But in the rush to get everything accomplished, we often lose our connection with the present moment — how we feel, what we’re thinking. We become so future-focused that we sometimes miss out on the little things that make life beautiful as it is — a compliment from a stranger, a warm smile from a child, a beautiful sunset. And we find ourselves pausing on Thanksgiving Day to remind ourselves of what we are thankful for, when in fact the reminders are there each and every day for the noticing.


Contrary to common belief, one effective way to cope with the holiday madness is to SLOW DOWN and take a little time each day to cultivate and practice mindfulness. Perhaps you’ve heard about this concept, which is rooted in Zen Buddhism, and has recently become more popular in Western society. Research has demonstrated that practicing mindfulness is associated with improvements in well-being, physical and mental health, relationship satisfaction, and attentional focus. In addition, the practice of mindfulness has been shown to help reduce stress and associated negative emotions such as anxiety and sadness.


So, what is mindfulness? Jon Kabat-Zinn, PhD, internationally known for his work in bringing mindfulness into Western medicine and society, defines the concept as “awareness, cultivated by paying attention in a sustained, particular way: on purpose, in the present moment, and nonjudgmentally”. When we practice mindfulness, we are focusing our full attention on the moment as it is, letting go of the past and future-directed thoughts, and allowing all of our senses to experience this moment, right now.


You may be asking, “Okay, so on a practical level, how can I be mindful?” In reality, there are infinite opportunities to practice mindfulness during each day. Here are some suggestions to get started:


- Find a quiet place for just a few minutes (I sometimes recommend the bathroom, as for some people this is the only quiet spot!). Get yourself into a comfortable sitting position with your feet flat on the floor. Close your eyes and focus on your breathing only. Do this for a few minutes. Listen to the sound of your breath and notice how your body feels during this time. When thoughts of other moments come racing into your mind, acknowledge them and let them go by as if they are on a conveyor belt, and refocus your attention on your breath again. Do this over and over.
- Spend a few minutes each day writing down five things you are thankful for that day.
- When you are walking outside, focus on one of your senses. For example, for vision, notice the colors of objects around you or for hearing, listen to the sounds around you and label them nonjudgmentally (eg “That building is gray,” or “I hear a horn honking”).
- Get the kids involved! One favorite thing I like to recommend is good old fashioned bubble blowing. Make a game out of it and instruct them (and yourself) to silently watch the bubbles float around the room. Resist the urge to pop the bubbles and see where they go.

By taking a few minutes each day to be mindful, perhaps even more than once a day, we can give ourselves the space to get in touch with ourselves, to fully experience the meaningful moments that often pass us by, and to take time to practice gratitude for what we have in our lives. This way, by the time Thanksgiving arrives, we will not be scrambling to think about what we are thankful for! Instead, we can experience gratitude daily, reduce our stress, and be more in touch with the little things that make all the difference.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



www.celebratingyourgiftoflife.com


Link for 40 Habits Signup
bit.ly/40HabitsofMentalHealth


If you'd like to follow and receive my daily blog in to your inbox, just click on it with Follow It. Here's the link https://follow.it/james-donaldson-s-standing-above-the-crowd-s-blog-a-view-from-above-on-things-that-make-the-world-go-round?action=followPub


Frequently Asked Questions


How can I be mindful during the holidays?


You can be mindful during the holidays by finding ways to slow down and take time for yourself. If you’re overwhelmed, find a quiet space and write down five things you are thankful for, or take a short walk outside and focus on your senses.


https://standingabovethecrowd.com/james-donaldson-on-mental-health-enjoy-the-holidays-with-mindfulness/

Sunday, December 1, 2024

James Donaldson on Mental Health - Reaching Age at Which a Parent Died by Suicide Raises Risk in Adult Child

James Donaldson on Mental Health - Reaching Age at Which a Parent Died by Suicide Raises Risk in Adult Child

By: Carole Tanzer Miller


- When a parent dies by suicide, an adult child's risk of self-harm and suicide rises at the same age
- The finding is from a new study out of Denmark
- Researchers say health care providers should ask patients about family suicide history and consider this risk

#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



www.celebratingyourgiftoflife.com


Link for 40 Habits Signup
bit.ly/40HabitsofMentalHealth


If you'd like to follow and receive my daily blog in to your inbox, just click on it with Follow It. Here's the link https://follow.it/james-donaldson-s-standing-above-the-crowd-s-blog-a-view-from-above-on-things-that-make-the-world-go-round?action=followPub


MONDAY, Nov. 25, 2024 (HealthDay News) -- When people whose parents died by suicide reach that same age, their own risk often spikes, Danish researchers warn.


Reporting in the journal Suicide and Life-Threatening Behaviorsthe researchers looked at data on more than 470,000 Danes whose parents died between 1980 and 2016. Of those, 17,806 individuals had parents who died by suicide.


The study looked at the risk of self-harm and suicide during the year before and after individuals reached the age of their deceased parent — typically about 24 years later.


Compared to the 15 years before or after, they were at roughly twice the risk of self-harm or suicide when they reached the corresponding age. Individuals whose parent died of other causes had no increased risk during the corresponding time.


"Our findings support the practice of asking suicide-bereaved individuals about age at parental suicide, identifying this as an anticipated period of increased risk," wrote a team led by Yanakan Logeswaran, of the University College of London. 


"This is also an opportunity to reinforce that suicide is not inevitable after the suicide of a parent, with an absolute risk … estimated at less than 1%," they added in a American Psychiatric Association news release.


More information


If you have suicidal thoughts, free, confidential help is available 24/7. Call or text to 988 to reach the Suicide & Crisis Lifeline. Or chat with a counselor online.


SOURCE: American Psychiatric Association, news release


https://standingabovethecrowd.com/james-donaldson-on-mental-health-reaching-age-at-which-a-parent-died-by-suicide-raises-risk-in-adult-child/