Wednesday, February 20, 2013



Autism and Epilepsy

As a clinical health psychologist, when working with clients, I focus on the interrelationship between their behavioral, psychological and physical health problems. When working with individuals diagnosed on the Autism Spectrum, addressing any physical problems and disabilities is an important focus.   There is a unique interrelationship among behavioral, emotional, cognitive, social and biological components in health and disease and these components need to be addressed and examined in order to promote and help maintain health, prevent further problems and help to rehabilitate in the best way possible. 


With Autism, one of the more common co morbid conditions is epilepsy. Epilepsy is a common and diverse set of chronic neurological disorders characterized by seizures. Epilepsy occurs in almost one third of individuals diagnosed with ASD.  Some researchers say that this suggests an imbalance of neural excitation and inhibition.  If you are familiar with an individual with Autism, you may have noted that excitation and inhibition are two problematic areas and contribute to behavior challenges.


Management of epilepsy requires a multidisciplinary health care team effort and open and ongoing communication between the physician, psychologist and other health care providers. For the person diagnosed with Autism and Epilepsy, these co occurring conditions need to be taken into account with addressing behavioral and psychological issues.  If you are the parent, support and education about how to manage can make a huge difference in coping with the ongoing stress and challenges you face. 


Monday, July 18, 2011

Don't give up!

     Are you the type of person who allows failure and rejection to shape your attitude and cause you to then give up or limit your goals accordingly? If so, join the club! Most of us struggle with moving ahead after facing disappointment or failure to reach a goal.  Remember this though, you cannot get ahead with any goals you set – whether they are personal and health related or career and professional related without taking an element of risk.  What is the difference then between those who fail and give up and those who are successful?  First and foremost, accept that failure is sometimes inevitable; have faith in yourself that you can achieve your goal and if you fail view the failure as another stepping stone to your success! 

     Think about your own life experiences and take some time to contemplate and reflect on your vulnerability to rejection and failure.  Make a list of the times you failed in achieving a personal goal.  Make another list of the times you failed in achieving a professional goal.  And make a final list of times you faced rejection. Are there common themes?  Do you know why you failed? Did you reflect on the experience and learn from it or did you turn away from your goal out of fear of more rejection?  Use your reflections to build a foundation for your next steps to reach your goal.  Know that getting ahead, reaching a goal and experiencing success can be fraught with failure and rejection and in spite of the difficulty, believe in yourself, your purpose, your goals and your eventual success in reaching them. As Gail Sheehy remarked: “To be tested is good. The challenged life may be the best therapist!” 

Saturday, June 4, 2011

Tips for Making a Change for the Better!


If you are contemplating making a change for the better, perhaps losing weight, improving your eating habits, getting help for anxiety or depression, or resolving issues in a relationship, you are at a stage of awareness.   But what you need to really move forward and begin doing rather than thinking about change is a level of emotional arousal and emotional energy. Use emotional energy to garner the momentum you need to make the change.  We know from research that knowing facts about a problem or dilemma is not enough to create behavior change. So stir things up a bit.  Here are some suggestions:

Create your own promotional materials.  Film yourself YouTube style and monitor your progress with a succession of videos.  Or paint or draw or create posters that are unique to your goals, post them at home and work and ramp up your emotional energy.

Start a group or join a group. There is a reason why joining and participating with a group of people with similar goals is a successful endeavor for many.  Participation can be emotionally energizing via the support you get from others in the group.

Use meditation, visualization and imagination. Take time out each day be in the moment, to reflect, visualize your goal and imagine how you will feel.   The emotional release you may experience may help you to move forward with the needed momentum so that you will be successful in reaching your goal.


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Saturday, April 23, 2011

How self-efficacy can help!

When challenged with dealing with chronic illness or trying to adhere to a weight loss program, a wellness program or a diabetes management regimen, researchers have found that people who have a sense of “self-efficacy” may be more successful in adhering to their plan.
Even if other psychosocial supports - such as family or support group, are not all favorable, a strong sense of self-efficacy can offset these difficulties.

The concept of self-efficacy was proposed by Bandura (1977) and was developed within the framework of what is called “social learning theory.” The self-efficacy model defines self-efficacy as the individual’s perception of his or her ability to carry out a given behavior or group of behaviors.  This sense of self efficacy has an effect on the person’s emotions (feelings), cognitions (thoughts), and motivation in difficult or threatening situations such as facing life-long self management of illness or health maintenance.   In other words, if a person faced with the demands of self-management gains a sense of self-efficacy, then mood, and  thoughts and his/her motivation may be enhanced and in turn, contribute to success in self-care of one’s health.
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Saturday, April 16, 2011

Three Things You Can Do Today to Feel Better



1. Think Positive:  Make an effort to change your negative self talk into positive self talk.  For many people, this takes practice, especially if your thinking ‘style’ tends toward the negative.

2. Rest and relax:  Take a break—make a point to relax for 30 minutes each day.  If you’re not sure how to relax, try different things.  Listen to music, contemplate nature, read, meditate, nap, do whatever you enjoy that helps you feel calm.

3. Recreation and play:  Get some exercise! Find ways to be playful and develop a sense of humor Turn your exercise routine into playtime – find an activity you enjoy!


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Friday, April 1, 2011

Control your Anger - Control your Stress!



There are actually healthy and unhealthy ways to control anger in your everyday dealings, whether with coworkers, family, friends or the grocery store clerk! Chronic, poorly managed anger may add to your stress levels by increasing the cortisol in your system, which in turn contributes to more inflammation and poorer health.

What are some unhealthy and healthy responses when you get angry? 
Check out these lists and tips.

Unhealthy Anger Responses
  • You deny your feelings.  Instead, you lash out and blame others.
  • You are defensive and argue with those who try to help.
  • You are disrespectful of the other person (name calling, insulting the person instead of the situation).
  • You have physiological sensations – increased heart rate, pounding heart, your face heats up, etc.
  • You  act aggressive, hit or strike or throw things.
  • You give up and see yourself as a helpless victim.
  • Your anger becomes addictive – you easily anger at many different situations and circumstances.

Healthier Responses to Anger
  • You admit your denial - You work at expressing your thoughts and feelings (using “I” not “You”) without denial and blame.
  • You try to understand the other person’s viewpoint
  • You have an attitude of respect even when you feel angry
  • You do something constructive and find ways to keep your anger under control
  • You are open to learning new things
  • You examine your own behavior.
  • Your commitment to others grows stronger
  • You eventually let go of the anger and feel fine

Sometimes controlling your anger takes real effort and practice
Here are 5 tips for controlling your anger:

  • Talk slowly
  • Wait - “Take 10” - count to 10, 20 or 30, take deep breaths and think before your react.
  • Take a walk; go for a run; workout, instead of reacting poorly to a situation.
  • Find humor in the situation.
  • Respond with assertiveness; respond don’t reac.

Work on your Assertiveness
When you communicate in an assertive manner, your assertiveness is actually incompatible with unhealthy anger (and the accompanying anxiety).
           
Tips on Assertiveness; use when communicating your anger!

  • Use steady eye-to-eye contact but not staring or glaring.
  • Stand or sit tall with good postur.
  • Maintain a firm steady tone without yelling or drop in tone.
  • Use “I” statements – I feel, I need, I would appreciate.
  • Use short sentences.
  • Use pauses for feedback.



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Saturday, March 19, 2011

LOSE a Little and GAIN a Lot!

Did you know that if you are overweight and lose only 5%  - 10% of your weight, you are on your way to better health?  Here are highlights from some of the studies on the benefits of modest weight loss
  • Numerous studies show that weight loss, even if only 5-10%, significantly improves lipoproteins, hypertension, diabetes and insulin resistance, risk for osteoarthritis and it's symptoms, risk for selected cancers, and other risk factors for chronic diseases.
  • The Finnish study which was the first published randomized clinical trial of diabetes prevention through lifestyle changes suggests that sustained modest weight losses of 5% of bodyweight can reduce the risk of developing a chronic disease.
  • Recent studies also have demonstrated that weight cycling is associated with increased health risks. Sustained weight loss, even 5% is a far better health outcome than weight loss and then regaining of the weight.
  • Several studies suggest that intentional weight loss is associated with decreased mortality. One study of 43,457 women found that any amount of intentional weight loss resulted in health benefits. In this study, women who intentionally lost weight had a 40-50% decrease in deaths from obesity-related cancers and a 30-40% decrease in death from type 2 diabetes. Another study of 49,337 men reported a 32-36% decline in death from diabetes among men with health problems who intentionally lost weight.

This blog content was adapted from the online article:  Lifestyle Management of Adult Obesity  Health Benefits of Intentional Weight Loss; http://www.vhct.org/case2500/benefits.htm; University of Missouri Columbia School of Health Professions


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