Stress Strategies


From coping with the holidays, to dealing with the darker and shorter winter days, to the ongoing stress that results from care-giving, many of us experience stress on a regular basis and have different ways to cope with it.

Today, the Office on Women’s Health and National Center for Complementary and Alternative Medicine hosted a live conversation on Twitter about stress – they called it a #stresschat. Want to catch up on the conversation? Go here. Many different people and organizations have been participating in today’s conversation on Twitter. Here are some resources people shared that I am finding helpful.

The National Center for Complementary and Alternative Medicine (NCCAM) helps us understand what stress actually is:

Stress is a physical and emotional reaction that people experience as they encounter changes in life. Stress is a normal feeling. However, long-term stress may contribute to or worsen a range of health problems including digestive disorders, headaches, sleep disorders, and other symptoms. Stress may worsen asthma and has been linked to depression, anxiety, and other mental illnesses.

NCCAM also talks about relaxation techniques we can all use to reduce tension and address the stress we are experiencing. Different techniques include deep breathing, guided imagery and meditation. Want to learn more? Check out these five things to know about relaxation techniques for stress.

The Kripalu Center for Yoga & Health says, “If you’re alive, you experience stress.” How true that is.

A little bit of stress is ok, but chronic stress can have long-lasting impacts on our health. Dr. Susan Lord, a Kripalu Healthy Living faculty member and expert in mind-body medicine, says we can “transform stress by intentionally activating the relaxation response, which increases blood flow to the brain and releases chemicals that make your organs slow down.” And that’ a good thing.

There are seven steps she suggests to activating our relaxation response and increase our mindful living:

  1. Develop self-awareness via yoga and meditation.
  2. Express yourself creatively.
  3. Be here now. Live in the present moment – not too much in the past or the future.
  4. Find community.
  5. Identify stressful thoughts and beliefs. Eavesdrop on your internal dialogue. Just noticing will prepare you to start shifting stressful thoughts and beliefs to more positive ones.
  6. Do experiments: “Identify one concern you have about your life or health, and come up with a new way to deal with it.”
  7. Avoid judgment. Notice when you start to criticize yourself and others, and be kind instead.

These are all great tips that you can use to care for yourself. But what about when you have someone else to care for, as well? AARP talks about when caregivers experience a lot of stress – and what to do to take care of yourself and the other person you’re caring for.

AARP has their own list of 10 tips. Here are just a few!

  • Put your physical needs first. If you’re not caring for yourself (eating well, getting enough sleep, getting regular medical check-ups…), you wont’ be in any shape to care for others.
  • Ask for help.
  • Get organized. Develop a system with calendars and to-do lists to help you stay on top of it all.
  • Take a break. You deserve it. Really.

We all experience significant stress at some point in our lives. It is so important that we take care of ourselves, model self-care to others, and be there for others who may be going through a tough time. What are some strategies that work for you? What is one new thing you plan to try to manage the stress in your life?

Violence: Learn more, Do more


Where have you experienced or witnessed violence in your life?

Futures_Share_Graphic_650px-3Futures Without Violence has found that about 1 in 3 teenagers report some kind of abuse – including emotional and verbal abuse – in a romantic relationship.

Every day, an average of 483 women are raped or sexually assaulted in the United States.

In the past year, more than 5 million children were exposed to physical intimate partner violence – 6.6% of children in our country. Of these children, 1 in 3 reported being physically abused themselves.

With statistics like these, we could say that we have all been exposed to violence somewhere and at some point in our lives – whether we’ve experienced it ourselves or someone close to us has. We see the consequences to exposure to violence all around us. Violence leads to more violence and our exposure to it impacts our health and the health of our loved ones. For example:

  • Women victimized by abuse are more likely to be diagnosed with serious health problems including depression, panic attacks, high risk behaviors such as tobacco and substance abuse and sexual risk taking, as well as migraines, chronic pain, arthritis, high blood pressure, gastrointestinal problems, inconsistent use of birth control, and delayed entry into prenatal care.

  • Pregnant women are frequent targets of abuse and, as a result, are placed at risk for low birth weight babies, pre-term labor — pregnant and parenting teens are especially vulnerable.

  • Abused children and those exposed to adult violence in their homes may have short and long term physical, emotional and learning problems, including: increased aggression, decreased responsiveness to adults, failure to thrive, posttraumatic stress disorder, depression, anxiety, hyper vigilance and hyperactivity, eating and sleeping problems, and developmental delays.

It’s one thing to know more about violence in our communities and in our country – and another to be able to do something about it. When I stop and think – Ok, how, then, do we stop violence? – I get stuck. It’s such a BIG issue and incredibly complex. But it seems a few groups of people have some ideas. Here are a few ideas from the Coalition to End Violence Against Women in Sudbury, Canada:

  1. Recognize that it’s a men’s issue: Violence against women is not just a woman’s issue, it’s also a men’s issue that involves men of all ages, socioeconomic, racial and ethnic backgrounds.
  2. Break the silence: When you are ready, tell others your stories about survival; this can help others share their stories thus reducing the shame associated with abuse.
  3. Listen to women: When a woman discloses about violence in her life, listen and believe her.Futures_Share_Graphic_650px-1
  4. Heal the violence in your own life: Many of us are survivors of abuse in some way and many of us fear becoming a victim of violence.  If you are emotionally, psychologically, physically or sexually abused, get help. Get counselling or join a support groupIf you are abusive to women, in any way, get help now.
  5. Make violence your business: Some of us tend to have this belief that violence is a private thing and we should not be asking questions about other people’s business or relationships – especially when there is trouble. If you suspect violence in a home or if someone is being abused, ask them. Looking the other way will not help end violence against women. They may not tell you right away but your concern may show them you are someone they can trust. If you need extra support in support someone who is being abused, call your local women’s shelter or crisis line.
  6. Raise non-violent children: Talk to your children about abuse and violence. Help them find non-violent ways to solve conflicts and encourage co-operative and non-violent play. Don’t use violence as punishments.
  7. Support initiatives that promote women’s equality: Women make up the majority of victims of abuse. Get involved in your community’s rallies or awareness campaigns on ending violence. Help raise money so we can continue to our prevention work or volunteer in an organization working to end violence against women.
  8. Challenge sexism: Media often portray women as sexual objects and often use images of violence against women to sell products.  Websites, music, movies, even books often describe and portray women in a sexual degrading or abusive manner. This is not OK. Challenge those statements by talking about the realities of women. Challenge gender roles.

Next week is the YWCA’s Week without Violence – a signature initiative created by YWCA USA nearly 20 years ago to mobilize people in communities across the United States to take action against all forms of violence, wherever it occurs. What will you do to take a stand, interrupt violence, and promote peace, health and wellness? What will you do to get involved?

Hate begets hate; violence begets violence; toughness begets a greater toughness. We must meet the forces of hate with the power of love.

Martin Luther King, Jr. 

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For support around domestic violence, contact Doris O’Neal in Seattle at 206.280.9961 or JoJo Goan in South King County at 425.226.1266, ext.1017 or rgaon@ywcaworks.org. Learn more about YWCA services available for individuals and families experiencing domestic violence. To speak with a counselor to talk through something you’re experiencing, call us at 425.922.6192.

Living well with HIV


What is HIV?

To start, it is the abbreviation for Human Immunodeficiency Virus. HIV is a virus that can only infect people and that weakens the immune system. Unlike other viruses, HIV does not clear out of the body – there is currently no cure for HIV.

According to AIDS.gov,

We know that HIV can hide for long periods of time in the cells of your body and that it attacks a key part of your immune system – your T-cells or CD4 cells. Your body has to have these cells to fight infections and disease, but HIV invades them, uses them to make more copies of itself, and then destroys them.

Over time, HIV can destroy so many of your CD4 cells that your body can’t fight infections and diseases anymore. When that happens, HIV infection can lead to AIDS, the final stage of HIV infection.

It used to be said that HIV was a “death sentence” – but nowadays, there are many options for treatment and medication, and programs throughout the United States to help patients afford medication.

Around the world, there are about 35 million people living with HIV. There are about 1.2 million people living with HIV in the United States, 12,300 living in Washington state, and about 7,300 in King County. In the United States, 16% of those living with HIV don’t know they are – which means they haven’t been tested and aren’t receiving the medical treatment that will help them be healthy in the long-term. What to get tested? Click here for more info on local testing sites.

For those living with HIV, medical treatment isn’t the only way to stay healthy. Having a good relationship with a doctor, and honestly and openly discussing your health is an important part of taking care of your health. And, there are additional ways to live well.

  • Manage your mental health – talk to a counselor if you’re experiencing major stress or just need to talk through some things.
  • Avoid using substances like drugs and alcohol in a way that harms your health.
  • Consider quitting smoking cigarettes and other tobacco products. Smoking isn’t healthy for anyone, but it also can increase your risk of co-infections if you’re living with HIV. Learn more here.
  • Follow a healthy diet – talk to your doctor or a nutritionist about learning how to improve your diet. Are you getting enough veggies? What about protein?
  • Keep moving! Exercise increases your strength, endurance and fitness. It helps your immune system work better to fight infections.
  • Talk about family planning options with your health care provider – there are lots of options for birth control and ways to plan for having children.
  • Learn about how to prepare to travel abroad.

These are just some ideas. What do you need to be healthy and live well? Make sure to talk about your goals with your doctor, and find support to help you be successful!

If you are a woman living with HIV, consider giving us a call at BABES Network-YWCA at 206.720.5566. BABES is here to support women living with HIV and their families. We’re happy to connect with you on the phone or via email. Or, you can join us at a support group or upcoming retreat. We’d love to get to know you and have you join the sisterhood!

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How does our trauma impact our health?


It’s May! This month not only do we recognize National Women’s Health Week, but we also honor and celebrate mothers.

As I watch news updates on the status of the Nigerian young women being held captive, my thoughts continually go back to their mothers. As a mother and grandmother myself, I can only imagine the agonies these mothers must be experiencing each moment their daughters are being kept away from home.

In the United States alone, approximately 800,000 children are reported missing each year. As a health educator, I understand the negative impact of trauma that a family experiencing an abduction and the community surrounding them has. And with the world watching what happens to these Nigerian young women, we are all invested.

On Monday, Boko Haram released a video of the kidnapped girls. The New York Times reported that the video was “an unwelcome window into [the] children’s forbidding new world was opened to the grieving parents.” The Nigerian government had arranged a first showing of the video in Chibok, Nigeria, to identify the girls, but it had to be halted abruptly when the parents became overcome with grief.

“The families became upset and they started crying ‘this is my child,’ ” a senior state official said. “They started shouting. They had to stop the filming.”

Continuing to watch the newscast Monday night, I began to feel a knot in my stomach as my eyes filled with tears. I thought about everything I have been taught relating to stress and an individual’s living environment and how adversities such as these can negatively affect the blood pressure, heart, and various other parts of our health. Below is information shared from the Office on Women’s Health during this week – National Women’s Health Week.

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As government officials around the world continue to strategize to bring these young women safely home, let us remember their families and each of us as we endure this ordeal and be ready with physical and mental health services in the aftermath. What can we do to take care of ourselves when faced with high-stress situations? Sometimes we are affected just by hearing the stories of other’s trauma. Sometimes the trauma is ours.

To talk through stressful situations or traumas, feel free to contact the YWCA to schedule an appointment! Call 425.922.6192 or email Mental Health Director Chris Bingham.

Stand Against Racism in a Healthy Way


It’s that time of year – Friday, April 25th is Stand Against Racism!

Stand Against Racism is a movement of the YWCA with the goal of bringing people together from all walks of life – across the country – to raise awareness that racism still exists.

The methodology of Stand Against Racism is to bring together like-minded organizations that share in our vision of eliminating racism and celebrating the richness of diversity. By inviting community organizations to partner with us, we maximize the outreach of this mission, attracting hundreds of thousands of participants.

This week, YWCA Health Access is sharing information about racial disparities in health – by sharing fresh, delicious fruit with Stand Against Racism stickers and labels with health data. Stop by the YWCA at 5th & Seneca or 3rd & Lenora to get some fruit from Health Access staff!

To participate in other Stand Against Racism events, visit the SAR site.

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How Stress Can Impact Our Bodies


We all deal with a little stress now and then. But some of us have been more exposed to what is called “toxic stress” than others.

The National Scientific Council on the Developing Child has identified three kinds of stress:

  • Positive stress results from adverse experiences that are short-lived. . . . This type of stress causes minor physiological changes including an increase in heart rate and changes in hormone levels. . . . This type of stress is considered normal and coping with it is an important part of the [human] development process.

  • Tolerable stress refers to adverse experiences that are more intense but still relatively short-lived. Examples include the death of a loved one, a natural disaster, a frightening accident, and family disruptions such as separation or divorce. . . . If we lack adequate support, tolerable stress can become toxic and lead to long-term negative health effects.

  • Toxic stress results from intense adverse experiences that may be sustained over a long period of time—weeks, months or even years. An example of toxic stress is child maltreatment, which includes abuse and neglect. Children are unable to effectively manage this type of stress by themselves. As a result, the stress response system gets activated for a prolonged amount of time. This can lead to permanent changes in the development of the brain.

When a child experiences toxic stress, we are finding that there are long-lasting effects on that child’s health. San Francisco’s Nadine Burke Harris, MD, talks about the physiological effects and impact on the immune system that can take place when someone is exposed to toxic stress.

Below Dr. Burke Harris is interviewed on KQED Newsroom, a weekly news magazine on public television in San Francisco. Give it a watch – Dr. Burke Harris does a great job explaining the impact of toxic stress and some of the things we can do to “heal the effects of toxic stress.” And to learn more, visit this KQED blog post on the impact of toxic stress on children and Dr. Burke Harris’ work.

Mindfulness for Health


This is a busy time of year. Things to do, people to see, places to go. With the holidays and lots of end-of-year activities, our days and weeks have become more full than they usually are.

Yes, this is a busy time of year, and, every day is a good day to practice mindfulness. Mindfulness is “the practice of purposely focusing your attention on the present moment—and accepting it without judgment.”

Mindfulness is often thought of as meditation and has roots in Buddhism. HelpGuide.org and their collaborators at Harvard Health Publications share with us some of the health benefits of mindfulness. Through mindfulness, we may be “less likely to get caught up in worries about the future or regrets over the past, are less preoccupied with concerns about success and self-esteem, and are better able to form deep connections with others.”

Scientists are finding that mindfulness can:

  • help relieve stress
  • treat heart disease
  • lower blood pressure
  • reduce chronic pain
  • improve sleep
  • alleviate gastrointestinal difficulties

And psychotherapists are finding that mindfulness can help support treatment of:

  • depression
  • substance abuse
  • eating disorders
  • couples’ conflicts
  • anxiety disorders
  • obsessive-compulsive disorder

Ok – so now we know that mindfulness is a helpful practice. How do we do mindfulness?

HelpGuide.org shares lots of tips and ideas. Here are two of those tips – a quick introduction to mindfulness meditation and learning to stay present.

Practicing mindfulness meditation

  1. Sit on a straight-backed chair or cross-legged on the floor.
  2. Focus on an aspect of your breathing, such as the sensations of air flowing into your nostrils and out of your mouth, or your belly rising and falling as you inhale and exhale.
  3. Once you’ve narrowed your concentration in this way, begin to widen your focus. Become aware of sounds, sensations, and your ideas.
  4. Embrace and consider each thought or sensation without judging it good or bad. If your mind starts to race, return your focus to your breathing. Then expand your awareness again.

Learning to stay in the present

A less formal approach to mindfulness can also help you to stay in the present and fully participate in your life. You can choose any task or moment to practice informal mindfulness, whether you are eating, showering, walking, touching a partner, or playing with a child or grandchild. Attending to these points will help:

  • Start by bringing your attention to the sensations in your body
  • Breathe in through your nose, allowing the air downward into your lower belly. Let your abdomen expand fully.
  • Now breathe out through your mouth
  • Notice the sensations of each inhalation and exhalation
  • Proceed with the task at hand slowly and with full deliberation
  • Engage your senses fully. Notice each sight, touch, and sound so that you savor every sensation.

When you notice that your mind has wandered from the task at hand, gently bring your attention back to the sensations of the moment.

I’m curious. What would happen if we each practiced one of these activities every day – or even every other day or once a week? What difference could this make in our daily lives? How would we act differently? How would others see us differently?

I invite you to give one of these practices a try – or find a different activity that works for you. If there’s a different practice that works for you, please share it with us!

Wishing you Happy Holidays and a Happy New Year.

The Storm after THE STORM


New Orleans has always been rich with history, culture, and music. I think of it as a favorable blend of people from all genres of life. These are the images I have from growing up in New Orleans prior to August 29, 2005 – the day of one of America’s greatest storms!

Have you ever lived through a natural disaster? I have, and Hurricane Katrina’s wrath changed my life! But what I didn’t realize then was the negative impact the storm would have on my personal relationships and those around me.

When I was asked by Marilyn Calbert of YWCA Women’s Health Outreach to write a blog post relating to violence as a part of the YWCA’s Week Without Violence,  I decided I wanted to take this opportunity to raise awareness of the potential of violence that sometimes follow natural disasters and hope that those reading will somehow try to disaster-proof their relationships.

Having spent most of my life in New Orleans, I witnessed people whose lives were calm and prosperous shift to turmoil and poverty. I watched men and women go from being the people who consistently assisted others, to being those individuals who are now abusing substances or engaging in activities that negatively impact their lives and personal relationships. In the middle of the storm, I saw couples who had been together for 20 years feel strain in their relationship, begin to argue, and experience physical violence in their partnership.

As a child, I often heard adults say, “What doesn’t make you will surely break you.” I didn’t realize what was actually meant by this statement back then, but actually living through Katrina I came to understand what intimate partner violence really is and how it has the potential to devastate lives. It is the true aftermath of the storm.

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According to the Center of Disease Control (CDC), intimate partner violence (IPV) is a serious, preventable public health problem that affects millions of Americans. The term “intimate partner violence” describes physical, sexual, or psychological harm by a current or former partner or spouse. This type of violence can occur among heterosexual or same-sex couples and does not require sexual intimacy.

A National Institute of Health study “examine[d] the relationship between the experience of Hurricane Katrina and reported relationship aggression and violence in a cohort of postpartum women. It was hypothesized that women who had a more severe experience of Hurricane Katrina would be at increased risk for reported conflict and IPV.” Here are some key points about domestic and intimate partner violence provide by WomensHealth.gov:

  • If you are in immediate danger, call 911. It is possible for the police to arrest an abuser and to escort you and your children to a safe place. Learn more about getting help for domestic abuse.
  • Often, abuse starts as emotional abuse and then becomes physical later. It’s important to get help early.
  • Sometimes it is hard to know if you are being abused. Learn more about signs of abuse.
  • Your partner may try to make you feel like the abuse is your fault. Remember that you cannot make someone mistreat you. The abuser is responsible for his or her behavior. Abuse can be a way for your partner to try to have control over you.
  • Violence can cause serious physical and emotional problems, including depression and post-traumatic stress disorder. It’s important to try to take care of your health. And if you are using drugs or alcohol to cope with abuse, get help.
  • There probably will be times when your partner is very kind. Unfortunately, abusers often begin the mistreatment again after these periods of calm. In fact, over time, abuse often gets worse, not better. Even if your partner promises to stop the abuse, make sure to learn about hotlines and other ways to get help for abuse.
  • An abusive partner needs to get help from a mental health professional. But even if he or she gets help, the abuse may not stop.

Being hurt by someone close to you is awful. Reach out for support from family, friends, and community organizations. Visit the YWCA’s website to learn more about services we offer related to domestic violence.

If you experienced IPV as a result of Hurricane Katrina or another natural disaster and have found a sense of calmness after your storm, please share your success with us! We hope in doing so, someone else will find tranquility inspired by you and live a safer, healthier, and happier life.

Ms. V.  co-wrote this blog post. She is a survivor of Hurricane Katrina. She attends the Wisdom Circle and participates in various programs and activities of the YWCA of Seattle | King County | Snohomish County.

Poetry Friday


It’s a lovely Friday afternoon and many of us are finishing things up at work before leaving the office for Memorial Day Weekend. After a busy week and as I prepare to shift into the weekend, I find the reflection and creativity in these three poems welcome. I hope you enjoy them as well!

I AM STILL ME 
Look at me
I am still me
I may not look or act like I did years ago, But I am still me.

When I am scared,
I may cry
I may wander.
Reassure me, talk with me.

When I am frustrated,
I may scream
I may strike out.
Let me know I am safe, explain to me what I should do.

When I am cold or hungry,
I may yell
I may be restless.
Help me find comfort, ask me what I like to eat.

Look at me.
I am still me.
I just need your help now to guide me,
to comfort me.
BUT I AM STILL ME

–Erika K. Salmeron, RN
Nurse Manager of Dementia Unit
2006

~

Four Things
Four things
where I would
rather not
find a lump:
custard
gravy
mashed potato
and bosoms.

–Claire Calman
~

Eternal Now
Take a moment
to check and see if you are actually here.

Before there is right and wrong,
we are just here.
Before there is good or bad, or unworthy,
and before there is the sinner or the saint,
we are just here.
Just meet here, where silence is—
where the stillness inside dances.
Just here, before knowing something, or not knowing.
Just meet here where all points of view
merge into one point,
and the one point disappears.

Just see if you can meet right now

where you touch the eternal,
and feel the eternal living and dying at each moment.
Just to meet here—
before you were an expert,
before you were beginner.
To just be here,
where you are what you always will be,
where you will never add anything to this,
or subtract anything.

Meet here, where you want nothing,
and where you are nothing.
The here that is unspeakable.
Where we meet only mystery to mystery,
or we don’t meet at all.
Meet here where you find yourself
by not finding yourself.
In this place where quietness is deafening,
and the stillness moves too fast to catch it.

Meet here where you are what you want
and you want you what you are
and everything falls away into radiant emptiness.

–Adyashanti

Racism is no more.


In our work with homeless women in the community, we hear about and witness racism in the healthcare system on a daily basis. Although this does include individual acts of racism, the impact of institutionalized racism in this system is perpetually devastating for the health and well-being of these women and children of color. We are well aware in our work that racism is alive within the health care system in our country. In fact the depth to which institutionalized racism has impacted health care is in part the reason our program and others like it even exist. So as we take a stand against racism this week and in our daily work at the YWCA, I want to share my dream for healthcare in our country. It is one that I have faith that we can all embody.

 

The Co-creation of a Dream

I remember when I walked the halls of the shelters
In the days when it was normal for a woman to go without dental care for ten years
Or not be able to tell you the name of her doctor
because it changed with each visit

I remember when it was easier to receive care at the ER than the clinic
When women would request the treatment they needed
And be denied based on the color of their card, or the color of their skin,
Or the place at night where they sought shelter

I remember when I could order a pizza and have it delivered
In the time it took to schedule a medical appointment
When the system was so complicated to navigate
That many ended up going without care they were entitled to receive

I remember the day when health care reform was our only hope
Even though it was far from enough at the beginning
When we settled for mandated insurance instead of mandated care
When health care was seen as a political position instead of a human right

I am still living my memory. That day is today. I want more.

I want to live in a world where everyone has a doctor they can go to
Or a doctor that can come to them
A world where everyone insured and understands how to use their insurance
NO! –  one in which insurance ceases to exist

I want to live in a world where oral and mental health
Are as important as physical health
Where we understand the whole person
And expend more energy to prevent than to treat

I want to live in a world where life expectancy has nothing to do with the color of your skin
where patients guide their treatment plans
doctors look like their patients
And everyone receives the same high quality of care

I want to live in a world where health care is a human right
One where I am worked out of a job
Because it is easy to access health care services
And the care you receive is not based on the money you have

I want to co-create a world together in community
One full of beauty, wholeness and diversity
Where our humanity unites us
and racism is no more.

Racism is no more.

Racism is no more.