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.

How’d You Sleep Last Night?


Sleep is a big deal. The amount and quality of our nightly rest impacts our day-to-day and our long-term health.

Sleep is becoming more important in the field of public health. We are learning more about the impact of sleep insufficiency on motor vehicle crashes, industrial disasters, medical errors, and other occupational errors. People are falling asleep accidentally, closing their eyes while driving, and struggling with regular tasks due to sleepiness.

We’re also learning about the relationship between sleep insufficiency – not getting enough sleep – and chronic diseases. Those who experience sleep insufficiency are more likely to suffer from hypertension, diabetes, depression, obesity, cancer, and reduced quality of life and productivity.

Why are we having a hard time getting enough sleep?
The CDC lists the following factors as contributing to barriers to getting enough quality sleep:

What can we do to improve our sleep? 
Below are some tips to improve sleep and sleep habits. Give one of them a try this week!

  • Go to bed at the same time each night and rise at the same time each morning.
  • Avoid large meals before bedtime.
  • Avoid caffeine and alcohol close to bedtime.
  • Avoid nicotine.

How much sleep do we need?
The amount of sleep we need actually varies by individual. See the infographic below from the National Sleep Foundation for information on what’s enough sleep for different age groups, the benefits of sleep, and additional healthy sleeping habits.

sleepinfographic

Social Justice & Love!


What is it going to take for humans to love our neighbors like we love ourselves?

The other night, I was watching a television show and one of the characters said: Love your neighbor as you do yourself! This isn’t an unfamiliar phrase to me. But after working all day in the office and spending a large portion of my day focusing on social justice, I heard this phrase from a new perspective.

During the commercial break, there were several advertisements that focused on Valentine’s Day, each attempting to sell a particular item or evoke an emotion to generate the ultimate response – the transference of capital from your hands to theirs! The messages were not really about strengthening relationships or generating love. They were about trying to sell something.

February means much more than the idea of a groundhog predicating the weather, a celebration honoring the great work of US Presidents, or our consumption of chocolate and flowers! It is the well-deserved annual celebration of achievements Black Americans have made to our country and a “time for recognizing the central role of African Americans in US history.”

History.com shares some history around Black History Month:

The event grew out of ‘Negro History Week,’ the brainchild of noted historian Carter G. Woodson and other prominent African Americans. Since 1976, every US president has officially designated the month of February as Black History Month. Other countries around the world, including Canada and the United Kingdom, also devote a month to celebrating black history.

Have you thought about the fact that the month which reflects love and affection for others is also the month when we honor a culture of people who have been categorized as second class citizens and not treated very lovingly at all?

I wish I could report that we live in a world where everyone is loved regardless of their race, gender, or social status – but I can’t. I dream of day when all of us will celebrate and embrace our differences and truly love one another! I look forward to the day when we all collectively hold our heads high and stick out our chest with pride for accomplishments and advancements created by humankind.

In honor of African American History month and in the name of love, please leave a comment and share your  thoughts on social justice and ways we can fulfill this dream.

Click on this link to refresh your knowledge on how African Americans have contributed to society and pass it along!

Happy Learning, Living and Loving!

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.

How does racism impact pregnancy outcomes?


Yesterday, the YWCA Health Access Department’s five programs (BABES NetworkCommunity Mental HealthHealth Care AccessHealthy Birth Outcomes, and Women’s Health Outreach) got together for an all-day retreat. We spent some time catching up with the other programs in our department, sharing our appreciation for each other, and learning some new technology tips.

We also spent some time talking about racism and white privilege, particularly in the realm of health and health care. And during this conversation, we watched a clip from Unnatural Causes. In case you aren’t familiar with Unnatural Causes: it is a PBS video series that “uncovers startling new findings that suggest there is much more to our health than bad habits, health care, or unlucky genes. The social circumstances in which we are born, live, and work can actually get under our skin and disrupt our physiology as much as germs and viruses.” The clip that we watched talked about the impact of racism on women’s bodies – the bodies of women of color in particular – and the impact of racism on birth outcomes.

To learn more, watch the video below.

If you’re intrigued and want to learn more about health disparities and the impact of racism on other areas of health and our bodies, I hope you’ll watch the full DVD. See if your local library has a copy!

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

Stable Jobs and Healthy Lives


The Robert Wood Johnson Foundation has recently led a new initiative – the NewPublicHealth National Prevention Strategy series, exploring the impact of jobs, transportation and more on health. The infographic below tells a visual story on the role of employment in the health of our communities. Check it out!

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Spring into Mental Health: Stress, and how to manage it.


Did you know April is National Stress Awareness Month? I just found out today, and I must say I’m excited. Nothing like a month full of spring showers, budding trees, blooming flowers, and more sunshine to spend some time contemplating the stress in our lives and learning about ways to reduce it.

This morning, The Huffington Post published an article on 10 new things we’ve learned about stress in the past year. Here are the highlights:

  • Too much job-related stress increases our chances of having a heart attack and accelerates aging. It can also make women and men more prone to diabetes.
  • When we smile, we lower our heart rate. Try smiling after a stressful moment – it may help you calm yourself and feel a bit better.
  • Even thinking about stress can stress us out and impact our heart health. A study published in the journal Annals of Behavior Medicine showed that people who felt anxious and stressed about everyday life are more at risk for heart conditions, arthritis, and other chronic health issues in the future.
  • Millennials – people between the ages of 18 and 33 – currently experience more stress than any other generation. According to a survey by the American Psychological Association, the greatest cause of stress for this group is work-related.
  • Stress is contagious! We can feel others’ stress and then start feeling it ourselves.

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To counter all the stress in our everyday lives, The Huffington Post suggests we incorporate mindful meditation – which means learning to focus on being in the present – into our daily lives.

Check out these other blog posts for different ideas on how to reduce stress.

> How to Practice Mindful Meditation
> A Meditation Technique for the Absolute Beginner
> Managing Work Stress: Workplace Stress
> A piece of nature for peace of mind.

Self-Care, Self-Aware


While driving to work this morning on I-5, through the hustle and bustle of Seattle traffic, I began to notice another one of those oh-so-familiar sensations. A panic attack was coming. Unfortunately I was in no position to pull over and collect my thoughts, only making me panic more.

“This isn’t the first time this has happened to you,” I tried telling myself. “All you need to do is breathe.” I kept repeating over in my head: breathe… breathe… breathe. While breathing, all I could do was think, “Why does this keep happening to me? When did I become this person?”

I often wonder why I experience panic attacks, and I never seem to come up with a solid reason for myself. Or, I have too many reasons and then there goes my panic all over again. Do I love myself enough to take care of myself? I feel I do. I believe I do.

One thing I do to take care of myself is go to self-care retreats where I learn and share with many women who are also there trying to care for themselves in their own way. This Saturday, BABES Network is holding our annual One-Day Self-Care Retreat. I look forward to going every year.

Self-care retreats are great. And it’s also helpful to look for resources in other spaces. Whether through Google or Bing, or through friends, family and professional relationships, I’ve been able to find an abundance of information from different perspectives and from different places. I’ve learned many things from many people:

Be in a space where you can give yourself permission to be okay with who you are and know that the steps you take forward in life and the skills or lessons you learn along the way are the ones that create you. This is something I’ve learned and it’s something I like to think of as my mantra. It’s hard for me to talk about self-care because I know I have been guilty of not self-caring, but that’s just it. I think it’s about recognizing that you don’t, so you do.

Setting realistic goals for yourself is crucial and rewarding yourself when you have been successful in achieving them is just as important. We shouldn’t always look for someone else to give us our Kudos when they’re free and you can give them to yourself any time you feel like you’ve earned it.

Here are a few resources I think are really helpful. To learn more about self-care and what it is, visit Fort Garrey Women’s Resource Centre. Their fact sheet is informative and easy to read. University of Buffalo’s School of Social Work‘s website provides a lot of self-care exercises and activities on mindfulness, time management, reducing stress, and more.

~ Tonya Rasberry

Are You Stressed?


 It’s October! Pink Ribbons fly proudly reminding women to get a clinical breast exam and mammogram. Board a plane and glance out of the window and you might see pink runway lights glowing brightly! Turn on the television to watch a Sunday afternoon of football, and you will notice referees tossing pink flags – while in between plays, commercials flood the airways encouraging us to give to the American Cancer Society or the Susan G. Koman Foundation in support of efforts to end breast cancer!

October is Breast Cancer Awareness Month and we should do what we can to prevent another family from losing a loved one to this deadly disease.

Have you ever stopped to think about the level of stress women have in their lives every day and how stress increases our chances of contracting breast cancer?

In recent years, researchers have focused on the effects of stress. For example, the Fourth AACR Conference on the Science of Cancer Health Disparities last fall showed a connection between psychological stress and one of the most aggressive types of breast cancer.

The study was performed on 989 women with breast cancer. Two to three months after diagnosis, the women were asked to rate their degree of anxiety, fear, and isolation. These self-reported stress scores were higher for black and Hispanic women than in white women. Further, those women who reported having higher levels of stress tended to have more aggressive tumors (defined as being negative for the presence of estrogen receptors, meaning that therapies designed to block the effects of estrogen will not be effective) than those with lower stress levels. The association between stress level and aggressive tumors was strongest in black and Hispanic women.

Click here to learn more about a possible connection between stress and aggressive breast cancer.

Running out of new ideas for relieving stress? Here are a few tips to consider! Go for a brisk walk, watch a relaxing movie, have (safe!) sex, or have a good hearty laugh with a friend.  Now it’s your turn – share some of your fun ways to  lower stress levels!