Dr. Holland’s Mental Health Tips

Suicide. Let’s talk about it!

Suicide. Let’s talk about it!

Major warning signs for suicide can include talking about killing or harming oneself, writing about death or dying, and most importantly attempting to find anything that could be used facilitate a suicide attempt, such as poison, weapons, and drugs.

College students experiencing depression, anxiety, loneliness at peak levels

College students experiencing depression, anxiety, loneliness at peak levels

A survey by a Boston University researcher of nearly 33,000 college students across the country reveals the prevalence of depression and anxiety in young people continues to increase, now reaching its highest levels, a sign of the mounting stress factors due to the coronavirus pandemic, political unrest, and systemic racism and inequality.

Pets improve mental health and reduce loneliness amid COVID stressors

Owning a Pet Shown to Relieve Stresses Caused by COVID Restrictions

Sharing a home with a pet appeared to act as a buffer against psychological stress during lock-down, a new survey shows. Most people who took part in the research perceived their pets to be a source of considerable support during the lock down period. The study (UK) -- found that having a pet was linked to maintaining better mental health and reducing loneliness. Around 90 per cent of the 6,000 participants had at least one pet. The strength of the human-animal bond did not differ significantly between species with the most common pets being cats and dogs followed by small mammals and fish.

More than 90 per cent of respondents said their pet helped them cope emotionally with the lockdown and 96 per cent said their pet helped keep them fit and active. However, 68 per cent of pet owners reported having been worried about their animals during lock-down, for example due to restrictions on access to veterinary care and exercise or because they wouldn't know who would look after their pet if they fell ill.

Lead researcher, Dr Elena Ratschen from the Department of Health Sciences University of York said: "Findings from this study also demonstrated potential links between people's mental health and the emotional bonds they form with their pets: measures of the strength of the human-animal bond were higher among people who reported lower scores for mental health-related outcomes at baseline. We also discovered that in this study, the strength of the emotional bond with pets did not statistically differ by animal species, meaning that people in our sample felt on average as emotionally close to, for example, their guinea pig as they felt to their dog. It will be important to ensure that pet owners are appropriately supported in caring for their pet during the pandemic."

Co-author, Professor Daniel Mills said: "This work is particularly important at the current time as it indicates how having a companion animal in your home can buffer against some of the psychological stress associated with lock-down. However, it is important that everyone appreciates their pet's needs too, as our other work shows failing to meet these can have a detrimental effect for both people and their pets."

Dr Ratschen added: "While our study showed that having a pet may mitigate some of the detrimental psychological effects of the Covid-19 lock-down, it is important to understand that this finding is unlikely to be of clinical significance and does not warrant any suggestion that people should acquire pets to protect their mental health during the pandemic."

More than 85 million households are estimated to own at least one pet in the U.S.

The study also showed that the most popular interaction with animals that were not pets was bird watching. Almost 55 per cent of people surveyed reported watching and feeding birds in their garden.

READ this article on Science Daily: "Pets linked to maintaining better mental health and reducing loneliness during lock down, new research shows." ScienceDaily, 26 September 2020. www.sciencedaily.com/releases/2020/09/200926145210.htm.


Dr. Holland & Olive

"Pets, especially dogs and cats, have been proven in studies to reduce stress, anxiety, and depression and ease loneliness. Pets naturally encourage exercise and renew a sense of playfulness in pet owners. Some studies clearly show that owing a pet can improve your cardiovascular health. Psychological studies show that caring for an animal can help children grow up feeling more secure while increasing their likelihood of staying active. As I well know, pets also provide valuable companionship for adults of all ages. For me, interacting with my new canine companion Olive brings a real sense of joy and unconditional love that goes both ways."

While we individually and collectively continue to navigate social restrictions imposed by COVID , it is important for everyone’s mental health and emotional well-being to find new, healthy ways to maintain social connections. Virtual communication including phones and video chats with friends and family can help alleviate feelings of loneliness and isolation. And when people find it too difficult to maintain a positive sense of well-being, reaching out to a mental health professional can help. Dr. Holland offers Teletherapy to fit individual needs including; short-term sessions, single sessions or ongoing support. Contact Dr. Holland for more information and to help get you on the path to feeling better. Or call 707-479-2946 to schedule a telehealth video therapy session.

Researchers seek to change behavior by normalizing diversity

"Promoting inclusion and dismantling systemic racism is one of the most important issues of our times."

Scroll Down for Dr. Holland's Perspective on this article

Showing people how their peers feel about diversity in their community can make their actions more inclusive, make members of marginalized groups feel more like they belong, and even help close racial achievement gaps in education, according to a new study. Drawing on strategies that have worked in anti-smoking, safe-sex and energy-saving campaigns, University of Wisconsin-Madison researchers decided to try to change behavior by showing people that positive feelings about diversity are the norm.

"In any other domain of public health -- saving for retirement, sustainability, eating healthy -- it's the key thing to communicate: It's the right thing to do, your peers do it, and your peers would actually approve of you doing it as well," says Markus Brauer, the UW-Madison psychology professor whose lab designed the pro-diversity intervention. It's an effect that's reflected in attitudes about ongoing protests over Black people killed by police officers. Exposed to larger crowds, more frequent news coverage and the opinions of friends and neighbors, more people have expressed support for Black Lives Matter groups and activities.

"People are heavily influenced by finding out what their peers have done," Brauer says. "But in the diversity domain, we haven't been trying this." The researchers, who published their findings today in the journal Nature Human Behaviour, conducted extensive focus groups with UW-Madison students. "We asked them -- students of color and white students, students of the LGBT+ community: What actually is it that decreases your sense of belonging? What are the kinds of behaviors that hurt your feelings, that make you feel excluded?" Brauer says. "And then please tell us, what are the behaviors that would make you feel welcome?"

The non-white students felt like they were kept at a distance from white students -- not included in class groups or projects, not included in activities, not invited to participate in simple interactions. "When we asked about what decreased their sense of belonging, they didn't complain so much about racial slurs or explicit forms of discrimination," says Brauer. "It was the distance, the lack of interest, the lack of caring that affected them."

Brauer, graduate student Mitchell Campbell, and Sohad Murrar, a former graduate student of Brauer's who is now a psychology professor at Governors State University in Illinois, used what they learned to choose their messages. "We used a social marketing approach, where we identify a target audience, we decide what our target behavior is, and then we show people how their peers support that behavior," Brauer says. They designed a relatively simple poster, covered in students' faces and reporting actual survey results -- that 93 percent of students say they "embrace diversity and welcome people from all backgrounds into our UW-Madison community," and that 84 percent of them agreed to be pictured on the poster. They also produced a five-minute video, which described the pro-diversity opinions reported by large majorities in other campus surveys and showed real students answering questions about tolerance and inclusion.

In a series of experiments over several years, hundreds of students were exposed passively to the posters in brief encounters in study waiting rooms or hung day after day on the walls of their classrooms. In other experiments, the video was shown to an entire class during their first meeting. Control groups came and went from waiting rooms and classroom with no posters, or watched videos about cranberry production, or other alternatives to the study materials. Then the researchers surveyed subjects to assess their attitudes about appreciation for diversity, attitudes toward people of color, intergroup anxiety, their peers' behaviors and other measures.

"When we measured 10 or 12 weeks later, the students who were exposed to the interventions report more positive attitudes towards members of other groups and stronger endorsement of diversity," Brauer says. The differences for students from marginalized groups went further. "The students belonging to marginalized groups tell us that they have an enhanced sense of belonging. They are less anxious in interactions with students from other ethnic groups. They tell us that they're less and less the target of discrimination," Brauer says. "They evaluate the classroom climate more positively, and feel that they are treated more respectfully by their classmates."

The researchers tested the effectiveness of their diversity intervention in a series of UW-Madison courses in which white students have historically received better grades than their non-white peers. In course sections that viewed the 5-minute video during their first meeting -- classes including more than 300 students -- the privileged and marginalized students' grades were equal in the end.

"We know the marginalized students experience discrimination; we know their feelings are valid. But we know, too, from the campus climate surveys and our own extensive surveys, that their fellow students report real appreciation for diversity, and tell us that they want to be inclusive," Brauer says. "They stay socially distant, though, because they worry about putting themselves out there. Our experience is that this intervention is changing those perceptions and experiences, and possibly the behavior, of both groups."

It may be the first result of its kind for such a long-running study with so many participants, and the researchers are hopeful that future work will help better reveal whether students actually change the way they treat each other.

"Promoting inclusion and dismantling systemic racism is one of the most important issues of our times. And yet, it turns out that many pro-diversity initiatives are not being evaluated," says Brauer, whose work was supported in part by funding from the office of UW-Madison's vice provost and chief diversity officer. "We really need evidence-based practices, but for a long time we've had no idea whether the things we do in the diversity domain actually have a beneficial effect. We're hoping to change that."


Read this article on Science Daily: University of Wisconsin-Madison. "Showing pro-diversity feelings are the norm makes individuals more tolerant." ScienceDaily. ScienceDaily, 1 July 2020. www.sciencedaily.com/releases/2020/07/200701125448.htm.


Dr. Holland's Perspective

Researchers are only beginning to delve into the psychology of racial stressors.  As a longtime activist I know that conversations about racism, inclusion and cultural bias are long overdue and something we have neglected to confront in meaningful ways. It will take time to bring racial inclusion to a common ground where we can all flourish and grow.

People experience discrimination in different ways, and struggling with this issue can manifest as anxiety, depression, feelings of emotional vulnerability and a full spectrum of emotional and psychological stresses. The bottom line is we all have a right to be healthy, and that includes mental health.

Teletherapy Available - Short-term sessions, single sessions or ongoing support

Contact Dr. Holland for more information and for help, or call 707-479-2946 to schedule a telehealth video therapy session.

 

Video Conference Therapy During Difficult Times

Distance therapy helps to address the stay-at-home trend during flu outbreak

Distance therapy helps to address the stay-at-home trend during flu outbreak

Dr. Holland has offered phone and video conferencing therapy options for patients for some time, and with the rising concerns surrounding the coronavirus, these types of therapy sessions are more relevant than ever.

“Distance therapy using the phone or an online video conferencing system such as FaceTime has long been a good option for my clients who have access issues due to lack of transportation, health or time constraints. And, some clients simply find it more appealing to hold a session outside of an office environment.” Dr. Holland explains. “Now, with the widespread concern over the coronavirus, online therapy is a great way to stay connected with my clients, and a terrific option for new clients that don’t want to put off getting the help they need.” Therapy sessions are one-on-one and individually tailored to the client’s needs.

What is required for online conferencing? New clients will need to go through a screening process that begins with a free 15-minute phone consultation with Dr. Holland. Once the screening process is complete, clients simply need to have access to a reliable computer with a webcam, a smartphone or a tablet equipped with camera and mic. After the appointment is confirmed, Dr. Holland will send a link to the video conference that is used to access the therapist’s private online office room.

Additional Information

As with any new therapy system, it’s a good idea to research and understand the benefits and limits of this form of technology before signing up for a session. It is important to have access to a computer or mobile device with a webcam, a good microphone as well as up-to-date antivirus software and a personal firewall. Clients will also need access to a private space where they will not be overheard. It's also good to create a space that is free from distractions that could interrupt the session such as phone calls, emails, other people or pets in the area.

Please bear in mind that this program is not meant to replace crisis services or hospitalization. New clients who are a good fit for this program are typically eager to get help, they are stable, and they are open to receiving information and guidance for symptom relief.

Please start by booking a free 15-minute phone consultation with Dr. Holland.

 

 

Pain and Gratitude

Blogging with Dr. Jenny Holland, PsyD

The Dubious Connection between Physical Pain and Depression 

As a psychologist I understand that pain and depression are closely related. Pain can be a two-edged sword, and studies have shown that depression can cause pain just as pain can cause depression. Sometimes this kind of cycle of pain and depression or feeling low, can wear us down, create added stress and interfere with our lives and disturb sleeping patterns. To get symptoms of pain and depression under control, it’s important to take proactive steps to keep yourself on an even keel.

My Own Experience

Though I don’t often talk about it, I live with physical pain every day. When the weather is cold and damp, life becomes even more challenging. This past month has been particularly intense in this way. As such, I notice my own thoughts automatically drifting toward the negative. The mental list of things that are difficult or ‘wrong’ tabulate in my mind without effort. And I understand that the weather will probably be getting worse for the next couple of weeks, at least. As a way to tackle my own discomfort and to lift myself out of the cycle of pain and depression I thought I would blog about gratitude and how this practice has helped me.

The Study of Gratitude

In recent years, the study of how a simple action such as practicing gratitude can boost happiness and alleviate depression has gained attention and momentum among psychologists and mental health professionals all over the world. Scientists say that these techniques shift our thinking from negative ruminations to positive outcomes. Gratitude practice has been shown to produce a surge of feel-good hormones like dopamine, serotonin and oxytocin, and helps to build enduring personal connections.

Count Your Blessings

Many people find putting pen to paper to compile a gratitude list, or to start a gratitude journal provides a sort of ritual experience that lets us focus on the positive events of the day. As we journal, we can write more detail about the events that make us feel appreciative. When I put some energy into focusing on my own situation and turning my thoughts toward what is right about my life, I can begin to build a list of items that I appreciate such as:

  • I am grateful for my children and my husband. Adam and I have been together almost 25 years! That’s almost half of my life now.
  • I am grateful I am healthy and that those that I love are healthy.
  • I am grateful to have a few lifelong friends that support me, always.
  • I am grateful for my Jewish Communities.
  • I am grateful to have a job that allows me to be with people in meaningful and hopefully, in helpful ways

Expanding Gratitude into Work

Showing up and doing what I can do to help make a difference has a strong impact on my experience of pain and helps me to maintain an active, rather than a passive focus. About a year ago, I took a big leap and launched a private pay practice. Today it is thriving, and I am re-invigorated. In addition to seeing individuals, I have started a professional consultation group that is going well.  I also currently run a grief group, and I am starting groups for people with disabilities and their families. I will be traveling a bit in the next few months to spread the word about a book that is coming out in March in which I am a contributor. Fury: Women’s Lived Experiences of the Trump Era. I also started a book club this year that is feisty and fun. And on my favorite weeks, I get to do a little singing with my friends at Ner Shalom.

Gratitude is an Effort Worth Making

To count our blessings or to focus on the positive when dealing with pain, depression and/or anxiety is challenging for everyone and it takes a conscious effort. However, when we adopt the practice of gratitude as a daily habit it can become an important routine and step towards self-empowerment.

Get Started with Your Own Gratitude Practice

Journaling is probably the easiest gratitude enhancing practice we can undertake. Creating a gratitude journal can be as simple as buying a blank notebook and writing down a few things you’re grateful for each night before going to bed. You can enhance your journaling experience by turning it into a ritual such as first lighting a candle, making yourself a cup of tea, sitting quietly for five minutes before you begin, etc. Whatever you choose as a ritual, do it consistently. It strengthens the ability to turn what you’re doing into a positive habit. Anything fun and relaxing, will give you motivation to form a new habit.