Depression, Weight Gain, and Helpful Treatment

Depression, weight gain, and helpful treatment go hand in hand. Because one of the symptoms of depression is changes in appetite, weight gain can happen.

However, with depression, it can be the case of the chicken or egg.  Meaning, we want to look at what came first.  Did the weight gain contribute to depression or did the depression cause weight gain?  If the weight gain is what caused someone to feel depressed, then the treatment would be to find healthy ways to lose the weight if indicated.  However, if the weight gain is as a result of a depressive episode, we are going to want to treat the depression itself. We won’t want to focus solely on the weight gain.

Symptoms of Depression Leading to Weight Gain

Unfortunately, depression makes it hard to lose weight for a variety of reasons.  One major symptom of depression is anhedonia. Anhedonia is the loss of pleasure in things we ordinarily would find joy in doing.  For many people, exercise and cooking healthy meals are activities bringing them joy.  However, when a depressive episode strikes, they may lose interest in these healthy activities.  In addition to anhedonia, loss of motivation is another symptom of depression.  It is challenging to lose weight if you aren’t motivated. 

Hopelessness is another symptom of depression. It is hard to make positive changes when feeling this way. Lastly, when people are depressed, healthy habits and ways of coping tend to go out the window and unhealthy forms take over.  Things like grabbing take out for most meals, drinking alcohol in excess, smoking marijuana leading to food cravings, binge eating, and eating high carbohydrate and sugary foods to soothe are all ways people with depression may turn to cope.

Depression, Weight Gain, and Helpful Treatment


Luckily, there are many healthy ways to manage weight while dealing with depression.  Most of these healthy ways start with awareness.  If one is aware they are snacking at 10PM, a solution might be to stop eating after dinner.  In addition, if one finds they stopped exercising, then they might engage in some movement that feels good. Taking walks out in nature or going on a hike with a friend could be helpful.  Also, if they aren’t eating anything for breakfast this behavior can cause them to binge later in the day. Eating something before 10 AM would be helpful.  Another point of awareness is if one acknowledges how much they are drinking. They might decide to cut it back to two beers instead of 4 and only on the weekends. 

Also, having an accountability partner can help.  For example, you and a friend texting each other everyday after you did some movement activity can help folks keep themselves on track.  When one starts to care for themselves in small manageable steps, these steps then build on one another eventually leading to more health, wellness, and mood improvement.

Give Yourself Some Grace


The other option when it comes to depression is to give yourself some grace.  Depression is often an episode, meaning it goes on for a period of time and doesn’t last forever.  People should be kind to themselves and let it be ok if they aren’t feeling motivated or finding joy.  It will return.  Sometimes medication can be helpful as well. Turning to medication when a depressive episode is going on too long or one cannot seem to find any motivation or will is always an option.  Talk to your doctor or psychiatrist if you are needing medication support.  

Depression, weight gain, and helpful treatment is available. Talk to your doctor or therapist around ways to get support. You can find out more information about weight gain and depression here. If you would like to talk with me about depression, please reach out to me here.

Thanksgiving

Holidays mean something different for me as each year passes.  In the wake of the recent fires, I am filled with a whole host of thanks for all those who have and continue to put in the effort to support people who have lost and are impacted.  I am also saddened and hopeful for those of you who have been directly impacted, and I am holding you close in my heart.

The fires have not only kicked up gratitude but also trauma, as it continues to be a theme I am seeing around me.  With the holidays just around the corner, many people having lost their homes, sexual harassment in the media, the state of our country and world, and our own pasts, people are feeling deeply everywhere.

Holidays and being with family can bring forth a of mix feelings.  Being without family can do the same.  There is so much to feel.

It is important to remember this time of holidays and feelings is a season.  While they may feel extremely big and overwhelming, I encourage you to remember this is a moment in time.  Feelings change just as the trees do.  Nature holds such a powerful metaphor for our lives.

Just as the natural world cares for itself, we must care for ourselves too.  As the mushrooms pop up around us acting as a purifier for the air, we can care for ourselves by breathing deeply and paying attention to our inner world.  Asking ourselves if our choices are helpful or unhelpful.  Giving oneself permission to leave after dessert or go for walk.  Declining the party or forgoing the alcohol.  It is vital for us to practice self care.  What would our world look like if nature didn’t care for itself?  Please remember being thankful doesn’t mean we allow other people’s wants, needs, and expectations to compromise our own.

I am wishing you all a caring and reflective Thanksgiving.

Moving Forward in the Aftermath of Disaster

In the aftermath of the Northern California fires, nervous systems have been revved up and are now crashing down.  The fear and unknown has led many adults and children to live in a hypervigilant state.  Now that the fires are contained and threats to homes and lives are at bay, it is time get back to living.  This may be hard to do given the state of the community if you are in a fire struck area, lost your home or loved one, if you have been volunteering, and/or living in a constant state of fear.

While many people are resilient and will bounce back easily into their own lives, some people will not for a variety of reasons.  Whether impacted directly or indirectly, a natural disaster can have a traumatic impact on lives.  It is important to care for yourself, and as parents, it is vitally important to care for yourself so you can better care for your own children.  So what does caring for yourself mean?  This means getting back into your own routine, getting a lot of sleep and rest, nourishing your body with healthy foods, exercising, and engaging in other activities that bring you relaxation and pleasure.

It may take some individuals days, weeks, months, or even longer to recover from this experience.  I would encourage you to notice your own feelings and move with gentleness if not feeling quite as resilient as some of those around you.  Each day is a new day with new feelings and thoughts emerging.  Moving through a traumatic experience can take time so please be patient with yourself and those around you.

New trauma can trigger old trauma and sometimes cause a regression.  This can be a regression in behaviors or memories and can take many forms including an increase in separation anxiety, reverting to younger behaviors, and thinking about past traumatic events when one thought they had moved past them.  Again, please be patient with yourself as you move through your own process, care for yourself in healthy ways, and get some further support from loved ones or professionals.

Some people who did not experience the fires directly or whose home and family came out ok may feel guilt for having not lost their home or loved ones even though they are thankful they did not.  This is known as survivor’s guilt and is a common feeling for people to experience.  I encourage you to not disregard and down play your own feelings.  Last week evoked a lot of emotions.  We are all different and will process this experience differently.  There is no right or wrong way to move through these feelings.  

If you are feeling stuck, having difficulty sleeping, overeating or under eating, feeling lethargic, do not have any interest in things you used to, having nightmares, and/or you don’t see any light at the end of the tunnel, I highly encourage you to talk with a professional for further support if it is feeling overwhelming and you feel unable to move through it one your own.  Talking with a professional can have many benefits including giving you the space to explore and process your experience, gaining support, having space to not feel like you are overwhelming people around you by talking about your feelings, and helping you find your way back to wellness.  

Like adults, most children will remain resilient and bounce back easily while others can be deeply impacted by the disaster whether it has touched them directly or not.  Younger children do not have the sense of time and when seeing images or hearing people talk around them, they may be unable to differentiate if the disaster was from last week or from this very moment; this can be frightening.  If you are noticing any changes to their behaviors, including regressive behaviors, they are letting you know they need more attention right now.  It is extremely important to continue to check in with your child about their feelings as they head back to school and hear about the events from their peers.  If you are feeling overwhelmed as a parent, please reach out for support.

I am wishing everyone good health and loving kindness for oneself and each other as our communities recover.

Here are some local community resources for professional help:

Hospice of Sonoma County

Petaluma People’s Services

Social Advocates for Youth

Petaluma Health Center

Seeds of Awareness

Psychology Today has a list of therapists in private practice

Don’t Let Anxiety Boss You Around

If you or your family member suffers from anxiety, chances are you are being bossed around by it. Anxiety might say things like:

“Don’t do that!”
“You can’t do that!”
“Don’t go!”
“Call me when you leave!”
“Text me when you get there!”
“Don’t leave before I tell you to!”
“This is going to be bad!”

Now notice there is an exclamation point after each of these statements. This is because if it were said in a calm, cool manner, it wouldn’t be anxiety. Anxiety has an urgent fretful tone to it, warranting the exclamation. If you hear this more urgent tone coming from yourself or your loved one, odds are good, it is anxiety trying to push you around.   Even if you aren’t the one suffering directly, anxiety has been known to be contagious and make others around them feel it too.  ​The whole system gets impacted.

Who likes to be bossed around? (The crowd goes silent.)

So what does one do when anxiety is bossing them around?

1. Once you recognize anxiety is there and possibly bossing you, take a deep breath, maybe even a few to make room in your brain to think rationally about what is happening and what you will do next.

2. Decide if the anxiety is warranted. Ask yourself questions like, “Am I really in danger?” “What will actually happen if I don’t text my kid every 5 minutes from the grocery store as he demanded?”

3. If you are in danger, worry away and get yourself to a safe spot.

4. If are not in any real danger, which most likely is the case, begin to use your logic to talk yourself off the ledge. “Who is talking here? Me or anxiety?” “What is actually going to happen if….?”

5. Soothe yourself by talking calmly to yourself. “I am going to be ok.” “She’ll be back in 30 minutes.”

6. Do something to give your mind a break from the anxiety after you have gone through these steps. We don’t want to avoid our feelings but we do want to give ourselves a bit of space if we are feeling flooded by them, and we do want to move on after we have gone through the steps. No need to stay stuck.

7. Have a party! Recognizing when anxiety is bossing you around and choosing to do something different other than let it take control of you is definitely worth celebrating!

AFFIRMATION

I handle anxiety with ease.

The Private Practice Fundamentals Group Starting This March!

A Group by sierra dator

Motivating Kids- Public Speaking Event

Tomorrow I have the great privilege of motivating kids at one of our local junior high schools through imagery, activity, and or course, eating candy.  I am thrilled to have the opportunity to teach kids about empathy, compassion, judgement, and assumptions.  I am going to end with this amazing find:

Holiday Pressure and Kids

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Imagine your boss was watching you 24/7 and evaluating whether you have been “good” at each second of the day.  Based on this vigilant watching, your paycheck would arrive or not arrive.  You weren’t sure.  Was it ok if you chatted for 2 minutes on the phone with your partner about what was for dinner that night?  Or grabbing a coffee on the way to a meeting?  Does that count as “naughty?”

Those questions could pose some serious pressure.

Now imagine your brain isn’t fully developed enough to be able to reason the way our adult mind can.  Imagine people were reminding you everywhere that “your boss is watching!”

The stress for some could feel unsurmountable.  You might eventually breakdown: lying, tears, fits, self deprecation, illness, fatigue.

I paint this picture to give you some insight into what it can be like for many children around the holidays.  It’s an amazing time of year but with it comes the stress of being perfect and being watched.  Yikes!

It might be worthwhile to give your child some room to make mistakes and to empathize with the pressure they may be feeling.  Here are a few things you can say when your child is making some poor choices this holiday season.

  1. While Santa may know when we are naughty or nice, he also knows when we do the right thing even after making a poor choice.  And it matters to him.  Let’s see if you can do the right thing starting now!
  2. I know it can feel hard to do everything right over the holidays with our Elf (name) watching all the time.  But I want you to know, its ok to not be perfect.  Let’s just do our best to treat others the way we want to be treated.  How do you want (person’s name) to treat you right now?  Ok, let’s work on treating them the same way.
  3. Did you know the elves sometimes get angry when their toy making doesn’t turn out the exact way they had hoped?  Sure do!  They have a few tools they use to calm themselves down.  They have a special breathing tool they use and I learned it once when I was a kid.  It’s called the Santa Belly Breath.  First you breath in making your belly as round as Santa’s.  Yes, that’s it!  That big!  Then they hold their breath for a second and slowly let it out…..

Be playful, kind, and loving with your interventions.  The way we approach a situation could really make a difference.

Back to the boss analogy for a moment.  Let’s say your boss came to you and screamed in your face that you better knock it off!  There was no paycheck if you kept it up!  You might feel ashamed, extremely worried, and stressed.  Would you want the same for your child?  Probably not.  You probably want them to stop the behavior or have some remorse.  But shame?  Not exactly.

I ask you to remember to have empathy for the pressure those little people feel and treat your children the way you want to be treated.

Wishing you and your family the very best this holiday season!

AFFIRMATION

I am kind, loving, and playful with myself and those around me.

 

Sierra in the Spotlight

I wanted to share a recent article about me featured on Simple Practice’s Spotlight Series.  Check out this article to learn a more about me and the work I love to do.

Anxiety About Parenting? Check This Out!

 

A Few Things About Anxiety

1. It is a trickster.  Anxiety tricks people into being anxious about being anxious. Sounds crazy doesn’t it?  It does unless it is happening to you.  Many people report feeling anxious and not knowing why.  

2. It takes over the whole house.  It is common for patients to talk about how one person’s anxiety is reeking havoc on the whole house and/or relationship.  Anxiety demands lots of attention and reassurance not only from the person experiencing the anxiety but those close to them.  It can be exhausting for everyone.

3. It can make you feel awful when you were just feeling good.  Anxiety can seem to blindside us and come out of nowhere.  Walking down the street feeling fine and then….

4. It can make you feel sick.  Stomach aches, headaches, digestive issues, fatigue.  While these symptoms are real, they can be linked to anxiety.  It is good to talk with an MD to rule out if it is anything more than anxiety.

Ready for the good news? 

5. You don’t have to qualify for a disorder to get help.  Whether you meet the DSM-IV criteria for Obsessive Compulsive Disorder, Panic, Generalized Anxiety, Separation Anxiety, etc., if anxiety in any form is getting in your way, you can get help.

6.  Anxiety is extremely common to experience and highly treatable.  Millions of people suffer with anxiety.  Many don’t get help despite the variety of options available.  The psychological community recognizes Cognitive Behavioral Therapy as one of the key approaches.  Other approaches are Individual Psychotherapy, Group Psychotherapy, Acupuncture, Acupressure, Traditional Chinese Medicine, Homeopathy, Nutrition, Medication, Mindfulness Practice, and the list goes on.  

7. The internet is full of resources to help you learn more about anxiety and how to treat it.  Check out the Anxiety and Depression Association of America, The American Psychological Association, and AnxietyBC.

8You have local therapists, holistic practitioners, and tele health services available.  Help is at your finger tips.

You can start feeling better.  Please feel free to contact me to discuss treatment, options, recommendations, and referrals today.