Category Archives: Stress Solutions

Stress Solutions

A Map for Dealing with the Uncertainly, Chaos, and Change

More trying times than this one is hard to imagine. Most of us remember Katrina. The last pandemic was the Spanish Flu in 1918 and none of us remember that. It is cited as the most devastating epidemic in recorded world history killing between 20 and 40 million people in about 2 years, more people than were killed in WWI or in 4 years of the Bubonic Plague. We were not helpless then and we did survive it. It did come to an end. And, we know so much more now than we did then. We have more tools with which to fight now

A key ingredient in this bitter stew we are all in is Uncertainty. Uncertainty is the Mother of Fear. And, fear gives birth to anxiety. The rules for how we are supposed to live and conduct business change daily. We are frankly being bludgeoned 24 hours a day with fear producing information over the TV and internet. Friends, family, colleagues, patients and clients are calling, texting, emailing to express their fears about the Unknown. No rules govern this global crisis, least of all how long it will last. Or, who will survive?

Everything about our way of life is threatened. People are afraid of dying should they test positive for Covid-19 – or maybe people they love will die. People are afraid they might not be able to pay their bills, might lose their home, or lose their job. They fear a shortage of provisions that they need to survive. The isolation, loneliness, is even harder to manage for many.

Over fifty percent of the American population are estimated to have significant worry and anxiety and most everyone would agree that they are stressed. We face a distinct danger of not staying emotionally healthy if we are unable to manage our fears and Cont next pg stress. There is danger to our immune system if the stress and anxiety are allowed to blossom and grow unchecked. In a nutshell, stress weakens your immune system. This new virus is particularly dangerous to those with a weakened immune system because of a reduced ability of the system to fight off antigens. And, cortisol suppresses the production of both Tlymphocytes and antibodies, which leaves body more vulnerable.

Of course, it is important during this period to use all the stress reduction techniques you have in your toolbox. On a daily basis, get good sleep, eat more natural foods, monitor your thoughts, take time for things like meditation and exercise. However, the epic scale of this coronavirus calls for more. Major chaos calls for significant and conscious change. Reducing the impact of the Covid-19 requires a new map, one that plumbs the depth of what matters to us. All over the world, people are being asked to shelter at home or to quarantine yourself if you have been exposed. Use this time as an opportunity to pause, push in the clutch, and reevaluate how you are living your life. Think about more deep questions, like what matters most to you. During your shelter at home days, consider taking one or two days to completely disrupt your schedule and routine, like doing a retreat in your own living space.

What would that look like? Take off your professional psychologist’s hat and clear your schedule or list of your usual routine. Maybe you do this with a significant other who is socially isolating with you. This is a time to dream about what changes you would like to see in the world. Possibly the coronavirus pandemic is presenting us with an opportunity to make major change. Maybe you do your dreaming and pondering alone and later connect by phone or internet with a small support group to discuss your thoughts and share your dreams and visions with others.

Consider what this virus might mean, might symbolize about our world. Many of our philosophers have commented on how compassion is growing more and more absent in the world. Oh, not everyone lacks compassion, but it is in short supply. Turf wars still light up the skies with new and better ways to kill each other. We notice the turbulence, but in this busy world, we rarely stop to feel compassion for those who are involved. So many people who are in pain need our compassion. We all have patients or clients that are more anxious and fearful than ever.

How might Covid-19 change our world? Don’t just focus on the negatives and the fears when considering this question. Of course, the negatives will come up first. Write them down and then look beyond. What good things might come from Covid-19? A friend sent a copy of a letter from Dr. Jean Houston to me, which is currently trending on the internet. Jean Houston earned Ph.D.’s in both psychology and religion. She is a writer, lecturer, a leader in the Human Potential movement, and was a close friend of Margaret Mead. Her letter beautifully describes one future that possibly is growing out from the Covid-19 chaos. That change could be increased compassion among the peoples in the world. Dr. Houston wrote: “All of my life I have been dedicated to encouraging the potential that every person carries within them. I’ve taught about our innate depths, our possibilities, and our purpose. Now, however, it’s time to live out the promise that we all carry, to become noble, kind and compassionate people. This week on television, I witnessed the best and most fearful sides of our natures. On the one hand, I saw violent videos of shoppers fighting over toilet paper, and also experienced indiscriminate generosity while shopping at my local Costco.”

Dr. Houston is not alone in what she reported. We have all witnessed firsthand or heard on the news of the juxtaposition of the best and the most feared sides of human nature coming out in this crisis. The fights over toilet paper are in direct contrast to the kindness and caring shared by people waiting in line. Restaurants turning into soup kitchens and being willing to feed hungry people in the area is happening in urban areas. Generous donations by famous people, like Drew Breese for food for those who have lost their livelihood during this crisis.

In the past, I have personally witnessed an entire bus load of 5 o’clock commuters in NYC yelling at the driver to wait and to reopen the bus door to let in one person so that they could escape the foul weather. Is it possible that Covid-19 will bring more of that kindness and compassion to the world? I believe that if we spend some of our retreat time contemplating how we can each show more compassion in our own communities, that our own burdens will become lighter.

So, what else could you think about when you take time to retreat? Spend time contemplating what really matters to you. We are all different and there is no “correct” list. But, maybe try to write down things that really matter to you and then try to pick out those that are most important to your growth and well-being.

Another important thing you can do is to spend some time thinking about your beliefs. Too many people are falling into the trap of believing all the negative things that are on the news. Make it a point to monitor and limit the amount of time you spend watching network news or searching the internet. Search out your destructive and negative beliefs. Change them to include the positive information that is less publicized. For example, here is some positive information. Most cases are not that serious and now there are over 100,000 full recoveries worldwide. China and South Korea are reporting a huge drop in new cases as a result of their tough restrictions. The Covid-19 death rate is actually lower than WHO estimated. Research and experimentation to find drugs and treatment for this new virus is making good progress and that should reduce the number of deaths. This would help bring back sanity. Apple stores are reopening in China; other stores are expected to follow. Cleveland’s MetroHealth Medical Center has developed a test that can give results in 2 hours, not days. A pharmaceutical giant announced a test that will take 7 minutes and the FDA gave permission for it to be mass produced and distributed.

Along the same lines, take control of your thoughts. Practice some of what we all preach: Cognitive Behavioral Therapy – we know how to argue and challenge the logic of our fears. Monitor your thinking so that you can stop worrying about things over which you have no control and no voice. Stop worrying and change what you are thinking about. If you cannot do that without help, then pick up a funny or exciting book, or watch a Disney movie, or experiment with the magic of your imagination. Decide upon a project that is long been on your list and start working on it. This is an opportunity to make new choices and find new directions. Activate your imagination, dream and explore those dreams and visions in your mind. Consider these next weeks like an unexpected vacation and use it to work on things you have on your “to do list.” Or, take this time to play and make sure you keep humor in your thoughts. Watch cat videos on YouTube; they are guaranteed to make you laugh.

Have you ever pondered this mystery? “Somehow things always seem to work out.” Look back in your own life and find a time when you were sure things would end badly but they magically seemed to work out. Or, recall similar stories from your clients. I remember one client who was sure they were going to lose their home after Katrina. But, in the end, they wound up with an even better one.

I know we are all feeling the pain of disrupted work and career, the drama of possible critical supply shortages, the boredom of staying home and socially distant from others. Keep in your mind that it is what you think about and what you do that determines your mental and emotional health. Recently a friend met me for coffee wearing a tshirt that read: “If you can be anything, be kind.”

Jean Houston closed her letter with these words:

“Take all the precautions that are recommended and at the same time, be bold in your love, and constant in your faith that together we will pass through this challenging time. On the other side of it, we will look back and realize that we were part of an epic time in history when caring triumphed over fear, and goodness prevailed!”

Stress Solutions

The Zen of Balance

The Zen of Balance of which I write relates to our ever-present list of things we have to DO versus making some time to just BE. To illustrate the importance of balancing the Do’s and the Be’s in life, meet Stacy (a fictional character). Stacy is the kind of person who does not have a good sense of how stressed she is, and she did not do much to change her busy schedule even when she was warned about needing more time for relaxation. Her attitudes about work and career keep her feeling overwhelmed and responsible on the one hand and conflicted on the other hand because she frequently reads about how long-term stress can affect your health. This is a mental tug-a-war that many career-focused people have a hard time resolving.

Stacy is a good example of how we can get worn down by our attempts to live up to all of our responsibilities to family, work or education, and friends (and still enjoy a social life). Like so many of today’s bright young people, she wants to balance her personal life and her career. Her story, however, indicates that she may not be managing as well as she thinks.

As a lawyer, Stacy has always prided herself on being logical rather than emotional. She uses her cell phone and computer to manage her exercise routine, keep up with her business responsibilities, and watch her diet to manage her weight. Recently, Stacy added a yoga exercise class as a way of relaxing. Adding more to her daily to-do list, though, stretched her even more each day. Thank goodness, Stacy thought, for the modern electronic world at our fingertips. Stacy’s plan was to stay in touch with the office even when she went to yoga class, by using her cell phone. She set her email on her phone to notify her of important “can’t wait” messages. She completely missed the concerned looks that the yoga teacher gave her whenever her phone would ring, and she would excuse herself to go outside the classroom to take the call. Despite her best intentions to relax, Stacy cut her relaxation exercises short to attend to business. Even more problematic was that Stacy could not bring herself to take mental breaks from thinking about what she needed to do next and about business details and issues.

We all generate lists of what we want to get done today or this week. And, don’t we all run out of day (time) before we run out of the things on our todo list? Time is a funny thing; if you want time to do a thing, you have to MAKE that time. The point is that one thing that few of us make time for is time to spend each day just Being.

Just Being means a making a short period of time, maybe as little as 5 or 10 minutes, in which you find a quiet, peaceful environment, assume a gentle and safe position (so that you will not be concerned or thinking about your body), and clear your mind of all thoughts. Try to push away thoughts of what you will do when finished or next. Focus on listening, being aware of the environment around you. Or, focus on listening to your breathing. Try to make time every day to spend a few minutes just being.

In a lot of ways, Being can lead to enlightenment. Buddha is thought to have said: “Before enlightenment: chop wood, carry water. After enlightenment; chop wood, carry water.” Maybe spending a few minutes in a state of Being will make chopping wood and carrying water a bit more palliative.

Stress Solutions

by Susan Andrews, PhD

Living Long and Stress Free

Longevity is living a long life. Longevity is often considered in relationship to the current life expectancy, which has markedly increased in the past 100 years. More and more comments and articles are now focusing on ways to live longer (and hopefully happier). Surely, there are many critical factors that contribute to the length of one’s life; however, many factors are beyond our control. A major factor over which we have little or no control is genetics. On the other hand, one of the factors that repeatedly earn mention in such lists is avoiding stress in your life. And, that is something that we can take control of. 

Recently I saw this article ( on 13 Habits to a long life. Other lists of “ways to increase your longevity” are shorter, maybe listing 6 or 7 factors or habits, and some list are longer. A common element besides reducing stress that always figures prominently has to do with food, what you choose to eat, how much you eat, and whether or not you are overweight. This particular article put much emphasis on food choices. For example, almost one-half of the “13 Habits” were about food and drink, including eating nuts, turmeric, vegetables and leafy greens, avoiding too much alcohol but recommending caffeine, and avoiding overeating. 

Of course, exercise and physical activity are on everyone’s list as a means of maintaining good health and reducing cardiovascular problems. Moderation is always mentioned for alcohol but Avoiding is the usual term used for smoking and recreational drugs. Not mentioned on this particular “13 Habits” list was that people who avoid taking too many medications tend to be healthier and live longer. A good night’s sleep is also listed as important in longevity. 

Often bringing up the rear there will be the suggestion that “avoiding stress” leads to greater longevity. Truly, it is a lot easier to add turmeric to your diet than it is to avoid stress. Stress is not a large rock or boulder in the road. In truth, it is probably not possible to avoid stress in today’s life. In fact, it is not even desirable to live a stress-free life if you could figure out how to do it. 

A much more helpful habit is to learn how to reduce the stress that you accumulate by living. The best method is to become aware of accumulated stress and how you and your body have responded to the challenges of the day. Then you can plan what you need to do and how much you need to do to reduce the day’s accumulation. I rarely see this point made and even if it is made, it is not elaborated so that the average person will walk away knowing how to manage stress. Different methods of stress reduction work best for each of us. Some favor types of meditation. Others do much better in the gym with exercise to help let go of or use up the builtup cortisol and other stress-related hormones with increased activity. Music – either listening or playing an instrument – is an excellent method. Walks in nature and visits with friends and family are also good ways to reduce built-up stress. 

But, all of these suggestions miss an important point which is how important a positive frame of mind is to longevity. The key to understanding whether a potentially stressful event will have a negative versus neutral versus a positive outcome is what the person thinks about the event. People who have the wonderful ability to see the silver lining or to recognize a positive outcome instead of a negative one might be called “Polyanna” by some, but they are also more likely to live a less stressful life. 

Stress Solutions

by Susan Andrews, PhD

Train Students in Mindfulness to  Reduce Stress and Improve Grades

For any of Louisiana’s Psychology graduate students or their advisors or our community-minded practicing clinicians looking for a project that will improve Louisiana’s schools and quality of education, I recommend training students from kindergarten to graduate level in Mindfulness. Many are now familiar with the technique called Mindfulness. It is easy to learn and easy to teach – even for young people. I am devoting this month’s column to an idea for the new year that holds great promise for making a difference in our future – the promise of increasing consciousness for ourselves, our community, the world.  

Whenever you bring awareness to what you’re directly experiencing via your senses, or to your state of mind via your thoughts and emotions, you’re being mindful. And there’s growing research showing that when you train your brain to be mindful, you’re actually remodeling the physical structure of your brain. And, when you regularly devote as little as 5 or 10 minutes daily to breathing and becoming mindful of your surroundings, amazing things can happen. The following is one of many published articles on the value of teaching students.

One hundred 6th grade students received Mindfulness training each day of the school week for eight weeks in a Massachusetts Institute of Technology research study designed to determine more of the benefits of practicing mindfulness. The students were compared to a peer control group who spent the same amount of time studying computer coding. After 8 weeks, it was found that the students who received Mindfulness training experienced lower stress levels, less depression and improved academic performance, compared to their controls. The MIT researchers surveyed 2,000 students in grades 5 through 8th and found that those who showed more mindfulness tended to have better grades and test scores. They also had fewer absences and statistically significantly less suspensions.

Many resources now exist to learn mindfulness and even to learn how to teach others. I am reminded that many moons ago now, LPA invited a young woman to speak on Mindfulness and she recommended a book available through Amazon called, Sitting Still Like a Frog, by Eline Snel. I have since recommended that many of my young clients (especially those with attention problems) buy this book. It is $12 and available at Amazon. But, the real prize is the CD that comes with the book and includes 10 or more short mindfulness meditations. Kids love it as do their parents.

Wishing everyone a Happy New Year.

Stress Solutions

by Susan Andrews, PhD

Take the Good Housekeeping Institute’s Wellness Survey

When we stumble onto something really valuable, I believe it is worth sharing. The Good Housekeeping Wellness Lab has developed a survey about what stresses you, your habits and how habits and behaviors and beliefs can affect your overall health and wellness. The survey takes about 15 minutes to complete online and asks you to consider your responses based upon the past 6 months. They acknowledge that they are going to try to gain insights and share them with their business partners and sponsors. So, you are being warned that your information is not going to be treated confidentially. 

If you are okay with these conditions, then I invite you to take the survey and print off a copy of the results for your records. The survey can be found at this address: XSnH1aK8U%3D

I took the survey. The first part is beliefs about yourself and your life and friends and work that range from stressful to happy and successful. The second part are questions about health and lifestyle habits. These questions include food and drink preferences and recreational habits. This is a thorough survey in that they also ask about programs and ways you promote your wellness, like exercising in a gym and fitness classes, or meditation.

The feedback is organized into four sections:  how stressed you feel, how well you are coping, your health habits and your overall health. It boils down to a score about how you are feeling about your life. Then, it asks if there are areas you are concerned about or want to improve. The survey offers a score on your Perceived Stress. It also rates your coping skills and resiliency. The last two sections are your beliefs about your overall health and health habits.

It is a great personal exercise and a good way to approach the new year 2020 and our annual exercise of making resolutions for our life and behavior.

Wishing everyone a happy and healthy Holiday Season.

Stress Solutions

by Susan Andrews, PhD

Stress Inhibits Spatial Perception

For years, stress was considered to contribute mostly to psychosomatic-type illnesses. Then, slowly the research began to accumulate that indicates stress is not simply one of those “mental” or “emotional” problems. Stress is making headlines now in ways that really seems to contribute to what we now call the mind-body connection. Stress has even been shown to be passed from one generation to the next by the mechanism of a chronically non-stress resilient woman who is pregnant. Her unborn child will come into the world as not as able to recover easily in stressful situations as children whose moms are less stressed and possibly more stress-resilient. Cortisol has been tagged as one of the mechanisms responsible for how stress  can have lasting effects on the body.

Today, I am reporting on research(1) conducted at the Collaborative Research Center 874 at the Ruhr-UniversitaetBochum showing that stress can interfere with how we see and interpret visual-spatial information. Neuroscientists at the Collaborative Research Center 874 compared the findings of stressed participants to unstressed (the control group) participants in how stress affected their perception of scenes and faces (complex spatial information).

Earlier work out of the Collaborative Research Center 874 was able to show how the release of the stress hormone cortisol can influence long-term memory in the hippocampus. The hippocampus is also involved in the perception of scenes. Discrimination of faces was included in the study as faces are processed in the adjacent region of the temporal lobes.

The cold-pressor test was used to stress young men by having them immerse one of their hands in ice water for up to three minutes while being obviously filmed by a female researcher. This is a well-known method of establishing stress in research.

The stressed participants did less well in the discrimination of complex scenes than the non- stressed participants. However, there was no effect of the stress-induced cortisol on the participants’ ability to discriminate faces. This was the predicted outcome of the study. They reasoned that stress affects the hippocampus in the area of memory and complex spatial perception, but stress/cortisol does not also affect the workings of the adjacent temporal lobe at least as regards the perception of faces.

Further research was planned to look into the activity patterns of the hippocampus when it is under stress using MRI technology.

1 M. Paul, R, K. Lech, J. Scheil, A.M. Dierolf, B.Suchan, O.T. Wolf. Acute Stress influences
the discrimination of complex scenes and complex faces in young healthy men.
Psychoneuroendocrinology, 2016: 66: 125

Stress Solutions

by Susan Andrews, PhD

New Evidence That May Help Prevent the Lasting Effects of Early Life Stress

This was a very new topic 10 years ago. Today, however, it is a research area that is receiving much more activity. In 2012, the American Academy of Pediatrics’ position paper acknowledged that the period of time from conception through early childhood is critical. They include prenatal stress in their definition of toxic stress and say that children exposed to early stressful conditions are more likely to struggle in school, have short tempers, manage stress poorly, and tangle with the law.1

A November 2018 Science Daily article titled, “Studies highlight lasting effects of early life stress on the genome, gut, and brain”, starts with a summary statement: “The new research suggests novel approaches to combat the effects of such stress, such as inhibiting stress hormone production or resetting populations of immune cells in the brain.”

In 2012, many articles existed that spoke to the dangers of high levels of stress in pregnant mothers but at that time, the main measures were cortisol production during stress and an understanding that some women (and men) were less able to reduce the effects of stress on their bodies than others. Longitudinal research done in Avon, England had followed pregnant moms and then their offspring until the children became adolescents. Those studies showed strong correlations between highly/chronically stressed mothers (measured by their own ratings) and the propensity of their children to deal less well with stress.

A subsample of 74 of the Avon children at age 10 years old were asked to collect samples of saliva first thing in the morning and at three other times during the day. The samples were collected for three days. Dr. Thomas O’Connor and the study team examined the children’s levels of cortisol and found that the mothers’ levels of prenatal anxiety, some 10 years earlier, predicted the children’s higher morning and afternoon cortisol levels. In other words, the higher the mother’s cortisol levels when she was pregnant, the higher the child’s cortisol levels 10 years later. This study is cited as providing evidence that prenatal anxiety might have lasting effects on the HPA axis functioning in the child and that the child’s HPA axis is affected by the mother’s high cortisol levels during pregnancy.2

What has been more or less missing was a mechanism that made the link between the pregnant mother’s higher cortisol and the child’s higher cortisol levels 10 years later. It is now emerging that there is not one link but many. For example, stress during pregnancy can alter gut bacteria, which can reduce critical nutrients reaching fetuses brains. Even more exciting is that researchers in Tel Aviv University have used cutting-edge genetic research and brain imaging technologies to produce a personal profile of resilience to stress. Their findings hope to lead to a future blood test that would facilitate preventive measures for people with Low Resilience to stress. This could potentially reduce the damaging health consequences and keep us from passing low stress resilience from generation to generation.

1 Jack P. Shonkoff; Andrew S. Garner; and the Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoptions, and Dependent Care; and Section on Developmental and Behavioral Pediatrics, “The Lifelong Effects of Early Childhood Adversity and Toxic Stress,” Pediatrics 129 (2012): e232–46. 
2 Thomas. G O’Connor, Yoav Ben-Shlomo, Jonathan Heron, Jean Golding, Diana Adams, and Vivette Glover, “Prenatal Anxiety Predicts Individual Differences in Cortisol in Pre-Adolescent Children,” Biological Psychiatry 58 (2005): 211–17


Stress Solutions

by Susan Andrews, PhD

Using Aromatherapy to Reduce Stress

Among the countless ways to reduce stress, Aromatherapy has been growing in appreciation as a viable and easy to use method. Aromatherapy has been around for approximately 6,000 years. The history of aromatherapy is believed to have begun with the burning of fragrant woods, leaves, needles, and tree gums in ancient times. Some oils were used by the ancient Chinese, Indians, Egyptians, Greeks in cosmetics and in perfumes. The Oracle of Delphi is supposed to have entered a semiconscious state from the aroma of gases coming up from a fissure in the rock under the Temple of Apollo. No one is quite sure what the aroma was composed of, but information provided today in Delphi states that leaves were burned. There is now evidence that the gases were actually toxic hydrocarbon and the Oracle often died. The practice of aromatherapy today is much less toxic and as we learn more about different essential oils that are now extracted from the roots, leaves, and blossoms of certain plants and trees, we find that aromatherapy can be used as a complementary or alternative therapy for stress, anxiety and pain. Aromatherapy is often used in connection with massage therapy, yoga and meditation. The exciting thing is that research is now revealing that smelling certain aromas sends signals to your brain that can affect your moods, emotions, and even physical health. Some scents or oils rubbed into the skin can boost your immune system and ease anxiety. There are receptors in the olfactory bulb that connect with the limbic system and the amygdala. Topical application of certain oils has an antibacterial and even antiinflammatory effect of the body. The research that I have reviewed seems to miss an important connection to certain memories. Many a smell is associated with old memories, some wonderfully relaxing and even comforting. Some may even have the ability to alarm or stress a person due to a connection to a past negative incident.

Where are those neural connections are stored?

Cynthia Deng in Yale Scientific (November 2011) explains, “When you smell lemon oil, some molecules dissolve in the mucus lining of the olfactory epithelium on the roof of the nasal cavity. There, the molecules stimulate olfactory receptors. Olfactory sensory neurons carry the signals from the receptors to the olfactory bulb, which filters and begins processing the input signals of the lemon scent. Mitral cells then carry the output signals from the olfactory bulb to the olfactory cortex, which allows you to perceive and recognize the tangy scent of lemon. Interestingly, the mitral cells do not only lead to the olfactory cortex, they also carry the signals from the lemon scent to other areas in the brain’s limbic system. Some mitral cells connect directly to the amygdala, the brain structure involved in emotional learning and memory.”

“The researchers found that Sandalore, a synthetic sandalwood oil used in aromatherapy, perfumes, and skin care products all bound to the receptor, triggering cells to divide and migrate, processes characteristic of skin healing.” Sandalwood is also known to positively affect depression and anxiety. Lavender has positive benefits for many things, helps to induce sleep, headaches, skin burns and relieves stress. It is a main ingredient for mosquito repellents. Topical use is considered safe, but it is not recommended to be ingested.

It is important to learn how to use essential oils in aromatherapy. Books are published on this and there are ways to train in the safe use of oils. The National Association of Holistic Therapy is a good resource for finding aromatherapists that are properly trained or to find out how you can learn more about aromatherapy and include it in your practice or use it for yourself to reduce stress or any number of other benefits.


Stress Solutions

by Susan Andrews, PhD

What do Obesity, Chronic High Stress, Heart Disease, Diabetes, Hypertension, and Depression have in common?

IF you guessed Sleep Deprivation, my hat’s off to you. And, IF you get 7 to 8 hours of sleep a night, raise your hand high. While there is no “magic number” of hours that we should sleep, it is now firmly established that you cannot lose weight if you do not sleep a solid 7-8 hours a night. Research says the average American misses 200-300 hours of needed sleep each year. This is known as a sleep debt.

Studies suggest that healthy adults have a basal sleep need of 7 to 8 hours every night. Where things get complicated is the interaction between the basal need and sleep debt. For instance, you might meet your basal sleep need on any single night or a few nights in a row, but still have an unresolved sleep debt that may make you feel more sleepy and less alert at times, particularly in conjunction with circadian dips, those times in the 24-hour cycle when we are biologically programmed to be more sleepy and less alert, such as overnight hours and midafternoon.

Cortisol is not the only factor that inhibits weight loss but it is a big one. Some physicians are willing to flatly state that you cannot lose weight if you do not get to bed early and get a solid 7 or 8 hours. What getting a good night’s sleep can do for you:

  • A good night’s sleep has a positive effect on your blood pressure, meaning that for most of us it goes down at night. If your hours of sleep are interrupted or too short, your blood pressure may never fall low enough.
  • Insulin resistance is reduced by good sleep. Dr. Michael Breus, a psychologist and sleep specialist, emphasizes the fact that even short-term sleep loss (being awake for approximately 36 hours) can cause blood glucose levels to be higher than normal.
  • A routine schedule for sleeping will help your body keep its internal biological clock running smoothly. You will be more alert, with good reaction time and physical ability, in other words, less accident prone.


Psychologists can help by exploring the sleep habits in the patients they are treating. A study in the Journal of Clinical Sleep Medicine, looking at adults with insomnia, found that more than 85% of the study sample who completed 3 or more sleep-focused treatment sessions were able to nod off faster and stay asleep longer. A 6- month follow-up revealed that those patients who had 3 or more sessions spent significantly less money on health care and had fewer doctor visits – compared to the 6 months before their therapy sessions focused on sleep habits. The weekly therapy sessions included relaxation exercises and education on topics such as activities to avoid doing 2 hours before bedtime (like exercise, heavy meals, and smoking). Now, the focus of ways to improve your sleep are adding the need to put your cell phone or other blue light generators down 30 minutes to an hour before bed.

Stress Solutions

by Susan Andrews, PhD

Stress vs Anxiety: Can You Tell the Difference

Is there any difference between stress and anxiety? Of course, there is, but there are probably more similarities than differences. Some of the common symptoms between stress and anxiety include: sleepless nights and subsequent exhaustion, excessive worry, difficulty with focus, irritability, muscle tension, rapid heart rate, and headaches.

The differences between anxiety and stress are important. Stress is your body’s immediate reaction to a problem or coming event, or some sort of trigger. The trigger can be positive or negative. And, the stress reaction is normally short-term. Stress is normal for everyone. No one can live a completely stress-free life. But, usually when something triggers the stress
reaction, our body automatically reverses the physical reactions once the trigger is gone. For instance, when you have a deadline to complete an activity or a job, stress kicks in and actually can help you meet your deadline. That’s a good thing.

Anxiety, on the other hand, is not usually “short-term.” That is, when anxiety becomes a sustained problem, it then becomes a mental health problem. An alarming fact is that Anxiety Disorders are the most common mental health disorder in the United States, affecting 40 million adults and uncounted numbers of our children. This is at least 18 to 20% of the population.

The odd interaction or blending of the boundaries of these two similar mechanisms we use to deal with life is that stress can cause anxiety and anxiety definitely triggers stress. Anxiety causes stress because the excessive worry and constant thinking automatically triggers Cortisol, among other bodily stress reactions. That leads to being unable to rest or sleep, problems with focus and so on. In other words, stress and anxiety often go hand-n-hand.

In dealing with either or both, however, it all comes down to Thinking. What we think. How much we think. Whether or not we can let go of a negative thought or worry. Whether or not we can clear our mind of thoughts, positive or negative, to fall asleep or to rest for a few minutes. When we become unable to control our minds and what and how long we think, the inevitable result is a high degree of stress and anxiety that can cause all the negative consequences one can read about.

So, learning how to stop thinking, clear your mind, change the inner dialogue topic are the primary keys. How do we do that? Most people can recite a list now. However, reciting a list and actually doing some of the things on the list are two different things. The list includes: Breathing and relaxation techniques, Mindfulness, Meditation, Exercise, Changing what you are doing – like, taking a break in the activity that might be producing the stress and doing something else, and Music – either listening or if you are one of the lucky ones who learned how to play an instrument – playing music has amazing benefits for mental and physical health. As a group of mental health practitioners, we need to teach children how to control their thinking and how to clear their mind and relax. Children who grow up with those abilities will live longer, be more productive and live life with more joy. It’s never too late.

Stress Solutions

by Susan Andrews, PhD

10 Stress-Free Minutes a Day Keeps the Doctor Away

It is true that most of us cannot avoid stress, especially if we want to continue to be an active participant in the world. Stress goes with the territory of juggling a career, a family, and a  social life. Most of us understand only too well the dangers of continuing to schedule full days, of adding new projects to an already overlong list, and still trying to find some time for ourselves at the end of the day. We routinely overbook ourselves. Some of us have the grace to promise to do better next week and might even believe that we can make it up later. But, can we? Chronic stress is now linked to so many problems related to illness, chronic health problems, anxiety, loss of memory, and reduced longevity that it would take the rest of this column to simply list all the ways it affects our lives. We know, for example, that the things we think about and dwell on can have a direct effect on how much cortisol, or stress hormone, is produced in our body. Keeping the cortisol down has become a new goal for the health conscious.

Researchers from the University of California, Davis published findings from a long-term study, called the Shamatha Project, that studied how meditation influences the brain and mental health.  article published in the journal Health Psychology reports that meditation, and particularly mindfulness training, helps lower stress and cortisol levels, which in turn can help you lose excess weight and avoid developing “cortisol belly.”

Manage Your Stress…Not the Other Way Around

It’s time to draw a line in the sand and start reducing stress and cortisol. What I am proposing is not perfect, but it is a start that you can build on. If you keep waiting until you have the time, or until you can do it “right,” it could be too late. Stop letting your calendar manage you. Don’t “try” to do better. As Yoda says, “Do or Do Not!”

Begin Your 10 Stress-Free Minutes Today

You might think that 10 minutes a day is not much help. But it is. A few minutes goes a long way toward recharging your energy and breaking up your resistance to taking breaks. You can gradually add more mental “down time” and physical relaxation to each day. Get started by making yourself push away from your desk or daily routine for 10 minutes. Take this break with the intention of taking a brief mental holiday; give your mind a rest. Why not begin with 10 minutes of Mindfulness? Or, spend 10 minutes in focused breathing (with longer exhale). Add some music or put your feet up, close your eyes and direct your favorite piece of music. Remind yourself to do this daily by putting the reminder into your smart phone.

And, by the way, those of you who work with stressed-out clients, I have found that many  seriously stressed patients are so overwhelmed that they cannot even begin to think about how they can reduce their stress. The above suggestion that they start with just 10 minutes a day has helped many people start adding relief to their day. Once they begin, the time can be gradually increased. Psychology tells us that making a conscious choice with commitment is a powerful tool. Do as I say AND as I do.

Stress Solutions

by Susan Andrews, PhD

New Years’ Resolution: This Year I’ve Got to Manage Stress Better

It’s that special time of the year when we make those statements about our goals for better living for the coming year. I don’t know about you, but every time I make a resolution that resolution that involves diet or exercise or work habits, I tend to forget that I even made such a resolution by mid-March. Life happens, and we adapt and move on. The first thing to go for many people is exercise unless you are one of those people who have been focused on exercise and have made it a full-blown habit. Stress takes a big toll on most professionals who are building a career. Consider making a 2019 Resolution to manage your stress better this year. It will improve your health and your happiness.

Habits are very stubborn things. It is tough to break a habit. But, it is even tougher to build a new habit. A few new books have even been written about how to build good habits and keep them going strong. I recommend The Power of Habit: Why We Do What We Do in Life and Business, by Charles Duhigg (2014). This book was a New York Times Bestseller and available many places.

Developing a habit is like making a decision and then working to make it “automatic” behavior, things you do without planning them first or even thinking about them or making a list. Duhigg asked some great beginning questions in the prologue: What is the first thing you do in the morning? Hop in the shower? Brush your teeth? Grab your cell phone and check your messages? Duhigg’s basic message is that habits can be changed if you understand how they work.

William James wrote in 1892: “All of our life, so far as it has definite form, is but a mass of habits.” Whereas many of our habits get in our way and keep us in a loop, developing strong positive habits can make you more productive and effective at what you want to do.

Pick out one or two ways that you want to try to manage your stress better on a daily basis. We have gone over a large number of them. Don’t try to do too many at once. You are more likely to be successful if you start with one or two relaxation techniques that do not take a huge amount of time and that you think will really work for you. If successful, you can always add more down the line.

The key to building any new habit, even taking frequent relaxation breaks, is to repeat the new behavior frequently so that it can become an established pattern or link in your nervous system. Developing a habit basically means that a behavior becomes more or less automatic for you. Various experts offering advice on how long it takes to build a habit agree that it takes frequent repetition for 14 to 21 days. That means you have to be very aware of and conscious of repeating the same behavior each day multiple times. Any person who has made a New Year’s resolution to lose weight or start an exercise regimen knows that if you miss even a few days in the beginning of trying to start a new habit, you are probably not going to succeed. The old expression “just wait till next year” may come from that. There is no time like the present to start building a new habit of working with stress solutions. So, I leave you with the following message: This is a good time to take a relaxation break.


Stress Solutions

by Susan Andrews, PhD

Improved Sleep Reduces Stress, Improves Health

A recent article in the Healthcare Journal of New Orleans on The Art & Science of Sleep caught my eye this month. So many of us are burning the midnight oil trying to finish up reports and work for 2018. This article contained good “evidence-based tips for improving sleep quality.” Since everyone’s time is short these days, it is sometimes helpful to read a summary of key points instead of having to read a longer piece.

Have you noticed how many adults and kids go to bed with their phones. Kids are playing games up until parents force light out. Adults are reading email and new stories until their eyes force them to put it down. It is actually harder for most people to fall asleep if they are still pumping excess cortisol through their systems. It is harder to empty your mind and stop thinking under those circumstances. An important tip is to try to stop all games and reading at least 30 minutes before you hope to fall asleep.

Sleep is so important for losing weight, keeping your immune system healthy, and keeping your energy level up to the challenges of the new day. I was surprised at some of the “evidence-based” tips to improve sleep quality. The author of the article is Erin Baldwin and a good reference list from peer-reviewed journals is offered at the end of the article. These tips are derived from the 11 referenced journal articles.

Tip 1: Reduce exposure to blue light before bed and increase exposure to natural light during the day. This tip has to do with the effects of light exposure on the secretion of melatonin. Melatonin levels need to rise at night and drop in the morning. Exposure to light before bed suppresses melatonin secretion. Red light does not interfere with melatonin as much as blue light (sunlight and smart phone light) does. So, refrain from using electronics at least 30 minutes prior to bed. (Figuero & Rea, J. of Endocrinology, 2010)

Tip 2: Allow your core temperature to drop before bed. Warming your feet with socks can help. The National Sleep Foundation recommends a bedroom temperature of 65 degrees. Keep your head cool to help alleviate insomnia. (Nature 1999; Nofzinger et al, J. Clin Sleep Med 2006)

Tip 3: Make your bedroom a sacred place. Think of the classical conditioning work of Pavlov and his dogs.

Tip 4: Stick to a Sleep Schedule.

Tip 5: Wind down before bed. Allow your mind to slow down. Stop worrying over problems that make it hard to shut down thinking about. Listen to soft music or do a meditation. The article suggests using a drop of Lavender essential oil on your pillow or rub some into your hands and inhale from cupped hands.

Tip 6: Rethink your sleeping position. Alight and elongate your body, no joint stress.

Tip 7: Cut back on nighttime use of alcohol and anti-anxiety medications. While both cause you to fall asleep faster, they also decrease your sleep quality later in the night. Benzos can disrupt the normal sleep cycle and suppress REM sleep. (Pagel & Parnes, J. Clin Psychiatry 2001)

Tip 8: Reduce Stress. This is almost redundant, but the article highlights the value of regular physical exercise a few hours before bedtime.

Have a restful and happy holiday.

Stress Solutions

by Susan Andrews, PhD

APA Study:
Discrimination Leads to Stress

APA has done a survey every year on stress in America. In recent years the Harris Poll survey has focused on discrimination because it is a growing cause of stress. The news has reported numerous clashes between police and black people and Hispanic people. Sadly, there has also been examples of violence based on racial and religious discrimination.

According to an APA study based on a survey of 3,361 adults, more than half of U.S. adults say they have experienced discrimination at the workplace, from police or in other situations. Discrimination was linked to high stress levels and to poor health in those who reported discrimination as compared to the people in the survey who reported not experiencing

The survey respondents reported that their discrimination induced stress has risen over last year. The discrimination has taken the form of poor service, threats, lack of courtesy, lack of
respect shown, among other examples. More than 75% of black people said they experience day-to-day discrimination. Almost one-third of both black and Hispanic adults told the survey that they have become hypervigilant about their appearance in the hope of being treated more fairly.

What the survey does not say is that this type of discrimination-induced stress is chronic stress. Stress that one has little relief from means that the negative effects on one’s health are stronger. Negative effects include excessive fatigue, higher blood pressure readings, reduced immune system protection, among others.

Discrimination-induced stress begs the question of how to reduce such stress. It is pervasive, and its reduction depends upon a major change in people’s beliefs and attitudes. Obviously changes in beliefs and attitudes cannot be legislated. Psychology failed to change even minor beliefs and attitudes about eating organ meat (such as liver) during WW2, such that the more desirable meat could be sent to our troops.

And, when we have no answers or ideas of how to change a situation, it is hard to figure out how to end a column on a more positive note.


Getting Involved Can Reduce the Stress Caused by Today’s Politics

by Susan Andrews, PhD

One psychologist, Dr. Tammy Savoie, has taken those words to heart. Dr. Savoie decided to run for office because of the same stress that 63 percent of Americans reported last December in an APA poll. The stress – simply put – is concern about the division of neighbors and families over partisan bickering and an ineffective Congress, concern about the future of our country.

“Americans Are Freaking Out” was the headline conclusion of the 2017 Stress in America poll conducted for the APA by Harris. As I reported last year, nearly two-thirds of the people who responded to the Harris poll said that this is the lowest point in US history – and it is keeping a lot of them up at night. The poll, which was the 11th annual Stress in America survey done by the APA, was conducted online between August 2 and August 31 and included 3,440 respondents, aged 18 and over.

Those who are being kept up at night reported that they are worried about health care, the economy and an overall feeling of division and conflict between them and their neighbors. More Democrats (73 percent) than Republicans (56 percent) agreed that this was their top concern. Nonetheless, the sentiment was this is the lowest point in our nation’s history spanned generations, which includes World War II, Vietnam, and 9/11.

As we approach the mid-term elections, that stress has been building for many of us. Actually, many of us have complained for years about the qualifications of the politicians who are supposed to represent us. We complain but most of us will tell you that in truth they have not gotten involved, even with the local School Board elections. Sure, the most frequent answer: “Sorry, I am just too busy to volunteer.”

And, forget putting your hat into the Ring. That really would take too much time. This year is different, and as one who never volunteered before but complained a lot, I have been volunteering for Dr. Tammy Savoie’s campaign for two reasons:

1. She is a Clinical Psychologist, trained at Emory U., served for 23 years in the Air Force and retired in 2016 as a Lieutenant Colonel. Dr. Savoie was born and raised in the New Orleans area. As a Clinical Psychologist in the Air Force, she is naturally concerned about our veterans. As a Clinical Psychologist, Dr. Savoie understands the importance of a good education, proper child care, and good health care. Further, most people who choose a career as a Clinical Psychologist care about people and want to help them. More psychologists need to get involved actively in politics. We need people trained in critical thinking and objectivity; and Dare I Say It, more women.

2. I have been so stressed with concern about the future of our country that when I saw a woman with recognized credentials, not a professional politician, that I decided to put my time and energy where my mouth was. And, it has worked. Win, Lose, or Draw, I feel better knowing that I got involved. I hope we can have many more qualified candidates, like Dr. Tammy Savoie, in the future. I hope you Get Involved!