NAMI (National Alliance on Mental Illness) – Podcast Ep. 24

NAMI (National Alliance on Mental Illness) – Podcast Ep. 24


Welcome to the 24th episode of the Living Healthy Podcast, presented by LA Fitness.

On this episode of Living Healthy, we speak with Rachel Robins, Manager of PR and External Relations at NAMI (National Alliance on Mental Illness). LA Fitness has partnered for its second year with NAMI to help bring awareness to mental health throughout the month of May. 

Please visit http://lafitnesscares.com/mental-health-awareness/ for more information. 

You can also read more about Rachel Robins Mental Health Spotlight story by clicking here

How Are We Doing? 


This podcast should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.


Timecard Markers – NAMI – Podcast Ep. 24

Intro     

Begins at 0:01     

Rachel Robins, Manager of PR and External Relations at NAMI, joins the show     

Begins at 0:30    

How Fitness Has Impacted Rachel’s Life 

0:43 

A Background on NAMI (National Alliance of Mental Illness) 

1:36 

What Mental Health Means to NAMI 

2:40 

The Rise of Mental Health Awareness 

3:50 

The #WhyCare? Campaign 

5:15   

How Exercise Helps with Mental Health 

5:46 

Stigmatized Thoughts About Mental Illness – And How to Fix This  

7:04 

Using Inclusive Language 

8:06 

NAMI Walks 

9:12 

Where Can People Go for Help – NAMI Helpline (1-800-950-6264) 

10:20 

How You Help A Friend or Family Member with a Mental Health Condition  

13:17 

Mental Healthcare 

15:20 

How to Get Involved with NAMI – Donations and Where They Go 

17:13 

Actionable Advice 

19:54 

Outro   

20:22 


Recommended Podcast Episodes 

How Fitness Improved My Mental Health

How Fitness Improved My Mental Health

“If you have a mental health condition, you’re not alone. One in 5 American adults experiences some form of mental illness in any given year. Every year people overcome the challenges of mental illness to do the things they enjoy. Through developing and following a treatment plan, you can dramatically reduce many of your symptoms. People with mental health conditions can and do pursue higher education, succeed in their careers, make friends and have relationships. Mental illness can slow us down, but we don’t need to let it stop us.”

Rachel Robins

Manager of PR and External Relations at NAMI, National Alliance on Mental Illness

For as long as I can remember, I’ve struggled with two things in life: my weight and my mental health.  

After moving from New Jersey to Florida at seven years old, I started seeing a mental health professional. I was labeled as the new girl, a title I’m not sure I’ve shed; always struggling to fit in and be accepted. That summer, my dad drove my brother and I to camp, and he had to drag me out of the car. Once I was out, I would throw myself on the ground stomping my feet on the pavement not caring who saw my temper tantrum. You could say I didn’t adjust well to the “Sunshine State.”   

In third grade, I remember getting on the scale at school and seeing a three-digit number and then hearing that number repeated down the hall.  

My pediatrician suggested attending his weekend fitness class. It was the exact opposite of what I wanted to do on a Saturday. I hated sweating. It was sticky, hot, smelly and uncomfortable. If working out equaled sweat, I wanted nothing to do with it. This is why physical education class and recess was a miserable experience for me. The Florida sun ensured I was always sweaty. And on top of it, I was the slowest runner and always got picked last. I become constantly worried that I would disappoint my team or the other kids would laugh at me.  

At the time, I didn’t understand the pit in my stomach wasn’t just hunger—it was anxiety. I was afraid of being different. Anxious thoughts would flood my mind. “What would people say about my weight?” “How am I ever going to fit in?” “Why don’t I look more like everyone else?”  

For the rest of my childhood and college years, I associated fitness with anxiety. I was also simultaneously struggling with obsessive compulsive disorder and depression. These factors led me to avoid exercise entirely. Little did I know how big of a role fitness was going to play in my battle against mental illness.  

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Fitness Helped Me Cope  

When I was 29, I made a New Year’s resolution to lose weight and work out at least four to five times a week. For me to finally reach my weight goal, I had to squash my body insecurities and reverse how I felt towards fitness. I was doing quite well with both goals up until June. That’s when the depression crept in. I was still reeling from a breakup months past. I turned 30, an age I had been dreading for the past decade. I was unemployed. Curled up in a ball, I would cry and think it would be easier for everyone if I wasn’t there. I wanted the pain to stop.  

I wanted more control over my own life. No matter how many positions I applied for, I couldn’t control which companies would interview me or offer me a job. Nor could I make my former boyfriend love and care about me. But I had the power to decide if I worked out that day. So, I made a promise with myself. “Rachel, if you leave your apartment and go to a fitness class, then you can mope and feel sorry about yourself the rest of the day.”  

As much as I dislike the actual act of working out, I always left the gym in a better mood. I felt accomplished in that moment and not like the “loser” I had become in my mind. In the face of adversity, I was doing something, even if it took every ounce of energy to get myself there. The endorphins kept me going during those dark days.  

Now, I have a job and am grateful to have somewhere to go every day. I’m still not over my breakup and there are days where I have no idea what my purpose in life is. I’m nowhere near where I expected to be at this stage of my life, but I’m finally willing to step out of my comfort zone and try new things. 

My fitness renaissance has led to me rock climbing, surfing on the Atlantic Ocean, stand-up paddle boarding on the Hudson River and doing yoga in the middle of Times Square. I’m still insecure. I still battle my mental illnesses daily. But now the gym is my haven—a place where I am a superhero—a place that saved my life.  

Visit nami.org for additional treatment options and to learn how to find support in your community. If you or someone you know is in crisis, please call the toll-free Lifeline at 800-273-TALK (8255) to speak with a trained crisis counselor 24/7 or text NAMI to 741-741. 

Rachel Robins is the Manager of PR and External Relations at NAMI, the National Alliance on Mental Illness. A new resident of Washington D.C., but a Southerner at heart, you can probably find her at the local barre (class).  

Disclaimer: Slight edits may have been made to original copy for grammatical corrections and/or clarity. 

 

Surf Photo – October 2016

Hike Photo – November 2017

Infographic provided by NAMI. 


Recommended Reading

What is Considered Being “Mentally Healthy”?

What is Considered Being “Mentally Healthy”?

What is mental health?

Mental health includes our emotional, psychological, and social health and well-being. It is important at every age. According to the WHO (World Health Organization), mental health is “… a state of well-being in which the individual realizes his or her own abilities can cope with the normal stresses of life can work productively and fruitfully, and is able to make a contribution to his or her community.” It is important to note that the WHO stresses that mental health “is not just the absence of a mental disorder.”

Why is it important?

Mental Health is important because it affects us every day, in almost everything we do. It impacts how we function, interact with others, and how we feel about ourselves and our lives.  Furthermore, it can have a profound impact on our bodies and physical health as well.

What can be done to improve mental health?

For children and adults, learning how to identify and understand our emotions is a vital component in improving mental health. Emotions are not bad – however, we need to better teach people to identify and understand their emotions and most importantly, what to do with them.  We also must teach and develop personal coping skills so that one can process and use their emotions in a healthy and productive manner.

There are several key things we can all do to improve and maintain our mental health which includes keeping a regular schedule, especially ensuring adequate sleep. Getting regular exercise (even low intensity like walking counts) every day. Try to reduce the amount of time you sit for, as they say, “sitting is the new smoking”! Try and eat a healthy well-balanced diet with lots of fruits and vegetables. Connecting with others and helping others can also improve our mental health. Lastly, don’t be afraid to get professional help if you need it!

How someone can get help if they need it?

It doesn’t always feel like it, but there is help everywhere.  A few national resources that are available to anyone are the National Suicide Hotline (1-800-273-8255), Textline (741741), and online chat. The National Alliance of Mental Illness (NAMI.org) is a great resource not just for those who are struggling with their mental health, but also for their families.  For the LGBTQ+ population, Trevor Project has a hotline (1-866-488-7386), Textline (678678), online chat and multiple other online resources too.

Individuals should also contact their healthcare provider to learn more about the resources that they offer.  At Kaiser Permanente, our mental health resources include a wide range of services for all ages from medication management, individual therapy, group therapy, wellness phone coaching and in-person classes through our Center for Healthy Living as well as numerous online services. 

There are also people around you that are there to help, whether it’s a teacher, a coach, a religious leader or spiritual counselor, a supervisor at work or an Employee Assistance Program.

Kaiser Permanente also has a great website called FindYourWords.org which provides resources and help for those wanting to help someone else or those looking for help themselves. 

Mental Health Tip!

One of my favorite exercises to recommend to patients is gratitude. Thinking of three things you are grateful for every night before you go to bed has been shown to significantly improve your mood. It doesn’t have to be anything outrageous, you can be grateful for having a bed to sleep in, or for your bad day being over, or for the amazing thing that happened to you that day. But, remember just three! No more, no less, even if every night it’s the same three and kids can do it too. Try it for a week, see how you feel!

Ashley Zucker

MD, Chief of Psychiatry , Kaiser Permanente, San Bernardino

Responses contributed by Ashley Zucker, MD, Chief of Psychiatry at Kaiser Permanente in San Bernardino.


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The Art of Being Present

The Art of Being Present

There is a well-known quote that has been credited to Chinese philosopher, Lao Tzu, that says:

If you are depressed you are living in the past.
If you are anxious you are living in the future.
If you are at peace you are living in the present.

Whether or not that is the direct translation of the quote or a slight modernization of it, the meaning behind what is being said is worth exploring further.

The art of being present is hard for many. Why else would there be novels and movies revolving around the idea of a character who yearns to have made a different choice, or self-help books that emphasize the importance of being in the now rather than worrying about the future or consumed by the past?

But it’s hard. It’s hard to just flip the switch in your brain that also allows us the ability to feel nostalgic over memories or the ability to daydream about the future. Hard, yes. But impossible? No.

There is a difference between remembering the past versus being consumed by it.

There is a difference between a nervous excitement over the future versus a feeling of terror or panic.

Being present is possible and it really just means training yourself to be in the now. The whole “take-things-one-day-at-a-time” is great advice because no day is guaranteed to anyone.

Why worry about the past? You can’t go back and change anything. The past is gone and the only thing you have is the now. Now flip it. Why worry about the future? It’s not promised to you. All anyone has is the now.

The would-ofs, could-ofs, should-ofs, and the what-ifs of life should not take precedence over this exact moment here and now. Mental health can be improved by a change in mindset. For some, that means meditation. Allowing yourself to slow down, practice controlled breathing, and take some time to be present.

For others, it means practicing more gratitude. By taking the time to acknowledge all that you’re grateful for and all that is going right in your life, you can start developing the habit of focusing on the good rather than the bad. This can be as simple as writing down three things you are grateful for each morning or every night before bed.

And because there is no one cure-all way to be more in the present, you may find the solution that works for you is speaking with a friend, a family member, or a healthcare professional that can help find a method that best fits you.

Mental health is just as important as physical health (if not more!), which is why we are happy to bring attention to it and partner with NAMI throughout the month of May. If you’d like to learn more about Mental Health Month, please visit https://www.nami.org/mentalhealthmonth.

And remember to fully live for today!


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Celebrating International Women’s Day: What Women Need to Know About Their Health

Celebrating International Women’s Day: What Women Need to Know About Their Health

“Take control of your health. How you or your body responds to something may be very different from your friend, neighbor or the gal standing in front of you at the coffee shop, so try not to worry or compare yourself to others. You have only one life to live, make it your own and make it your best!”

Kimberly P., MD

Family Medicine Physician , Kaiser Permanente Santa Monica Office

What do women commonly overlook when it comes to paying attention to their health?

KP: Women often care for others’ health care needs before tending to their own. We are great at taking family members to the doctor and we call a friend when they’re sick. However, if it’s us getting sick, we call a friend or research “Dr. Google” and get scared when we read something on the Internet.

Going to the doctor is sometimes last on our list. Some of us are too embarrassed or too busy, and others of us are too afraid to hear what the doctor has to say. But regular checkups are so important as are regular physicals to prevent disease. What’s most important is to listen to your body and seek medical care when you think it may be trying to tell you something. But also, lean on your doctor to guide you through your health concerns.

Are there certain diseases that women are more susceptible to that women should be screened for on a regular basis? How often should those checkups be?

KP: I generally encourage all patients to come in every year for at least a checkup. Discussing your diet, exercise, lifestyle, checking to make sure your vaccinations are up-to-date, and having a blood pressure check can prompt conversation for continued health maintenance and surveillance. Tests such as diabetes screening, cholesterol, liver, kidneys, thyroid, and others may be discussed with your primary care physician as well as the interval they are recommended, curtailed individually for you. Blood tests are not necessarily required annually unless there is a medical reason, concern or symptom your doctor wants to check.

There are some screenings that are designed specifically for women.  For example, while both men and women can acquire the HPV virus through sexual intercourse, the HPV virus can also make women susceptible to cervical cancer. For this reason, women are encouraged to undergo regular cervical cancer screenings called pap smears. It is now recommended to start after the age of 21 and to have a pap smear every 3 years between the ages of 21-29 and every 5 years between the ages of 30 to 65, unless instructed otherwise by your doctor or with a history of abnormal prior test results.

Breast cancer screening is also important and I recommend annual breast exams with most of my patients who are in their mid-20s and older. The USPTF advises starting mammograms at age 50 and every 2 years after that.  Some women may choose to start this screening at age 40 or possibly even younger (if needed) because of personal or family history but this should be discussed with your doctor.

Lastly, we recommend all female patients of child-bearing age to have STD screenings when sexually active, especially when unprotected. Exposure to chlamydia and/or gonorrhea can lead to scarring and fertility concerns for women if left untreated.

When it comes to improving mental health, what are some tips that women (and men) can do to improve their mental well-being?

Good mental health is essential for all people, men and women alike. Our mental health affects more than just our mood. It also affects our energy, sleep, concentration, productivity, relationships, work, weight, eating habits, and so many more things in our daily lives.  Depression and anxiety are experienced by most women at least once in their lives and 1 in 5 will have experienced it within the past 12 months. My recommendations are to stay active and try to exercise regularly. Starting with something easy and not overly daunting such as 30 minutes, 3-5 times per week is a great starting place. If you can’t make it to a gym, get out of the house for some fresh air, take a walk and stretch! This will help open up your chest and your heart. Find what works best for you whether its yoga, or for me, boxing. There are so many options to explore, see if anything can strike your fancy and help protect your mental wellbeing. Exercise helps promote endorphins- the brain’s natural pain killer- enhancing mood and sleep – and it can show you great results that can, with time, improve the way you feel.

Meditation is also a wonderful practice for mental wellbeing. It can help gain perspective, reflection, and mindfulness. Lastly, don’t be afraid to talk to someone! Whether it’s a friend, religious figure or getting professional counseling, there are people who care and resources to help, especially in time of crisis.

Everyone’s body is different, but when it comes to the general health for women, are there certain foods they should be eating? Increase in their diet?

KP: First and foremost, try to avoid fad diets. Life is about moderation. It’s OK to treat yourself every once in a while, but find a meal plan that works right for you; something you can sustain and is easy to follow for you. Be mindful of portion size and ingredients that are on the labels. Read the whole label!  When possible try to stick to foods that are low in inflammation. Chose nutrition dense foods such as green veggies. Reduce your intake of sugars and processed foods, and opt for whole grains, lean proteins, and leafy greens. Here are some other tips:

  • Eat Fiber
    • Beans, peas, lentils, and peanuts are great examples. These foods are a great source of fiber and protein and high-fiber diets have been linked with good intestinal health and bowel regularity, decreased cardiovascular disease, are high in isoflavone (soybeans are the highest), and can help reduce PMS and menopausal symptoms.
  • Eat Yogurt
    • Low-fat yogurt can be beneficial to the intestines as a probiotic to help reduce inflammation in the digestive tract.
  • Protect your heart
    • 2-3 servings per week of fatty fish (Omega 3 fatty acids: DHA and EPA) such as salmon, sardines, and mackerel can help as an anti-inflammatory for many disease processes including heart disease and stroke.
  • Get Vitamin D
    • This includes low-fat milk, fish (as listed above) and certain juices. You want to be taking in at least 800 iu daily. For those of us who do not have the time spend basking in the sunlight and naturally building or vitamin D levels (sunscreen also reduces natural vitamin D absorption), a diet rich in vitamin D can help with fatigue, calcium absorption and reduce the risk of various disease processes in our body.
  • The Power of Berries
    • Eat fruits such as blueberries, strawberries, raspberries, and cranberries. They have a high level of vitamin C and folic acid, but also offer a powerful source of antioxidant (protecting the heart and skin, for example) and an anticancer nutrient called Anthocyanin which helps in cell repair.
  • Eat Red Fruits
    • Tomatoes, watermelon, red grapefruit, and navel oranges provide lycopene, which is a powerful antioxidant.

What vitamins are essential for women? Is it better to consume these in daily supplements or in day-to-day foods?

KP: It is best to get your vitamins and micronutrients in your diet rather than chasing after supplements.  Your body is an amazing tool and can more effectively extract the nutrients it needs from the foods you consume than by getting it thru a supplement. However, there are a few diagnoses that may require vitamins:

For example, if you have a diagnosis of osteoporosis, then Calcium and Vitamin D are helpful in bone health. Also, vitamins are essential for women when they are planning to conceive or are pregnant. Taking a daily prenatal vitamin to ensure adequate folic acid and B vitamins are essential.

If my patients really want to take any supplements I encourage Vitamin D, Omega 3 and fiber.  These are the most common things lacking in normal American diets, and even a multivitamin does not provide this for you. A daily multivitamin is generally not necessary.

If you are still not convinced please consult your doctor but always be careful when taking over the counter supplements. Sometimes, taking too much can lead to complications such as liver, kidney or heart disorders that you would have never otherwise known or expected.

Responses provided by Kimberly Petrick, MD, Family Medicine Physician at the Kaiser Permanente Santa Monica Office. Some slight grammatical adjustments were made. 


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