Reaching Out

In America, we've received another blow to the gut as we are reminded of how lives can change in an instant. The horrific shootings in Aurora, Colorado cast a pale over what was meant to be an entertaining evening respite. Over the weekend, information flowed in from the media, putting individual faces on the victims and outlining many heroic actions of people attempting to shield others from harm and helping those who were already injured.

Ironically, one young woman who was killed, Jessica Ghawi, had earlier survived another shooting at a mall in Canada and had blogged about her experience at that time, I was shown how fragile life was on Saturday. I saw the terror on bystanders' faces. I saw the victims of a senseless crime. I saw lives change. I was reminded that we don't know when or where our time on Earth will end. When or where we will breathe our last breath. Her words are even more haunting now that she is dead.

 

As we face acts of senseless violence like these, we instinctively join together as a community to support one another. When it feels like our safety and security is threatened by an event like this, we seek a solid footing to ground us. We feel less overwhelmed and vulnerable when we experience the touch of another. 

You already know that, in caring for your own family, a hug and kiss can help reduce the pain – emotional and physical. And talking to those in your support system relieves some of your stress, anxiety and fear. So open up to your friends and family about your feelings and thoughts - they can validate your emotions and begin the healing process. And giving a helping hand to others does wonders - it provides aide to those in need and makes you feel useful too.

We may try to understand the reasons behind the attack in an attempt to gain more control over any future chaos. But while so-called pundits will offer explanations about the perpetrator, we really don't yet know what motivated him to conceive of and execute such a terrible plan. What we do know is that reaching out to comfort others in pain and to ask friends and family for support ourselves when we need it creates a resilient, caring community for all of us.

When those under stress join together to sustain each other, we all benefit. Through sharing our common concerns and life experiences we gain a sense of camaraderie, understanding and acceptance. Our mutual support helps diminish the feelings of isolation, anxiety and helplessness and brings a sense of control back into our lives.

In the future we can reflect on what this most recent terrible shooting means to our society but in the meantime, let's join hands with others, empowering us all, and declare our humanity and solidarity with the good in our world.

Send Your Kids to Camp and Improve Your Marriage

Does the thought of sleep-away camp stir up anxiety for your children and for you? Of course, there are unknowns in any unfamiliar situation. Yet camp is a great opportunity for kids to develop their interests, confidence and independence.

And believe it or not, sleep-away camp can be the best thing for your marriage. As a member of the sandwich generation, caring for parents growing older and kids growing up, your life is more than full. I bet it’s been quite a while since you had meaningful time alone with your partner. So here are four tips that can help you relax into the comfort of a totally adult relationship:

Invest in each other. When you’re managing an active family and a demanding career, your marriage often ends up on the back burner. Now you can focus on your relationship, just as you would any valuable asset. You’ll feel treasured as the emotional dividends grow.

Give the gift of time. Take turns planning activities you'll both enjoy. Rent a bicycle built for two, walk on the beach or take a hike in the woods. Sneak away from work and meet at a museum or enjoy a picnic in the park. Surprise each other and be spontaneous with your affection.

Act like kids and laugh a lot. When the kids are around, all the organizing, cooking and laundry add to your stress. Let off steam, have fun and be playful. It’ll remind you about who you are at the core and why you fell in love.

Create romance and intimacy. If this has been on your 'to do' list for a long time, here's your chance to make it happen. No need to make love on the run. Turn on the music, light candles and share that bottle of wine you've been saving for a special occasion.

Time flies--before you know it, your campers will be home, talking about new friends and the good times they had. Throughout the school year, remember to savor the memories of your brief second honeymoon. And save your mad money to hold a place for them in camp next summer.

National Breast Cancer Awareness Month

Thriving after any serious illness is complicated and sometimes feels like an uphill struggle. Today's coping tips can help you support yourself - emotionally and physically - along the difficult course of dealing with beast cancer and its treatments.

As you move through this process, you find that staying informed and involved at each step gives a sense of power and resiliency. The National Cancer Institute, a part of NIH, has a wide range of materials to make this job easier. And here are some more tips to help you take charge of your life:

Accept your changing emotions as normal and give yourself permission to express them. After a brush with cancer, it is normal to feel many different emotions such as anger, fear, worry, anxiety, depression, stress or loss of control. It's OK to express these to people you trust and acknowledge them to yourself. Only then can you begin to cope with them.

Recognize the changes in your body. You may feel that your body has betrayed you, leaving you feeling vulnerable and with a loss of innocence about your own invincibility. You may need to grieve this loss. In addition, you may be experiencing side effects of the treatment such as fatigue, stiffness, lymphedema, weight gain, as well as menopausal symptoms. Once you clarify how your body is reacting, you can address each of the symptoms and alleviate them.

Take good care of yourself. Pamper yourself - you deserve it! Follow the guidelines of the American Cancer Society and set aside time for you. Begin an exercise program that includes aerobics, flexibility and strengthening exercises. Enjoy eating a more healthful diet rich in fruits and vegetables. Schedule relaxation time to decrease the stresses in your life. Learn visualization techniques. Think about what you really like to do and do it. Of course this is easier to say than it may be to do, but stick with your decision to make time for yourself. You can make it happen.

Take credit for the challenge you have faced and the changes you are making. Recognize and accept that you have faced many difficulties in your process of healing. Give yourself credit for the hard work you have completed to get to this point in your recovery. You have learned about yourself and made changes in the way you think, feel, act and react to yourself, others and the situation around you.

We celebrate your survival with you! You reflect the unity of women who are surviving breast cancer - and the men who love you.

Building Resiliency After the Disasters in Japan

The Japanese concept of gaman - strength, patience, discipline - is evident in the reactions of the people there to the cascade of disasters that have hit them: earthquake, tsunami, nuclear contamination. In the midst of widespread damage, they are grieving their tremendous loss of lives and property but are also determined to endure and already beginning to rebuild. With the tradition of working together and an attitude that "everything will be all right," the Japanese people are hoping to move forward.

What can we learn from the people of Japan about resiliency in the face of tragedy? World events - and the 24/7 news about them - contribute to the anxiety and tension we feel on a daily basis. Without the effect of these outside events, the most frequently cited sources of stress in the recent American Psychological Association survey were money, work and the economy. Over one-half of the respondents also noted that family responsibilities and relationships were significant causes of chronic stress. Today, added to that, people are experiencing additional anxiety, though out of harm’s way themselves, because of the uncontrollable events that have hit Japan.

Coping with stress is important for building resiliency and maintaining our physical as well as mental health. Earlier this week on the blog we talked about four strategies to use when you are feeling overwhelmed. Here are five more suggestions for you to use now and on a regular basis:

Practice relaxation techniques. Set aside time for a regular routine of deep breathing, guided imagery, meditation or other stress reduction methods. Decide to put off worrying - much of what you may fear never actually happens anyway. Remember to be open to the healing effects of laughter.

Exercise several times a week. Only one-quarter of Americans surveyed by APA were satisfied with their level of physical activity. To increase yours, find an activity that you enjoy and stick with it - walking with friends, water aerobics, pilates or yoga classes, training at the gym.

Eat sensibly. Resolve to maintain a balanced diet of healthy foods rich in nutrition that serve as a natural defense against stress. Avoid the use of drugs and alcohol to self-medicate and limit your use of sugar, caffeine and cigarettes as they can contribute to anxiety.

Reach out to your support system. Ask for help. Talk about your thoughts and feelings with family and friends - they can validate your emotions. You may want to consult a professional counselor for a non-judgmental ear and guidance in sorting out your concerns.

Be patient. Know that you will recover balance and serenity at your own pace. As long as you keep taking steps to move forward, you will eventually reach your destination. Like one-half of survey respondents, you may find that listening to music, exercising, spending time with family or friends and reading are comforting ways to manage stress.

Close to one-half of those surveyed by the American Psychological Association said they experienced irritability and anger as a symptom of stress. The APA has compiled a stress tip sheet to help reduce these kinds of negative emotions. You can learn to manage stress and become more resilient when you practice the strategies we've focused on this week. Nevertheless your emotional recovery, like the Japanese, will take time. Support - both for yourself and what you provide to others - is valuable as you begin the process of rebuilding and restoring hope in these difficult days.

Learning How to Cope from the Japanese

For the past 10 days, we've seen heartbreaking pictures of epic devastation in Japan, resulting from the massive earthquake and ravaging tsunami there. And read frightening reports of damaged nuclear reactors with newly elevated levels of radiation in the food and water supply. But what we've also seen are people reacting with composure and a cooperative spirit. And we've read about people demonstrating resilience and unity in the face of tremendous horror. Even with the shock of one-half million homeless and estimates of 10,000 dead, the culture of the Japanese remains one of harmony with a focus on what is best for the group. There is certainly grief and mourning the loss of loved ones, but the reaction to the tragedies has not led to a further deterioration of community cohesion.

From your distance, how do you respond? Are you overwhelmed by the 24-hour news coverage? Has your level of anxiety increased? If you're feeling vulnerable, you're not alone. The emotional reactions to disasters such as these may be even worse for baby boomers, who reveal higher levels of depression than other age groups, according to the website ThirdAge.com.

The palpable distress created by shocking news reports has added to the already high levels of stress identified by the American Psychological Association in their national survey. The study found 75% of the U.S. population experiences at least some stress every two weeks, with half of these rated at moderate or high levels, leaving people emotionally exhausted. And stress levels have increased over the past five years - even before the catastrophes in Japan - impacting both physical and psychological health.

APA has compiled some strategies to help those recovering from disasters. And to reduce your stress levels and take better care of yourself, here are some of our tips to help manage the pressures you face:

Focus on what you can control, not what you can't. The people of Japan could not stop the earthquake or tsunami but they did choose to react to the disasters with teamwork and a sense of purpose. When can't influence negative circumstances of your own, you can still decide how to handle them. Let go of painful thoughts and unrealistic expectations. Keep a journal to aid in the process of releasing frustration and coping with anxiety. Clearly define your goals and aspirations. As you keep your focus on what you can do, a positive accomplishment may emerge from the negative situation. Giving a helping hand does wonders - it provides aide to those in need and makes you feel useful too.

Maintain balance in life between family, job and your own needs. Don't over commit yourself - rather, attempt to retain a normal routine. Set aside some special time for yourself to recover your equilibrium - even if you are a sandwiched boomer with a family in flux. Get enough rest and sleep to allow your body to recover from the stresses of the day. Over 40% of the APA respondents reported lacking energy and feeling fatigued on a regular basis.

Shift your attention to what is truly important. Although hundreds of thousands in Japan lost their homes and possessions, they drew together as families and friends. As you revise your priorities, recognize the value of the underpinnings of your own strength - family, friends, spiritual connection. Express gratitude for your many gifts and change the focus from yourself to those around you. Offer help to those who require it, in Japan or in your own community. You'll feel better when you do and provide essential material support to the needy.

Draw on your strengths. APA survey respondents admitted their lack of willpower to create a healthier lifestyle, but 70% still thought they could improve and make the changes they had identified. What personal strengths have you used in the past to kick-start your progress? Rely on those now as well as ones you've developed more recently. Brainstorm ways to apply these abilities in a novel way.

The recovery in Japan will not be easy or quick. As Confucius said, A journey of 1000 miles begins with a single step. Our hearts are with the people of Japan as they continue to take small steps forward toward personal and national healing. We can all learn from their determined attitude and courageous behavior in reaction to the tremendous crises they face.

For more tips about how you can cope with your own challenges, check back here on Wednesday. And you can receive a complimentary copy of our ebook, Courage and Lessons Learned: Reaching For Your Goals when you sign up for our free monthly newsletter, Stepping Stones.

What Charlie Sheen Can Learn from the Tragic Earthquake in Japan

Often, in the face of disaster, we feel a deep sense of helplessness. And the tragedy in Japan evokes a particular vulnerability when we see the pressing and immediate needs for food and shelter.

Many who have lost everything are offering support and hope to one another - their self reliance and resiliency are apparent. One couple in their late 70s weren't waiting for help. They immediately began fixing up their home so they would be able to help others.

If only Charlie Sheen could access that kind of courage to face up to his problems. Are you dealing with a family situation that requires you to step up to the plate and care for your grandkids? Here are some ideas for you:

Maintain a bond with the ex and extended family. By being civil and keeping the lines of communication open, your grandchildren will transition easier if they have to move from one home and family to the other. And it's impossible for them to have too many loving arms.

There will be a huge void to fill. You may be confused about your role now, so don't be afraid to see a family therapist. Perhaps you were a natural when your kids were little, but this is a unique situation. Learning new techniques from experts can make a big difference the second time around. Talking with someone outside the family about your concerns and frustrations can be a lifesaver.

Do what is necessary to maintain familiarity and continuity. By nurturing your grandkids and stabilizing their environment, they'll feel more secure. The support and structure you give them will minimize their feelings of anxiety and stress. Children are resilient – they'll thrive as you model positive thinking.

Charlie Sheen lost his kids and his job. And the bitter custody battle with his estranged wife is a heartbreaking tragedy for his children. His wild rants and erratic behavior on streaming webcasts are hard to watch and make you wonder what's coming next. Whether his problems stem from a deep hunger inside, a serious psychological issue or habitual drug use, he needs encouragement to examine his life.

Mental illness and substance abuse are major problems in our society today. Community resources are positioned to help out when our adult children, struggling with these problems, require inpatient treatment rehabilitation.

Through all these difficulties, our grandchildren need representation and someone to speak on their behalf. They deserve role models with strong ethical standards, integrity and character. Just as Charlie Sheen, hopefully, will take care of himself in preparation for return to his family, our children need our support as they get healthy enough to come home and raise our grandchildren.

Virtual Book Tour: Dr. Gary Small

Today we are delighted to welcome Gary Small, M.D., director of the UCLA Memory and Aging Center and professor of psychiatry at UCLA's David Geffen School of Medicine. He'll be answering our questions - and yours as well - about the book he recently wrote with his wife, Gigi Vorgan, "The Naked Lady Who Stood On Her Head: A Psychiatrist's Stories of His Most Bizarre Cases."

Nourishing Relationships: Several of the stories in your book deal with how the mind affects the body. One of them gets into your experiences with the “Fainting Schoolgirls.” What is mass hysteria? Is it a common phenomenon?

Gary Small: In the “Fainting Schoolgirls” incident, I was investigating an outbreak of illness in a suburban grade school. The kids were rehearsing a performance, when suddenly 30 of them grabbed their stomachs and fainted. The principal told me that it started with one popular child who fainted and suddenly the rest of them went down like dominoes. The health department couldn’t find a cause and gave the “all clear,” but the community was in an uproar. The school seemed to be blocking my efforts to get to the bottom of things, and the parents took offense that a psychiatrist was suggesting that their kids might have had a psychosomatic illness. I nearly gave up my study until I attended the actual show – a little worried that the outbreak might recur – when one of the mothers sought me out and supported my theory of mass hysteria – she was convinced that her daughter’s physical symptoms were in fact psychological. My subsequent research proved my theory that when stressed out, the mind can make the body sick, and in a group setting, it can really get out of control.

When we face uncertainty, our minds crave explanations. If we have no way to account for symptoms, we feel out of control and our fear escalates. And, if we learn that our own minds may have caused these very real symptoms, we tend to feel more anxiety about what our minds might do next. People may worry that their brains are possessed by some outside spirit, or perhaps a poltergeist has taken charge of their willpower. They’d rather latch onto something like the mysterious poisonous water theory. In all the mass hysteria episodes I’ve studied and written about over the years, the lingering question for me is why they don’t happen more often. The essential ingredients – groups under psychological and physical stress, often hungry, tired, or both – come together almost daily all around the world.

NR: Why are people afraid of psychiatrists?

GS: There is clearly a stigma about “seeing a shrink” and admitting one has a problem. Sometimes people are in denial about their mental struggles and avoid or even attack psychiatry in an attempt to avoid anyone discovering their secret psychological issues. Also, mental illness is often perceived as a weakness. Many people still believe that they should be able to solve their problems on their own. Yet, in any given year, an estimated one of four adults—nearly 60 million people in the U.S—suffer from a mental disorder and most of them don’t get help, which is why it is so important for people to try to get beyond their fears.

Psychiatrists are sometimes viewed as probing mental detectives who take control of their patients’ minds rather than heal them. In my book, I attempt to debunk such misconceptions and demystify the treatment of mental illness. Despite the public’s misconceptions, psychiatric treatments diminish and often eradicate symptoms of psychosis, depression, and anxiety. Systematic studies have shown that often combining medicine and psychotherapy results in significant improvement.

NR: Why do you need a therapist if you can talk to a good friend?

GS: A psychiatrist or therapist, unlike a friend, has no agenda of their own when listening. When a friend gives you advice, he may be thinking about how your actions will affect him, as well as you. When you’re in therapy, it’s all about you, not the therapist. Also, anything you tell a therapist is strictly confidential, and unless your friend has the training, you may not be getting the greatest advice. Having good friends is important to our mental health, but if you need it, don’t hesitate to call a professional.

NR: In your book, one of the cases involves a woman who develops a so-called “serial addiction.” What exactly is that and is it really possible?

GS: When we think of addition, alcohol or drugs usually comes to mind, but a person can get addicted to almost anything they enjoy: food, tobacco, sex, gambling, the Internet, or even video games. Some people have addictive personalities. When they “kick the habit” of one thing, they simply move on to something new and get addicted to that. In The Naked Lady Who Stood on Her Head, a woman who has an eating disorder overcomes it. Then, her shopping gets out of control, and she just can’t stop until she moves on to something else. This kind of serial addict usually exhibits the same behavior patterns regardless of the object of their current addiction: They crave the experience all the time, have withdrawal when they can’t get it, are secretive and defensive about the behavior, and the addiction interferes with everyday life. Anyone who’s struggled with addiction or dependency, should be aware of the possibility of becoming hooked on something new.

NR: Another case involves a patient who discovers that her husband has a second wife and family. You give that as an example of a sociopath. How do you define sociopath and how can we tell if someone has that personality disorder?

GS: Sociopaths are people who think only of themselves. They have no conscience or empathy. Whether it’s an Bernie Madoff, Adolf Hitler or Charles Manson, they wreak havoc on other people’s lives. But what about the everyday sociopath who sneaks into your life and befriends you? When you discover his true colors, you’re shocked, you feel violated, and you often blame yourself for being duped. How can you spot these predators before they gain your trust?

First impressions count. If someone does not seem genuine, your impression may be accurate. Also, watch out for people who seem too good to be true. Sociopaths often anticipate your needs in order to get what they really want. Finally, look for typical character traits: no sense of remorse, short-tempered and quick to blame others, and few or no long-term relationships. Remember, sociopaths can be smart and even when you’re on alert, they can slip into your life. Don’t blame yourself, just cut them out and move on.

Thanks so much, Gary! You've given us bites of a delicious idea feast. Now, readers, it's up to you if you want more - he's ready to answer your questions. Just click on 'comments' at the bottom of this post and follow the prompts. If you don't have an account you can sign in as 'anonymous' - it's as easy as that!

Congresswoman Gabrielle Giffords and Stress in America

The weekend shooting of Congresswoman Gabrielle Giffords - and the attendant murders of six bystanders - has again pushed the American psyche into overload. Though out of harm’s way themselves, many people experience stress and anxiety when faced with these kinds of uncontrollable situations. While it appears the gunman's serious mental illness motivated the shooting spree, the horrendous act itself has raised stress levels all across the United States, already high due to the poor economic climate. In fact, a recent national health survey found that 75% of the general population experiences at least some stress every two weeks, with half of these rated at moderate or high levels.

According to the American Psychological Association, key findings from their recent survey indicate that stress levels have increased over the past five years, impacting both physical and emotional health. Most Americans are feeling moderate to high stress levels, with many feeling overwhelmed and emotionally exhausted. The most frequently cited sources of stress are concerns about money, work and the economy. Nearly one-half of those who participated in the survey were fearful about their job stability. Over one-half also noted that family responsibilities and relationships were significant causes of stress.

What can you do to reduce your stress levels and take better care of yourself now and during the rest of 2011? The American Psychological Association has some suggestions to manage your distress in the aftermath of the shooting. And here are some of our tips to get you started:

Maintain balance in your life between personal needs, work and your family obligations. Don't over commit yourself even as you retain a normal routine. Carve out some special time for yourself even in the midst of caring for your growing children and aging parents.

Exercise moderately several times a week. Only one-quarter of those surveyed were satisfied with their level of physical activity. To increase yours, find an activity that you enjoy and will stick with - walking with friends, water aerobics, dance or yoga classes, training at the gym.

Eat sensibly, following a balanced diet of healthy foods rich in nutrition that serve as a natural defense against stress. Avoid the use of drugs and alcohol to self-medicate and limit your use of sugar, caffeine and cigarettes as they can contribute to your anxiety. Get enough rest and sleep to allow your body to recover from the stresses of the day. Over 40% of the survey respondents reported feeling fatigued on a regular basis and lacking in energy.

Use relaxation techniques. Set aside time for a regular routine of deep breathing, guided imagery, meditation, or other stress reduction methods. Decide to put off worrying - much of what you may fear never actually happens anyway. Remember to be open to the healing effects of laughter.

Using these tips can help you become more resilient as you cope with the stresses around you on a daily basis. And to learn more about how you can manage the pressures you face in our economic downturn, check out our ebook, Taking Control of Stress in a Financial Storm: Practical Strategies and Resources for Success.

Tips for Keeping Peace in the Family at Thanksgiving

Thanksgiving is here - complete with exaggerated media images of how the day should be - and you may be trying to conform to unrealistic ideals. As a member of the sandwichgeneration with extra demands on your time and added responsibilities, are you on emotional overload? If so, just remind yourself that nothing's perfect.

Following these common sense strategies will help you create a calmer holiday for you and your family:

1. Realize that anticipatory anxiety is common. Financial burdens and extra chores when entertaining family can make you feel apprehensive and stressed. Accept that this is a normal reaction.

2. Don't take everything personally. Make sure that you have reasonable expectations. Some family members may be struggling with financial or marital issues that have absolutely nothing to do with you.

3. You don't have to be all things to all people. If your favorite aunt can't seem to get along with her ex-husband's new wife, don't invite them to this dinner. That will make it easier for everyone.

4. Avoid hot button issues. Sibling rivalry and unfinished family business are bound to surface. Put aside differences and, despite how hard it may be, go for the higher ground. Walk away from misunderstandings but agree to finish the conversation later.

5. Bury the hatchet. If in the past you have stifled your feelings and then blown up later, don't let your emotions fester. With an important relationship, admit the part you play in the conflict and deal with it.

6. Talk in generalities. If there is tension in the room, discuss the value of apologizing for wrongdoings. Then encourage others to discuss how this quality has enhanced their personal relationships.

7. Practice letting go. You may be feeling childhood pain or longing for family who are gone and now only in your memories. Realize that forgiveness and gratitude are a gift you give yourself.

While taking care of your family during this hectic time, remember to pay attention to your own needs. Plan ahead and accept help from others when they offer. And try to include fun and laughter in what you do. During the holiday season, while you may wish for peace on earth and peace in your family, don't overlook the importance of your own peace of mind.

We send you warm thoughts and gratitude for being part of our community of amazing women. Here's an article in the Huffington Post from one of you. Our heartfelt best wishes to you and yours for a wonderful Thanksgiving and a list full of things to be thankful for.

Breast Cancer Awareness Month

Worldwide, every year over 1 million women are diagnosed with breast cancer. Other than skin cancer, breast cancer is the most common one facing American women today. The likelihood is that 1 in 8 women in America will cope with this disease during her lifetime. In October, designated as National Breast Cancer Awareness Month, women are especially focused on early detection and improving the management of breast cancer, should it be diagnosed.

With mammography, MRI and physical exams leading to early detection, most breast cancers can be successfully treated today. The specific treatment can be worked out between you and your physicians, taking into account the tumor details. This year, an online word of mouth campaign, Until Every Woman Knows, has been started to raise awareness of a test that can help guide these treatment decisions.

With improved therapies, there are between 2 and 3 million American women living today who have survived breast cancer. As breast cancer survivors have learned, coping with any serious illness can take a toll on you - emotionally as well as physically. Here are some tips to help manage your recovery so that you can move forward with your life.

Accept your changing emotions as normal and give yourself permission to express them. After a brush with cancer, it is normal to feel many different emotions such as anger, fear, worry, anxiety, depression, stress or loss of control. It's OK to express these to people you trust and acknowledge them to yourself. Only then can you begin to cope with them. For some ideas about how to develop better communication with a loved one when a serious illness like cancer intrudes, see an article on our website, Boomer Couples: Deepening Your Conversations about Serious Illness.

Recognize the changes in your body. You may feel that your body has betrayed you, leaving you feeling vulnerable and with a loss of innocence about your own invincibility. You will need to grieve this loss. In addition, you may be experiencing side effects of the treatment such as fatigue, stiffness, lymphedema, weight gain, as well as menopausal symptoms. Once you clarify for yourself how your body is reacting, you can address each of the symptoms in your efforts to alleviate them.

Draw upon others for support. Your family and friends can provide a network of comfort, encouragement and assistance. You may also want to join a breast cancer support group, either in person or on-line. Support is helpful in several ways - it gives you someone to listen to you when you need to express yourself, someone to give you information and feedback, someone to help you with practical matters such as an errand that needs to be done. Support will be there for you if you look for it. It may feel awkward at first to ask for help, but you'll find friends want to do what they can for you.

You'll find more about the value of support on our website, Her Mentor Center.

So don't let anything get in the way of becoming aware of breast cancer and taking care of yourself if you need to deal with it. Join us again on Wednesday when we'll be offering more advice about living with a diagnosis of breast cancer. And for inspirational stories and tips about coping with significant stress, sign up for our newsletter, Stepping Stones, and receive a complimentary copy of our ebook, Courage and Lessons Learned.

Sleep-away Camp: Ambivalence for the Kids and You

My first memories are of Girl Guide camp in Canada, where we slept in tents and cooked our meals over an open fire. After many experiences at camp, I met my husband when we were both counselors in the mountains of North Carolina. And camp has been a family tradition ever since.

What about you? Just as you're settling into the lazy days of summer, are you shifting gears to get the kids ready for sleep-away camp? If this is a first, there may be ambivalent feelings all around. In new situations, there are many unknowns, and it's easy to let them get the best of you. Yet camp can be a great opportunity for kids to develop their independence, strengths and interests. 'Camp is full of possibilities,' says one dad who is savoring memories as his sons talk about their summer at camp.

But, like any new experience, the anticipation leading up to departure can cause anxiety for your kids and for you. Because you focus so much on their needs, it may be hard to step back and not worry: What if the girls in her bunk are mean to her? What if he doesn't shower regularly? Perhaps you'll find it easier to let go if you feel your kids are well prepared. So after you check off the items on the packing list, sew the labels in all their clothes and give instructions about reapplying sunscreen and staying hydrated, read this. Here the Centers for Disease Control provides tips for kids to stay safe and healthy at camp.

You know your kids and what will set their minds at ease. Talking to others about the fun times of camp can be reassuring to a child who's not sure what to expect. Perhaps if they're aware that feeling lonely the first couple of days is normal, they won't be surprised if it happens. Why not write a letter that will be waiting for them at camp, as well as pack a special item from home, so they'll realize that you're thinking about them? And know that the counselors will help them get into the flow of the program. This PBSkids article sheds light on the subject of homesickness.

See this as the first day of the rest of your family life. At camp your kids will gain confidence while making new friends and developing lifelong skills. Trust that they can take care of themselves. In this article about how to love your kidults by letting go, the focus is on emerging adult children. Consider that you're getting a head start - today sleep-away camp, tomorrow college!

Grandmothers Hold On and Let Go

Over spring break, I had a chance to think about the eternal balance for grandmothers as well as mothers - between holding on and letting go. I recognized the dilemma as we took our visiting grandsons to an amusement park that offered trapeze lessons. I watched each of them climb up the tall ladder, perch on the small landing, reach for the bar of the trapeze and then leap out into the air, swinging freely on the trapeze.

After a few swings, each one raised his legs up, hooked them over the bar, and hung by his knees, letting go of his hands and swinging back and forth upside down. Although each was, of course, attached to a tether protecting from harm in case of a fall, the freedom of the moment was palpable.

After being let down, each boy rolled off the net. Their huge grins and swaggering walk testified to the sense of accomplishment and satisfaction that each boy attained. They had experienced first hand the flood of emotions generated by holding on and letting go - anticipation, anxiety, fear, daring, courage, exhilaration, fulfillment and pride, among others.

And I too understood the complexity of holding on and letting go - of children, grandchildren, aging parents. Having practiced it for years with my children, I was finally getting a little more skillful at it with my grandchildren. I recognized that although they loved to cuddle with me when they were younger, as they matured they were becoming a bit more distant, especially in public. And this was all just fine - I didn't take it personally. I realized that even in their letting go, we would always have bonds to hold on to. It's a growing experience - for all of us.

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The Sandwich Generation and the State of the Union

Comments that have been logged onto our blog clarify that while we, and others, use the term Sandwich Generation, we are not actually referring to a real generation but rather to a stage of life in which any generation is stressed by caring for growing children and aging parents at the same time.

Yet the predicaments of the Sandwich Generation are even more relevant in today's world. Between 40 and 50 million Americans are now acting as unpaid care-givers to their aging parents, with one-third of them still raising children. And, in the average case, it is a working woman in her late 40's, stressed by trying to do it all.

Sandwich Generation issues have been exacerbated due to a combination of circumstances: since the last decade or two of the 20th century, couples have been starting their families later in life; adolescence has expanded at least into the twenties, abetted by helicopter parents and with boomerang kids returning home, requiring financial assistance in a bad economy; seniors have been living longer, often with chronic illnesses - and with close to one-half of the workforce being women, we are often pulled and pushed by both ends of our family while having little time, energy and financial resources to care for ourselves while reacting to the needs of our loved ones in this recession.

While the lead-up to the State of the Union address indicated that a key theme would be helping the Sandwich Generation, President Obama made only a modest set of proposals to address these issues for middle-class families: increasing the child-care tax credit and capping student loan repayments.

It is expected that, in the next month, he will advance two additional proposals based on Vice-President Biden's task force: additional child-care funding for low-income families and increasing funding for programs assisting people caring for aging family members - through respite care, counseling, training and referrals - and for services allowing those elders to remain in their homes longer.

We can only hope that there will be assistance forthcoming to Sandwich Generation members, reducing their stress and anxieties as they care for their families-in-flux. To read about how to ease yourself into the role of care-giver for an aging parent, click on the post title above to take you to our website, www.HerMentorCenter.com and our article, How to Shift from Daddy's Girl to Dad's Caregiver.

Coping with Stress and Anxiety

You may be feeling anxious because of the economic meltdown, security fears brought on by acts of terrorism or natural disasters such as the earthquake in Haiti. Whatever the reason for your high level of stress, if you want to keep it in check, try on the following tips to restore a sense of hope to your life:

Use relaxation techniques. Set aside time for a regular routine of deep breathing, guided imagery, meditation, or other stress reduction methods to alleviate your feelings of anxiety. Decide to put off worrying - much of what we fear never actually happens anyway.

Focus on what you can control in your life and what you can accomplish, not what you can't. Let go of negative thoughts and unrealistic expectations. While you often can't control circumstances, you can control how you handle them. Clearly define your goals or aspirations and keep focused on them. Make something positive come out of a negative situation just as people across the world did in providing aid to Haiti after the devastating earthquake there.

Draw on your strengths. Use those you have relied on in the past as well as those you have developed more recently. Brainstorm new ways to apply the abilities you have in a novel way as you create new opportunities for yourself.

Be patient with yourself. Know that you will recover your balance and serenity at your own pace. As long as you keep moving forward, you will eventually reach your destination.

To learn more about strategies to help meet the challenges of the Sandwich Generation, visit our website, www.HerMentorCenter.com. And click on the post title above to be linked to our article there, Top Ten Self-fullness Tips for Sandwiched Women.

Reducing Stress and Anxiety

Seeing pictures of the people of Haiti - or those of Kabul or Iraq or the unemployment lines in America, take your pick - you may be filled with deep emotions yourself. How you deal with this stress and anxiety depends on many factors in your life, especially what has worked for you in the past. When you've felt frustrated and helpless before, what has helped you regain a sense of control? Was it humor or redirecting your focus or occasional distancing or rededication or creating a Plan B - or another strategy that worked for you? Here are some activities that you can try on for size to help you in the process of coping today:

Talk about your thoughts and feelings with family and friends and reach out to others in your support system. Be open to asking for help and validation of your emotions. You may want to consult a professional counselor for a non-judgmental ear and help in sorting out your concerns. Start a journal to aid you in the process of confronting your anxiety.

Maintain balance in your life between personal needs, work, and your family obligations. Don't overcommit yourself even as you retain a normal routine. If you are a Sandwiched Boomer, plan to carve out some special time for yourself even in the midst of caring for your growing children and aging parents. Remember to be open to the healing effects of laughter.

Exercise moderately several times a week. Find an activity that you enjoy and will stick with - walking with friends, keeping fit through dance or yoga classes, training at the gym. Get enough rest and sleep to allow your body to recover from the stresses of the day.

Eat sensibly, following a balanced diet of healthy foods rich in nutrition that serve as a natural defense against stress. Avoid the use of drugs and alcohol to self-medicate and limit your use of sugar, caffeine and cigarettes to avoid their contribution to your jitteriness.

Tomorrow we'll share several more techniques to help you manage your anxiety and high levels of stress. If you click on the post title above, you can read one of the articles on our website, www.HerMentorCenter.com, for some additional tips, Five Ways Sandwiched Boomers Can Think Positive in Tough Times.

Friday, we'll be weighing in on tonight's State of the Union speech and its theme of assisting the Sandwich Generation.

A New Age of Anxiety and Stress

The mid- 20th century was known as the age of anxiety - spawning even an epic poem, a symphony and a ballet bearing that name. If you were a Baby Boomer growing up in the '50's, you probably learned to 'drop and cover' or even had a family bomb shelter to help cope with the existential fears of nuclear holocaust.

Now into only the first ten years of the 21st century, anxiety and stress levels have risen again at a monumental rate. A national health survey found that 75% of the general population experiences at least some stress every two weeks, with half of these rated at moderate or high levels. Our fears about terrorism, financial collapse, and global warming are mixed with our reactions to the devastating effects of natural disasters - earthquakes, flooding, hurricanes, and tsunamis.

The result of these real catastrophes is magnified by the 24/7 coverage of them by cable and Internet news services, leaving many of us feeling anxious, stressed and emotionally exhausted. As uncomfortable as you may feel, what you are experiencing is a normal response to an abnormal situation. Stress is a reaction by the body to an enormous demand placed on it. And those in the Sandwich Generation know about the extreme pressures of caring for their growing children and aging parents - all the while trying to stay above water.

There is a wide range of reactions and symptoms of stress and anxiety. Have you noticed any of these yourself?

Physical reactions such as: sleep disturbances, changes in appetite, headaches, body tension - being just plain jittery with a pounding heart and a knot in your stomach;

Emotional responses such as: anxiety, fear, frustration, feelings of vulnerability - the recognition of being unable to control the situation;

Cognitive changes such as: confusion, forgetfulness, difficulty concentrating, hyper-vigilance - finding you really can't think as clearly as before;

Behavioral reactions such as: isolation, irritability, restlessness, impatience, aggressive behavior - avoiding or pushing away friends and family.

If you are dealing with these kinds of symptoms, join us this week as we share some strategies and techniques for resolving your stress levels and reducing your anxiety. And click on the post title above to take you to our article, How to Turn a Crisis into a Challenge, on our website, www.HerMentorCenter.com.

Anxiety and Hope for the People of Haiti Now

The weekend global telethon, Hope for Haiti Now, telecast on all major networks as well as the Internet, brought the tragedy into sharp focus. The news about the aftermath of the earthquake is heartbreaking and the vivid pictures tragic. As in grieving any loss, the people of Haiti are experiencing a wide range of emotions. Initially, many were grateful for surviving the catastrophe. But now they are faced with the realities of all they have lost – family, friends, shelter, food, clean water and a sense of security. And feelings of shock are giving way to disappointment and anger that relief efforts are so slow.

When we see the degree of devastation, it is easy to feel overwhelmed. What can we do to help? When others experience the effects of the violent forces of nature, we can bring some control to this event - and to our own feelings - by our actions and reactions. Even though we are out of harm’s way ourselves, we can understand the need for nurturing in the midst of the dramatic losses our Caribbean neighbors are facing.

Americans, and others across the world, have been offering aid at an unprecedented rate. But the recovery, both physical and emotional, will take a long time. You can contact the Red Cross or other service agencies to learn what you can do to support the Haitians. Or click on the post title above to be linked to the Hope for Haiti Now website. Any assistance is valuable to begin the process of rebuilding body and spirit. In joining together, we can be a part of bringing some help and hope to the Haitian community.

All this week we will be looking at ways to reduce the stress and anxiety we feel when we are faced with these kinds of uncontrollable situations. Tune in tomorrow for a look at some common symptoms you may be experiencing.

Keeping Peace in the Family during the Holidays

Media images of the holidays are often exaggerated and, before you know it, you're trying to conform to unrealistic ideals. Combined with the added pressures and demands on your time, this can lead to emotional overload. Just remember that nothing is perfect.

Now that the holiday season is swiftly approaching, perhaps you're worried that your dysfunctional family dynamics will surface as soon as you get together. Do you think that your mother's inquisitive nature may scare off the first boyfriend your daughter's had in years? Or that your new son-in-law's parents will wonder why your 35 year old son has moved back home again? Following the common sense strategies we'll be sharing, over the next several days, will help you create a more serene holiday season for you and your family:

Realize that the anticipatory anxiety you are experiencing is common. Financial burdens around gift giving and extra chores when entertaining can make you feel apprehensive and stressed. Accept this as a normal reaction.

Make sure that you have realistic expectations and don't take everything personally. Some family members may be struggling with financial, business or marital issues that have nothing to do with you.

Clicking on the title of this post will take you to www.HerMentorCenter.com and more tips about how to handle holiday stress.

NBCAM and Living with Breast Cancer

As breast cancer survivors have learned, coping with any serious illness can take a toll on you - emotionally as well as physically. This week, we'll be giving you some tips each day on how to manage your recovery so that you can move forward with your life. We begin today with acknowledging where you are coming from.

Accept your changing emotions as normal and give yourself permission to express them. After a brush with cancer, it is normal to feel many different emotions such as anger, fear, worry, anxiety, depression, stress or loss of control. It's OK to express these to people you trust and acknowledge them to yourself. Only then can you begin to cope with them.

Recognize the changes in your body. You may feel that your body has betrayed you, leaving you feeling vulnerable and with a loss of innocence about your own invincibility. You will need to grieve this loss. In addition, you may be experiencing side effects of the treatment such as fatigue, stiffness, lymphedema, weight gain, as well as menopausal symptoms. Once you clarify for yourself how your body is reacting, you can address each of the symptoms in your efforts to alleviate them.

Tomorrow we'll look at more ways to take care of yourself if you ever need to deal with a diagnosis of cancer and treatment options. For tips about how to develop better communication with a loved one when serious illness intrudes, click on the post title above to take you to an article on our website, www.HerMentorCenter.com, Boomer Couples: Deepening Your Conversations about Serious Illness.

Today's pink ribbon is by Vanessa Rumaz and can be found on Carol Sutton's site, http://www.carolsutton.net/download_pink-ribbon.html. All week, we'll be featuring different pink ribbons created by talented women and men to increase public awareness about breast cancer and encourage research on this disease.

What Senator Kennedy's Life Teaches Sandwiched Boomers about Resilience

Kennedy had personal failings but he worked hard to right his path. And over his lifetime he became a better man. Presidential historian Doris Kearns Goodwin thinks he will be remembered for his strengths and his weaknesses; quoting Ernest Hemingway, "everyone is broken by life but afterwards some are stronger in the broken places."

Gain perspective, whether you're hit in the face with a crisis or making a slow transition into the next chapter of your life. Expect a cascade of feelings – anxiety, the desire to hold on, resentment, sadness, fear, even a sense of freedom. The emotional roller coaster ride is normal. If you have the fortitude to step back, take a deep breath and face the situation squarely, you can't help but grow from the challenges.



Senator Kennedy was a study in strength sustained through struggle. And you too can overcome adversity. If you've made mistakes, be prepared to acknowledge them and act responsibly. Don't surrender to self pity and regret. As Kennedy often told his young son who lost his leg to cancer - keep fighting, you can do it. You too can tap into your spirit of resilience. Focus on your vision and the possibilities. Perhaps your family and friends will also see you as an icon of your generation.

Clicking on the title of this post will take you to our website, HerMentorCenter.com, and an article about nourishing yourself through tough times. Spend some time looking around the site - you'll find plenty of articles filled with practical tips on how to face the challenges of parents growing older and children growing up. Then log on here and share your thoughts with other readers.