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A New Start. A New Journey. A New You. How the right therapy, and the right therapist can help get you there by David Nutter, MA, LAMFT

New starts in life often happen when people decide to engage therapy. Whenever I meet new clients as individuals, couples, or even families, I ask them what their goals are in therapy. For some, they have not been asked about what they need, want, or even prefer in their lives for a long time. For others, it often feels that they have never been heard at all, let alone asked. What happens when you go to therapy? What type of model and style of therapy will the person you see provide? What is their level of formal training, how well attuned are they to meet your needs and do they rely on any other resources other than their self-perceived competency? Understanding how much someone knows about your particular issue(s) is a critical step in selecting the type of therapist and style of therapy you will engage.

For example, as I write this article I am thinking of the many different styles of therapy available. I can immediately think of 11 different styles: structural family therapy, strategic therapy, the Milan systemic approach, the Mental Research Institute (MRI) approach, Satir’s communication approach, symbolic-experiential family therapy, intergenerational family therapy, collaborative therapy, narrative therapy, cognitive behavioral therapy and solution-focused therapy. That’s a lot of different styles of therapy, all with empirical research associated with their model and experts in each field.

Added to this list of styles of therapy are the therapists themselves. Who are you going to see and what you are likely to experience is largely dependent on the type of education they have and the experience they have with others. There is a vast difference in the education requirements to become a life coach, mental health counselor or a marriage and family therapist (MFT). There are differences in approaches and emphasis, even within the same style/model of therapy. You and the particular issues you bring to therapy may be weighing on you. The therapist fortunate enough to have you as a client should work as hard on your issues as you do.

There are resources such as books, workbooks, films, music and other sources that might resonate with you that are not particularly useful or preferred by others. You have decided to make a new start and that new start needs the support of the developing relationship of trust you are building with your therapist of choice. That relationship is essential for discussing what you want to achieve and the ways you plan to address the changes or goals you want for yourself and your relationships. Your new journey starts with a decision about what you want to experience in the future. Often this gets accomplished by a review of the past and current life experiences you have survived or thrived from. The therapist caring deeply about your experiences and your strengths will celebrate what you have achieved and where you are going. Aspects that you bring to the therapy effort are elements of the way you might describe yourself—the many facets of who you are. When people describe their experiences in therapy, I hope they include feeling heard, challenged, respected, validated, encouraged and celebrated. Their experience should feel welcomed like a friend, with a serious focus in a nurturing manner. Sometimes people cry, reflect and reconsider critical directions or attitudes they have adopted. Sometimes they laugh and release tension in a light-hearted way. New beginnings are often encouraged by a therapist going the extra mile along side of you, so you can keep going more miles, confidently forward. Welcome to your new start.

 

About the Author:

David Nutter is an Associate Marriage and Family Therapist at the St. George Center For Couples & Families. His career experience includes military service, management and executive positions and international business consulting. He received his undergraduate degree from BYU and his Masters in Marriage and Family Therapy from Northcentral University, a COAMFTE approved program. David was inducted into two honor societies for academic and clinical excellence and is enrolled in NCU’s PhD/ MFT program. During his Master’s program he was mentored by Steve Allred, with a broad range of client ages and issues. He served as the SGPD Chaplain (board certified) to reduce the impact to personnel and citizens from significant trauma experiences. He is adjunct faculty at DSU. He has lived in every U.S. time zone and abroad, and appreciates diversity. David is married to his “girlfriend” Diane. Together, they call their 7 children, their spouses/partners and 5 grandchildren their immediate family.

Why Should Couples Consistently Set New Year’s Resolutions Together? By Dr. Matt Eschler, Ph.D, LMFT

I have counseled couples for twenty-five years. Panicking, anxiously pacing, wringing hands, couples have wandered into my office, hoping to find some peace in their relationships. In the counseling arena we explore some very principled foundation ingredients that, when mixed together, produce peaceful, passionate relationships.

There are three fundamental ingredients that all of us need to exercise for a shot at a sound relationship. My challenge to you is to sit with your lover and assess the following three principles, and set specific goals to learn a little more, stand a little more firm, and increase your skills in these three areas:

The first foundation principle is friendship. Friendship is unilateral. Increase your friendship with your lover every couple of hours. You do this by sharing information, being trustworthy, and being transparent—without conditions.

The second principle that relationships will not survive without is influence. You must accept your lover’s influence. Men seem to have a slightly more difficult time with this, but both partners will benefit from allowing influence. Think about a time when there was disagreement in direction of relationship or activity. Did you allow your lover to have influence? Did you argue until one of you gave in? Was their healthy negotiation until a mutually satisfying result occurred? The hope is always influence and no competition. Get a little better at this in 2018!

Finally, the third principle is generating a governing purpose for your marriage. This is the North Star that holds you both accountable to a result that is desirable and cherished. If you are seeking the same purpose, you won’t go after hostile results. For example, my wife and I want to travel the world. If I sneak out and spend our travel money on a new truck and lots of clothes, we won’t have resources available to travel. That causes issues. If I save and we put our travel fund together and watch it grow together, we will eventually accomplish our common goal.

I invite you all to accept this challenge: In 2018 be a little bit better in all three of these areas. Sit with your lover and map out a specific strategy to accomplish these three goals to improve your relationship.

 

About the Author: Matt lives in St. George, Utah where he and his wife Chris are enjoying their life with each other. Since their kids have grown and moved out perusing their dreams Matt and Chris travel the world. They want to visit 200 countries before the are done. Matt and Chris are active in their community and enjoy working out, training for marathons, and spending time participating in numerous activities with their adult children.  Matt has received his PhD in Psychology. He is focused on the arena of resolving personal conflicts and improving interpersonal relationships. In addition to his Doctorate Degree Matt has earned a Masters in Marriage and Family Therapy, studied Criminal Justice and received a category I licensure with Peace Officer Standard of Training along with a degree in the Arts of Business Management. Matt is a professor at Dixie State University and hopes to be part of the positive growth of Southern Utah.

Creating a Meaningful Mother-Daughter Relationship by Erik Labuzan-Lopez

yellow flower 2The mother-daughter relationship is complex, complicated, and ever evolving. Some mothers and daughters talk all the time, while others speak more sparingly. Some deal with conflict head on; others avoid fighting at all costs. No matter how you relate to one another, there will be arguments between mothers and daughters. How is it that mothers and daughters are masters at pushing each other’s buttons?

Becoming the mother of a daughter can inherently trigger issues you have with your own mother, and those feelings start influencing this new relationship. You’ve probably told yourself, “I’ll never do xyz, like my mother did!” Then later, you hear yourself saying that exact phrase that used to drive you crazy. Women also tend to communicate verbally, which leads to more interactions that are perfectly aligned for conflict. A mother makes a comment about her daughter’s hair, with the intention of caring for her daughter and making sure that she is set up for success (and underlying that, proving she’s a good mother), whereas the daughter interprets that as a criticism, which triggers fears that maybe she’s not perfect.

If you are noticing tension in your mother-daughter relationship, know that it’s normal. There are easy steps you can take that can improve your relationship, although admittedly, they will require some practice in both of your parts.

Communicate clearly – Sometimes mothers and daughters feel so close that they assume the other person just knows what they need, and therefore don’t communicate at all. Neither of you are mind readers, so you still have to be clear about what you need. It’s ok to say, “Mom, I just really need you to listen” or “I feel hurt that you yelled at me in that way.” You can also reflect back what the other person just said so that you make sure you understood their point.

Repair damage quickly – In healthy relationships, people don’t avoid conflict. Differences of opinion are unavoidable, and therefore, we have to find a constructive way to deal with conflict. By not dealing with issues, we actually hold on to them and carry them into our future relationships. Make decisions about what will be most helpful and pick your battles about what to argue over. If you’ve lashed out or said something hurtful, apologize and take the time to explore your feelings and why that took place.

Set boundaries – Boundary setting in very important no matter what stage of the relationship you are in. Here’s one of the best definitions of boundaries that I’ve ever heard: “What’s ok and not ok.” You can decide for yourself exactly what behaviors are ok and not ok, and then you have to communicate those and follow through.

The mother-daughter connection is incredibly special, but also challenging. It’s worth putting effort into this important relationship, as it’s a foundation for other healthy interactions in life. You both deserve to have a meaningful connection, enjoy being together, and find support from one another. What will you do to grow your relationship today?

Erika headshotAbout the Author: Erika Labuzan-Lopez, LMFT, LPC is passionate about working with couples and families looking to understand how the tough stuff plays out in interactions and how to move past the fighting. She specializes in couples therapy, infertility counseling, and the transition to parenthood. Erika is located at the South Shore Center for Couples & Families

Positive on Purpose by Andy Thompson, LMFT, MS

business man with laptop over head - madA life dominated by negativity can be stressful, and stress causes wear and tear on our bodies, minds, and relationships. Have you ever noticed the tendency in yourself or in others to pay more attention to the negative things or problems in life than to the positive things and aspects of life that are going well? This is called negativity bias, which is the notion that things of a more negative nature, such as unpleasant thoughts, emotions, experiences, or interactions with others, will have a greater effect on a person’s emotional/mental/psychological state and processes than neutral or positive things, even when events are of equal intensity.
While I am not suggesting that we ignore challenges and difficulties, we do need to pay attention to the ratio of positive to negative experiences in our lives. For example, marriage and relationship researchers have come to recommend that for relationships to survive, a couple needs to have at least five positive interactions for every negative interaction.

In many areas of our lives, negativity can overwhelm us and begin to become chronic. Sometimes we might develop symptoms such as anxiety, hyper-vigilance, and distorted patterns of thinking. If negativity dominates our conversation, we might even start to notice that others distance themselves from us because they experience us as negative. This can turn into a vicious cycle that leads us to be unhappy.
Fortunately, there are many steps we can take in order to counteract negativity bias without invalidating the concerns we may have in our lives.

Businesswoman Ready for Work with Husband In Kitchen.What you can do in your head: Be aware of negativity bias and intentionally pay more attention to positive experiences. For example, eat a delicious meal slowly and really savor it. Pay attention to the positive sensations you get from your food, including tastes, textures, and smells that are pleasant.
What you can do with your actions: Intentionally bring more positive things into your life. Don’t wait until you feel positive to pursue positive experiences. Schedule in something positive, like a massage, a fishing trip, a movie with friends. If money is tight, there are still positive things to plan into your life, like a walk in the park, watching a sunrise, or a phone call to a family member or friend.
What you can do in your relationships: Prioritize. Avoid overloading your relationships with too many negative or difficult topics. Don’t try to fix every problem, correct every annoying behavior, or have all the hard conversations all at once. Pick the most important issues to deal with, and then work to have positive interactions in between facing challenges.

What you can do in your heart: Gratitude. Regularly think of things you normally take for granted (eg. Access to clean drinking water) and imagine your life without those things. This can often help us create an experience of appreciation for the good things in our lives, which can help us to feel more positive.
Again, I am not suggesting that it is a good idea to ignore or push away all negative experiences. Avoiding difficult conversations with a spouse, child, or other family members and friends can be harmful to our relationships. I’m also not suggesting that we need to put on our rose colored glasses and trust everyone and everything. What I am suggesting, however, is that if we make the effort to increase positive thoughts, experiences, and feelings in life, then we will be happier, healthier, and be more energized and capable of tackling challenges without getting overwhelmed by negativity.
Andy-ThompsonAbout the Author: Andy is an Associate Marriage and Family Therapist at the St. George Center and the Cedar City Center for Couples and Families. He graduated from Utah Valley University with a Bachelor’s degree in Behavioral Science with an emphasis in Family Studies. To set up an appointment call (435) 319-4582.

Birds and Bees (Sexting) and Smartphones by Dr. Jeff Temple

Cover 2Adolescence is often described as a period of storm and stress – where children begin separating from parents, establishing their own identities, and discovering their sexuality. This development into junior adulthood coincides with myriad hormonal, physical, and emotional changes. In short, adolescence is difficult, overwhelming, and taxing. The fact that most kids make it through this critically important developmental period to be better human beings than when they entered is remarkable.

The fact that parents of adolescents make it through this period is nothing short of miraculous. And as if this period wasn’t hard enough, we now have to deal with smartphones – at the dinner table, on vacation, while they’re sleeping. Now we worry about cyberbullying, online predators, hundreds of dollars of in-app purchases from Clash of Clans to…SEXTING.

Sexting is defined as sending or receiving sexually explicit messages or images/video via electronic means (usually phones). My team at the University of Texas Medical Branch published some of the first studies on this relatively new behavior. While research in this area is still new, we and others have consistently shown that teen sexting is common and that it is often associated with real life sexual behavior.

Between 15% and 30% of adolescents have participated in sexting, with higher rates reported by older adolescents or when the sext is limited to just messages (no images). In my study of nearly 1000 teens, 28% of boys and 28% of girls had sent a naked picture of themselves to another teen. Nearly 70% of girls had been asked to send a naked picture.

Like all studies published on the topic, my research also shows that teens who sext are substantially more likely to be sexually active. Indeed, in a study published in the journal Pediatrics, my colleague and I recently found that teens who sexted were more likely to be sexually active over the next year, regardless of prior sexual history.

RF2_1734These statistics will alarm any parent. But should they? The short answer is “maybe.”

Let me begin by saying that I don’t want my kids sexting. That being said, most sexts are harmless in that they are seen only by the intended recipient and not the entire school, they do not end up on the internet, and they do not land the teen in jail. “Normal,” well-behaved kids sext, and accumulating evidence suggests that, when not coerced, sexting is not likely to have psychological consequences.

Furthermore, more teens are having real sex than are sexting. Thus, our priority should be promoting healthy relationships and teaching teens evidence-based and comprehensive sex education. Sexting education should be a part of this, but not at the expense of valuable information on the importance of delaying sex, and the prevention of unwanted pregnancies and sexually transmitted infections.

However, sexting can have disastrous consequences. So what should we do? Most importantly, we should talk to our kids and we should do so in a fully informed and honest manner. Approach this like you would a conversation about something as mundane as seatbelts. You probably would not tell your children that if they don’t wear their seatbelt they will likely die the next time they drive. You would probably say something like, “You’ll probably be fine if you choose to not wear a seat belt, but ‘what if?’” or “It only takes one time.” Similarly, we should not tell teens that their future is ruined if they sext. Instead, we can say, What if it does end up on the internet; what if someone forwards it to your teachers; what if your coach finds out; what if the college you’re applying for learns of this?” Adolescents are impulsive and moody and irritable and weird; but they are smart. We should treat them as such.

But what do I know? I have a 12 year old at home who knows everything and thinks I’m stupid. Wish me luck.

Jeff Temple[1]About the Author: Dr. Temple, a licensed clinical psychologist, completed his undergraduate degree at the University ofTexas-San Antonio and his Ph.D. at the University of North Texas. In 2007, he completed a postdoctoral research fellowship at Brown Medical School. Dr.Temple is an Associate Professor and Director of Behavioral Health and Research in the Department of Obstetrics and Gynecology at UTMB Galveston. He is a nationally recognized expert in interpersonal relationships, with a focus on intimate partner violence.

Spring Cleaning Your Marriage by Chad Olson, LMFT

yellow 3How do you “Spring Clean” when it comes to your marriage? When I was growing up, I knew that every spring at the Olson household we would have a major cleaning session. It was time to dejunk, get organized and deep clean for the coming year because the house and yard tended to get neglected during the long winter.

As I reflect upon those “spring cleanings,” it was not an event I really looked forward to; in fact, I dreaded all the work. Yet, if I am honest with myself, there was something satisfying about working hard to get organized and make things look good again. These experiences have always reminded me that spring is a wonderful time of year because it’s symbolic of new life and rejuvenation.

Attractive couple portrait.New opportunity
Because of this, spring can offer an excellent opportunity to reflect on one of the most important relationships people experience during this life, their marriage. Because of “long winters” that occur at various times in marriage, there is value in taking time with your spouse to do a marital spring cleaning.
Sometimes when my parents asked me to complete a big project during spring cleaning, it seemed overwhelming and I didn’t even know where to start. My parents would then help me break down the bigger picture into smaller parts which made it possible for me to eventually complete the whole task.

If you feel overwhelmed by the prospect of analyzing your whole marriage, consider the following suggestions to start the cleaning. You may even want to share with your spouse these ideas or ideas of your own that would be helpful for your own personal marital spring cleaning.

Take a look back at your wedding
First, I would suggest that you take some time as a couple to look through your wedding album or watch your wedding video. As couples reflect upon their wedding, they start to remember the reasons why they decided to get married in the first place. They can think about everything they did in their dating and courtship that made their relationship strong.

Relationships are governed by laws and it will come as no surprise that couples who spend time together talking and doing fun things together are more attracted to each other. On the other hand, that same law states that for couples who neglect doing the fun things they did during dating and courtship, their relationship gets stale and mundane.
I realize that life gets busier after the wedding with careers, children, and challenges, yet couples who want to keep their relationship fresh will make time to do the things that made them fall in love with each other in the first place. So, get that photo album out and remind yourselves of that deep attraction you once had.

MP900440326Improve your friendship with your spouse
The next suggestion is to improve your friendship with your spouse. Research from the Gallup Organization indicates that a couple’s friendship could account for 70 percent of overall marital satisfaction. In fact, the emotional intimacy that a married couple shares is five times more important than their physical intimacy. This research is in line with other research studies asking happily married couples who have been together for over thirty years to what they attribute their marital happiness. The number one response was their friendship.
It seems simple, but friendships require time and effort. So what makes a good friend?
Simple qualities such as thoughtfulness and showing appreciation are a good start. Try to remember the little things throughout the day that your spouse is involved with and ask how they went. Make birthdays, anniversaries and holidays special by doing little things that remind your spouse they are your best friend.
A true friend is loyal, fiercely loyal. A genuine friendship is also based on principles of reciprocity, wherein both spouses are contributing and the result is mutually beneficial.

Consider the following quote from a well-respected ecclesiastical leader, Marlin K. Jensen:
Friendship is … a vital and wonderful part of courtship and marriage. A relationship between a man and a woman that begins with friendship and then ripens into romance and eventually marriage will usually become an enduring, eternal friendship. Nothing is more inspiring in today’s world of easily dissolved marriages than to observe a husband and wife quietly appreciating and enjoying each other’s friendship year in and year out as they experience together the blessings and trials of mortality.

Remember that even though spring cleaning can seem a little daunting, it can be very satisfying as well. So, let’s get cleaning.

OlsonAbout the Author: Chad Olson is a licensed marriage and family therapist in the state of Utah and the clinical director of the St. George Center for Couples & Families. He enjoys working with couples, families, and teens on various issues.

Stress: the Good, the Bad, and the Ugly by Dr. Mike Olson, LMFT

stress 1The Good. We often think of stress as a bad thing, something that we must eradicate from our lives. Yet, without it, we would not be able to survive a single day. There is, deep within our brains, an amazing little factory called the hypothalamus that produces/secretes thousands of very powerful and potent chemicals called neuropeptides and neuro-hormones. The hypothalamus works with the pituitary and adrenal glands to secrete these hormones which include cortisol and epinephrine or adrenalin. The levels of these neuro-hormones rise and fall naturally daily (diurnal rhythms) and help us to wake up in the morning, focus and deal with the challenges of each day and finally allow us to drop off into sleep at night.

The Bad. The problem that most of us have is not the presence of stress or the stress hormones that flow through our blood stream each day. It is however, the excess of these hormones as they build up in the body without release. Take a car engine for example. The engine revs and shifts as the gas pedal is pressed. The RPMs continue to climb as the demands rise on the engine. If the pedal remains pressed down without release, the RPMs will reach a critical level and eventually the engine will overheat and breakdown. The brain and body work in a similar way. When the stressors of life place demands on us our brain produces the chemicals necessary to deal with that stress. The branch of the central nervous system (CNS) called the autonomic nervous system controls the “gas pedal” and the “braking system” of the body, called the sympathetic and parasympathetic nervous system. The beauty of these systems is that they are self-regulatory and will, if left alone, rebalance.

Power Struggle Between a Man and a WomanThe Ugly. The problem is that with repeated stressors (worries, financial stress, work and family problems, etc.) these systems fail to rebalance and keep the “gas pedal” pressed. Chronic elevation of stress hormones has been shown to lead to a host of health problems including auto-immune disorders, skin problems, musculo-skeletal pain, arterial/heart disease, inflammation, and the list goes on. The relationship between stress and performance is not linear; meaning that increase in stress will lead to increase in performance or functioning only to a point and then it deteriorates, leading us to function less and less effectively.

balanceWhat to do? Dr. Herbert Benson, a cardio-vascular surgeon and researcher from Harvard and founder of the Benson-Henry Institute for Mind-Body Medicine has spent the last 30+ years studying what he calls the “relaxation response.” His work has shown that with a few simple steps, entirely within our control, we can activate this relaxation response, or brake system in the body.

The first step is diaphragmatic breathing (slow inhaling breath through the nose, slow exhaling breath through the mouth with pursed lips to slow flow of air down). Deep and slow breathing increases and decreases pressure on the vagal nerves and flow of blood from the heart to the brain. The rhythm of the heart is affected (more variability or change in the rhythm) which is connected to the brake system of the body as well.

The second step is to focus on a word, a number or a short phrase that is repeated in the mind as you take deep breaths. As thoughts come into your mind (random, distracting, intrusive, worrying thoughts), you passively disregard or let these thought flow through your mind and then return to your repetition (word, phrase, number). Dr. Benson has shown that within 3-5 minutes of following these steps, there are measurable reductions in cortisol, epinephrine, increased oxygen in the blood, increased delta/theta waves in the brain (slow, undulating, relaxed brain frequencies), among others. Finding the place/time to practice this basic skill on a daily basis can have measurable positive effects on health by significantly reducing stress in the body.

If any of our therapists or health coaches can be of assistance in your quest for wellness and stress reduction, let us know and we will be happy to help. Our staff has experience and training working with stress reduction and management using this technique among others (biofeedback, psychotherapy or talk therapy, autogenic techniques, EEG neurofeedback, etc.).

MikeAbout the Author: Dr. Michel Olson is a licensed Marriage and Family Therapist. He is the clinical director of both WholeFit and the Centers for Couples and Families in TX. He earned a doctorate degree from Kansas State University and completed a post-doctoral fellowship in Behavioral Medicine at UTMB, Galveston

Fight Fair by Kenneth Jeppesen, MS, LMFTA

business man with laptop over head - madSurveys have shown that for the most part, couples divorce because they don’t feel loved. One of the biggest things that makes us feel like our spouse doesn’t love us is fighting. Since we can’t expect to remove all conflict from marriage, what are we supposed to do? The answer is to change the way we fight. Today I’ll share one thing that can start to change the way you fight.

When we get in a fight with our spouse, our emotions are running high, and we feel attacked. Researcher John Gottman has found that we experience the fight-or-flight response which he calls being “flooded.” Our heart rate gets up around 100 beats per minute, our digestion stops, the blood rushes out of our limbs to prevent from us bleeding to death if injured, and most importantly, our brain mostly shuts off except for one part. The part of our brain that is highly active during fights is the part that looks for threats. And when we are in a fight, we perceive our spouse to be a threat. Even if there is never any physical violence, there is a very real threat to our self-esteem and our happiness if we are in conflict with the person we are supposed to love and cherish. When we are flooded and our brains are on high alert for threat, almost anything we say will cause more harm than good.

For this reason, Dr. Gottman recommends a time-out. It takes at least twenty minutes for our bodies to calm back down. While we take this time-out, we can’t be thinking about the argument, or we will continue to be in this state of physiological arousal. In order to calm down, we have to think soothing and calming thoughts. Dr. Gottman has found through his research that men have a harder time with this. Men are more likely to mull the argument over in their heads, thinking thoughts like, “I shouldn’t have to put up with this.” Women are much better at thinking thoughts like, “Everything is going to be fine, we’re still in love.”

MP900387517It is a lot harder to think calming thoughts when we are charged up with emotional energy. It can be very helpful to do something physically demanding during the twenty minute time-out that will drain that energy. Sprinting, for example, is quite effective. Afterwards it’s much easier to take control of the thoughts we’re thinking about our spouse and relationship. Meditation is a powerful tool that can help with this if we will develop it as a skill.

When you feel yourself getting flooded with emotion and adrenaline, that’s when it’s time for a break. But walking away from your spouse during an argument can make things much worse. When you call a time out, make sure that you agree on a time when you will come back together to continue the discussion. In part two, I’ll share how to make the fights less distressing in the first place.

Kenneth-Jeppesen-Headshot-e14380277335081About the Author: Kenneth Jeppesen is a Licensed Associate Marriage and Family Therapist and a member of the American Association for Marriage and Family Therapy. He earned a bachelor’s degree in Child and Family Studies from Weber State University, and a master’s degree in Marriage and Family Therapy from Converse College in Spartanburg, South Carolina. He is currently at the Provo Center for Couples and Families

Health & Wellness by Dr. Spencer Scoville, DO

Vegetables‘Health and Wellness’

What can we do to improve our health & wellness? I think this is a great question for the New Year or any time of the year. We spend the majority of our time focused on work, family, church and community responsibilities. We get our kids to school and all their activities. We race to the Doctor when we are sick. We try to lose weight when our pant size increases or exercise a little when we see our muscles sag. Many of us don’t spend a lot of time thinking about our health or wellness until we are in deeply in need of it.

I think it is useful for each of us to spend a little time defining what health and wellness is to ourselves. Benjamin Franklin in his early autobiography tracked qualities that he felt needed improvement. If we do not define what we want in our health, I see it difficult for us to achieve the health goals we desire.

I define health or life as movement. Think of the things you enjoy doing. Even if it is going to the movies, it is much easier to enjoy them if you are able to move yourself to get there. I love to run. I have a goal of being that 90 year old guy out running. I am almost 40 and already have quite a bit of gray hair—so I am already “that old guy” when I am running. I want to do everything I can to maintain my health or ability to move and do the things I love as I age.

I talk to people every day about health. Many of these people are sick and we focus on the specific health concern they have that day. It may be a sinus infection or a back ache or a well visit. With all of these visits, I have an overriding desire. It is to help them improve their health. The 2 things at the top of my list to talk about are quitting smoking and getting moving. If you don’t smoke, I can think of few things that will improve your health over the years as much as getting moving.

Athlete Running Through Finish LineGetting moving, statistically decreases our risk of death. It may be painful when we start to be more active, but movement generally helps us. Exercise helps us control our weight which is directly linked to all-cause mortality in multiple studies. In one study midlife running speed predicted cardiovascular health 30-40 years later. “Heart disease risk increases markedly for every minute longer it takes you to run a mile.” We will be healthier if we exercise consistently.

I often feel an improvement in my mood when I exercise. When I exercise, I am accomplishing something I understand to be good for me. So that thought, makes me feel better. I will often feel an elevation in my mood as I exert myself. I feel a little silly as I am pushing to finish a run and have a hard time suppressing a huge smile.
These studies and personal experience tell us that activity is good for us. I am not talking about drastic life changes that require spending hours at the gym. I am talking about thirty minutes of daily movement. This can be as simple as a daily brisk walk.

I recently read “The Power of Habit” by Charles Duhigg. He reports that most of what we do during the day requires no specific decision because it is a habit. I find that if we don’t have to decide in the moment then we can be more successful. Some people want to work-out for 1-2 hours twice a week. This is good, but I like the commitment to daily exercise and the routine that it creates more. If it is not a routine, it is too easy to stop
Many times unforeseen things can interfere with our goals, but having strived for to attain what we truly want with our health will provide benefit. Wellness is a combination of our physical and mental state that allows us to comfortably do the things we enjoy doing. One individual may love to run and they define success by their ability to keep running fast. Another may define it by their ability to play with their grandkids or go for a walk to the park. Let’s define what we want from our health and strive to get moving.

logoAbout the Author: Dr. Scoville is a Family Physician in Utah at the US Synthetic Clinic. He enjoys the outdoors, running, and cylcing.

Can Facebook Harm Your Marriage? by Dr. Mark White Ph.D, MFT

Mature couple with laptop.Can Facebook harm your Marriage?  Although we’ve been hearing since 2009 that Facebook may be playing a role in divorce, a recent study published in the journal Computers in Human Behavior1, appears to be the first to scientifically examine divorce rates, marital quality, and the use of social networking sites (SNS) like Facebook.

The researchers examined two kinds of data. For each US state, they collected recent divorce rates and the proportion of persons in each state with a Facebook account. The second was an online survey of almost 1200 individuals specifically examining marital well-being and SNS use.

Across the 50 states, they found that as the proportion of Facebook users increased, there was a slight elevation in the divorce rate. While this finding is interesting, it doesn’t tell us anything about what’s going on for the individuals in that state. That’s where the individual-level data comes to play.

Attractive couple portrait.The researchers were able to control several variables in these analyses, such as income, education, race, age, and religious attendance. After removing the contribution of such factors, increased SNS use was shown to play a small role in predicting lower marital quality, less perceived happiness in the current marriage, more perceived troubles in the current marriage, and thoughts in the last year about leaving spouse.

Unfortunately, the design of this study did allow the re searchers to identify which is the cause and which is the effect (the perennial chicken and egg problem). Does SNS involvement cause marital problems, or do people in unhappy marriages spend more time on SNS? Although these data cannot answer that question, common sense would suggest that both occur.
For some, SNS detracts from the marriage and also provide an avenue for various forms of infidelity (such as wondering what your high school girlfriend is up to these days). Others seek support and contact with others to cope with an unhappy marriage.

Young Woman Sitting Looking at Laptop ScreenSo how can you prevent Facebook from harming your marriage? Here are 10 common sense suggestions:
1. Don’t hide anything on Facebook from your partner and don’t have anything to hide.
2. Have a shared understanding about how you each will use SNS. Some couples have a shared Facebook site (BradndSusan), others share the password to each other’s account, while others frequently look at Facebook together. There’s no right solution here—I just recommend you reach an agreement about the use of these sites.
3. Do not friend, or promptly unfriend, any person that makes your partner uncomfortable.
4. Analyze how you spend your time—are you spending more time with your virtual friends or your real-life partner?
5. If you discover that you’d rather post another kitten meme or play Candy Crush Saga than be intimate with your partner, it’s time to seek help.
6. Be willing to ask yourself some hard questions if you find yourself tempted to spend time perusing the pages of your ex, old flames, or people you find attractive (either on or offline). What’s going on in your life or your marriage that makes such behaviors appealing?
7. If you are unhappy about some aspect of your marriage, address your concerns with your partner rather than seeking support online.
8. If you both enjoy SNS, use them to flirt and communicate with each other. Message each other and post on each other’s page regularly. Make sure your status updates and photo albums convey that you are happily married.
9. Do not engage in any activity on an SNS (posting pictures, sending messages, etc.) that you would not participate in if your partner were sitting next to you, viewing the same screen.
10. Remember Rule #1.

1 Valenzula, S., Halpern, D., & Katz, J. E. (2014). Social network sites, marriage well-being and divorce: Survey and state-level evidence from the United States. Computers in Human Behavior, 36, 94-101.

markAbout the Author: Dr. Mark B. White is the Marriage and Family Therapy Doctoral Program Director at Northcentral University. He is a licensed marriage and family therapist and AAMFT Approved Supervisor and provides therapy at the Vernal Center for Couples & Families