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Wellness

Wellness

What parents are teaching kids when we allow them to take a 'mental health day'

With zero hesitation—just a simple, "OK"—he turned the car around and took me home, and it's a lesson I've never forgotten.

Photo by Darwin Vegher on Unsplash

With one turn of the wheel, my dad taught me a lesson about self-care in high school that I'll never forget.

When I was in high school, I woke up one morning feeling overwhelmed. I was an honors student, I was involved in various activities and clubs, and for whatever reason, I felt thoroughly unprepared for the day. I don't recall if I had a test or a presentation or if it was just a normal school day that I couldn't face—I just remember feeling like I'd hit a wall and couldn't make my mental gears turn right.

I usually walked the mile and a half to school, but I was running late so my dad offered to drive me. In the car, I tried to keep it together, but halfway to school, the tears started to fall. My dad looked over and asked if I was OK.

"I don't know," I sobbed. "I feel like … I just … I need a day."

He knew I wasn't sick. He could have told me to tough it out. He could have given me a pep talk. He could have forced me to go. But he didn't do any of those things.

With zero hesitation—and just a simple "OK"—he turned the car around and took me home.


I have no memory of what I did the rest of that day. Three decades later, the only thing that sticks out is the basic-but-profound lesson my dad instilled in me the moment he turned that steering wheel: It's totally OK to take care of yourself.

We talked about it briefly on the way home. As it turned out, he was also taking a "mental health day." My dad was a social worker, and as an adult, I can totally understand why he would need to take a random day off sometimes. But it didn't really matter what he did for a living. Most of us need an occasional mental health day—adults, teens and kids alike.

man and woman lying on grassPhoto by Clem Onojeghuo on Unsplash

Some schools have begun incorporating this understanding into their school attendance policies. Utah passed a bill in 2018 that allows a mental health day to count as an excused absence from school. Oregon enacted a similar law in 2019 and Arizona, Colorado, Connecticut, Illinois, Maine, Nevada and Virginia have followed suit.

“Mental health days are not only good for the practical aspect of giving young people a break," psychologist Caroline Clauss-Ehlers, Ph.D., told Healthline, "but they also validate that the community and society are saying, ‘We understand and we’re supporting you in this way.”

Occupational therapist Shelli Dry concurs, telling Healthline that acceptance of mental health days can help eliminate the stigma that often comes with mental illness.

“For schools to recognize that sometimes it’s better to take a mental health day than push through when you cannot seem to cope, is a tremendous support for students to feel understood and accepted, and [this, in turn, encourages] students to understand and accept themselves more,” she said.

closed eye boy laying on brown maple leavesPhoto by Annie Spratt on Unsplash

Sometimes we forget how hard it is being a kid. In some ways, I think it's way harder than being an adult. Considering the fact that 1 in 6 kids between the ages of 6 and 17 experience a mental health disorder each year, we need to acknowledge that a lot of kids have days where they're struggling. But even kids who don't deal with mental illness sometimes need a down day. Modern life is busy and complex, no matter our age. Managing it all daily—and then also handling whatever extra stuff life throws at us—is a lot.

Part of good parenting is teaching kids to persevere through challenges, but encouraging perseverance has to be balanced with insight and wisdom. Sometimes kids might cry wolf, but it's important for parents to understand that kids might be dealing with more than we know. Sometimes kids need to be encouraged to dig deep for resilience. Sometimes kids have already been resilient for a long time and need a little time and space to just be.

My dad knew me. He understood that I wasn't just being lazy or trying to get out of doing something hard. He trusted me to know what I needed, which in turn taught me to listen to my inner alarm and trust myself. As a result, I've spent my adult life with a good sense of when I need to push through and when I need to pause and reset—a gift I'm immensely grateful for.

three children sitting on grassPhoto by Charlein Gracia on Unsplash

All of that said, this advice does come with a caveat. As a parent of kids who are learning to manage anxiety, mental health days can be a mixed bag. There's a difference between taking a mental health day because you really need it—which happens—and taking a mental health day to avoid facing fears—which also happens. Avoidance feels good in the moment but fuels anxiety in the long run, so parents and kids have to be aware of how the idea can be misused and unintentionally make certain mental health issues worse.

The bottom line, however, is that kids need breaks sometimes. And when you allow them to take an occasional day here and there to breathe, to do some self-care, to reconnect with themselves and reset their mental and emotional barometer, you teach them that their well-being matters. You teach them that it's OK to acknowledge when they've hit a limit and pause to recoup their strength.

It's OK to turn the car around when you know you need to. That's a lesson we all need to learn, and one we need to support with work and school policies in addition to internalizing individually. We're making some good strides toward that goal, and the sooner we all get on the same page, the better everyone's well-being will be.


This article originally appeared on 2.2.22

From Your Site Articles
Health

Doctor explains why he checks a dead patient's Facebook before notifying their parents

Louis M. Profeta MD explains why he looks at the social media accounts of dead patients before talking their parents.

Photo from Tedx Talk on YouTube.

He checks on your Facebook page.

Losing a loved one is easily the worst moment you'll face in your life. But it can also affect the doctors who have to break it to a patient's friends and family. Louis M. Profeta MD, an Emergency Physician at St. Vincent Emergency Physicians in Indianapolis, Indiana, recently took to LinkedIn to share the reason he looks at a patient's Facebook page before telling their parents they've passed.

The post, titled "I'll Look at Your Facebook Profile Before I Tell Your Mother You're Dead," has attracted thousands of likes and comments.


"It kind of keeps me human," Profeta starts. "You see, I'm about to change their lives — your mom and dad, that is. In about five minutes, they will never be the same, they will never be happy again."

"Right now, to be honest, you're just a nameless dead body that feels like a wet bag of newspapers that we have been pounding on, sticking IV lines and tubes and needles in, trying desperately to save you. There's no motion, no life, nothing to tell me you once had dreams or aspirations. I owe it to them to learn just a bit about you before I go in."

"Because right now... all I am is mad at you, for what you did to yourself and what you are about to do to them. I know nothing about you. I owe it to your mom to peek inside of your once-living world.”

Dr. Louis Profeta, health, death, doctors

Dr. Profeta talks his experience with the death of a patient.

Photo from Tedx Talk on YouTube.

Profeta explains that the death of a patient makes him angry:

"Maybe you were texting instead of watching the road, or you were drunk when you should have Ubered. Perhaps you snorted heroin or Xanax for the first time or a line of coke, tried meth or popped a Vicodin at the campus party and did a couple shots.”

"Maybe you just rode your bike without a helmet or didn't heed your parents' warning when they asked you not to hang out with that 'friend,' or to be more cautious when coming to a four-way stop. Maybe you just gave up."

"Maybe it was just your time, but chances are... it wasn't."

personalization, trauma, mental health, social media

The facebook app.

Photo by Brett Jordan on Unsplash

Profeta goes on to explain why he checks a patient's Facebook page:

"So I pick up your faded picture of your driver's license and click on my iPhone, flip to Facebook and search your name. Chances are we'll have one mutual friend somewhere. I know a lot of people.”

"I see you wearing the same necklace and earrings that now sit in a specimen cup on the counter, the same ball cap or jacket that has been split open with trauma scissors and pulled under the backboard, the lining stained with blood. Looks like you were wearing it to the U2 concert. I heard it was great."

"I see your smile, how it should be, the color of eyes when they are filled with life, your time on the beach, blowing out candles, Christmas at Grandma's; oh you have a Maltese, too. I see that. I see you standing with your mom and dad in front of the sign to your college. Good, I'll know exactly who they are when I walk into the room. It makes it that much easier for me, one less question I need to ask.”

"You're kind of lucky that you don't have to see it. Dad screaming your name over and over, mom pulling her hair out, curled up on the floor with her hand over her head as if she's trying to protect herself from unseen blows.”

"I check your Facebook page before I tell them you're dead because it reminds me that I am talking about a person, someone they love — it quiets the voice in my head that is screaming at you right now shouting: 'You mother f--ker, how could you do this to them, to people you are supposed to love!'"

This article originally appeared on June 5, 2019

Image from YouTube video.

An emotional and strong Matt Diaz.


Matt Diaz has worked extremely hard to lose 270 pounds over the past six years.

But his proudest moment came in March 2015 when he decided to film himself with his shirt off to prove an important point about body positivity and self-love.


Matt had lap-band surgery in 2009 at age 16.

Through the course of his weight-loss journey, Matt became passionate about promoting body positivity for people of all shapes and sizes.
weight-loss journey, obesity, social media

Here's Matt at 16 years old and 497 pounds versus recently after his surgery — at 22 years old and 220 pounds.

Images via Matt Diaz, used with permission.

To stay motivated, he started sharing his journey on social media, posting before-and-after photos, answering questions and giving support to followers, and even sharing his meals and favorite workouts. Six years later, Matt is down over 270 pounds and is a very active voice in the online body-positivity movement.

But in all his years of sharing his story, the one thing he's never done is showed what his body looks like after 200+ pounds of weight loss. So he uploaded the video above to show his followers his true self.

body image, viral videos, photos

Sharing what happens with extreme weight loss.

Images via Matt Diaz, used with permission.

selfies, shame, extra skin

Working through fear...

Images via Matt Diaz, used with permission.

self love, self care, self esteem

Loving myself.

Images via Matt Diaz, used with permission.

fear, public shaming, insecurity

Scary and important.

Images via Matt Diaz, used with permission.

Shortly after he posted the video online, originally to Tumblr, it quickly went viral and garnered thousands of shares and comments from people around the web. I was one of the thousands touched by the video, so I reached out to Matt to find out more about what motivated him and what he hopes others can take away from his story. Here's what he had to say:

Why was it so important for you to post this video?

"I'm a really big advocate for self-love and body positivity. I think it's important that we learn to love the bodies we're in, even if we don't necessarily like every little thing about them. However, in the time I'd been writing and talking about it, I'd never actually shown my excess skin to anyone. It felt dishonest somehow, to others and to myself. I couldn't tell others that I wanted them to love themselves and keep myself hidden away and ashamed of my skin."

"I know what it feels like to hate your body, and to be depressed about it, and I never want anyone to feel that way again. So, if making myself vulnerable can help one person, why not?"
— Matt Diaz

What's the response been like? Anything particularly unexpected?

"I think that putting any opinion on the Internet will garner a certain amount of negativity and cynicism, but I haven't seen anything like that at all. I've read every comment and message since the video has gone up, literally thousands, and they're all so thoughtful.

A really surprising side-effect were the number of transgender people who've thanked me saying that they understood my struggle, even though their body-related insecurity grew from different roots. I'd never even begun to [think] of what that must be like, and the fact that my message could help even though my problems began somewhere else is really incredible.”

What advice or words of encouragement do you have for someone who's struggling to love their body?

"I know it's difficult, especially when you're starting out. I want you to remember that you are not the problem, certain aspects of society are the problem. You'll constantly be told that you're too heavy or too tall to be attractive, or you're not masculine or feminine enough, or that your skin isn't the right tone or your hair isn't the right color, and these people are always always always wrong.

Luckily, we're slowly starting to see these ideas get phased out by modernity. Plus-sized, un-retouched models are getting more attention in major brands, more attention is being put on the alternative scene for high fashion, it's becoming clear that these negative ideas are not going to last, though it's going to take a while."

"Understand that to love yourself is to contest the negative things that were put into your head. Every smile, tattoo, bathing suit, and crop top is a small revolution. Tell yourself you're beautiful every day, and I promise you will be."
— Matt Diaz

Watch video below:

Matt's story is a personal one, but it's one we can all learn from.

I think the most important thing to take away here is that self-love takes time and is different for everyone no matter what they look like. It's also worth noting that for Matt, losing weight was an important part of his journey, but that might not be the case for everyone. Even so, our society has such incredibly high and unrealistic body standards that even many of those who do work to lose weight end up feeling uncomfortable or being shamed for not having "perfect bodies" once they've lost weight.

There's no such thing as a "perfect body" because everyone is different, which is what makes us beautiful and great! I'm glad there are people like Matt in the world who are not only willing to share their stories but also to inspire others by showing that body confidence comes in all shapes and sizes, and that everyone deserves to feel good about who they are. Here's hoping Matt's inspiring words can help others begin to love and accept themselves, no matter where they're at in their journey.


This story originally appeared on 03.18.15.

Health

How Japan's '80%' philosophy of eating may help us all be healthier

It's not about losing weight, though that may be a byproduct.

Japanese food tends to be healthy, but there's more to healthy eating than the food itself.

Many Americans were told to "clean your plate" growing up, meaning to eat everything you were served at mealtime. To leave food on your plate was considered rude, ungrateful or otherwise undesirable behavior, and the habit of eating everything in front of you became ingrained.

Kids raised in Japan may have been brought up with an entirely different philosophy, one that tells them to stop eating before they are full. It's called hara hachi bu (or sometimes hara hachi bun me).


Stop eating when you're 80% full

Hara hachi bu literally translates to "belly 80% full" and on it's face that's literally what it means—stop eating when your stomach feels 80% full. Asako Miyashita, RDN, a New York-based dietitian who grew up in Japan, told Women's Health that the phrase comes from a 300-year-old book by Japanese philosopher and botanist Ekiken Kaibara, "Yojokun: Life Lessons From A Samurai." The book is about listening to your body, and its author lived to 83, which was a remarkably long life at a time when the life expectancy in Japan was 50.

Fast forward to today, and the people of Okinawa, Japan, where hara hachi bu is a popular phrase, have some of the longest life expectancies on Earth. But can eating only until you're 80% full actually help you live longer?

It's possible. One reason may be calorie restriction. According to longevity researcher Dan Buettner, Okinawans eat about 1,900 calories per day on average. Compare that to Americans who eat over 3,500 calories per day on average. Caloric restriction has been shown to increase the lifespan of multiple animal species and has also been shown to slow the aging process in healthy human adults, so simply not pushing our caloric intake by filling our bellies all the way full may be something to consider if we're looking to live a long life.

Hara hachi bu encouraged mindful eating

Another benefit of the 80% full idea is that it forces you to be mindful about how your body's feeling while you're eating, which may contribute to better physical health. According to Harvard University, mindless or distracted eating—the opposite of mindful eating—is associated with anxiety, overeating, and weight gain.

"Hara hachi bu is not a diet, but a lifestyle that can help promote a sustainable approach to eating," dietician Kouka Webb, RN, told Women's Health. "It encourages mindful eating and portion control without the need for strict calorie counting or eliminating certain food groups."

family eating dinner in JapanA family eats dinner in Japan.Photo credit: Canva

Harvard shares that a literature review of 68 intervention and observational studies found that mindfulness and mindful eating slowed down the pace of people's eating and improved people's recognition of when they were full. Mindful eating also reduced binge eating and emotional eating.

Overeating can lead to weight gain, of course, but it can also disrupt your hunger regulation, increase your risk for certain types of disease, cause stomach issues like nausea, gas and bloating, and can even impair your brain function. If you stop eating when you're 80% full means you're far less likely to overeat.

But does that mean you're always left 20% hungry? Not necessarily. According to the Cleveland Clinic, it takes up to 30 minutes for your brain to actually process that your stomach is full, so if you stop when you feel 80% full, you'll most likely feel 100% full just a short while later.

Eat until you're not hungry, not until you're full

“There’s a huge gap between being physically satisfied and realizing in your mind that you’re full,” psychologist Susan Albers, PsyD. tells the Cleveland Clinic. “The connection between them is more like old-school dialup speed than instantaneous WiFi.”

Eating to 80% full is probably closer to the "eat until you're no longer hungry" advice that she gives her patients to feel satiated without actually feeling "full."

“When we think about the word ‘full,’ it’s often like filling up a cup or occupying every inch of a space,” Dr. Albers says. “But the fullness that we can feel and perceive in our stomachs is often being overly full. ‘Satiated’ is different, though. Satiated is meeting a need.”

As Buettner writes, "There is a significant calorie gap between when an American says, ‘I’m full’ and an Okinawan says, ‘I’m no longer hungry.’"

Of course, the traditional Japanese diet also tends to be quite healthy in terms of what they eat, but mindful eating, paying attention to how your stomach feels and stopping before getting full, is worth applying no matter what cuisine you're eating. Next time you sit down for a meal, give hara hachi bu a try and see how you feel. It definitely can't hurt.