Browsing Posts in Health Promotion & Self Care

Nutrition 101: Food and Depression

People who are depressed usually stop eating or overeat, and stop caring.  Nutrition, however, can play a key role, both in the onset, severity, and duration of depression, including daily mood swings. Unfortunately, the depression and nutrition link is a catch-22.  When you eat better, you feel less depression. But when you experience depression, whether clinical depression or manic depression, you tend to eat worse.

Eating well for depression is similar to advice given for the general public:

v      Eat low fat, good quality protein at each meal

v      Choose complex carbohydrates, whole grains, brown rice, fruits and vegis

v      Choose low fat or non-dairy products

v      Eat fish, especially those high in Omega-3 fatty acids, at least twice weekly

v      Include nuts, legumes, beans (even canned beans) in your diet

v      Make it a goal to eat at least 5-9 servings of fruits and vegis daily

v      Use olive oil or canola oil instead of other oils and fats

v      Always eat breakfast- have some cereal, milk and fruit, or eggs and fruit

v      Have healthy snacks in between meals such as crisp bread or baby carrots with hummus, or some low fat cheese and tomatoes, yogurt, or some nuts and fresh fruit

v      Avoid “junk” food or overly processed foods

v      Avoid excessive caffeine above 3-4 cups daily (less if you are small)

v      Remember alcohol acts a s a depressant

v      Exercise!!

If you cannot manage, ask a friend or family member to go shopping for you.  If your friend is willing to cook for you, ask them to prepare some healthy meals.  If not, stick to salads and healthy soups or meals that are easy to throw together.-Just Like Me-RD

 

Psychologists’ self-care

“Ironically enough, almost half of psychology practitioners don’t seek help when they feel intense stress, even though 18 percent reported they had suicidal ideation during stressful times, according to results of an APA survey on practitioner worries released at APA’s Annual Convention. The top five stressors identified by the survey were:

  • Trying to achieve work/life balance (cited by 72 percent of respondents)
  • Dealing with insurance and managed care (68 percent).
  • Concerns about their patients’ safety (63 percent)
  • Family issues (61 percent)
  • Burnout and compassion fatigue (59 percent)

Several convention sessions examined the complex links between self-care and professional competence and discussed the importance of reducing stress and maintaining well-being. In one symposium, psychologists also spoke about the physical, emotional, ethical and clinical obstacles they tackled while battling cancer, and stressed the importance — if a practitioner intends to practice with a chronic illness — of reaching out to colleagues for support and supervision and creating flexibility with work scheduling.”

Read more highlights from convention on the 2010 APA convention blog.

Quoted from apa.org

Never skip breakfast! Instead, consider splitting breakfast up throughout the morning. Keep dorm rooms and fridges stocked with great stuff you can eat in the room AND on-the-go. These can include whole fruits like oranges and apples, fat-free yogurt, packets of instant oatmeal, little microwavable cups of egg whites, and light string cheese. Consider a wake up snack like yogurt, nuke up some egg whites, have an apple (~200-calorie-or-so breakfast). Take a couple of 100-calorie snacks with you in case you get hungry mid-morning — this way, you won’t be ravenous before lunch. Pace yourself throughout the day, and eat smaller meals. Carry emergency snacks with you at all times. College students appear to gain weight because they’re usually busy and unprepared when hunger hits, so they grab whatever food they can, whenever they can which is a terrible idea! Other ways to avoid those dreaded Freshman 15? Get moving! EXERCISE. Make sure you schedule time to work out as often as you can (exercise is a great stress-reliever, which is especialy help full during those times, as endorphines keep you happy!). Avoid fast food (or proceed with caution!)… and don’t make a habit of late-night eating. -Just Like Me RD
 

Adapted from: hungry-girl.com

It’s finally here! The Dietitian’s Corner is officially up and running and I couldn’t be more excited! However, it really should be called “Your Corner” as everything and anything related to your nutrition will be posted on here. We’ll discuss topics YOU want to learn more about, ranging from weight management/loss, endurance training, cardiac health and diabetes management, anything goes, YOU call the shots. So keep those emails coming! Remember, rd.justlikeme@gmail.com.
 
Our first, and oh-so-exiting topic is that of Healthy Snacking On-the-Go. Most, if not all of us have experienced those time crunches either between classes, patients, clients etc when stress levels are at an all-time-high and sitting down for a bite is strictly out of the question. That’s right around the time when that vending machine candy bar and coffee start looking like lunch…STOP! Provided below are ideas for picking and choosing the “smarter” options when choosing breakfast on the run and packing lunch for work, among other tight situations etc. Enjoy!- Just Like Me-RD

 At Fast Food Restaurants:

  1. Order the regular or kid-sized portion instead of the mega-size serving
  2. Make milk or low-fat shake your beverage of choice for an extra calcium boost.
  3. Try a side salad instead of fries.
  4. Baked potato offers more fiber and fewer calories than frieds; just go easy on the sour cream and butter. Top your potato with broccoli, a small amount of cheese or salsa.
  5. Food for thought: When in doubt, check out your favorite fast food restaurant’s website. It is now required by law, that they provide nutritional information for their products both in store and online. Things to look out for include serving sizes, total calories, total fat and sodium. Try these lighter options at your favorite places to grab and go:
    • Burger King:
      4 PC Chicken Tenders 180 calories and 11 grams of fat
      BK Fresh Apple Fries 25 calories
    • Taco Bell (Aim for Items from the “Fresco” Menu):
      Fresco Crunchy Taco 150 calories, 7 grams Fat
      Fresco Ranchero Chicken Soft Taco 170 calories, 4 grams Fat
      Fresco Soft Taco 180 calories, 7 grams Fat
      Fresco Griled Steak Soft Taco 160 calories, 4.5 grams Fat
      Triple-Layer Nachos (Fresco Style) 230 calories, 10 grams Fat
    • McDonalds:
      English Muffin 160 calories and 3 grams of fat
      Fruit ‘n yogurt parfait has just 160 calories and 2 grams of fat and, without granola, 130 calories and 2 grams of fat
      Vanilla Reduced Fat Ice Cream Cone 150 calories and 3.5 grams of fat
      Kiddie Cone is 45 calories and 1 gram of fat
    • Starbucks:   (Tall Size Beverages):
      Caramel Frappuccino Light Blended Coffee 130 calories, 1 gram Fat
      Shaken Tazo ICed Passion Ta (unsweetened) 0 calories, 0 grams Fat
      Nonfat Iced Vanilla Latte 120 calories, 0 grams Fat
      Iced Skinny Latte 60 calories, 0 grams Fat
      Iced Coffee (w/o classic syrup) 5 calories, 0 grams Fat
      Brewed Coffee 5 calories, 0 grams Fat
      Brewed Tazo Tea 0 calories, 9 grams Fat
      Nonfat Capuccino 60 calories, 0 grams Fat
      Nonfat Caffe Latte 100 calories, 0 grams Fat
      Nonfat Caramel Machiato 140 calories, 0 grams Fat
      Caffe Americano 10 calories, 0 grams Fat
       
      Perfect Oatmeal 140-390 calories
      Toppings: dried fruit (+100 calories), nut medley (+100 calories), brown sugar (+50 calories)
      Spinach, Roasted Tomato, Feta & Egg White Wrap 280 calories
      Reduced Fat Turkey Bacon, Cholesterol-Free Egg White, Reduced Fat White Cheddar Breakfast Sandwich: 340 calories
      Fruit Cup 90 calories
      Banana 90-120 calories
      Vanilla Almond Biscotti 150 calories
      Double Chocolate Biscotti 150 calories

At the Deli:

  1. Boost the nutrients in all kinds of snadwiches by adding tomato, perppers, and other vegetables.
  2. In place of fried or fried onion rings, order corn on the cob, green beans, baked beans or rice.
  3. Choose lean beef, ham, turkey or chicken on whole-grain bread.
  4. Go easy on condiments, special sauces and dressings on sanwiches and salads. Ask for mustard, ketchup, salsa or low-fat spreads and dressings.

 At Sit-Down Restaurants:

  1. For a lighter meal, order and appetizer for your entrée.
  2. Enjoy ethnic foods such as Chinese stir-fry, vegetable-stuffed  pita or Mexican burrito. Go easy on the sour cream, cheese and guacamole; watch your portion sizes!
  3. At the salad bar, pile on the dark leafy greens, carrots, peppers and other fresh vegetable. Lighten up on mayonnaise-based salads and high fat toppings.
  4. Portions too large? Take home half the main course for another meal.
  5. Order salad with dressing on the side so you can control how much is added.
  6. Eat your lower-calorie food first. Soup (non-creamy) or salad is a good choice.
  7. Try a smoothie made with juice, fruit and low-fat yogurt for a light lunch or snack.
  8. If you eat pizza, top it with vegetables. If you add meat, make it lean ham, canadian/turkey bacon, chicken or shrimp. Soak up excess oil with a napkin.

 For Breakfast:

  1. Instead of a doughnut, order a Whole Wheat English muffin, bagel (scooped for a low carb option) or a soft-baked pretzel. Lightly spread the low fat cream cheese or veggie based margarine (SmartBalance, Promise etc)- or use jam/jelly.
  2. Be size wise about muffins, bagels, croissants and biscuits. A jumbo muffin has twice the fat grams and calories as the regular size.
  3. Starbucks (“Three Healthier Ways to Start Your Day”) and Dunkin’ Donuts  (“DD Smart Menu”) have lower calorie options for breakfast and lunch.
  4. Eat low-fat yogurt and fruit for a quick on-the-run breakfast to start your day.
  5. Build a better breakfast sandwich- replace the bacon or sausage with Canadian/Turkey bacon or ham and order your sandwich on a Whole Wheat English Muffin, 9 Grain/12 Grain/Whole Grain Bread, Bagel or Bun.
  6. For a good, quick brekfast, eat dry cereal and low fat milk. Make the cereal whole grain or mix with bran cereal and you’ll get fiber along with B vitamins and complex carbohhydrates.
  7. Oatmeal packets are another quick and healthy breakfast trick: just add hot water and stir!

 When Snacking:

  1. Fresh Fruit as already packaged to go. Eat a variety of seasonal fruit (those stands on the corner of almost every street are nice and cheap too!) and remember to wash before you eat!
  2. Keep raw almonds, walnuts, peanuts (1/4 cup serving size) granola bars, etc in the car for snacks- or make a trail mix at home with some low calorie, high fiber cereal, raw unsalted nuts and dried fruit.
  3. Popcorn- air popped, light, 94% fat free etc. Sprinkle with a bit of SmartBalance/Promise, lightly sprayed with olive oil, parmesan cheese of spices like chili or curry powder.
  4. Pretzels, a hand full dipped in gourmet mustard.
  5. Low fat, high fiber crackers such as Melba Toast, AkMak, TLC, Wasa etc.
  6. Flavored Rice Cakes
  7. Raw Veggies- baby carrots, celery, peppers, broccoli, jicama. For added protein and fiber, try with 1-2 tbsp of hummus.
  8. Baked tortilla chips or pita break with salsa, bean dip, hummus etc.
  9. Soy nuts or edamame.
  10. 100- calorie snack packs, Sugar-free Jello or Pudding.

 Staying Hydrated:

  1. Water
  2. Seltzer with a splash of fruit juice or twist of lemon
  3. Smoothie: 1 cup skim/1%/soy milk with 1 cup fruit and ice.
  4. Vegetable Juice- Tomato or V8
  5. Sugar-free Hot Cocoa
  6. Green Tea- high in antioxidants

Adapted From: Dr. Evelyn Crayton, Foods and Nutrition Specialist and RD, Alabama Cooperative Extension System [www.aces.edu/dept/extcomm/newspaper/mar17b03.html]

Just Like Me’s RD, Paola Mora, talks Nutrition & Health:

Book Club: Food for the Mind, Body and Soul (adapted from www.hungrygirl.com):

  David Grotto RD, LDN and author of 101 Foods That Could Save Your Life and 101 Optimal Life Foods has offered up some interesting and surprising food tips in his latest books. For mental performance, he recommends strawberries, citing research out of Tufts University that indicates strawberries could improve memory and slow down the rate of cognitive decline. He also suggests chewing gum, as experts have found it can increase blood flow to the brain, decrease stress, and help improve memory. (opt for Sugar-Free) For physical performance, his picks are oats and cherries. “Oats are rich in soluble fiber, which helps lower cholesterol and improves blood flow to the heart and every other part!” says Grotto. As for cherries? “They contain ellagic acid, which is a plant nutrient that has tremendous anti-inflammatory properties for reducing pain and speeding up recovery from exercising.” For more, check out davidgrotto.com. -Just Like Me- RD

Healthy Fast Food: Tips for Making Healthier Choices:  

I stumbled upon this website while working on some of my educational tools. The information regarding the how-to’s on how to make healthier choices when dinning out is really useful as it is also divided into cuisines. Check it out!
http://www.helpguide.org/life/fast_food_nutrition.htm
 
This is a great cheat-sheet for all of those on-the-go that frequent fast food restaurants. A special shot out to the American Diabetes Association for providing this great tool online!
 
http://www.diabetes.org/assets/pdfs/winning-at-work/eatingoutguide.pdf

 

Still under construction!!…

“We are all in this together and there is no therapist and no person immune to the inherent tradegies of existence..” – Yalom

Student Stress Levels Build up to Burnout: http://media.www.isubengal.com/media/storage/paper275/news/2004/10/27/News/Student.Stress.Levels.Build.Up.To.Burn.Out-782055.shtml

Cornell Suicides: http://www.nytimes.com/2010/03/17/education/17cornell.html?scp=1&sq=after%20three%20suspected%20suicides&st=cse

When the Doctors Need Doctoring: http://www.psychologytoday.com/articles/201005/when-the-doctors-need-doctoring

Caring for Ourselves: Therapist’s Guide to Personal and Professional Well-being-http://www.apa.org/pubs/books/431687A.aspx

ACA’s Taskforce on Counselor Wellness & Impairment: http://www.counseling.org/wellness_taskforce/tf_wellness_strategies.htm

Burnout in Psychotherapists: http://www.informaworld.com/smpp/content~db=all~content=a906647299

Psychological Wellness and Self-Care Presentation: http://www.apa.org/careers/early-career/psychological-wellness.pdf

Professional Well-being -http://www.apapracticecentral.org/ce/self-care/well-being.aspx

Exhausted and Close to Burnout: http://news.medinfo.ufl.edu/articles/guest-column/exhausted-and-close-to-burn-out-medical-students-spirit-is-renewed/

Are you taking good care of yourself? : http://www.apapracticecentral.org/update/2007/12-13/good-care.aspx

Strength in Numbers: http://www.apa.org/gradpsych/2006/09/cover-strength.aspx

Career Counseling for Longevity: Self-Care & Burnout Prevention Strategies-http://www.springerlink.com/content/k17q2065h145r1n8/

Avoiding Burnout: http://www.studentdoctor.net/2010/02/avoiding-burnout/

Burnout: Treatment & Strategies for College Student Professionals: http://www.eric.ed.gov/ERICWebPortal/search/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ475418&ERICExtSearch_SearchType_0=no&accno=EJ475418

Medical Student Burnout: http://www.nytimes.com/2008/10/31/health/chen10-30.html

For the Group Therapist/Student: http://www.agpa.org/feeling%20burned%20out.htm COOL!

Report of the Student Health & Behavioral Issues Taskforce: http://www.usg.edu/strategicplan/projects/shbi_report.pdf