Grief Counseling

The Farley-Kluger Amendment

noreply@blogger.com (Unknown) — Tue, 13 Mar 2012 16:11:00 +0000

www.farleykluger.com

The Farley-Kluger Amendment (www.farleykluger.com)
Just go to www.farleykluger.com to sign the petition

There is no loss greater than the loss of a child. Words cannot express the depth of sorrow you feel. Some companies allow 3 days bereavement, some companies are more generous in this situation, but most, unfortunately, are not. Expecting parents to come back to work within a week and "be normal" not only shows a lack of compassion, but a lack of empathy.
–Brenda S. from Alexandria, VA

As a bereaved parent I cannot believe this isn't already in place. Losing a child, toddler, teen or adult makes no difference to the trauma the parents go through. There is no loss like it. We are kinder to animals than to our fellow man.
–Michele H. from Alden, NY

These are just a few of the many comments that have been made by parents who have suffered the tragic loss of a child and then not been given adequate time off of work to mourn their loss.

Currently the Family and Medical Leave Act (FMLA) permits workers, in companies with 50 or more employees, to take up to 12 weeks of unpaid leave to help care for a sick immediate family member. Surprisingly, the FMLA does not cover the death of a child. As a result, some bereaved moms and dads have had to make the difficult decision as to whether to spend time away from their companies and risk losing their jobs or return to work long before they are ready.

Two grieving fathers, Barry Kluger and Kelly Farley, have started a petition to get the law changed and in just one year, went from 1,000 to 34,000 petitions to Congress and in Fall 2011, Sen. Jon Tester, inspired by The Farley-Kluger Amendment (www.farleykluger.com), introduced the Parental Bereavement Act of 2011 which is currently in a U.S. Senate Committee. The week of March 19, Messrs. Kluger and Farley travel to DC for over 20 Hill meetings with various Senators and Congresspersons, in their effort to get a companion House Bill introduced. We are asking you to join with us in supporting a proposed amendment to FMLA that would allow unpaid leave time of up to 12 weeks for families who have lost a child.
You can help! It’s simple and will only take a few minutes of your time. Just go to www.farleykluger.com to sign the petition. It would also help if you make a comment about this amendment being particularly as parents and health care professionals. After you sign the petition, you will be given the option to send an email to your representatives in Congress to support the Farley-Kluger Amendment and this change to FMLA.

Perhaps these words from Kathleen, a Gold Star military mother from Mashpee, MA say it best:
My son’s re-deployment to Heaven on Sept. 24th 2010 was and still is the hardest thing I have ever gone through in my life. The pain never goes away but through time we as parents figure out what our new normal is going to be. Life as we knew it will forever be changed. I support this bill 100%....

When Caregivers Are Left With Nothing More To Give

noreply@blogger.com (Unknown) — Wed, 07 Mar 2012 18:46:00 +0000

Writer Sandra Tsing Loh spoke last week on the NPR national call-in show Talk of the Nation about a provocative piece she had written for The Atlantic Magazine. It was about the heavy financial and emotional cost of caring for her elderly father and stepmother. It was already a pretty sobering conversation, which is what you might expect since her piece was subtitled "Why Caring for My Aging Father Has Me Wishing He Would Die."

Then Yvonne called in and said:

"In 2000, my mother's heart suddenly stopped. And I took care of her for 10 years, and that was total care. That means bathing, making all of her meals, changing her diapers. I also work in long-term care. I'm a registered nurse. And on top of that, my youngest daughter gave birth to a child that she really couldn't take care of herself. So I was doing, wow, all of that. And I got to tell you: There were times I thought I was going to lose it. I could not — I felt so angry, and I'm ashamed of that."

Trauma and Adversity in Childhood: History Need Not Be Destiny from Huffington Post

noreply@blogger.com (Unknown) — Tue, 28 Feb 2012 15:56:00 +0000

Once again, the American Academy of Pediatrics is demonstrating its clinical leadership. Two recent, groundbreaking reports -- "The Lifelong Effects of Early Childhood Adversity and Toxic Stress" and "Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health" -- by the Academy boldly declare what has been known but too hidden from sight: Namely, that brain and emotional development is profoundly disrupted by childhood adversity and trauma.

The pediatric academy quotes Frederick Douglass who said "It is easier to build strong children than to repair broken men."

Pet Loss: Mangia and Me from Huffington Post

noreply@blogger.com (Unknown) — Tue, 28 Feb 2012 15:45:00 +0000

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Mary K. Moore
Mary K. Moore

Author, 'The Unexpected When You're Expecting'
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Pet Loss: Mangia and Me
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"Why do you have two frozen corn dogs on your eyes?" asks my husband.

It's a fair question. I was trying to relieve the swelling from crying the night before. My 16-year-old cat, Mangia, had died unexpectedly which in many ways is like saying Christmas came without warning or you were ambushed by gravity. Still, as my breaded meat compresses attested, I was completely unprepared for her passing.

Grieving for a cat is a tricky proposition. Especially if you're a woman. By just owning one, you're a potential punchline and crying over one is viewed as more Cathy than cathartic. With dogs, you have society's blessing when it comes to sadness. It's the stuff of best sellers and tear jerkers, from "Old Yeller" to "Marley and Me." I remember being handed "Where the Red Fern Grows" in sixth grade as a silent, in-class reading assignment. It was the story of two hunting dogs bound together by love until their ultimate heroic deaths. You could always tell when one of us got to the touching graveside scene, sniffles erupting, classmates weeping quietly in order of their reading speed.

As Children Grieve from Nurse Together

noreply@blogger.com (Unknown) — Mon, 27 Feb 2012 16:07:00 +0000

Talking to children about death is never easy.

Often this is because we are caught up in our own grief over a particular loss. So often children are pushed aside during these times and their feelings are left unaddressed and thus, we send the message that their feelings are unimportant. This can start a life cycle in which they learn to repress their emotions. They can bury them under deep and dark covers because during their childhood encouragement was not offered for the free expression of their thoughts and feelings. When all that was needed and wanted was understanding and patience, comfort and acceptance, children are often ignored because it is easier. This is especially true when the adults are experiencing their own grief and loss.

The following message came to me in my sleep, as most of my writings do, and so when I awakened, it was fresh on my heart. I send it to you with love and respect.

Should grief be treated like depression? from CNN

noreply@blogger.com (Unknown) — Fri, 17 Feb 2012 17:42:00 +0000

Editor's note: Dr. Charles Raison, CNNhealth's mental health expert, is an associate professor of psychiatry at the University of Arizona in Tucson.

(CNN) -- I am starting to think that there are no answers to the issues most worth writing about, at least in psychiatry.

Consider the following scenario: A woman who has been mostly happy in her marriage for 30 years comes home to find her husband dead on the floor, the victim of a heart attack.

At first, she is numb with shock. Slowly, as the days pass, she becomes more and more upset. She cries at any mention of her husband. She can't sleep. She can't eat. Nothing seems worth doing, and even if it was, she wouldn't be able to concentrate enough to get it done.

The Benefits of Tears from Huffington Post

noreply@blogger.com (Unknown) — Thu, 02 Feb 2012 16:26:00 +0000

Something extraordinary happened at Candlestick Park in San Francisco two Saturdays ago, Jan. 14. Sure, it was an amazing ending to an NFL playoff game between the San Francisco 49ers and the New Orleans Saints (which the Niners won in dramatic fashion, making all of us fans here in the Bay Area very happy); but the monumental win wasn't what made it so remarkable to me.

As Vernon Davis, the tight end for the Niners who caught the game-winning touchdown, came running off the field, tears were streaming down his face. He came to the sidelines and was embraced by his head coach, Jim Harbaugh, in a huge bear hug. Coach Harbaugh hugged him for quite a while and spoke into his ear in what I can only imagine was an expression of authentic appreciation and celebration. It was a beautiful and moving moment that transcended football and even sports -- it was about courageous triumph, raw human emotion and vulnerable self expression.

New Health Care Articles Blog

noreply@blogger.com (Unknown) — Tue, 31 Jan 2012 17:09:00 +0000

Please visit our new "health care articles" BLOG

access

We are accepting articles for review and consideration for publication on our Blog.
Email inquiries to: info@aihcp.org

Don't Confuse Grief With Depression from Huffington Post

noreply@blogger.com (Unknown) — Fri, 27 Jan 2012 19:13:00 +0000

A front page story by Ben Carey in January 24th's New York Times carries the poetic title: 'When does a broken heart become a diagnosis?' It describes a puzzling proposal by D.S.M. 5 to transform what is now considered normal grief into Major Depressive Disorder.

D.S.M. IV already recognizes that some people respond to loss with severe problems that warrant immediate attention. It therefore encourages the diagnosis of major depression whenever bereavement is persistent or is associated with severe, impairing, delusional, or suicidal symptoms. D.S.M. IV thus makes a crucial distinction between the transient pain of expectable grief and the severe and/or persistent symptoms of major depression. D.S.M. 5 proposes to eliminate this distinction. It would allow the diagnosis of major depressive disorder after only two weeks of fairly mild symptoms.

10 Things Not to Say to a Cancer Patient from Huffington post

noreply@blogger.com (Unknown) — Fri, 20 Jan 2012 15:52:00 +0000

When I was diagnosed with leukemia last May, I couldn't imagine what lay ahead for me. The last eight months may have well been eight years. It's been a blur of blood tests and bone marrow biopsies, fevers and infections. Any cancer patient can tell you that the disease turns you into an ersatz medical student, whether you like it or not. But navigating the social dynamics of living with cancer -- communicating with family and friends about my diagnosis, symptoms, fears and hopes -- was a challenge I did not expect.

The oncology world is overdue for an etiquette guide. As a commenter noted on my blog, unless you're Seth Rogen in 50/50, there's no script for what to say to someone with a life-threatening illness. But if you can avoid saying these 10 things, you're off to a good start:

I Hear You: Responding to Cries for Emotional Help from Huffington Post

noreply@blogger.com (Unknown) — Wed, 18 Jan 2012 16:06:00 +0000

Cries for emotional help come in all forms. We witness these cries in ways direct and indirect: from outright requests to help me stay alive to the less direct but no less obvious self-starvation of anorexia or leaving empty pill bottles or illegal drugs in plain sight.

We recently witnessed a modern-age cry for help when Sinead O'Connor declared on Twitter: "does any1 know a psychiatrist in dublin or wicklow who could urgently see me today please? im really un-well... and in danger." Why a celebrity needs Twitter to find a psychiatrist is beyond me. Sure, we can all quip about how hard it is to get an appointment with a doctor, but I suspect that is not what this was about.

Nor can I know since I am not personally familiar with this celebrity, her medical community or resources, or for that matter her state of mind when she turned to such a ubiquitous form of social media for help. But as a psychiatrist I understand how people reach out in ways that we need to listen to: The ultimate fear is that they will find no one there, which is the saddest situation of all. Suicide, as has been said, is not just the product of hopelessness; it is the result of believing that you are all alone, with no one to turn to and no means of exiting from the psychic pain that is crushing your soul.

For more please press the link.

Healing With Hurt Feelings from Huffington Post

noreply@blogger.com (Unknown) — Wed, 11 Jan 2012 15:44:00 +0000

Hurt Feelings. They're like noses. We all have them. They come in all shapes and sizes. They can come suddenly like a cloud and bring the rain or build up slowly and then consume us like a tornado. They can be so powerful that they can make us lose complete perspective of our reality. You overhear your colleagues are having a get together at the end of the day, but you haven't been invited. You feel excluded. Hurt feelings show up. You find out that someone you thought was a good friend has been talking about you behind your back. You feel betrayed. Hurt feelings show up. You're having dinner with your girlfriend, and she says she wants more space and wants to date other men. Clunk. Couldn't she at least have waited 'til after dessert? You leave dinner feeling hurt and abandoned.

Wouldn't life be so much easier without hurt feelings? Well, maybe. But I believe that hurt feelings can also provide a powerful opportunity for self-awareness and healing. If outer reality is a reflection of inner reality, then when hurt feelings show up, we can take the opportunity to ask ourselves what has been suppressed and unexpressed. If in my outer world there is something that produces hurt and pain, then there must be something inside me that is still unresolved. The question then becomes what to do with hurt feelings when they show up, and what can we learn from them. The theme of this blog series and of my new book is how to use everything that life puts on our path as a way to unbind our hearts. Hurt feelings can then serve as a tunnel, through which we can come to the other side to the freedom of our heart.

How Grief Can Break Your Heart from Time

noreply@blogger.com (Unknown) — Tue, 10 Jan 2012 17:27:00 +0000

Grief is a powerful emotion, and the latest research shows just how damaging it can be, especially for the heart.

The sobering results, appearing in the journal Circulation, are the first to compare how grief affects an individual’s heart-disease risk within a period of time. Previous studies have documented that people losing loved ones tend to have more heart problems than those who aren’t bereaved. In the current analysis, lead author Elizabeth Mostofsky and her colleagues took a unique approach by calculating an individual’s “average loss” of loved ones over a year, by asking how many people study participants had lost in the past year and comparing that figure to the number of loved ones that same person lost during the study period in question, which included the most recent day and week preceding a heart attack. Because all the participants were heart-attack patients, that allowed her to calculate the effect that losing a loved one had on each individual’s heart-attack risk.

A Dog's Gentle Death from Huffington Post

noreply@blogger.com (Unknown) — Mon, 09 Jan 2012 15:23:00 +0000

Our family will always remember this holiday season as the time Sugar died. Sugar was a mixed breed, mostly lab/border-collie type. She exhibited the best character traits of every gene she carried and seemed to bear none of any breed's drawbacks. She was a real credit to her species.

A member of my daughter's household, Sugar was one of my "grand dogs," for whom it was my privilege to dog-sit if her parents went somewhere she was not welcome. Those unwelcome places were few and far between because Sugar met love and enthusiasm everywhere she went. Friends would vie for the chance to keep her when her parents left town. But, I'm proud to say, my daughter believed I was her favorite sitter, so I always got first dibs on her company.

Depression and Complementary Health Practices from NCCAM

noreply@blogger.com (Unknown) — Wed, 04 Jan 2012 15:49:00 +0000

Depression is a medical condition that affects nearly 21 million American adults each year, according to the National Institute of Mental Health. Mood, thoughts, physical health, and behavior all may be affected. Among the common symptoms of depression are persistent sad, anxious, or "empty" feelings; feelings of hopelessness, guilt, and/or worthlessness; restlessness or irritability; fatigue; difficulty concentrating; insomnia; overeating, or loss of appetite; and/or thoughts of suicide.

Many people with a depressive illness never seek treatment. But the majority, even those with the most severe depression, can get better with treatment. Depression can be treated effectively with conventional medicine, including antidepressants and certain types of psychotherapy.

A New Year, a New Yesterday from Nurse Together

noreply@blogger.com (Unknown) — Tue, 03 Jan 2012 18:05:00 +0000

Yesterday was what it was. Or was it?

If your memory is like mine, I can’t remember where I parked my car an hour ago. How can I possibly think that my memories from a year ago - or a decade ago - are accurate?

Next question: How much weight do memories of past events color your present relationships and viewpoints?

I don’t know about you, but as I thought about that for myself, something inside me went... flooop.

The Will and Ways of Hope from Huffington Post

noreply@blogger.com (Unknown) — Tue, 03 Jan 2012 15:33:00 +0000

Talent, skill, ability -- whatever you want to call it -- will not get you there. Sure, it helps. But a wealth of psychological research over the past few decades show loud and clear that it's the psychological vehicles that really get you there. You can have the best engine in the world, but if you can't be bothered to drive it, you won't get anywhere.

Psychologists have proposed lots of different vehicles over the years: grit, conscientiousness, self-efficacy, optimism, passion, inspiration, etc. They are all important. One vehicle, however, is -- I believe -- particularly undervalued and under-appreciated in psychology and society. That's hope.

Got The Post-Holiday Blues? Here's How To Beat 'Em from Huffington Post

noreply@blogger.com (Unknown) — Tue, 03 Jan 2012 15:26:00 +0000

Wait ... hear that? That's our collective sigh marking the fact that the great holiday season of 2011 has finally come to a close.

And while for many of us, that is indeed a relief -- there's no more cooking, no more cleaning, no more forced New Year's revelry -- the post-holiday period can represent a real time of sadness and readjustment, too.

Each of us has our own personal blend of apres-holidays feelings, but there are many issues and emotions that crop up again, and again and again. So we went to a team of experts to ask for some advice on what you can do -- right now -- to help beat those post-holiday blues.

10 Signs Death Is Near from Caring.com

noreply@blogger.com (Unknown) — Wed, 28 Dec 2011 16:01:00 +0000

By Paula Spencer Scott, Caring.com senior editor

No one can predict the moment of death. But physicians and nurses involved in end-of-life care know that certain symptoms are usually associated with the body's shutting down. These signs of approaching death are specific to the natural dying process (apart from the effects of particular illnesses the person may have).

Not all dying symptoms show up in every person, but most people experience some combination of the following in the final days or hours:

9 Signs You're Headed for a Holiday Meltdown from health.com

noreply@blogger.com (Unknown) — Tue, 20 Dec 2011 19:09:00 +0000

By Sarah Klein

Let’s face it. Some holiday-related stress is to be expected. Turkeys will be burned. Flights will be canceled. How you react to it determines how the holiday will be remembered. And the pressure hits some people harder than others.

So how can you become one of those people who chuckles at adversity—silly snowstorm!—instead of crying into your eggnog? Here are nine signs you could be headed for a holiday meltdown, and how to stop the implosion before it happens.

Survivors' Stories Featured in Lifeline Gallery from SAVE

noreply@blogger.com (Unknown) — Tue, 20 Dec 2011 17:36:00 +0000

Survivors of suicide loss might want to visit the Lifeline Gallery, where they can listen to everyday people's stories about coping after suicide -- as well as tell their own story of being bereaved by suicide.

Stories in the "Loss" section are for anyone who has lost a loved one to suicide.
Stories in the "Turning Points" section are for people who have survived a suicide attempt or have struggled with thoughts of suicide.
Stories in the "Helpers" section are for caregivers, advocates, or supporters working on behalf of suicide prevention.

When it was launched in 2008, the Lifeline Gallery was described in a Los Angeles Times health blog as a place where...

Dealing with Holiday shopping stress and depression from MSNBC

noreply@blogger.com (Unknown) — Mon, 19 Dec 2011 17:04:00 +0000

NEW YORK — Chennel King, a nurse from Norwalk, Conn., went Christmas shopping the other day with a new holiday companion: a budget.

Despite a tough economic situation — her husband was laid off almost a year ago — King didn't want to disappoint her five children. So she still went to a mall in suburban New Jersey, but with a limit of $200 per child.

Plenty of Americans are having to hold back this year as the lure of flashy ads, tempting bargains and family expectations clashes with the realities of the economy. Experts in consumer behavior say that situation can strain the brain.

12 signs of depression in men. from Health.com

noreply@blogger.com (Unknown) — Fri, 16 Dec 2011 17:10:00 +0000

By Lisa Zamosky

More than 5 million men in the U.S. experience depression each year.

Clinical depression—in women or men—can cause sadness and a loss of interest in once pleasurable activities. But depression can sometimes manifest in different ways in different people.

"While the symptoms used to diagnose depression are the same regardless of gender, often the chief complaint can be different among men and women," says Ian A. Cook, MD, the Miller Family professor of psychiatry at the University of California–Los Angeles.

Beat the Wintertime Blues from Nurse Together

noreply@blogger.com (Unknown) — Tue, 13 Dec 2011 17:45:00 +0000

If you are like me, you’re not a big fan of winter. However, for some people it is a far more serious concern and a real medical condition. Seasonal Affective Disorder (SAD) also referred to as the “wintertime blues” is a type of depression that mainly affects people during the late fall and winter seasons. It is most common in young adult women. According to E-Medicine Health, this condition affects as many as 6% of American Adults with another 10 to 20% experiencing mild symptoms. The exact causes are unknown but it is believed to be related to chemical changes in the brain caused by changes in or lack of sunlight. Experts also suggest that there may be a tendency for SAD to run in families.

Whether you or your patients are affected by SAD or not, spring is still a long way away. The end of January, all of February and even some of March can be a challenging time to stay upbeat, motivated and focused. I did my own unofficial survey, checking with friends, family and colleagues to get their ideas on beating the “winter time blues!” Here are a couple of suggestions – let me know your thoughts and favorites!

Women and depression: Factors that contribute to depression via Yahoo News

noreply@blogger.com (Unknown) — Tue, 13 Dec 2011 15:24:00 +0000

Depression is a major health problem in today's troubled world. Thousands of women each day struggle to get up, go to work, and take care of themselves and their children. Antidepressant drugs are prescribed by the thousands each day. What is contributing to the climbing rate of depression in this country?

There have been a number of research studies focused on trying to understand the factors responsible for the increased cases of serious depression. One group of researchers studied 92, 539 postmenopausal women from different income, cultural, and religious backgrounds. They published their findings in the Women's Health Initiative. Another research study conducted by Michel Lucas, Harvard School of Public Health, Nurse's Health Study, followed 49.821 women by questionnaires from 1993 until 2000. These women were depression-free when the research project began. These and other research studies point to several factors that increase the risk for women to develop depression.