Author Archives: Mind your Brain admin

Supporting your Cognitive and Brain Health

Brain Health and Cognitive Health

Aging

Aging

Heike provides aging care and natural treatment for diseases associated with getting older.

Vital questions about ageing answered – see the links below:

Healthy Cognitive Aging in the 21st Century

Ageism and its consequences

Healthy versus Pathological Aging- what’s the difference?

What is Dementia?

Dementia versus Normal Aging?

Is depression a normal part of aging?

You can find more information on Heike’s approach, and her services for aging and caregivers by following the below link:

Mind your Brain- Therapy and Care for Emotional and Cognitive Wellness

Summary
Therapeutic care for people of all ages
Service Type
Therapeutic care for people of all ages
Provider Name

Mind your Brain,

400-601 West Broadway,BC-V5C 4C2 ,
Telephone No.16048027291
Area
British Columbia, Yukon
Description
Heike provides aging care and natural treatment for diseases associated with getting older.

 

Emotions

Emotions- why do we need them, and what when things go wrong



Emotions- why do we need them, and what when things go wrong People likely already know, we can experience positive and negative emotions, and what and how we experience these emotions will fluctuate throughout the day, week, and over time- this is part of our normal functioning. Emotions are a barometer of how people feel [...]

How and why to address emotional distress



How and why to address emotional distress Jane came to see me because she was worried that the intensity of her negative emotions was starting to interfere with her daily life.   She was about to enter a Ph.D. program and worried that she would not be able to control her emotional reactions. Early on in [...]

Caregiver Challenges

What happens when a spouse or partner suffers a brain injury



What happens when a spouse or partner suffers a brain injury? There are many different types of brain injury. They include for example concussions, stroke, brain infections, and chemo-brain. Whichever way a brain injury is sustained, it is a painful experience – not only for the injured person but also for the partner, spouse, and [...]

Brain Health

Supporting your Cognitive and Brain Health



Brain Health and Cognitive Health If you would like to set up a free 15 - 20 minute consultation to explore how I could help you, or just have a question, please, feel free to contact me @ mindyourbrain1@gmail.com sitemap Mind your Brain provides counselling mainly through TeleHealth/ remote applications, generally as online communication platforms [...]

What is fatigue



What is Fatigue? Fatigue has a few definitions. It is the awareness of reduced capacity to do a physical or mental activity OR the subjective sense of reduced or lack of energy (i.e. lassitude). Either way, fatigue is considered a subjective experience. As such, the experience of fatigue arises from our body’s central nervous system- [...]

Emotions- why do we need them, and what when things go wrong

Emotions- why do we need them, and what when things go wrong

People likely already know, we can experience positive and negative emotions, and what and how we experience these emotions will fluctuate throughout the day, week, and over time- this is part of our normal functioning.

Emotions are a barometer of how people feel and function; when we feel good, it generally means everything is in balance.  But stressful situations can tip this balance, changing our emotional status to imbalanced. If this is a short-term situation, it can be generally easily addressed with constructive emotional regulation strategies. However, f stressful situations are repetitive and/ or long-term, it generally results in negative consequences for our mental and physical health while also impacting our social relationships.

What is experienced as a stressful situation depends on a person and the situation. But navigating the maze of understanding what needs to be done to re-stabilize one’s own emotions and how to deal with stressful situations can be daunting.

Emotions are a natural part of our life

So, first of all, emotions are a natural part of our everyday life. All of our emotions including the positive and negative emotions help us guide our decisions, and make our lives more colourful. Negative in this context just means the opposite of positive- no judgment is attached to the term ‘negative emotion’.

Emotions have a function- they guide our behaviour

In other words, while our positive emotions may seem more fun and more relevant to our emotional well-being (i.e. feeling stable, happy, content), it is important to realize that all our emotions have a function- including our negative emotions. In short, all emotions, the positive and the negative ones, have evolved to fulfill the function of guiding our behaviour by communicating to us about the state of the world around us and our relationship with it.

For example, the function of anger in the face of injustice can be the impetus to drive changes. Anxiety is designed, based on evolutionary theory, to keep us safe as it signals danger.

However, all emotions require us to interpret what is actually happening- this is true for negative as well as positive emotions. And if our interpretation of our emotions is incorrect, then this can interfere with successful functioning, and potentially reinforce the challenging emotions and feelings (e.g.using avoidance in situations where avoidance restricts you more and more).

Strategies to deal with our Emotions

Other challenges in this context can arise from utilizing destructive strategies to deal with ‘unwanted emotions’.

But what happens when emotions begin to interfere with a person’s well-being and successful functioning in everyday life? One important question that needs to be asked is what actually drives these emotions, and not only how, but also, why do they interfere with well-being.

Sometimes, albeit not always, people may not be aware of the reasons that drive their emotional status.  At other times, a person may well know what actually happened and why negative emotions ensue, but regulation of emotions may be challenging- no fun.

And some emotions will have no direct solution like feeling anxious about what will happen in the future, and so it may be unclear how to move forward.

As a result, there are many factors that impact emotional well-being, and as a professional, identifying what drives the challenges is of vital importance. These underlying factors that drive a person’s emotional state are NOT always emotional in nature, and therefore sometimes another treatment is indicated. To make this very clear, if a person has cancer, it is devastating and will have a negative impact on the person’s emotional well-being (and everyone around). But emotional treatment would not be sufficient (albeit emotional support would be indicated).

Similarly, nowadays our world is highly complex and requires a high level of thinking work such as absorbing knowledge, organizing information, remembering new information, and so on.  To illustrate, a simple task of going to the grocery store requires orientation, remembering what one wanted to buy, inhibiting impulsive buying (buying stuff one did not need), monitoring one’s budget and one’s time as needed (all of these are considered part of thinking functions).  If a person cannot complete such a task successfully, the person usually will experience at least some negative emotions.

Helping people clarify the reasons that drive their negative emotions, and how to address them, is an important piece of therapeutic care at Mind your Brain. This includes addressing cognitive difficulties by utilizing principles of cognitive rehabilitation for people whose thinking has been impacted by a brain injury.

If you are someone who is dealing with challenges following a concussion or another brain injury, you could continue reading here

If you are a caregiver of someone with a brain injury, resources can be found here and you can read more here

If you are a caregiver of someone with physical injury, cognitive decline, or dementia, you find additional information and resources here

Summary

  • Article Name Emotions- why do we need them, and what when things go wrong
  • Description
    function of emotions and addressing emotional challenges
  • Author Heike Dumke
  • Publisher NameMind your Brain
  • Publisher Logo

How and why to address emotional distress

How and why to address emotional distress

Jane came to see me because she was worried that the intensity of her negative emotions was starting to interfere with her daily life.   She was about to enter a Ph.D. program and worried that she would not be able to control her emotional reactions.

Early on in therapy, we learned that Jane had successfully used coping strategies as a teenager and young adult, but these she realized were not working anymore.

Jane volunteered that during her teenage and early adult years, she used coping strategies, which she eventually recognized to be maladaptive – maladaptive coping strategies help to alleviate the immediate distress.  For Jane, her initial strategies included smoking and eating in excess, which allowed her to distract herself from her emotional plight.  However, such maladaptive coping strategies only cover up stressful emotions as opposed to actually dealing with emotions effectively.  While this may sometimes be an appropriate response (distracting oneself), if it is the sole approach to dealing with stressors or stressful situations and one’s own emotional reaction to it, distraction is not the most effective strategy to successfully deal with life’s situations.  In addition, keeping negative emotions bottled up over longer periods of time can result in harmful consequences to a person’s functioning in society.

Upon coming to Canada and entering graduate school, Jane began to change her approach to include constructive strategies- these strategies refer to coping mechanisms that help a person to deal with stressors successfully by addressing stressful emotions and situations in ways that allow resolving these emotions, thereby supporting a person’s mental health.  For Jane, these strategies included going to the gym and losing weight, and stopping smoking.

However, although Jane changed her approach to dealing with life stressors now using constructive strategies such as going to the gym, she continued to experience difficulties understanding how to manage her emotions.  For example, she exercised excessively to the point of injury.  She feared the intensity of her emotions and was worried that her inability to decrease the intensity would also lead her to engage in excessive drinking. Her emotional distress arose from the intensity of her emotions and her secondary worries that she might not be able to stop her behavioral reactions. Again, she began responding to her intense feelings by attempting to suppress them.  For example, she told herself that the emotions and/ or the underlying issues did not matter.  As a result, her intense emotions expressed themselves in increasing stress, which showed up in her physical health.  She began experiencing difficulties with sexual arousal, sleeping quality, and a general sense of anxiety regarding her future ability to deal with life demands.

Interpretation of emotions

Again, the latter response suggested that the emotions and the underlying drivers of these intense emotions were not addressed, and therefore could not be resolved.

Thus, when Jane came to see me, it became clear that the two challenges that continued to plague her were related to a) the interpretation of emotions, and b) the regulation of emotions.

All emotions are part of normal life! We all experience emotions. When these emotions are positive emotions such as excitement, happiness, satisfaction, gratitude, pride, interest, or other such emotions, we enjoy them.  However, when we experience negative emotions such as grief, guilt, sadness, anxiety, anger, remorse, or other negative emotions, we usually do not enjoy these, and we, therefore, attempt to resolve them in ways that oftentimes are learned from our environment through observation.  Like Jane, people may interpret negative emotions as not worthwhile in general or may fear them.  Importantly, how we deal with these emotions depends on how we interpret emotions in general, and how we interpret the specific emotion.

So, how did I help Jane?

First, I provided Jane with education surrounding how emotions generally work in order to provide her with a framework from which she could address her emotional experience independently, whenever she needed to.  This approach also allowed her to learn to accept all emotions for what they are: a tool in our toolbox to observe and utilize in a deliberate fashion such as not stepping too close to a cliff without a fence. Have you ever noted fear when stepping too close to the edge of a cliff?  If so, your fear likely cautioned you or made you step back, and thus helped you to make a decision to survive- a positive outcome! Secondly, I listened to Jane’s story, validated her experiences, and intervened when appropriate to suggest more appropriate and effective strategies.

In general, all emotions, the positive as well as the negative ones, are worth our attention because they are a normal part of the human experience.  Emotions have evolved in evolutionary time in order to guide behavior.  It is their function to guide our behavior, independently of whether the experience emotion is positive or negative.   In short, emotions allow us to make decisions that ensure and support our survival.   In other words, attempting to ignore or suppress negative emotions will not eradicate them but rather will rob us of the helpful information that an emotional response is trying to signal to our consciousness.  As a result, rather than fighting to not experience an emotion, it is more helpful to accept our emotions and investigate them as needed (see emotional regulation below).

Having said that emotions have a function, we can ask ourselves what are these functions or the benefit of our emotional experience?  For example, the function of anxiety is generally seen as keeping us safe from danger.  The function of anger is to right a wrong. Emotions of course come with their physiological counterpart.  The short-term physiological response that is connected to the experience of anxiety includes an increase in heart rate, dilation of pupils, and increase in muscle tension, among others, allowing the body to respond effectively to an environmental threat.  So, there are many circumstances, in which negative emotions are justified; in those circumstances, emotions help us make decisions and may drive or focus the energy and motivation for taking necessary actions as in the case of justified anger or anxiety.

The need for emotional regulation and what happens when emotions go rogue?

As mentioned above, emotions can be misinterpreted or misjudged, or, at other times, clients may fear, reject or ignore their negative emotions.  Both of these challenges can happen because people may not have had the chance to learn to accept emotions as a normal part of life.  The latter also likely precluded learning how to interpret, and regulate one’s emotions appropriately in the face of a specific situation or given stressor.  As such, misinterpretation or rejecting and ignoring one’s own emotions can lead to generalizing the emotional signal to other environments and thereby lead to impaired decision-making, impulsive behavior, and miscommunication, which in turn can cause increased stress and decreased quality of life.  A vicious cycle ensues with long-term consequences that can include physiological, cognitive, and emotional difficulties that eventually can interfere with successful functioning in life.

Emotional regulation:

How did I help Jane to learn to regulate her emotions? 

Initially, I met Jane with the acceptance and reassurance regarding the normalcy of her emotions, which in itself decreased her apprehension about her emotional experiences (e.g. intensity of emotions); and with it, the consequences of her stress: her sexual arousal, as well as her sleep quality, improved.

However, it became clear that what was needed was an approach that allowed her to understand when to use which coping strategies to regulate her emotions as appropriate to a situation or stressor, and assist her in becoming aware when she was falling back into using old patterns of rejecting her own emotions instead of investing time into investigating her emotions by asking herself questions.  So, instead of telling herself “It does not matter!” when she found herself in emotional distress, I guided her in learning how to investigate her emotions that would allow her to correctly interpret them, and then implement an appropriate coping strategy or techniques to address unhelpful thinking patterns.   Questions could include:  ‘What is driving my feelings or emotions?’ and ‘Is my emotion giving me accurate information about the state of the world right now?’.

Given the complexity of our society, there is a myriad of different possibilities and situations in life that a person may interpret as stressful.  Accordingly, there are different ways to approach such identified stressors or situations.  Allowing oneself to observe and investigate one’s emotional response is the key to effectively and successfully directing one’s actions consciously and identifying appropriate strategies. With this new level of awareness can come more satisfactory outcomes, and eventually improved emotional well-being.

Jane is now successfully engaged in her Ph.D. studies.

If you would like to learn more about emotions and their functions in guiding our behaviours, you could read on Emotions- why do we need them, and what when things go wrong

Heike works as a clinical therapist in Vancouver, offering services online.   She also offers a free consult to explore your challenges and possible solutions.  If you would like to book a consult, you can contact her at heike@mindyourbrain.ca

Summary

  • Article NameHow and why to address emotional distress
  • Description
    Dr. Heike discusses emotions and emotional distress, and why and how to address it.
  • Author Heike Dumke
  • Publisher NameMind your Brain
  • Publisher Logo

Is depression a normal part of aging?

Is depression a normal part of aging?

Many people believe that depression is a natural part of normal aging. You are not alone if you worry about this. But, the short answer is: NO. Rather, challenging life events can increase the risk of developing depression. And these negative happenings in our lives add up in number as we age. As the number of people older than 65 years old increases worldwide, and our resources become more limited, late-life depression becomes a greater concern for society. We know that depression can lead to greater emotional suffering and increased suicide risk. But what we generally don’t hear is how depression can affect how fast we can think.

What is the best treatment for depression in older adults?

Depression symptoms generally include lowered mood or loss of interest or pleasure. Older adults may not describe it as sadness per se. In contrast, they may present with body aches, pain, mental and physical fatigue, or sleep disturbance. All of these may suggest depression OR a physical health issue. Late-life depression is a complex challenge. Standard treatments such as antidepressants are not as helpful or safe for older adults as they are for younger people.

Thus, psychological treatment can be considered the first choice to address the emotional challenges. In addition, it is really important whether these emotional challenges stem from. The could be negative life events such as the loss of a loved one, dealing with disease, or injury. Accordingly, types of psychological treatment may include grief counselling, supportive therapy, problem-solving therapy, and cognitive behavioural therapy. In short, psychological treatments must be client-centered- they must be based on the person’s immediate presenting issues.  Importantly, we can experience negative life events such as losses, disease, or injury at any age. But, depression treatment is often more challenging in an older person, simply due to the increased complexity of the older adult.

Why is important to treat depression in later life?

Depression is closely associated with brain aging. Therefore, brain health is connected with healthy aging and vice versa.  For example, brain disease can lead to cognitive decline and dementia which can drive the development of depression in late life. At the same time, late-life depression is a presumed causal factor in the development of dementia (i.e. it’s a two-way street).

Thus, a priority for older adults includes minimizing the sources of vulnerabilities of brain aging.  In short,  it is better to prevent than treat given that prevention less invasive to a person’s daily routine, and more efficient than treatment. Supporting one’s brain health is of vital importance.  The 5 areas that any person can engage in to promote their own brain health and mental well-being include

  • a) healthy diet,
  • b) mental/ cognitive stimulation- learning something that is new to you
  • c) physical exercise,
  • d) social interactions that are meaningful to you, and
  • d) stress reduction (e.g. constructive coping mechanisms, sleep hygiene, self-care activities, relaxation/ tension reduction).

And help in how to best implement the above strategies to promote your brain health is always available, one step at a time is described in this article providing information on the 5 areas of brain health

Other posts on emotional wellness can be found here

And if you would like to talk to Heike, you can find her contact information here

Summary

  • Article Name Is depression a normal part of aging?
  • Description
    Many people believe that depression is a natural part of normal aging. You are not alone if you worry about this. But, the short answer is: NO. Rather, challenging life events can increase the risk of developing depression. And these…Read more ›
  • Author Heike Dumke
  • Publisher NameMind your Brain
  • Publisher Logo

How can I get better after a concussion

How can I get better after a concussion

Early care: Most concussions will resolve within days to months with no long-term functional consequences. But concussion recovery depends on many factors including factors that are external as well as internal to the person. Internal factors can include: a person’s coping style, injury severity, level of education, number of previous concussions; while external factors include: level of social support (family, society, co-workers) and availability of rehabilitation programs. Many people will require longer recovery times following a concussion due to ensuing symptoms like fatigue, headaches, dizziness, thinking inefficiencies (slowed thinking, attention and memory difficulties), and emotional challenges (e.g., anxiety, depression, irritability). On a side note, recovery also can be prolonged when the concussion occurs within the context of other injuries, e.g., injuries sustained during a motor vehicle accident can, but don’t have to, include a concussion.

Either way, early care/ intervention is important in order to decrease the probability of secondary difficulties that can arise due to concussion symptoms. Research suggests that rest is not the best way to treat concussion. The challenge lies in the question of how to increase level of activity following concussion gradually to allow for effective recovery. This gradual increase in activity level depends on many factors and requires the person to take breaks on a regular basis and monitor symptoms while working an uphill battle against fatigue (i.e. pacing). Rehabilitation is a full-time job for the injured person! Thus, the focus during rehabilitation is not the successful completion of the task at hand but rather the person him/herself (doing activities while asking oneself, am I ok to continue or do I need to take a break). In short, people need to learn strategies to deal with the fatigue and resulting difficulties in order to regain functionality. Too much resting rather enhances the challenges that concussion creates.

Generally speaking, because the brain is responsible for and controls all activities (see non-exhaustive list of activities below), an injury to the brain can impact any function that we need for successful functioning in everyday life:

  • Thinking,
  • Emotional regulation,
  • Balance (this includes vestibular functioning),
  • Output behaviour like walking/ talking,
  • Autonomous nervous system activity like heart rate and breathing,
  • Sleep regulation,
  • Homeostasis (keeping everything stable in the body such as temperature and internal fluid compositions)

Rehabilitation also needs to focus on the functions that have been impacted. For example, when balance is negatively impacted as a result of vestibular system involvement, vestibular rehabilitation is needed (provided by physiotherapists with the appropriate experience/ specialization). Oftentimes, concussion leads to difficulties in thinking and emotional functioning while fatigue is the most common and long lasting symptom that challenges rehabilitative efforts.

Symptoms (non-exhaustive list):

  • Thinking: Following concussion, many people experience slowed thinking speed and more complex or multi-step tasks are difficult to complete efficiently. These difficulties can result in attention and memory difficulties, all of which make everyday life a challenge.
  • Emotions: a) effective regulation of emotions can be impacted (e.g., getting seemingly suddenly angry or crying for no apparent reason) while also b) anxiety and / or depression can occur due to the experience of decreased ability to function successfully, and c) pre-concussion emotional difficulties can be enhanced following concussion
  • Fatigue: oftentimes physical and cognitive/ mental fatigue- both types require pacing
  • Headaches: there are different types of headaches, and medication is not always the most efficient approach to dealing with headaches following concussion
  • Sensory sensitivity: photo and noise sensitivity are a common result of concussion, and can be addressed by gradual exposure to stimulation

How can you help: If the person becomes irritable, be patient, and ensure that the person takes a break (rest period) before continuing with the task.

Read here about a) the sources of emotional distress following brain injury and b) the gradual approach to activity to support your recovery, i.e. how to know when to take a break to avoid the “crash and burn” cycle: Emotional Distress and Symptom Management following Injury and Disease

If you would like to talk to Heike, you can e mail her @ mindyourbrain1@gmail.com or schedule a 15 – 20 minute free skype or phone consult with her here.

Heike’s approach:

I utilize a biopsychosocial approach to tailor treatment to an individual client’s needs while providing support in a safe and a compassionate environment. Clients can learn about the connections between their thoughts, emotions, and behaviours as well as about cognitive (thinking) functioning and its importance to daily life.  Importantly, Heike is specialized in  cognitive rehabilitation  to support clients if their cognitive functioning (e.g., memory difficulties, difficulties with organizing and planning, or decision making) has been compromised.  Heike also has more than a decade experience in early concussion intervention, and teaches/ guides clients in how to approach and manage physical symptoms (e.g., headaches, fatigue, sensory sensitivity) effectively. Heike’s goal is to support and guide clients on their journey to regain their footing in life, one step at a time, to improve their quality of life.

Summary

  • Article NameHow can I get better after a concussion
  • Description
    Understanding concussion and symptoms to support recovery
  • Author Heike Dumke
  • Publisher NameMind your Brain
  • Publisher Logo

Facing concussion – Meet Mary

The best treatment for post-concussion syndrome- Meet Mary

Mary contacted me because of the unabating symptoms of concussion. Her injury was not a serious one, and she had not suffered any loss of consciousness but certainly felt dazed and disoriented for some time after hitting her head. As these feelings dissipated, and Mary felt able to return to her normal daily activities and routine, she expected that everything was fine. But within a few days of the concussion, she began to experience other symptoms.

Fortunately, once Mary realized that she needed some help, she sought out a physiotherapist with experience in concussions. While her physiotherapist was able to help her with her vestibular symptoms such as dizziness and the difficulties she experienced with her vision, she continued to experience headaches and sensory sensitivity and felt consistently fatigued.

When she went shopping, her symptoms increased and she experienced difficulties finding the right product in a sea of similar products, remembering what she wanted to buy, or realizing later that she bought the wrong product, all of which left her feeling frustrated, anxious, and depressed because she could not figure out how to address the problem despite her best efforts, and it seemed to be getting worse rather than better. She began to isolate herself from others as she had difficulties with social interactions, especially when it involved more than two or three people talking.  Going to a coffee shop was fatiguing, she couldn’t follow a conversation for too long before it became ‘white noise’, and she needed a break afterward.

Similarly, she worked hard to be able to complete all of her responsibilities during her 35-hour workweek. But try as she might, she could not overcome the fatigue and needed longer breaks much more frequently, feeling exhausted after a day of work, and began wondering whether she was just lazy. She explained to me that, as time went on, she also found herself making more errors on tasks she had done well prior to the concussion. She began to question whether her symptoms would ever go away and became anxious over her future prospects. Not only did she become despondent, she also began to believe that all her difficulties were due to the concussion, and she began to lose confidence in her abilities.

Post-concussion-syndrome-treatment

All of the difficulties that Mary recited were nothing new in the concussion world.  The challenge that the brain experiences after a concussion include difficulties processing or dealing with the larger amounts of information that it usually can deal with easily.

After all, a concussion is a brain injury at the brain cell level.   Brain cells don’t work at normal levels after a concussion: they get more easily tired and take longer to refuel.  As a result, they cannot fulfill their function as consistently as before the injury.

While an initial period of rest is indicated after a concussion, returning to activity as soon as possible is important. However, how to implement such a return to activity is often a mystery to people. And so, people often do what Mary did, they attempt to return to a normal level of activity but have to exert more effort, notice symptoms that lead them to rest, and then go back to the normal level of activity to begin this cycle again. A more beneficial approach to concussion recovery is a gradual approach to returning to activity.

I provided Mary with guidance on how to approach her tasks such as shopping and driving in a gradual way. More generally, I taught Mary how to identify the right level of stimulation for her brain without too much overstimulation, how to rest, and what type of rest activities would be beneficial. At the same time, I taught her about the brain, concussion, and strategies while supporting her emotional well-being throughout the recovery process that we call rehabilitation. The philosophy behind my approach is to provide hope to people that returning to functionality is possible while moving them towards independence at their own pace.

If you would like to read about ‘how to get better after concussion’, you can continue here

Read here about a) the sources of emotional distress following brain injury and b) the gradual approach to activity to support your recovery, i.e. how to know when to take a break to avoid the “crash and burn” cycle:

Emotional Distress and Symptom Management following Injury and Disease

More posts on acquired brain injury, concussion, and caregiver challenges can be found here

If you would like to talk to Heike, you can e-mail her @ mindyourbrain1@gmail.com or schedule a 15 – 20 minute free skype or phone consult with her here.

Summary

  • Article NameWhat is concussion?
  • Description
    Heike @ Mind your Brain explains the difference between the terms ‘mild traumatic brain injury’ and ‘concussion’.
  • Author Heike Dumke
  • Publisher NameMind your Brain
  • Publisher Logo