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Food for Thought
by: Debra S. Gorin, M.D.


Depression is a disorder marked by sadness, low energy, impaired concentration, and feelings of dejection. Some people believe that depression is normal. Hectic daily activities and the conflict between family and career cause constant stress. Yet depression and anxiety as a response to stress are not normal. They can be signs of illness, which may worsen and result in physical symptoms or an inability to function.

Life was much simpler for the last two generations. Father worked; mother stayed home. This is no longer the model. Some now view families as an “endangered species.” There are more single mothers working than ever before. There is greater stress and competition for well-paying jobs. The result: long hours at work, away from the family. Children are raised with limited supervision. Thus we see more children with emotional problems derived from a lack of knowledge as to who they are and what their role is in today’s society. Similarly, adults suffer from the loss of nurturing that family time should provide.

Until recently, mental health was not discussed openly. However, there is a growing awareness that choosing therapy can be helpful, even necessary, to cope with today’s life. Psychiatric help is often sought for the entire family. Today, being healthy means not only having a sound body, but also a sound mind and spirit.

People exercise their bodies daily, yet they neglect to “exercise” their feelings and emotions. Young men are taught to hide and deny emotions. Women are reluctant to seek help in coping with their depression, anxiety, or distressed relationship. The same fitness fanatic who exercises daily, eats right and has two physicals a year will neglect the mind until a crisis is reached. Emotional problems don’t just happen, but are cumulative and they can be avoided at times with the same “daily fitness” and “annual physical” approach we use when caring for our bodies.

The Chinese say “the journey of a thousand miles begins with a single step.” Just like it’s better to maintain a healthy heart than recover from a heart attack, dealing with emotional issues is easier before the chaos of a crisis breaks. Think about “exercising your emotions" and give your mental health professional a call.


About the author:
Debra S. Gorin, M.D. received her medical degree from the University of Miami School of Medicine. She is a diplomate of the American Board of Psychiatry and Neurology. She has been in private practice as a Psychiatrist in the Fort Lauderdale area for the past sixteen years. Dr. Gorin treats all types of stress-related, emotional and psychiatric problems of children, adolescents, and adults. Please visit her website http://www.doctorgorin.com to view her growing library of psychiatric and health-related articles.




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Mom's Job Stress May Spread to Kids
 by: Rita Jenkins

Low job satisfaction in working mothers increases the stress levels of their children, but allowing them to spend more time in childcare can help overcome these effects, according to new research published in Developmental Psychobiology.

Children whose mothers found their jobs emotionally exhausting or otherwise less rewarding had higher levels of the stress hormone cortisol than children whose mothers reported more enjoyment from their jobs, researchers found in a study involving more than 50 nursery school children.

Levels of cortisol in the evening were more than double in the children whose mothers experienced less job satisfaction. Placing those children in childcare would help to significantly reduce their stress, the research suggests.

The researchers also found that children from families that were either highly expressive or very reserved exhibited higher than average cortisol levels.

Greater support is needed for working mothers to help improve their job satisfaction and increase the availability of affordable childcare options, says the report.

More Time in Childcare

Dr. Julie Turner-Cobb, a health psychologist and senior lecturer at the University of Bath, Dr. Christina Chryssanthopoulou from the University of Kent and Dr. David Jessop, a neuroimmunologist at the University of Bristol collaborated on the study.

To measure cortisol levels, they took saliva samples in the morning and evening from 56 children aged three to four years old. They also surveyed mothers about their workplace conditions and home life over a six month period.

"Spending more time in childcare makes a big difference to the stress levels in children whose mothers have low job satisfaction," says Dr. Turner-Cobb.

"It can help protect children from the effects of their mother's low job quality and emotional exhaustion. Ensuring that mothers of young children have good support in the workplace is essential for supporting both mothers and their children," she adds.

"Improving the job satisfaction of working mothers means that they are less stressed themselves," says Dr. Jessop, "and extending the availability of affordable and adequate childcare may not only improve the quality of life for the mothers but, in doing so, may improve the long term health of their children."

Healthy Adaptation to Stress

Cortisol is a steroid hormone that regulates blood pressure and cardiovascular function and immune function. It also controls the body's use of proteins, carbohydrates and fats.

Cortisol secretion increases in response to stress, whether physical -- such as illness, trauma, surgery or temperature extremes -- or psychological. It is a normal and essential response without which we would not be able to function in everyday life.

When these levels remain high or become disrupted in some way over a prolonged period of time, however, they may have consequences for health. It is important to promote healthy adaptation to stress in children, and good quality childcare is one way of doing this, say the authors.

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