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Interventions - The EFAP Journal of CMR Canada

CMR Canada - Employee and Family Assistance Programs
Suite 600, Bow Valley Square 2, 250 - 6 Avenue SW, Calgary, Alberta  T2P3H7
Telephone (403)263-2200   Fax (403)256-8291  Email:  cmr@cmrcanada.ca

Winter 2006 -2007

In this issue:

Note: These articles present only one perspective on a body of information on the subject and is not intended to be definitive. CMR Canada recommends you seek additional perspectives on the subject.


Christmas Stress

Although Christmas is meant to be a happy and joyful time, this isn't how everyone feels at this time of the year. Christmas can be a stressful and depressing time for many people. Some people find that the Christmas spirit can be undermined by:

  • Financial and time pressures
  • Isolation
  • Family tensions
  • Separation and divorce
  • Bereavement
  • Becoming a step-family
  • Reflecting on another year gone by.

Financial and time pressures
The expense of gifts and food, the pressure of shopping and the expectations of the season can make Christmas an extremely stressful time. General suggestions include:

  • Budget for Christmas so that you don't overspend. This may mean putting money away each week throughout the year.
  • Do your Christmas shopping early, perhaps in November.
  • Shop online or use mail order catalogues to avoid the crowds at shopping centres.
  • Consider a simpler version of Christmas dinner this year, such as a buffet where everyone brings a plate, or else delegate as many tasks as you can.
  • Seek advice from a financial counsellor if you are experiencing severe money troubles.

Isolation
Some people find themselves alone at Christmas time. The reasons could include relocation to a city far from relatives, a marital break-up or family estrangement. The emphasis on family, friends and shared good times during the 'festive season' can make these people feel depressed and unloved. Suggestions include:

  • If separated by distance, keep in constant touch by phone, mail and email.
  • Christmas shopping for loved ones can help you feel connected, even though you may be half a world away. Make sure you post your gifts in early December to avoid the Christmas mail rush.
  • Make plans for Christmas Day. If you have no one to share the day with, consider volunteering for charity work - for example, you could help organizations such as The Salvation Army give Christmas lunch to people in need.
  • Attend community celebrations.
  • Use the strength of your feelings to change your situation. If you are estranged from loved ones, perhaps you could attempt to reconcile with relatives and old friends (if possible), or else take steps to widen your social network.

Family tensions
All families experience tension to some degree. Part of the reason why Christmas time can be so stressful is the unrealistic expectation of coming together as a happy family on this one day of the year. Suggestions include:

  • Keep realistic expectations. If your relatives tend to fight throughout the year, they may fight on Christmas Day as well.
  • Appreciate that everyone is under stress to a certain degree. For example, one relative may have worked overtime to get everything done before their office closed for Christmas and may be feeling exhausted and harried. Another may be anxious because they overspent on their credit cards. As far as possible, be understanding of people's situations.
  • Consider breaking up the celebrations to keep 'warring factions' apart. For example, you could see one group of relations on Christmas Eve and another on Christmas Day.
  • Family members involved in after dinner activities are less likely to get into arguments. Plan for something to do as a group – like skating.
  • Use relaxation techniques, distraction and group activities to help steer around stressful situations.
  • Avoid overindulging in alcohol - the reduced inhibitions could contribute to (or cause) an unnecessary argument.

Separation or divorce
It can be hard for a 'fractured' family to face its first Christmas. Perhaps the parents have separated or divorced, or a family member is overseas and unable to attend the traditional celebrations. Suggestions include:

  • Allow yourself to feel your emotions. If you prefer to put on a brave face for others, give yourself enough time alone to help deal with your feelings.
  • Talk about it as a family. Sharing your thoughts and feelings (and tears) can help you feel closer.
  • If children are involved, the separated couple should try hard to be civil during the festive season, or at least limit their disagreements to times when their children are out of earshot.
  • Arrange, if necessary, to stagger the Christmas celebrations so that the children can spend (for example) Christmas Day with one parent and Boxing Day with the other. To keep it fair, you can swap arrangements the year after.
  • Avoid the Christmas rush and send presents, cards or letters to loved ones overseas in November. Appreciate that phone calls may be difficult to make on Christmas Day because of high demand.

Step-families
Christmas for these families can be extremely difficult. Suggestions include:

  • Get together as a family and decide (early in the year, so there's plenty of time) what you would all like to do for Christmas. Make sure the children have their say.
  • Stagger the celebrations so that each child gets to spend time with both their natural parents and their step-parents.
  • Try not to take arrangements too personally. For example, if your ex-partner says they can only see their child for a brief breakfast on Boxing Day, that doesn't necessarily mean they don't care. Instead of getting angry, organize a more substantial get-together for your child and ex-partner next Christmas.
  • Appreciate that now is not the time to sort out long-standing grievances. Christmas is stressful enough as it is - wait until things have settled down in the New Year, if you can.
  • Talk to friends or a counsellor if you need help to sort through your feelings.

Bereavement
Significant occasions, such as birthdays and Christmas, are always difficult for a bereaved family. Suggestions include:

  • Deciding to ignore Christmas altogether could exacerbate your grief. However, depending on your family's needs, you may wish to try something different this year - for example, if you've always had dinner at home, perhaps have it at a restaurant instead. Alternatively, sticking to your family's traditions may be more helpful. The important thing is to discuss your preferences as a family.
  • Expect and appreciate that people show their grief in different ways. One person may want to reminisce, while another could prefer to remain tight-lipped.
  • If you feel you can, talk together about your loved one. Sharing memories and tears can help you come to terms with Christmas without them.
  • You may like to spend some time alone so you can think about your loved one.
  • Don't feel guilty if you find yourself having a good time - sharing a few laughs with family or friends doesn't mean you don't love or miss that special person.
  • Ask friends for their support. If they don't know how to help you, tell them.
  • It might be beneficial to talk to someone neutral, such as a bereavement counsellor.

Looking back without joy
The close of another year often prompts people to reflect on their achievements - or disappointments - over the previous 12 months. Some people mourn the loss of another year of their lives. Suggestions include:

  • Make a conscious effort to list all the positive things you did or experienced during the year.
  • If possible, mend fences. Contact those people you miss and make steps towards reconciliation.
  • Appreciate that your feelings may be due to a combination of Christmas-related factors, including money worries, the pressure of last minute shopping and unrealistic expectations of festive cheer. Remind yourself that many of these negative feelings will pass once the New Year is underway.

Remember that most New Year's Eve resolutions are unrealistic, made during times of sad reflection. This year, try to come up with positive and achievable goals for the upcoming 12 months.


Christmas Stress – Tips

Christmas is typically one of the most stressful events of the year. The expense of buying gifts, the pressure of last minute shopping and the heightened expectations of family togetherness can all combine to undermine our best intentions. Some practical suggestions can help you reduce your 'Christmas stress'.
 

Budgeting for Christmas
For many of us, the Christmas aftermath includes massive credit card bills that can take months to clear. Christmas doesn't have to be a financial headache if you plan ahead. Stress reduction strategies include:

  • As early as you can in the New Year, work out a rough budget of expected Christmas costs. Don't forget 'hidden' expenses such as food bills and overseas telephone charges.
  • Calculate how much disposable income you have between now and Christmas. A certain percentage of this can be dedicated each week to covering your expected Christmas costs. Don't be discouraged if the amount seems small. If you save $10.00 or $20.00 per week over a year, it can provide you with a hefty nest egg.
  • If your nest egg isn't enough to cover your estimated expenses, perhaps you may need to refigure your Christmas budget to a more realistic amount.

Presents
If you have a large circle of extended family or friends to buy gifts for, it can be very costly. You might be able to reduce the stress and cost of Christmas for everyone if you suggest a change in the way your family and friends give presents. For example, you could suggest that your group:

  • Buy presents only for the children.
  • Everyone draws a name out of a hat and buys a present only for that person.
  • Set a limit on the cost of presents.

Christmas shopping
Most people dislike the hassle associated with Christmas shopping. A few plan their shopping expeditions. Stress reduction strategies for successful Christmas shopping include:

  • Make a list of all the gifts you wish to buy before you go shopping. If you wait for inspiration to strike, you could be wandering aimlessly around the shopping centre for hours.
  • Buy a few extras, such as chocolates, just in case you forget somebody or you have unexpected guests bearing gifts.
  • If possible, do your Christmas shopping early - in the first week of December or even in November. Some well-organized people do their Christmas shopping gradually over the course of the year, starting with the post-Christmas sales.
  • Buy your gifts by mail catalogue or over the internet. Some companies will also gift-wrap and post your presents for a small additional fee.

The Christmas dinner
Stress reduction strategies include:

  • If you are cooking dinner at home, delegate tasks. You don't need to do everything yourself.
  • Consider keeping it simple - for instance, you could always arrange for a 'buffet' lunch, where everybody brings a platter.
  • Buy as many non-perishable food items as you can in advance - supermarkets on Christmas Eve are generally extremely busy and close early.
  • You may need to order particular food items (such as turkeys) from your supermarket by a certain date. Check to avoid disappointment.
  • As for clean-up after dinner – have family members draw “tasks” from a hat.  This not only shares the work but can be a lot of fun.  Family members can trade/negotiate tasks to add another bit of fun. 

Relationships
Stress, anxiety and depression are common during the festive season. If nothing else, reassure yourself that these feelings are normal. Stress reduction strategies include:

  • Don't expect miracles. If you and certain family members bicker all year long, you can be sure there'll be tension at Christmas.
  • Avoid known triggers. For example, if politics is a touchy subject in your family, don't talk about it. If someone brings up the topic, use distraction and quickly move onto something else to talk about.
  • Use relaxation techniques, such as deep breathing or focusing on your breath, to cope with anxiety or tension.
  • Family members involved in after-lunch activities are less likely to get into arguments. Plan for something to do as a group after lunch if necessary.
  • People under stress tend to 'self-medicate' with alcohol, cigarettes and other drugs. Try to remember that drugs can't solve problems or alleviate stress in the long term.

The little extras
Other ways you might be able to reduce the stress include:

  • Write up a Christmas card list and keep it in a safe place so that you can refer to it (and add or delete names) year after year.
  • Plan to write your Christmas cards in early. Book a date in your diary so you don't forget.
  • Overseas mail at Christmas time takes longer to arrive. Arrange to send cards or presents in November to avoid disappointments (and long queues at the post office).
  • For great savings, buy Christmas necessities (such as cards, wrapping paper, ribbons and decorations) at post-Christmas sales.

General health and wellbeing
Some other ways to keep your stress levels down include:

  • Try to be moderate - it may be the season to be jolly, but too much food and alcohol can be harmful and dangerous.  If you can't (or don't want to) step off the social merry-go-round, at least try to eat and drink in moderation.
  • Get enough sleep - plan for as many early nights as you can.
  • Keep moving - keeping up your regular exercise routine can give you the fitness and stamina to make it through the demands of the festive season.

Things to remember

  • Save a percentage of your disposable income throughout the year to provide a nest egg for Christmas expenses.
  • Make a list of all the gifts you wish to buy and shop early.

Don't expect miracles - if you and certain family members bicker all year long, you can be sure there'll be tension at Christmas lunch.  


Seasonal Affective Disorder

Weather often affects people’s moods. Sunlight breaking through clouds can lift our spirits, while a dull, rainy day may make us feel a little gloomy. While noticeable, these shifts in mood generally do not affect our ability to cope with daily life. Some people, however, are vulnerable to a type of depression that follows a seasonal pattern. For them, the shortening days of late autumn are the beginning of a type of clinical depression that can last until spring. This condition is called “Seasonal Affective Disorder," or SAD.

A mild form of SAD, often referred to as the “winter blues," causes discomfort, but is not incapacitating. However, the term “winter blues” can be misleading; some people have a rarer form of SAD which is summer depression. This condition usually begins in late spring or early summer.

Awareness of this mental condition has existed for more than 150 years, but it was only recognized as a disorder in the early 1980s. Many people with SAD may not be aware that it exists or that help is available.

SAD can be a debilitating condition, preventing sufferers from functioning normally. It may affect their personal and professional lives, and seriously limit their potential. It is important to learn about the symptoms, and to know that there is treatment to help people with SAD live a productive life year-round.  

What Causes SAD?

Research into the causes of SAD is ongoing. As yet, there is no confirmed cause. However, SAD is thought to be related to seasonal variations in light. A “biological internal clock” in the brain regulates our circadian (daily) rhythms. This biological clock responds to changes in season, partly because of the differences in the length of the day. For many thousands of years, the cycle of human life revolved around the daily cycle of light and dark. We were alert when the sun shone; we slept when our world was in darkness. The relatively recent introduction of electricity has relieved us of the need to be active mostly in the daylight hours. But our biological clocks may still be telling our bodies to sleep as the days shorten. This puts us out of step with our daily schedules, which no longer change according to the seasons. Other research shows that neurotransmitters, chemical messengers in the brain that help regulate sleep, mood, and appetite, may be disturbed in SAD.  

What are the Symptoms?

SAD can be difficult to diagnose, since many of the symptoms are similar to those of other types of depression or bipolar disorder. Even physical conditions, such as thyroid problems, can look like depression. Generally, symptoms that recur for at least 2 consecutive winters, without any other explanation for the changes in mood and behaviour, indicate the presence of SAD. They may include:

  • change in appetite, in particular a craving for sweet or starchy foods
  • weight gain
  • decreased energy
  • fatigue
  • tendency to oversleep
  • difficulty concentrating
  • irritability
  • avoidance of social situations
  • feelings of anxiety and despair

The symptoms of SAD generally disappear when spring arrives. For some people, this happens suddenly with a short time of heightened activity. For others, the effects of SAD gradually dissipate.

Symptoms of summer depression may include:

  • poor appetite
  • weight loss
  • trouble sleeping  

Who is at Risk?

Research in Ontario suggests that between 2% and 3% of the general population may have SAD. Another 15% have a less severe experience described as the “winter blues."

SAD may affect some children and teenagers, but it tends to begin in people over the age of 20. The risk of SAD decreases with age. The condition is more common in women than in men.

Recent studies suggest that SAD is more common in northern countries, where the winter day is shorter. Deprivation from natural sources of light is also of particular concern for shift workers and urban dwellers who may experience reduced levels of exposure to daylight in their work environments.

People with SAD find that spending time in a southerly location brings them relief from their symptoms. 

How is SAD Treated?

If you feel depressed for long periods during autumn and winter, if your sleep and appetite patterns change dramatically and you find yourself thinking about suicide, you should seek professional help, for example, from your family doctor. There is effective treatment for SAD. Even people with severe symptoms can get rapid relief once they begin treatment.

People with mild symptoms can benefit from spending more time outdoors during the day and by arranging their environments so that they receive maximum sunlight. Trim tree branches that block light, for example, and keep curtains open during the day. Move furniture so that you sit near a window. Installing skylights and adding lamps can also help.

Exercise relieves stress, builds energy and increases your mental and physical well-being. Build physical activity into your lifestyle before SAD symptoms take hold. If you exercise indoors, position yourself near a window. Make a habit of taking a daily noon-hour walk. The activity and increased exposure to natural light can raise your spirits.

A winter vacation in a sunny destination can also temporarily relieve SAD symptoms, although symptoms usually recur after return home. At home, work at resisting the carbohydrate and sleep cravings that come with SAD.

Many people with SAD respond well to exposure to bright, artificial light. "Light therapy," involves sitting beside a special fluorescent light box for several minutes day. A health care professional should be consulted before beginning light therapy.

For people who are more severely affected by SAD, antidepressant medications are safe and effective in relieving symptoms. Counseling and therapy, especially short-term treatments such as cognitive-behavioural therapy, may also be helpful for winter depression.

Increasing your exposure to light, monitoring your diet, sleep patterns and exercise levels are important first steps. For those who are severely affected, devising a treatment plan with a health care professional consisting of light therapy, medication and cognitive-behavioural therapy may also be needed.  

Where To Go For More Information

For further information about seasonal affective disorder, contact a community organization like the Canadian Mental Health Association or contact CMR Canada.


 Bedtime: Ideas for getting past your kids' delay tactics

By Jane Meredith Adams

On the surface, bedtime is a series of tasks to be checked off: pajamas, teeth, books, kisses. But for kids and parents, it's also a tricky transition from a day of activity to a night of rest, from being together to being separate. At any point, the routine can plunge into a time sinkhole. Here's a guide to avoid the biggest barriers:

Balking at basics

Kids are smart enough to know that putting on pajamas and brushing teeth will lead, sooner or later, to lights-out. So that's the first place they drag their heels.

"They've always resisted my timetable," says Michelle Dixon of Aptos, California, mom of Blake, 8, and Paige, 6. When Dixon says it's time to brush teeth, Paige replies, "I'm not ready." Or "I'm doing something." Or the classic fib, "I did already." She'd rather continue dancing or coloring. "She wants to be cooperative, but she really wants it on her terms."

To move through the conflict, Dixon starts by empathizing with Paige that, yes, it's hard to stop a fun project. Then she offers what she calls "freedom within structure." "I say, 'Do you want to brush your teeth before a story or after a story?'" If Paige has made her own choice, she tends to follow through.

Other strategies moms swear by:

Make a chart. You'll be surprised how quickly you earn back the few minutes it takes to make the darn thing. Check off when he's put on his pajamas, used the toilet and brushed his teeth. Illustrate each step with little drawings or a photo of him merrily completing the task. If picking pajamas is overwhelming, have him make a schedule: blue jammies Monday and Wednesday, yellow on other nights.

Get ready for bed yourself. Challenge your child to a race, and for best results, let him win. Offer your attention as an incentive. "When you're ready for bed, I'll tell you a story about when I was a kid."

Let him choose. If he resists brushing his teeth, let him select the toothpaste. Try an electric toothbrush or a handheld brush that flashes for 60 seconds. Show your child your own fillings. After he eats, have him look at his teeth in the mirror and explain that food left on teeth causes cavities.

Bedtime Battles

Pajamas are on and teeth are clean, but, naturally enough, resistance often continues. One way to keep kids moving is to make bedtime more fun, says Elizabeth Pantley, author of "The No-Cry Sleep Solution for Toddlers and Preschoolers." Yes, you're tired, but having a playful (but organized) bedtime routine doesn't take any more time than a stressful, disorganized one, says Pantley, mom of a preschooler and three teens. Because humor deflates power struggles, it can quite possibly make your routine go faster.

Try having the stuffed animals ask him to get into bed. Sing a special song about what your child did that day and what he'll do tomorrow. Dig deep and give him your attention so he looks forward to this time with you.

If tantrums erupt, act swiftly to keep the routine on track. "I'm not going to negotiate with a child who's having a fit," says Janeen Solberg, a mom of two in Boonsboro, Maryland, and the author of "Staying Centered: The Art of Full-Time Parenting." "I say, 'This is what you need to do and when you do it. I'll be back, but I'm not going to stand here and listen to you while you're acting this way.' It's been extremely effective!"

Other strategies:

Separate the siblings. Julie Douglas's son Taylor, 11, loves to goof around with Tiffany, 5, as she's washing hands and brushing teeth. "He's making faces and noises and being silly," says Douglas, who lives in Boise, Idaho. Her rule: one at a time in the bathroom. If an older sibling isn't going to bed, send him downstairs or elsewhere.

Focus on tomorrow. Direct his attention to what's coming up. Have him lay out tomorrow's outfit by making a "clothes kid" on the floor.

Consider temperament. If he's easily overwhelmed, break down tasks into small pieces (line up stuffed animals, kiss each one good night, and tuck them in).

Books as a burden

No matter how many books you read, there's going to be a request for one more. "When Taylor was little, his thing was 'One more story,'" says Douglas. "He loved the whole fantasy thing, and I got into using different voices." Her son's love of books was terrific, but, she says, "it was also about him not wanting to go to bed."

The simplest solution to this is so obvious you may not have thought of it: Set a bedtime and stick with it. If bedtime is 8:00 and you've read one book instead of three by then, it's still bedtime. Requests for another book can be met with "I'd love to read more, so let's remember to start earlier tomorrow." It's not your fault -- it's just bedtime.

If you're more comfortable with a looser approach, then take the opposite tack: "Every night we read three books." Or "every night we read for fifteen minutes." Give your child a sense of control by letting her choose which books to read and the order in which you read them.

Other strategies:

Read at other times. If your child reads plenty during the day, and the quiet of reading isn't working its sleepytime magic, then just skip the books before bed.

Keep excitement low. If books stimulate her instead of putting her to sleep, choose less exciting books for bedtime and read them in a level voice. Save action-packed stories for the morning or afternoon.

Begging for company

The lights are dim, but the bedtime party's not over. "Stay with me!" is the cry heard across the nation.

To keep the routine moving, you'll have to decide whether you want to stay or go. "Very often parents feel 'stuck,'" says Pantley. "They don't want to stay, but they do to prevent tears or a tantrum." If you stay, she suggests thinking of ways to lie in bed without feeling antsy, like mentally planning for the next day. If you can just sit in a chair nearby, headphones and an audio book might help, though some children may object to the lack of attention that implies.

If you aren't going to stay, help her learn how to sleep independently. Temperament and age make a difference. For a sensitive 3-year-old, "take things very gradually," says Stanley Greenspan, M.D., author of The Challenging Child. "Start with a half-hour cuddle, then twenty minutes, then fifteen, and so on," he says.

Another approach is to move away from her on the bed so you're not cuddling.  Move to a chair next to the bed, to a chair across the room so you can read your book, to a chair in the hall where the light is better, and then up and off to your evening.

Offer rewards. Motivate a 3-year-old to follow simple sleep rules with the promise that if she does, she'll get a treat in the morning. Make a sleep-rules poster with the child's name on it. It reads this way:

1. Stay in bed.

2. Close eyes.

3. Stay quiet

4. Try to sleep.

5. You may leave the room when you hear the music.

Be boring. Handle last-minute requests for a trip to the bathroom or a round of back-scratching with a flat, unexcited, matter-of-fact tone that lacks soothing or adventure.

Make food rules. Jennifer Farrington's son Charlie, 4, gets a wave of hunger just when it's time to be in bed. "We had to make rules about what's an acceptable bedtime snack," says Farrington, of Chicago, Illinois. Baby carrots, a banana, or an apple is OK -- not Goldfish, cookies, or dried fruit. "If he's not so hungry, he won't ask for it," she says.

Keep your promises. When her daughter Ana, 7, was struggling with sleeping by herself, Solberg told her, "I will come up and check on you in five minutes." And she did. After all, streamlining is one thing, but giving your child the security and love she needs to sleep peacefully and well is what it's all about.

Reference:  Parenting Magazine. 


 
Note: These articles present only one perspective on a body of information on the subject and is not intended to be definitive.CMR Canada recommends you seek additional perspectives on the subject.
 

For more information on this and other subjects go to Interventions Archive.  The EFAP assists you and your family resolve personal problems and maintain healthy and productive lives. 

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