livingwithablackdog

sit. stay. good boy.

Food Glorious Food 25/09/2011

Fruit.  Vegetables.  Meat.  Protein.  Dairy. Iron.  Carbohydrates.  Breads.  Cereals. Rice. Pasta.  Vitamin E.  Vitamin C.  Vitamin D. Vitamin B.  Fats.  Sugar.  Cholesterol.
Hormones.  Blood Sugar levels.  Chocolate.  Shortbread…

How we eat makes a big difference to how we feel.  It affects how much energy we have.  It affects how efficiently our system processes what we do eat and how easily it will break down and prevent or minimise constipation.  For some it can affect them at a more vital level – for those with diabetes it is even more important to monitor food intake, as for those with particular allergies.

Recent studies indicated that people with depression have a high (anything up to a one in two) risk of developing diabetes.  That is an enormously scarily high statistic.  You might ask, “Why?  Why this on top of everything else?”

A large part of the answer is thought to be tied up in lifestyle issues.  They actually think that for most people this is preventable!  Risk factors for development of type 2 diabetes include lack of exercise and sedentary lifestyle (ie sitting around a lot and inactive), obesity especially if your weight distribution is more around your stomach than your hips and thighs, eating unhealthily is a major cause of type 2 diabetes – too much fat, too many simple carbohydrates and not enough fibre in particular; also high blood pressure, high cholesterol levels, high cortisol (stress hormone) levels,  smoking, family history, gestational diabetes and aging (over age 45 becomes higher risk).

A lot of these risk factors overlap with issues that occur regularly in people with depression.  It is common for people with depression to have little physical exercise and very sedentary lifestyles, poor diet and become overweight due to a combination of this and at times side effects of medications – and the lovely little belly that the medication leaves is usually a tummy rather than hips and thighs.  Stress level hormone levels may be high due to anxiety levels; depression, like diabetes often has genetic links, many of the high levels can be secondary to diet and lack of exercise and statistics indicate that a high proportion of people with depression also smoke.  Oh – and yes, we might say that we’re 39 for a while, but everybody ages.

The good news is that the majority of the factors identified as risks are preventable.  They are also helpful ways to improve the prognosis of the course of our mental health.

Look for ways to become more active.  Start small and build up a little at a time.  Sooner or later you will feel like you are exercising.  In the meantime, you will be stretching out those muscles and getting them ready for a challenge.  One of the biggest weight loss programmes in the world was started by a woman who started out by walking around her clothesline.

Research what needs to go into a balanced diet.  Plan what you will eat ahead of time and stick to it.  I find this really hard, but it really is worth it.  I have more energy when I do and it helps keep a lot of other things more balanced.  Try cutting up your veggies when you get them and storing them ready to use – that way you don’t have as much to do to prepare food when you have to cook.  Same with your meat and everything else.  It takes longer to store – but half the time (at least for me) a large part of the battle in getting the energy together to get something healthy and wholesome to eat is in overcoming that ‘I don’t feel like all the preparation’ feeling.  At worst keep a couple of pre-cooked healthy meals stored in the freezer for when you don’t feel like cooking.

Talk to your doctor about a Quit smoking programme.  It is possible.  People do it all the time.

See someone about some anxiety management strategies.  If you already see a case worker, therapist or doctor ask them for advice about what to do or where to go.  Look around for local programmes through community health resources.  If you get stuck and are not sure where to start, check out the mindfulness and CBT pages on this site or post me a comment and let me know.  If you’re in Australia, ask your GP to write you a referral under “Better Health” to see a psychologist or clinical psychologist.

Just to start off, this week I had a really simple meal of a piece of steak about the size of the palm of my hand.  I had a couple of mushrooms that I chopped up and cooked with it in the pan.  I then steamed in the microwave generous serves of broccoli, cauliflower, both green beans and yellow ones and some snow peas that I grew in my garden.  It was filling, plain and simple.

Why not share something healthy that you cook/prepare or plan to cook/prepare after reading this in the comments.  Maybe we can collect some recipes and ideas?

 

I have a Dog 23/06/2011

I have a dog.

Lots of people have dogs.  Most of them are called things like Spot, or King or “Here, Boy”.  They’re spotty Dalmatians, flat-faced Rotties, alert Alsatians,  perky Jack Russells, yappy little floor mops, podgy Pig dogs, loyal Labradors and trusty Heelers.  Or so we say.  Most of them are bitzers.  But the average household dog is loved.

My dog is a black dog.  He is with me everywhere I go.  I have what  is known as treatment resistant Depression.

My journey has been a strange one.  I find myself standing amidst two different worlds on a regular basis.  In one world I stand with my black dog, visiting a doctor.  In the other I stand with the doctors and other health workers trying to keep my dog out of the way while I see others who come to me, some trailing their own black dogs.  I am also a Mental Health worker.  In fact, I was a mental health worker before my black dog came to join me.  While I had been an empathic one before this, the shift in perspective gave a lot of insight to the way that I worked.

I will always be glad not to have been in the workforce at the point in my journey when my symptoms of depression became so severe that I couldn’t function.  It was a spectacular crash.  I was – it seemed – irretrievably tangled in this black dog’s unsecured lead to a point where I had tripped and was unable to get up again.  Mongrel dog.  As it was with a lot of time, hard work, patience and medication I was able to get untangled – but I’m stuck with the dog and the lead.

More time, more and more review and adjustments to medications by my Psychiatrist, a lot of work with a Clinical Psychologist, an excellent GP, a supportive supervisor and manager at work, a couple of great friends and a magnificently supportive family behind me and eight years later I have my black dog much better trained.

With a lot of time, effort, meds, bucks, sweat and tears I have trained my dog to walk at heel.  He does not run riot anymore.  He is not a puppy.  He is still a challenge and will always need a close eye.  There will always be times when he moves unexpectedly and I stumble on his lead or get pulled in a different direction.  There will always be places that are not as dog-friendly as others, even if it’s not deliberate.   When making plans I must plan not only for my needs, but for those of my dog.  They can be costly in all senses of the word.  They can be inconvenient.  They can seem impossible.

But if I plan for him, I can plan for me.  And I can do all manner of things.

He is not my pet.  He is my responsibility.  I am never without him.

He is my black dog.

 

 
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