As kids, everyone thought my sister and I looked like twins. We still look somewhat alike and our voices sound similar with the same hint of valley-girl twang. Therefore, it’s no wonder that we share an interest in Psychology and ended up pursuing careers in mental health. When my sister decided to get her Masters degree in Marriage & Family Therapy, I immediately envisioned having an office together and referring clients to one another. Though we live in different states, I have her number on speed dial in case I’m in need of quick consultations on difficult patients. A knowledgeable psychiatrist might have the power to prescribe medications, but an intuitive psychotherapist has the ability to change the way a person thinks and views life. The effects of medications can only go so far. But, the combination of both meds and psychotherapy can more effectively improve the lives of many…
Is it possible to predict who will become a serial killer? It’s a chilling subject, especially for someone like me who hates horror movies and refuses to watch one second of Friday the 13th. Today, I gave a presentation on Oppositional Defiant Disorder and Conduct Disorder in children & adolescents (which are childhood disorders that can progress to Antisocial Personality Disorder and the feared Sociopath/Psychopath) when my fellow Psychiatry resident mentioned the “MacDonald Triad. ” I’ve never heard of the triad, but I was pleasantly disturbed to learn something new. Apparently, the triad links 3 behavioral characteristics in childhood as predictors of criminal, homicidal behavior in adulthood: animal cruelty, obsession with fire setting, and persistent bedwetting past the age of five. With the help of Google, I found that contract killer Richard “The Iceman” Kuklinski and serial killer Dennis Rader posessed some of these characteristics. Well, I can confidently say that I don’t fit the link nor do I know anyone who does. But then again, I don’t go around asking friends if they have a long history of peeing in bed.
Everyone has something they’re thankful for. I spent the week struggling to help patients find the tiniest glimmer of hope…a reason worth living even when death seemed like the only option. Medical school doesn’t teach you the art of psychotherapy, so I found myself extremely overwhelmed compared to times when I cared for patients experiencing a heart attack or stroke. But, after a tough yet rewarding week of analyzing my patients’ lives, I realize I have to analyze myself. I need to acknowledge my own fears and unresolved issues (otherwise, it may interfere with my patients’ therapy), which can be a scary thing for anyone. No wonder so many mental health professionals have their own therapist. Cheers to a relaxing weekend of self-reflection!
I consider myself a morning person. I woke up at 12:30pm today, which is ridiculously late for me. My checklist of things to accomplish has not been touched because I missed the morning window to begin my tasks, and therefore feel lazy, tired, and moody. Even as I write this post (it’s 6pm), I’m laying on my couch watching my 4th rerun of “Man vs Food” and attempting to muster enough energy to go to the grocery store.
Which brings me to an important question: “How is your sleep?” I ask each of my patients this question since sleep has such a profound effect on mood. In addition to offering medications for insomnia (if necessary), I educate my patients on the importance of “sleep hygiene.” Sleep Hygiene consists of healthy habits one can develop in order to routinely sleep well, which includes the following:
1. Sleep only when sleepy – this reduces the time you’re awake in bed.
2. If you can’t fall asleep within 20 mins., get up and do something boring until you feel sleepy. (do a low stimulating activity such as readying something boring, etc., but be sure to avoid bright light)
3. Don’t take naps.
4. Get up and go to bed the same time every day (Even on weekends! I know this is hard, especially after a ridiculously tough week at work)
5. Refrain from exercise at least 4 hrs before bedtime.
6. Develop sleep rituals. (give your body cues that it’s time to slow down & sleep – listen to relaxing music, have a cup of tea, etc.)
7. Only use your bed for the 2 “S’s” — Sleep and Sex. (no work, reading, watching tv, doing bills, etc).
8. Stay away from caffeine, nicotine, and alcohol at least 4-6 hrs before bed.
9. Have a light snack before bed. (if an empty stomach interferes with your sleep)
10. Make sure your bed and bedroom are quiet and comfortable. (I love the peaceful quality of neutral tones with pops of black and muted blue in the bedroom below)
For more on sleep hygiene, you can check out this link http://www.sleepeducation.com/Hygiene.aspx. Typing this post made me realize how lazy I’ve been all day, so now I’m off to buy food! And time to take my own advice and head to bed by 11pm (instead of 4am like the night before).
My last minute 4.5 day stay in the Philippines last week was way too short but couldn’t have been more perfect. Instead of partaking in the usual treks to white sandy beaches and attractive city sites, we remained in the provincial town where my amazing grandparents raised their 11 children. I found excitement in riding a tricycle to my grandparents’ farm, appreciation for late night gatherings in a courtyard beneath the stars, and indulgence in homecooked meals. There’s something comforting, humbling, and therapeutic about the simplicity of country life, especially when there’s members of 4 generations to share it with you.
{Waking up to the sound of roosters crowing at 5am}
{the liberating feeling of not wearing makeup when the standard look is Au Naturale!}
{appreciation for unique public transportation…the infamous Jeepney}
{paying respect to loved ones deeply missed}
{the joy of being called to a table of delicious Philippine cuisine}
{I’m in one of my Vegetarian phases, so my fave is fresh broiled catfish dipped in a mixture of salted shrimp paste, freshly squeezed kalamansi juice, & chopped red chillies. I also constantly crave the bottom left dish–who knew sliced, sour green mangoes dipped in a salted, lightly fried shrimp paste made such a yummy combination?!}