The Best Way to Stall Dementia: Quit Smoking

 From Cornell University

While the number of smokers is at a historical low, data demonstrates that smoking still affects public health. Smoking increases the risk of heart and lung disease, affects bone health, and increases the risk of birth defects. A growing body of research demonstrates that smoking also affects neurological health, specifically cognitive decline.

A longitudinal study published this fall in the journal Nature Communications tracked data from 32,000 adults between ages 50 and 104 for 15 years to identify lifestyle factors linked to cognitive decline. The surveys, conducted in 14 European countries, asked about a broad range of lifestyle factors including smoking, alcohol consumption, physical activity, and social contact. The surveys also measured episodic memory and verbal fluency, two domains affected by dementia.

Researchers found that most participants showed some signs of cognitive decline over the course of the study, but current smokers demonstrated the largest and most significant levels. The only exception were current smokers who had other healthy habits including avoiding or limiting alcohol, moderate to vigorous physical activity, and regular social contact; those participants showed less cognitive decline, similar to that of nonsmokers.

Editor's note: I have spent many decades of my 56 year career as a Psychiatric Social Worker helping people quit smoking. The interesting finding is that a person who is a long time smoker makes, on average, 5 quit attempts before they finally quit for good. So, I encourage people by telling them "Don't quit trying to quit."

Addiction to smoking is one of toughest addictions to overcome.

80% of people for whom alcohol is a significant problem also smoke. The outcome research shows that quitting both smoking and alcohol at the same time gets better outcomes than quitting these chemicals one at a time.

Cinematherapy can be useful in mental health treatment and recovery.

 

Do you use movies, TV shows, YouTube videos, etc. in your therapeutic work. If so, can you name such a film or video and how you use it?

Yesterday, I finished the Netflix TV series, (8 episodes) of Escape at Dannemora. I remember when this happened in 2015. This is a soap operish kind of story with a narrative that is predictable. What might be interesting is how manipulable people can be in institutional settings and how creative people can be in totalizing circumstances. 

I am not sure how I might use this series in therapy but Tilly demonstrates some of the signs and symptoms of what might be called "inadequate personality disorder." Her insecurities contribute to compulsive sexual behavior which gets her into criminal behavior with two of the inmates.

At any rate, do you have movies or TV shows that you refer to for therapeutic purposes in your work with clients?

If you have been a mental health patient, are there movies, novels, TV shows that have helped you resolve and transcend the mental health problems which have challenged you/

Does Narcissism Fade With Age?

If you’re hoping the narcissist in your life will make sweeping behavioral changes, you are likely to be disappointed, according to a systematic review published in the journal Psychological Bulletin.

For more click here.

Editor's note: As a Licensed Clinical Social Work Psychotherapist with 56 years in the field of mental health I have observed that some people with personality disorders do change in positive directions or at least "mellow" in their older age. However, I also have observed that some people, as this study finds about people with Narcissistic Personality Disorder, not only don't change but the symptoms even become worse.

Another sad observation is that people tend to die the way they have lived their lives. The old expression "you make your bed and you lie in it' is pretty accurate. Death bed conversions make great stories and movies but are exceedingly rare that's why they are so valued and appreciated if and when they do occur.

However a good story about end of life change is told in Dr. Irvin Yalom's book; "Love's Executioner: and Other Tales Of Psychotherapy" in the second chapter "If rape were legal..."

Trust in a benevolent universe is a key to spiritual health.

Even if your spirituality does not include a Supreme Being, children need to feel that the universe smiles on them. Einstein said that the most important decision each person makes is deciding whether or not this is a friendly universe.

Dr. Laura Markham, Great Spiritual Lessons Every Child Should Learn, 

Laura Markham is no relation to me and I don’t know her. However, I admire her work.

As I read and think about this quote, it seemed to me that this is an important decision for adults as well as children. To what extent is one of the foundational purposes of psychotherapy to help people shift their perception from a world of malevolence to one of friendliness? How do we help our clients shift their perception from a malevolent universe in which they feel victimized to a benevolent universe in which they are loved unconditionally?

One of the most important contributions to this mind shift from the negative, fear based perspective to a positive, optimistic perspective is the cultivation and expression of gratitude. Before bed, it is suggested by the positive psychologists that we reflect on the three good things that have happened to us during out day. What have we been blessed by? Identifying these things fosters an appreciation that allows us to become aware that we are loved by the Universe. 

At any age we can intentionally choose to recognize and acknowledge the blessings in our life. What greater gift could a parent give a child that to facilitate the child's awareness and expression of gratitude?

Lethal drug overdoses in the year 2021 killed 100,000 people.

 

Lethal drug overdoses in the year in  2021 killed 100,000 people. After fentanyl, methamphetamine is the largest killer.

In my practice I know far more people who have died from drug overdoses than from Covid-19 and suicide.

 

The interesting observation is that people have much more control over lethal drug overdoses than they do of Covid-19 in the sense that the exposure to the agent of death is under the individual's control.

 

What are the factors that contribute to the high level of substance misuse in the United States?

What can we do as psychotherapists do to ameliorate the suffering that contributes to this phenomenon?

Mental health of populations should be an indicator in measuring a countries gross domestic productivity, GDP

 Here is an interesting short article on Conversation.com about the addition of "mental health" as an indicator of well being in a country's GDP.

While Indonesia’s economic prospects seems promising, an essential factor of productivity needed to sustain growth is often overlooked: mental health.

How mental health affects the economy

People with moderate to high distress levels typically demonstrate reduced productivity and need higher levels of healthcare. This increases the societal economic burden.

The World Health Organization (WHO) found a 25% increase in the prevalence of anxiety and depression worldwide in 2020, the first year of the pandemic.

New York State legislature considers changes to Child Protective Services laws

From the Public News Service

A bill in the New York state Legislature would implement new standards for Child Protective Services. The bill requires CPS workers to get a court order and inform parents and caregivers of their rights before searching homes.

A ProPublica/N-B-C News investigation found New York City's Administration of Child Service has a warrant less than 0.2 percent of the time it conducts searches.

Jasmine Wali, director of policy and advocacy for JMAC for Families said it is time for these agencies to abide by the Fourth Amendment of the U-S Constitution. She describes what CPS workers would need to do.

"At the first point of contact, Child Protective Service workers would notify them of their rights. You do not have to let me in, you have the right to an interpreter, you have the right to legal counsel, you have the right to do preventive services. If you want, you have the right to refuse entry," she said.

She added this bill is not creating any new rights, but aims to inform parents of the ones they already have. The bill was introduced in the state Legislature during the past two sessions. Competing issues took precedence over this one, Wali said, but added additional public education done on the issue has bolstered its support. The bill is currently under review in the Senate Children and Families Committee.

Wali added there are numerous other ways child protective services can be improved, and said the practice of mandated reporting needs to be re-examined.

"Thousands of reports are coming in that are later found to be unsubstantiated, but the family is still experiencing all this trauma and this stress from this investigation, because, once a CPS worker enters the home, they search all the cabinets, they can sometimes strip-search children," she said.

Wali added a different bill has been introduced to change the current system of anonymous reporting to confidential reporting, and said survivors of domestic violence she has worked with have had their perpetrator use the CPS system to harass them. This bill is also under review by the Senate's Children and Families Committee.

Editor's note:

In my experience as a family therapist these changes are long overdo.