6 Months or Less Diagnose for a Loved One.

Knowing how to offer comfort and support to a loved one who has a terminal illness can be challenging. What can you say or do? How can you help your loved one cope? How will you deal with your own grief? Get the facts about supporting a loved one who is terminally ill.My loved one has been diagnosed with a terminal illness. How might our relationship change?Your relationship with your loved one might not necessarily change because he or she has a terminal illness. If you're concerned, try to build on your relationship's strengths. It's also important to be open to new possibilities. A loved one's terminal diagnosis might improve your relationship. Or unresolved conflicts might present new challenges.Remember that your loved one is still the same person and will still have the same needs and desires as he or she had before the terminal illness. Many people facing terminal illness want to be treated as normally as possible, without always focusing on the illness.How can I help my loved one cope with a terminal illness?Let your loved one know that you're willing to listen to his or her concerns — and never underestimate the value of your presence. Even if it feels as if you're not doing anything, your presence sends an important message. Don't, however, try to be a counselor.Is there a typical emotional process that a person who has a terminal illness experience?Dying isn't a science. Don't assume that a loved one who has a terminal illness is going to go through a methodical process of coming to terms with death. It might not happen that way.Acceptance or accommodation might be the most desirable outcome of the grieving process — learning to live as fully as possible while accepting the presence of a terminal illness.But does your loved one have to accept that he or she has a terminal illness? Does your loved one have to accept that he or she is going to die before he or she expected? No. There's no right or wrong way to come to terms with death.How do you help a loved one who's in denial about his or her impending death?Denial is an important coping mechanism. Your loved one might be in denial because the reality is too frightening, too overwhelming, or too much of a threat to his or her sense of control. A denial is a form of natural protection that can allow your loved one to let reality in bit by bit and continue living as he or she contemplates death.As long as denial isn't causing your loved one significant harm — such as causing him or her to seek out painful treatments of no therapeutic value — then denial isn't necessarily bad.Your loved one might be afraid of pain. Perhaps your loved one is afraid of losing control of his or her bodily functions, mind or autonomy. Your loved one might also fear failing family or become a burden to others.To provide emotional and spiritual support to your loved one, invite him or her to talk about his or her fears. Sometimes, however, it's easier for a dying person to share what he or she fears and explore it with someone other than a family member, such as a Bereavement Professional as Dr. Nicholas Losito, Ph.D.

Prop-long Treatments

Prolonged grief is a mental illness that affects the patient physically, mentally and socially. As the disease progresses, the individual is at risk for developing a variety of complications that range from mild to severe.

As grief continues to linger, patients are more likely to slide into a deep, profound depression. They have no motivation to perform any task and would rather not interact with the people around them. In the worst cases of depression, the bereaved individual will turn to thoughts of suicide.Without treatment, truly depressed individuals are at a high risk for attempting to kill themselves.

Prolonged grief places a great amount of stress and tension on the affected person. High levels of stress can cause physical illness, the Mayo Clinic warns. Patients suffering from prolonged grief are more likely to suffer from high blood pressure and heart disease. Cancer rates are also elevated in people who suffered from complicated grief.

Unbearable grief often drives people to substance abuse. At first, they turn to mild substances such as alcohol or nicotine but as the grief lingers, patients graduate to more powerful substances like heroin or cocaine. Initially, the individual may turn to substance abuse to alleviate the symptoms of grief; however, over time, they will become addicted to the substance. Addiction to an illicit substance is a whole other disease that brings its own set of complications and usually exacerbates the effects of a grief disorder.

The most telling complication of prolonged grief disorder (PGD) is the inability to deal with daily living. Even the most mundane chores seem daunting to someone suffering from PGD. They will need care and monitoring from a dedicated caregiver. If the grief is not treated, patients will slowly deteriorate physically and psychologically.

The disease also adversely affects the friends and relatives of a person suffering from PGD. They often feel hurt and helpless when they are unable to help their loved one. Some people react with anger or frustration. In most cases, complicated grief places a massive burden on all of the patient’s relationships. Prompt, comprehensive treatment helps prevent any long-term damage to the patient’s interpersonal connections.

Treatment

There Is No Set Treatment Modaity that works in  every case of prolonged grief disorder. Most Medical Professional will design a Treatment Plan that Best Suits the Patient's Specific Symptoms and Life Situation.

The pharmacological options for complicated grief have yet to be established. Antidepressants are the most often used medications as they help patients deal with the symptoms of grief-associated depression. In most cases, pharmacological treatment is secondary to psychotherapy.The best treatment plans use a mix of psychotherapy and medications. In psychotherapy, therapists guide the patient into the basis and foundation of their grief. Patients are encouraged to explore their reaction to grief, their symptoms and their personal goals. An article in Clinical Psychology and Psychotherapy recommends that therapists attempt to redirect the patient’s goals from inward-directed goals (making themselves feel better) to outward-directed goals (goals related to outside events). Therapy should provide the patient with coping mechanisms that reduce feelings of blame and grief.

Interventions

While in the midst their grief, most people are unable to even consider treatment. The longer the grief lasts, the less likely they are to seek treatment for their depression. If left alone, people with prolonged grief are likely to suffer severe complications.

Luckily, most grief-stricken individuals are surrounded by friends and relatives who are willingly to support and help them. Most relatives will recognize the symptoms of prolonged grief disorder and suggest the subject seek medical help. This is usually enough, but in some cases, the patient is resistant to treatment. They may believe that their grief is normal, that they deserve to suffer or that the grief is the best way to hold on to what initially caused the grief.

Overcoming this resistance is usually too difficult for most families. Therefore, instead of approaching the patient on their own, families will employ a professional interventionist and stage an intervention. During the intervention, the team is able to vocalize the numerous adverse effects the prolonged grief has caused. Ideally, the patient will then consider the presented information and agree to undergo treatment.

If you have any questions about interventions, or would like help staging an intervention for your grief-stricken loved one, contact Dr. Losito today. Dr. Losito Is here to help.

Working the Positive Path

Being with the Most Positive Thoughts have been being in front of Christ our God in the Most Holy Blessed Sacrament of the Altar. 

Being with Christ our God Is the Most Beneficial means to remain positive during the days of Celebration of His Holy Birth and beyond into the New Year.  

He is our Enteral Physician ! 

Consequently, you can add these items as well into your path of Happiness.

I want to share my path to positive thinking. Maybe the steps I took can help you reach your goal of bringing more positivity into your life.

• I surrounded myself with like-minded positive people and had to actively shift some of my relationships. I brought those with positive energy closer and devoted less time to those who were bringing me down.
• Instead of looking at tasks as a burden, I started to make things fun. The have-to’s can be exciting. Instead of dreading the gym, I rented a bike and explored New York City. Rather than avoiding chores, I make them a game and wound up smiling the whole time.
• I became grateful. Instead of looking at the past with regret, I have tried to reprogram my thoughts. I am now grateful for many of the experiences because they have taught me so much. I remind myself about what I learned from the friendship/relationship that ended. I look for the things that I am thankful for and appreciative of and remind myself of these things when I am feeling a wave of negativity. It shifts my mindset.
• I found purpose. I began finding and attracting others who shared my mindset, not in a therapeutic sense, but who desired to make the world a more positive place. I have friends who are not in the helping profession, yet make it their intention everyday to do something that can change the world in some way, and maintain positive thinking. A friend of mine is an illustrator. She helps authors make their stories come to life. Another is a consultant. He helps small businesses become profitable. Their intentions are to find positivity in their work. This energy is exuded to those around them.

Some tools may work for you, others may not, but be gentle with yourself. Try shifting your negative mindset subtly. Remember, the goal is to find your path to positive thinking that lasts a lifetime.

Comfort Yourself

1. Stretch your body.

Anxiety tends to hijack the body. While everyone stores anxiety in different spots, common areas are the jaw, hips and shoulders, according to Anna Guest - Jelley, a body empowerment educator, yoga teacher and founder of Curvy Yoga. She suggested standing up and doing a full-body stretch. “Reach your arms overhead then slowly fold forward [and] slowly open and close your mouth as you do.”2.Take a shower.

Taking a shower after a rough day always makes Darlene Mininni, Ph.D, MPH, author of The Emotional Toolkit, feel better. And she’s certainly not alone. Now research is illuminating why cleansing may wash away our woes.
Mininni cited this interesting review, which notes “a growing body of research suggests…after people cleanse themselves, they feel less guilty about their past moral transgressions, less conflicted about recent decisions, and are less influenced by recent streaks of good or bad luck.”3. Visualize a peaceful image.
 
The image you pick can be anything from the sun to ocean waves to a furry friend, Guest-Jelley said. She suggested combining the visualization with breath, and repeating the sequence several times. As you inhale and reach your arms out in front of you, hold the image in your mind, she said. Then exhale and bring both hands to your heart, all the while thinking of the image, she said.
 
4. Speak compassionately to yourself.

Being self-compassionate boosts mental health, Mininni said. (Some research even suggests that it helps you reach your goals.) This means extending yourself some kindness as you would to a good friend, she said.
Unfortunately, being self-compassionate doesn’t come naturally to many of us. Fortunately, you can learn to treat yourself with consideration and care. Here are some ideas on being kinder to yourself and cultivating self-compassion.
 
5. Reach out.

Reach out to people you trust to support you. “We are wired to connect with others and to comfort each other through emotional and physical connection,” said Julie Hanks, LCSW, a therapist and blogger at Psych Central.
 
6. Ground yourself.

When stress strikes, some people feel lightheaded or like they’re floating outside their bodies, Guest-Jelley said. Making a point to feel your feet against the ground can help, she said. “Grounding your feet can bring you back into your body and help you navigate what you want to do next,” she said. “Visualize thick roots growing down from your feet into the center of the Earth, rooting you and giving you a firm foundation.”7. Listen to soothing music.
“Create a playlist of soothing songs that help you to slow down or connect with memories or positive experiences,” Hanks said. We’ve mentioned before the benefits of listening to calming music. Pairing soothing tunes with deep breathing helps, too, according to one study, which found it lowered blood pressure.
 
8. Practice mindfulness.

To practice mindfulness, “You don’t need to sit like a pretzel,” Mininni said. Simply focus on what you’re doing right now, whether that’s washing the dishes, walking to your car or sitting at your desk, she said. Pay attention to the sights, scents and sounds surrounding you, she said.
 
For instance, if you’re washing the dishes, focus on the scent of the soap and the hot water cascading from the faucet and onto your hands, she said.
Mininni applies mindfulness to her feelings. In the moment, she asks herself what her emotion feels like. Doing this actually allows her to detach from her feelings and thoughts and simply observe them as if she were watching a movie. This helps you get out of your head and into your body, she said.
 
9. Move your body.

According to Hanks, “If you’re feeling tempted to engage in self-destructive behavior to calm down, engage in something positive and active, like exercise or playing a physical game.”10. Picture the positive.
 
When we’re anticipating a potentially stressful situation, we start thinking of all the different ways it can go wrong. Again, you can use visualization to your advantage. “To pull yourself out of [an] internal dramalogue, try imagining the situation going well,” Guest-Jelley said. “Feel what you want to feel in the moment and see yourself disengaging from tricky conversations [and] situations,” she said.
 
11. Zoom out.

Look at the situation or stressor from a bigger perspective, Hanks said. “When you’re in the moment, current challenges seem enormous, but placing your situation into the ‘bigger picture’ of your life may help you realize that you may not need to give it so much emotional energy,” she said.
For instance, she suggested asking yourself: “Will this matter in one year? In fie years? When I reach the end of my life, how important will this situation be in retrospect?”

12. Practice alternate nostril breathing.

Breathing techniques are an instant way to soothe your body. Taking deep, slow breaths tells your brain that everything is OK, which then calms the rest of the body. Guest-Jelley suggested going through this series:

Using your dominant hand, “make a U-shape with your thumb and pointer finger.
If you’re using your right hand, press your right thumb into your right nostril, gently closing it. Inhale through your left nostril.
Next, press your right index finger against your left nostril, closing it, as you release your thumb from the right nostril – allowing yourself to exhale through the right nostril.
Repeat by inhaling through the right nostril, then closing it and exhaling through the left nostril.

Continue like this for at least 10 full breaths.” 13. Let yourself feel bad.

Remember that you don’t have to fix your feelings right away. It’s important to have a toolbox of healthy strategies to turn to at any time. But don’t feel guilty for feeling bad or fault yourself if you aren’t seeing rainbows and unicorns.
Mininni stressed the importance of giving yourself permission to acknowledge and honor your feelings and stay with them. “Sometimes it’s OK to just say I’m having a really crappy day,” she said