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Turn Stress into Strength

Debbie Mandel, author of Addicted to Stress, says many women don't realize they are addicted to stress because they are not paying attention to their own needs. "Instead of helicoptering over everyone else and their happiness, it's time to helicopter over yourself and identify that pattern of [being an] overdoer at home and at work," she says. Debbie shares ways to combat stress and turn it into useful energy.

Reclaim Your Identity

Find the hidden girl within! Who were you before you became a wife, mother or colleague? What makes your heart sing? What do you enjoy doing? "You need to go back to the basics of your identity," Debbie says. Think about what you like to do and ask others what you are good at doing and write these things down. Debbie says you should ask yourself, "What is it I want to accomplish for myself instead of other people?"

Cultivate Your Sense of Fun and Humor

Reduce problems and stress to absurdity by looking at life with a sense of humor, Debbie says. Then, learn some jokes, read funny books and watch funny TV shows. "If you keep looking at 'funny,' it will become a part of you," Debbie says. "Pretend you are a detective and you've got this eye for humor. I think if you find someone who makes you laugh or smile, conjure that up [during a stressful moment], and it just breaks the perspective immediately."

Build a Healthy Body

Lift weights to lift your spirit or take an aerobics class to sweat away the stress of the day, Debbie says. "Because I am exercising and feeling fit and energetic and ridding myself of stress, I will [also] eat healthy, because my body is my temple," she says.

Reframe Your Thoughts

When people get upset, they create negative stories. Why not make your stories positive instead? "Come up with a way to create a positive story where you are the heroine, and this way you build up immunity to all this negativity," Debbie says

Learn to Become a Healthy Narcissist

You don't need to be self-obsessed to be a healthy narcissist, Debbie says. Instead, engage in good self-care, she says. "Dress to please yourself and for success," Debbie says. "Your accessories, anything about you, even the jewelry you wear—whether it is costume or it is real or it is fun—it expresses who you are, your identity to others."

By Bob Greene
Oprah Radio
November 13, 2008



Understanding TBI Behavior Issues....

In understanding TBI problem behaviors it is important to manage your own behavior and not that of the other individuals. It is not realistic to think that negative behavior can be totally being eliminated; minimizing the inappropriate behavior is the most realistic approach. Recognize that the behavior problem is a neurological problem and not a personal issue will avoid reacting emotionally to what is occurring. It is important to understand that most often TBI occur to the frontal areas of the brain where the damage causes individuals to be unable to hold back their emotional and verbal responses. Individuals with TBI are usually not violent but may make have loud outbursts. Typically the event lasts only two to three minutes, then the individual returns back to normal. Remember your response should be: Remain calm, remove if able the cause of the outburst, do not try to reason or argue, reinforce positive behavior, and/or medicate.


The most important thing to remember in living and working with an individual with TBI is to remain calm and be flexible. Do not take it personally when behavioral problems exhibit. Stay calm and have a sensitive approach while the individual struggles through this difficult time.

AdvisaCare understands these issues and can help your family too.

Go to www.AdvisaCare.com to learn more.

Signs & Symptoms of a Brain Injury


Traumatic brain injury can have wide-ranging physical and psychological effects. Some signs or symptoms may appear immediately after the traumatic event, while others may appear days or weeks later.

Mild traumatic brain injury

The signs and symptoms of mild traumatic brain injury (concussion) may include:
 Loss of consciousness for a few seconds to a few minutes
 No loss of consciousness, but a state of being dazed, confused or disoriented
 Memory or concentration problems
 Headache
 Dizziness or loss of balance
 Nausea or vomiting
 Sensory problems, such as blurred vision, ringing in the ears or a bad taste in the mouth
 Sensitivity to light or sound
 Mood changes or mood swings
 Feeling depressed or anxious
 Fatigue or drowsiness
 Difficulty sleeping
 Sleeping more than usual


Moderate to severe traumatic brain injuries

Moderate to severe traumatic brain injury can include any of the signs and symptoms of mild injury, as well as the following symptoms that may appear within the first hours to days after a head injury:
 Loss of consciousness from a few minutes to hours
 Profound onfusion
 Agitation, combativeness or other unusual behavior
 Slurred speech
 Inability to awaken from sleep
 Weakness or numbness in the extremities
 Loss of coordination
 Loss of bladder control or bowel control
 Persistent headache or headache that worsens
 Repeated vomiting or nausea
 Convulsions or seizures
 Dilation of one or both pupils of the eyes
 Clear fluids draining from the nose or ears

If you think that you have any of these symptoms and have been in an accident please seek medical treatment with your doctor.

How Many People Have TBI?


Data are critical to understand traumatic brain injury (TBI) as an important public health problem. This data can help inform TBI prevention strategies, identify research and education priorities, and support the need for services among those living with a TBI

National TBI Estimates Each year, an estimated 1.7 million people sustain a TBI annually. Of them:
•52,000 die,

•275,000 are hospitalized, and

•1.365 million, nearly 80%, are treated and released from an emergency department.
TBI is a contributing factor to a third (30.5%) of all injury-related deaths in the United States.1
About 75% of TBIs that occur each year are concussions or other forms of mild TBI.2
*The number of people with TBI who are not seen in an emergency department or who receive no care is unknown.

TBI by Age

•Children aged 0 to 4 years, older adolescents aged 15 to 19 years, and adults aged 65 years and older are most likely to sustain a TBI.
•Almost half a million (473,947) emergency department visits for TBI are made annually by children aged 0 to 14 years.
•Adults aged 75 years and older have the highest rates of TBI-related hospitalization and death.

TBI by Gender
•In every age group, TBI rates are higher for males than for females
•Males aged 0 to 4 years have the highest rates of TBI-related emergency department visits, hospitalizations, and deaths.




http://www.cdc.gov/TraumaticBrainInjury/statistics.html (2010)