Disappointment comes to everyone. Adults have learned through repeated exposure that when people or activities may sometimes let us down, we can keep such things in perspective and find ways to overcome our dashed hopes.
But for children, disappointment can come in numerous forms. Even a seemingly minor hurt can often seem like such a complete disaster that the child truly has a difficult time accepting and dealing with it. And, in many cases, such as when a beloved pet dies or a close friend moves away, the hurt can be very real and deep and won't disappear easily.
While responding to childhood disappointments can seem difficult, there are good ways to do it. 
You can make a child feel less sad, avoid more serious emotional issues, and, when you respond well, help open communication that can strengthen the child/parent/teacher relationship.
How do you begin to respond to a child's disappointment?

• Listening is step one. Don't minimize or discount the story your child has to tell, even if it seems trivial to you. It's very real to your child, and a responses such as, "That's no big deal," or, "You'll forget about it by tomorrow," or, "Big boys don't cry," only serve to convince your child that the feelings are invalid; that you don't really understand or even care.
• Don't hurry in with a pleasant experience or reward to make the hurt go away. This can establish flawed coping patterns that carry over into adulthood and can present very real future problems.
• Talk "with" your child, rather than "to" her or him. Don't begin an interrogation when something seems wrong but instead tell him or her in a gentle way that you've noticed they're unhappy and encourage them to tell you what has happened.
• Don't be judgmental about what is being reported but instead offer sympathy and understanding. Let your child know you empathize because you've suffered your own disappointments. Don't try to top your child's story, but instead listen and sympathize. Just being able to share can do much to minimize the hurt.

In some cases, being a good listener may not be enough. If you notice a persistent change in behavior over time, and if your child is refusing to talk about what's wrong, it may be appropriate to seek help from a trained professional counselor who specializes in childhood issues. Your child's school counselor is always a good place to start.
​Adapted from American Counseling Association’s Counseling Corner Blog.

People use three basic responses to conflict.  Fight, Submit, Flee.  These can be used creatively but sometimes we get stuck in using just one strategy; become rigid and defensive and feel trapped and powerless.  There is a fourth strategy, Resolution which can be learned and is mutually beneficial.

• Fight: "I'm right, you're wrong."  Fighting is trying to impose your preferred solution or opinion onto another by insisting, blaming, criticizing, accusing, shouting, or using force.  OR you can calmly stand up for your own rights and beliefs by using appropriate measures such as your words in direct "I" statements.  "I feel..., I think..., I need..., I want...".
• Submit:  "I'm wrong, you're right."  You can yield by lowering your expectations and settling for less by giving in, giving up, agreeing to just end the conflict or surrendering to what the other person wants.  OR you can calmly stand up for your own rights and beliefs by using appropriate measures such as your words in direct "I" statements.  There are times when you are wrong and it's appropriate to admit it.  There are also times when faced with a more powerful force submission may be appropriate.
• Flee:  "I don't care who is right, I'm gone."  You can withdraw by ceasing to talk, retreating to your own thoughts, leaving emotionally, changing the topic, physically leaving the scene.  OR you can calmly stand up for your own rights and beliefs by using appropriate measures such as your words in direct "I" statements.  When emotion goes up, cognition goes down and it's sometimes useful to leave a heated discussion and take a time-out to let emotions subside, to organize thoughts, formulate "I" statements, "I feel..., I think..., I need..., I want...".   Then return to the discussion, calmly, with clarity.  
• Resolution:  "We both have a piece of the truth.  Let's work it out."  We can learn to listen to each other, to state our feelings, thoughts, needs and desires and to hear those from another person.  With mutual respect, listening and talking, and expressing our feelings using "I" statements we can remain in the struggle long enough to digest what's happened, problem-solve, and pursue alternatives that satisfy both and come up with solutions.

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​Sadness that won’t go away, episodes of crying, dwelling on bad feelings. All of those familiar mood-disorder symptoms are common in women with depression — but not so much in men.
“When men are depressed, they may be less likely to express sadness and more likely to express anger, irritability and aggression,” says clinical psychologist Adam Borland, PsyD.
Other signs of depression in men can include:

• Impulsivity
• Apathy
• Low self-esteem
• Blaming others (Depressed women more often blame themselves.)
• Isolation from others
• Increased focus on work
• Needing to feel in control
• Substance abuse
• Gambling
• Risky sexual behavior

All of these signs can be cover-ups for sadness.
Men and women also may share some basic depressive symptoms, like low energy, poor concentration and lost interest in activities they used to enjoy says.
Not all drops in mood are depression. Common sadness or irritability is usually temporary and triggered by something specific. Depression may have no clear trigger. And symptoms seem to take over your life (emotionally and physically), for two weeks or longer.
The effect on a man’s body
The thing about a mood disorder is that it’s not just an emotional problem. It can have physical effects too.
In women, depression can present as panic attacks or eating problems. Men, however, are more likely to complain of headaches, digestive problems or other physical aches and pains, says. They may have trouble sleeping or eating — or sleep or eat too much.
They also may have decreased sex drive and trouble performing in the bedroom.
It’s often easier for men to see a doctor for their physical issues than emotional ones. They may be less willing than women to talk about emotional issues or less likely to realize their physical symptoms are depression.
How to treat male depression
Men who may be depressed should start by seeing their primary care provider, who can rule out other health conditions and discuss ways to treat depression. Usually depression is treated with psychotherapy, medication or both.
Therapy can help patients uncover and change unhealthy thoughts and behaviors that could be contributing to depression. Sometimes it includes finding new ways of dealing with interpersonal conflict or other problems.
Antidepressants treat depression well, but can take several weeks to work fully. Symptoms may lift slowly and gradually.
There are dozens of safe and effective antidepressants available, but they don’t work the same in everyone. It may take more than one try for you and your doctor to find the right antidepressant for you.
What to do if a man is depressed
Many men won’t seek medical care for depression on their own. They may need encouragement from family or friends who’ve noticed a change in their ability to work, interact with others or function in everyday life.
If you think the man in your life may be depressed, here’s how you can help:

• Acknowledge his depression. 
• Offer your support. 
• Promote healthy living and self-care. 
• Focus on smaller, achievable daily goals. 
• Involve a doctor or mental health professional. 
• Report warning signs of suicide. 
• National Suicide Prevention Lifeline at 800.273.8255.

Depression will go away.

​Good Mental Health is no different than good physical health.  In fact, good mental health contributes to better physical health.
​Seeing a physician isn't embarrassing if we have the flu, a high fever, or other serious health problems.  No one will criticize you for seeking medical help for a physical health problem and, indeed, most people would fault you if you didn't seek medical help.
Yet we often find that mental health issues bring a very different reaction.  People sometimes see mental illness not as a health issue, but as a character flaw, a serious defect, something that marks a person as weak, unstable, perhaps even violent or dangerous.
Such reactions have serious consequences for millions of Americans who could be healthier and happier if they were receiving the mental health help readily available.  But many don't seek such help out of fear of being "labeled" with a mental illness, feeling family and friends won't understand, or that it could lead to discrimination at work or school.
Too many people who could use help instead see their condition as a sign of personal weakness. They may mistakenly believe that they should be able to control whatever is wrong without outside help.
Please, work to correct this misinformation and encourage people to seek needed treatment.  For example, researchers estimate that one in eight U.S. adolescents is suffering from depression.  Each day an estimated 3,000 young people in grades 9 to 12 attempt suicide, yet only 30% of young people facing mental health issues ever receive any type of treatment or intervention. This lack of treatment helps lead to more than 4,600 suicides by young people each year. The statistics are even scarier among senior citizens and our military veterans.
What you can do:

• Speak up.  Tell people if you have had treatment and how valuable it was just as you would share that an MD treated you for blood pressure, cholesterol, digestive problems, heart conditions, etc.
• Ask your schools to teach a module on emotional intelligence at all grade levels each year.  This could empower students to be assertive, learn empathy, and decrease incidents of bullying.
• If you see a relative or friend in distress don't shy away, instead, suggest psychotherapy as an option and share your own experiences.
• Do some research and study in improving communication, parenting techniques, conflict resolution and bring these skills into your family and work situations.
• Consider scheduling a weekly Family Meeting where all members can feel safe to discuss issues and generate solutions to influence family dynamics toward more cohesion, trust and contentment.  Even infants and toddlers attend!

It's vital for people to recognize that mental health issues are not a reason for shame, but rather a condition that requires treatment by a professional. Anxiety, depression, panic attacks, eating disorders, social phobias and similar problems are not a sign of personal weakness.  They are simply conditions that, when treated successfully, can result in a happier, healthier and more productive life.
If you or someone you know is suffering from a mental health issue, don't give in to the stigma, but rather take action for better health.  Talk to a friend or family members about what's bothering you and look into assistance from a mental health professional.  Seeking mental health help is not a weakness; it's as logical and right as seeing a doctor for the flu.
Adapted from American Counseling Association’s Counseling Corner Blog.
​Here are some thoughts from Markus Howard on The Marquette basketball team about his mental health treatment as published in The NYTimes.

​For most of us, asking for help can often be difficult. Yes, asking for advice on planting a garden is easy. But for a serious issue, such as your mental health, you may find that you don't want to admit to the problems you're facing.
It's not hard to understand why you may be reluctant. Admitting that you're struggling or feeling  overwhelmed is like admitting you're weak or inadequate. Many of us learned as children that it's important to be independent, strong and self-sufficient. That background makes it difficult to tell someone else that you're really not okay.
The result is that people often decide to just try and do the best they can by themselves. In some cases things might just turn out fine, though there are no guarantees. But going it alone could involve considerable amounts of stress and anxiety, and may even lead to bigger and more serious problems.
Another common option is to turn to family or friends. This can be a good idea if those you trust with your problems and fears are truly understanding and are able to offer meaningful support and help. Sometimes they can, but often times they just can't be objective enough.
If you're facing a difficult time or situation, something that's causing depression, high stress and anxiety, and is making it difficult or impossible for you to enjoy life, it may be time to seek out professional help. Doing so can be a difficult choice, since it means asking for help from a stranger, and usually will involve a fee.
However, realize that a professional counselor is someone who has gone through extensive training and has many tools to help those feeling overwhelmed and unsure of  how to go on. Despite the way it's often portrayed on TV, counseling is not something just for "crazy" people. Most counseling assists perfectly normal people who are simply facing issues and problems that are negatively affecting their lives.  There are no reasons to suffer emotional pain when licensed, professional counselors are available, willing and competent to help.
There are many ways to find a counselor.  You can ask a friend, your doctor or dentist, teacher or someone you respect to give you a referral.  Many communities have counseling centers.  If there is a resource at your job you can ask about the Employee Assistance Program. You can find a counselor by simply Googling "Find a Counselor".  There are many referral sites that you can search geographically and by topic, e.g., stress, anxiety, depression, marital conflict, parenting. ​
Asking for help is never a sign of weakness but rather of the strength to recognize when your problems are real and that you need help to do something about them.
​Here are some reasons NOT to ignore your Mental Health from the Cleveland Cllinic.
​​​Adapted from American Counseling Association’s Counseling Corner Blog.

​​May is Mental Health Awareness Month and it's time to talk about confronting the stigma around therapy.  Many people would benefit from therapy but won't choose it because they feel ashamed and weak when confronted with emotional difficulties.  There is no shame in seeking professional help for emotional difficulties anymore than there is to visit a medical doctor for your physical health.
Physical and Mental Health are entwined.  Ignoring either can lead to greater difficulties.  Early intervention is the key to dealing with both physical and mental problems.
Men are particularly at risk from not talking about emotional issues.  Men can perceive themselves as weak and inferior for feeling anxious, depressed, angry, overwhelmed and other uncomfortable emotions.  Stuffing feelings down or ignoring them can be dangerous to functioning in relationships, can interfere with concentration at work, contribute to fatigue, irritability.
Here are some excerpts from an article by Sean Evans, "Not Talking About Mental Health is Literally Killing Men",  May 2, 2018.
"Your mental health is inseparable from your physical health. Not a revolutionary concept, but what is astounding is the stigmatization that still surrounds men who dare to talk about their emotional struggles.
Men who are vocal about any kind of mental issues can be dismissed as weak.  As inferior.  As flawed, broken guys who are more likely to be ostracized for their honesty, instead of rewarded for their bravery.  Instead of affording a fellow man compassion, we mock, belittle, and turn a blind eye. We freely spit the phrase, 'Man up', as though your gender alone should suffice to guide you through your darkest times.
Or worse the response can be 'Well, that sucks', then change the subject because talking about feelings is just too real.
What’s real is the fact that 9 percent of men experience depression.  That’s more than 6 million men.  More than 3 million men struggle with anxiety, daily.  Of the 3.5 million people diagnosed as schizophrenic by the age of 30, more than 90 percent are men.  An estimated 10 million men in the U.S. will suffer from an eating disorder in their lifetime.  One in five men will develop and alcohol dependency over a lifetime.  Male suicide is rising at such an alarming rate that it’s been classified as a 'silent epidemic.'  It’s the seventh leading cause of death for males.  That’s a staggering statistic. 
It’s okay to feel depressed.  It’s okay to feel overwhelmed.  It’s okay to be sad.  It’s okay to be anxious. It’s okay to be scared. It’s okay to not have everything figured out, to feel a wave of uncertainty come crashing over you and not know which way is up, or when your next gulp of air will come. These are perfectly normal feelings that every man experiences.  And it’s okay to talk about it.  What’s not okay is suffering in silence."  You can read the full article here.
Freud called therapy the Talking Cure.  It's time to talk!
Here are some misconceptions about therapy which may block someone from seeking help.

Most of us, most of the time, want to be nice, to do what is asked and to please those asking for our help. We usually try to be accommodating at work, with our friends, and with our family members.
But sometimes, rather than replying, "Sure," when asked to do an inconvenient favor, or to take on a task beyond your abilities, it may make better sense to say, "No."
It can be difficult to just utter that simple "No." You want to look responsible, helpful and capable. However, the reality is that saying "Yes." to virtually every request can produce a variety of negative results.
Research has shown that the more difficulty someone has in saying "No," the more the person is likely to experience stress, burnout and possibly even depression.  Difficult requests are highly likely to make you feel frustrated or anxious, or even mad at yourself for saying "Yes." in the first place.
The key to saying "No." is to do it in a respectful and courteous manner.  It starts with understanding what your own boundaries are, and not being embarrassed to accept and keep those boundaries. When you see that a request is going to push you into a zone where you'll feel uncomfortable or not fully competent, it's important to make your feelings, and decision, clearly known.
Responding to a request with phrases like, "Gee, I'm not certain I can," makes it clear that you are not being straightforward about your decision. That's also true when your immediate response is to start apologizing or making excuses and explanations for why you can't do what's being requested.
Instead, first make sure that saying "No." is really the only alternative. Politely let the person know you would like to help, but first ask questions to clarify what is really needed. Perhaps there is a way that you can help that wasn't evident when your aid was initially requested. But if it turns out that "No." really is the only right answer, then state your decision clearly. Let the person know you're sorry you can't help, but that it just wouldn't work.
While you want to be helpful, it's important to recognize your own limitations, interests and capabilities. Stepping too far outside those comfort zones will leave you feeling anxious and frustrated, and probably won't be the best help available.
Setting boundaries, and keeping them so you are not manipulated into situations which could cause stress and resentment is a way to use your personal power in a kind and clear way.
Remember, "NO" is a complete sentence.
​Adapted from American Counseling Association’s Counseling Corner Blog.
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Stop, Look, Listen, Smell, Taste, Touch.
What you know of the world comes through the 5 senses.  Paying attention to your sensory input can focus the mind on the present.  Living in the present can, momentarily, lower anxiety, relieve muscle tension and calm the mind.  
Here's a quick exercise, The Senses Check, which takes about a minute to bring you into a tranquil space.

• ​Stand and take a few deep breaths.
• Slowly rotate in place as you take in the visual information around you.  Name everything you see.
• Come back to place and close your eyes and attend to the sounds in your environment.  Name the sounds.  Locate them in your mind's eye.
• Switch your awareness to smell and identify any odors.
• Now, lick your lips to taste whatever is there.
• Next, switch your attention to touch.  How do your clothes feel on your body?  How do they feel when you touch each component; soft/hard, warm/cold, rough/smooth.  How does your body feel?  Notice any kinks, sore spots, muscle tension.
• Inhale deeply and as you exhale release any physical stress.
• Smile!

This one-minute exercise connects you to the immediate environment through your 5 senses.  If you practice often you can lower your stress baseline, clear a cluttered mind, relax the body, even change your viewpoint.​
Do The Senses Check and experience the present moment completely.
Even one episode of mindful practice can be beneficial for your health.

Listening is a skill which can be used to help improve relationships with family, friends and co-workers.
Listening is an important tool in relationships.  By listening carefully, we can usually tell what another person wants out of the relationship.
The purpose of listening is to focus on the other person and learn something about her or him.
We can all become better listeners:

• Decide that you want to listen to the other person
• Let the person know you are listening by making eye-contact.
• Silence encourages a person to share feelings and thoughts.  Don't be afraid of it.
• Listen without judging, not whether you agree or disagree, not whether the person is right or wrong.
• Try to understand what's being said and the underlying feelings.
• Do not think about anything other than what the person is saying.  Avoid thinking about your response.  When you think about your response you are listening to your inner voice and not listening to the other person.
• When the person is finished talking, acknowledge what you heard by paraphrasing what was said and reflecting the feelings you heard, explicitly, or between the lines.
• When we stop, focus and listen we tell other people they are important and what they have to say matters.
• Listening to another and showing understanding is one of the greatest gifts to offer.

This article from the New York Times explains how to become a better listener.

Now that spring is here it’s time to revise or create an outdoor exercise routine.  The list of the benefits of regular aerobic and strength-training exercise is too long to post here.  However, relief of depression is an important one.
Depression is a common disorder that is associated with compromised quality of life, increased health care costs, and greater risk for a variety of medical conditions, particularly coronary heart disease. 
Here are some tips to help you get started and maintain the benefits of regular exercise. 
To use that famous NIKE slogan, “Just Do It.”

1. Choose an activity that you enjoy and stick with it.  The number of activities to choose from can boggle the mind.  Just because you “don’t feel like it” is not a reason not to exercise. Tell yourself the truth that you’ll feel better afterwards. 
2. Make small changes.  Start with one day per week for 20 minutes.  Add more time or add another day.
3. Make a plan.  Don't leave it to chance.  Put your exercise session on your calendar.  Have plan A and plan B depending on weather or other scheduling. 
4. Invest in a good pair of exercise sneakers.  Consult with an expert.  It’s an investment that you won’t regret!  Don't let sore feet provide an excuse to skip your workout.
5. Timing is everything.  Exercise at a time of day that is most convenient.  Do not exercise on a full or empty stomach or just before you go to bed.  People with depression often suffer from insomnia, and night time exercise can leave you feeling energized when you want to sleep.  If possible, exercise during daylight hours to also benefit from sunlight.
6. Watch out for barriers to exercise.  Anticipate them and develop strategies to make exercise as easy and simple as possible.  Brainstorm potential solutions to bad weather, work commitments, fatigue, and any other lame excuse your demons will present.
7. Get a buddy.  Some people who exercise with a partner enjoy it more and are more likely to stick with it.  Also, the additional social support may provide motivation and have other beneficial effects.
8. Think positively. Praise your successes. Keep a record, get a tracking device.  View lapses in your exercise program as learning opportunities and don’t get discouraged if you miss a session.  Succumbing to excuses for one day is not a tragedy but get out there the next day.
9. Enjoy the moment. Take a minute when you are finished with an exercise session to appreciate how you feel in your body, mind and spirit.  A sense of accomplishment can follow you throughout the day.

Exercise appears to be an effective treatment for depression, improving depressive symptoms to a comparable extent as pharmacology and psychotherapy.  Observational studies suggest that active people are less likely to be depressed.  Even modest levels of exercise are associated with improvements in depression.  While the optimal “dose” of exercise is unknown, clearly any exercise is better than no exercise.  "Just Do It." and sustain it.
Here is a recent article from Slate which provides information on the anti-depressant effects of regular exercise.   Exercise and Happiness from The NY Times provides more information.  And another one about exercise to lower blood pressure and reduce fat.
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