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December 16, 2010

Coping with the Holidays After the Death of a Loved One or when you Are a Victim/Crime Survivor


You Can Make It Through the Holidays
Many among us have struggled with the cloud of sadness that may surround the holidays when a friend or family has experienced a tragedy such as a sudden violent death or a serious physical or emotional injury. The onslaught of holiday cheer may seem too much to bear. Holidays may give rise to new or returning bouts of depression, panic attacks, and other forms of anxiety for those whose lives have been affected. Victims of crime, family members, friends, and work colleagues may re-experience life-changing traumas through flashbacks, nightmares, and overwhelming sadness. Some have trouble sleeping, while others don't want to get out of bed. Tears may come easily, often when least expected. Old ailments, including headaches, gastrointestinal problems, and other aches and pains may return.

Many victims and families, however, have found that holidays can be manageable if they take charge of the season, rather than letting it take charge of them.

Families who have made this difficult journey offer some suggestions to help those who may be just starting down this path.

Change Traditions

Trying to make this holiday seem like holidays of the past can intensify the difference. Gather the family together early and decide which traditions to keep and which to let go. Change holiday plans to accommodate the needs and wishes of those who are hurting the most. Pay particular attention to the physical needs of someone who has acquired a disability as a result of victimization.

Create a Special Tribute

Some families light a special candle and place it on a holiday table to honor the memory of a loved one who has died. Others keep a chair empty and place a flower or other memorial on the seat. Some write treasured remembrances and place them on a special plate or in a bowl for those who wish to read them. Families of a surviving victim may want to honor that person by openly expressing gratitude for his or her presence.

Consider Carefully Where to Spend the Holidays

Many people think going away will make the holidays easier. This may be helpful if you are traveling to a place where you will feel loved and nurtured. However, if travel is arranged as a means of trying to avoid the holiday atmosphere, remember that American holidays are celebrated throughout this country and in many parts of the world. It is impossible to escape holiday reminders.

Accept grieving friends and family members as they are; don't try to tell them how they should feel or state that you "understand" how they feel. Focus on giving unconditional support.

Balance Solitude With Sociability

Rest and solitude can help renew strength. Friends and family, however, can be a wonderful source of support. If you are invited to holiday outings, make an effort to go. Attend concerts or other cultural events that lift your spirits. You may surprise yourself by enjoying special outings, even if you feel like crying later.

Relive Fond Memories

Attempting to go through the holidays pretending that nothing has happened can be a heavy and unrealistic burden. Think about holiday seasons you have enjoyed in the past and identify memories you want to hold in your heart forever. No one can take those away from you. Celebrate them and be grateful. If feelings of sadness pop up at inappropriate times, such as at work or in a public gathering, try thinking about what you have, rather than what you have lost. Focus on the blessing of the memories in your heart.

Set Aside Some "Letting Go" Time

Schedule time to be alone and release sad and lonely, pent-up feelings. You may want to cry or write about your thoughts and feelings. If someone has died, you may choose to write a letter to say "goodbye," "I love you," or "I'm sorry." Even though it may feel strange, allow your loved one to write back to you through your pen. You may be surprised at what you write. By setting aside special times to allow painful feelings to surface, it becomes easier to postpone expressing them in public.

Counter the Conspiracy of Silence

Family members may consciously or unconsciously conspire to avoid mentioning the tragedy in your family. This is usually a well-intentioned but misguided attempt to protect your feelings. If this seems to be happening, take the initiative and talk to your family about the importance of talking openly about what has happened and sharing your feelings of loss or sadness. Encourage them to tell stories about your loved one and to look for opportunities to refer to him or her by name.
LPC Continuing Education
Notice the Positive

Some people conclude that facing the holidays is simply "awful." But deciding prematurely that "everything about life is awful" is too strong a generalization from a personal tragedy. Although you may have difficult times during the holidays, you also may experience joy. Accept the love and care of others. Reach out to someone else who is suffering. Give yourself permission to feel sad and to experience joy.

Consider shopping online as an alternative to the frenzy of mall shopping-but don't try to "buy" your way out of sad feelings.


Find a Creative Outlet

If you have difficulty talking about your feelings, look for a creative way to express yourself. Write a poem or story that you can share with others. Buy watercolors or oils and put your feelings on paper or canvas, even if only splashes of color. Contribute to a favorite charity or organization in your loved one's memory-either financially or by volunteering to help. Buy gifts for less fortunate children, a hospital, or a nursing home.

Remember the Children

Listen to them. Celebrate them. Cherish them.

Children may have deep feelings that can be overlooked if you spend all your time focusing on yourself. Putting up holiday decorations can be a draining emotional experience, but these symbols are very significant to children. A friend or relative likely will be happy to help decorate or purchase and wrap gifts.


Protect Your Health

Physical and emotional stress changes the chemical balance in your system and can make you ill. Eat healthy food and avoid over-indulging in sweets. Drink plenty of water, even if you don't feel thirsty. Avoid alcohol, which can be a depressant. Take a multivitamin. Get 7 to 8 hours of sleep each night. Talk with your doctor about an antidepressant or anti-anxiety medication if you think it will help. If you are unsure how a medication will affect you, talk to your doctor about your concerns.


The most valuable help usually comes from someone who shares a common experience or understands something about what you're going through.


Call Upon Available Resources

People of faith are encouraged to observe services and rituals offered by their church, synagogue, mosque, temple, or other faith community. Many "veterans of faith" offer serenity, a quiet presence, and healing wisdom. You may want to look for a support group of persons who have suffered similar experiences. The Mental Health America has affiliates around the Nation that keep lists of such local groups. If a group does not exist in your area, you can establish your own short-term group to focus on getting through the holidays. Spend as much time as possible with the people you love the most.

Most important, remember that you can't change the past, but you can take charge of the present and shape the future.

Family Health: Holiday Health and Safety Tips


The holidays are a time to celebrate, give thanks, and reflect. They are also a time to pay special attention to your health. Give the gift of health and safety to yourself and others by following these holiday tips.

Wash your hands often.
Keeping hands clean is one of the most important steps you can take to avoid getting sick and spreading germs to others. Wash your hands with soap and clean running water for at least 20 seconds. If soap and clean water are not available, use an alcohol-based product.

Clean Hands Save Lives


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Stay warm.
Cold temperatures can cause serious health problems, especially in infants and older adults. Stay dry, and dress warmly in several layers of loose-fitting, tightly woven clothing.


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Manage stress.
The holidays don’t need to take a toll on your health. Keep a check on over-commitment and over-spending. Balance work, home, and play. Get support from family and friends. Keep a relaxed and positive outlook.


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Travel safely.
Whether you're traveling across town or around the world, help ensure your trip is safe. Don’t drink and drive, and don’t let someone else drink and drive. Wear a seat belt every time you drive or ride in a motor vehicle. Always buckle your child in the car using a child safety seat, booster seat, or seat belt according to his/her height, weight, and age.

Available through the CDC:
Extreme Cold: A Prevention Guide to Promote Your Personal Health and Safety

Impaired Driving

Keep Kids Safe on the Road

Stay Safe and Healthy in Winter Weather

Traumatic Brain Injury

Travelers’ Health


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Be smoke-free.
Avoid smoking and breathing other people's smoke. If you smoke, quit today! Call 1-800-QUIT-NOW or talk to your health care provider for help.


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Get check-ups and vaccinations.
Exams and screenings can help find problems before they start. They can also help find problems early, when the chances for treatment and cure are better. Vaccinations help prevent diseases and save lives. Schedule a visit with your health care provider for a yearly exam. Ask what vaccinations and tests you should get based on your age, lifestyle, travel plans, medical history, and family health history.

Available through the CDC:
Things to Do Before Your Next Check-Up

Family Health History Resources and Tools

Get Smart: Know When Antibiotics Work

Vaccines and Immunizations

Safety of 2010-2011 Flu Vaccines

Women: Stay Healthy at Any Age (AHRQ)

Men: Stay Healthy at Any Age (AHRQ)


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Watch the kids.
Children are at high risk for injuries that can lead to death or disability. Keep a watchful eye on your kids when they’re eating and playing. Keep potentially dangerous toys, food, drinks, household items, choking hazards (like coins and hard candy), and other objects out of kids' reach. Learn how to provide early treatment for children who are choking. Make sure toys are used properly.

Injuries among Children and Adolescents
Toy Safety Tips (CPSC)

Counselor Continuing Education
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Prevent injuries.
Injuries can occur anywhere and some often occur around the holidays. Use step stools instead of furniture when hanging decorations. Leave the fireworks to the professionals. Wear a bicycle helmet to help prevent head injuries.

Most residential fires occur during the winter months. Keep candles away from children, pets, walkways, trees, and curtains. Never leave fireplaces, stoves, or candles unattended. Don't use generators, grills, or other gasoline- or charcoal-burning devices inside your home or garage. Install a smoke detector and carbon monoxide detector in your home. Test them once a month, and replace batteries twice a year.

Bicycle Related Injuries

Carbon Monoxide (CO) Poisoning Prevention

Fall-Related Injuries during the Holiday Season- United States, 2000-2003

General Injury Related Information

Fire Deaths and Injuries: Prevention Tips

Fireworks-Related Injuries


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Handle and prepare food safely.
As you prepare holiday meals, keep you and your family safe from food-related illness. Wash hands and surfaces often. Avoid cross-contamination by keeping raw meat, poultry, seafood, and eggs (including their juices) away from ready-to-eat foods and eating surfaces. Cook foods to the proper temperature. Refrigerate promptly. Do not leave perishable foods out for more than two hours.

It's Turkey Time: Safely Prepare Your Holiday Meal

Seasonal Food Safety: Fact Sheets (USDA)


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Eat healthy, and be active.
With balance and moderation, you can enjoy the holidays the healthy way. Choose fresh fruit as a festive and sweet substitute for candy. Select just one or two of your favorites from the host of tempting foods. Find fun ways to stay active, such as dancing to your favorite holiday music. Be active for at least 2½ hours a week. Help kids and teens be active for at least 1 hour a day.

Alcohol: Frequently Asked Questions

Get Smart Entertaining

Healthy Weight

Be Physically Active in the New Year

Managing Diabetes During the Holidays

Physical Activity for Everyone


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Protect pets from rabies.
Pets are also considered family members by many. Keep them healthy. There are several things you can do to protect your pet from rabies. First, visit your veterinarian with your pet on a regular basis and keep rabies vaccinations up-to-date for all cats, ferrets, and dogs.

December 15, 2010

Searching for a Leader in the World of Online CEUs



The internet has been a viable source for finding all kinds of "stuff". It can also be a great source for finding the right CEU provider. The problem lies in sifting through the number of search results generated by whatever search engine being used. Just because a website ranks high in the search engine results, doesn't necessarily mean it is the best option. Companies are constantly battling for rankings. So, here are some things to ask when drudging through the options found on the search engine results pages.

First, "Are they approved in my state for my license?" There are so many choices in the field of online continuing education; however, many are not approved across the United States. Some specialize in a few states that may be key for them. Others just haven't done the work to achieve approval in every state. Even if the provider is approved in your state, they may not be for your particular license. It is always crucial to read the fine print of each provider and make sure they provide an easy to view table with this information.

Second, "Do they offer all the courses I need to renew my license?" Great question to ask. Look thoroughly through their course listing and make sure they have the courses to fulfill the requirements of your particular license. Something else to consider is not only do they have the core courses you need but do they have enough of a selection outside of the core courses to meet your needs in the future as well.

Third, "Can I even find what I am looking for?" How many times have you pulled up a website from a search result and spent way too much time searching for what you were interested in only to end up backing out of that site and returning to the search results list? Sometimes this may be because the site was irrelevant, however, most of the time it was probably because the website was so poorly designed that it made it way too difficult to find anything. Make sure everything is straightforward and easy to find. No wasting time, which is critical in today's busy, fast-paced world.

Fourth, "Are their rates affordable and reasonable?" This is the brass tacks of the matter. What is the cost? It has been said "You get what you pay for." For the most part this is correct. That is why it is a good rule of thumb to never pay the highest amount and at the same time never pay the lowest amount. The highest amount is usually overpriced. The lowest amount is usually stripped of any value and may cost more in the long run in both time and money. Choosing a price more in the middle is usually the best bet.

Aspira works in the fields of online CEUs for MFT continuing education, online CEUs for Social Workers, online CEUs for Counselor continuing education, and online CEUs for Addiction Counselors

Article Source: http://EzineArticles.com/?expert=Matt_Hiltibran

Don't Invite Holiday Stress Into Your Home


(HealthDay News) -- Between hurrying to score the last parking spot at the mall and preparing your home for out-of-town guests, the holiday season can be mentally exhausting.

For women especially, emotions tend to run high as they put pressure on themselves to create picture-perfect gatherings, while holding down jobs and taking care of children.

"During the holidays, our lives become even more stressful as we try to juggle our usual responsibilities with extra holiday preparation and complicated family dynamics," Dr. Eric Marcus, a psychiatrist at New York-Presbyterian Hospital/Columbia University Medical Center, said in a news release from the hospital.

If your household resembles the idealized 1950s' television-version of a family, all of the craziness will culminate in your clan gathered at the hearth, merrily singing Christmas carols. If your family is closer to normal, some tension and conflict will arise during all that family togetherness.

To minimize stress, Dr. Margaret Altemus, a psychiatrist and director of the Payne Whitney Women's Program at New York-Presbyterian Hospital/Weill Cornell Medical Center, suggests making some time for yourself during the holidays.

Being alone, even for a half hour or so, can help you feel calmer. If your in-laws have parked themselves on your sofa and show no signs of leaving until after New Year's, go out by yourself. Take a walk or get some exercise. Physical activity helps alleviate stress and the sunlight can help lift your mood, Altemus said.

Time for yourself may also mean taking time to be with your friends, who may not push those buttons in the same way your relatives can.

The holidays can also be difficult on those who feel isolated. If you are feeling alone, seek out the support of your community, religious or social services. Getting involved with volunteering can help you feel needed and connected.

When it comes to preparing for the holidays, lower your expectations and remember you will not be able to do all you'd like to do if you had unlimited time, energy and perhaps a household staff. Forget about trying to make handmade gifts for the neighbors, sewing a holiday pageant costume for your child, sending out your greeting cards and learning how to cook a crown roast all in the same week.

Prioritize what is most important for you and your loved ones. Talk with your family about what they value in the celebrations. You may find that your expectations are higher than everyone else's.

For many families, money is tighter than it was in previous years. When buying gifts, don't blow your budget then spend the next several months worried about paying your credit card bill and regretting the purchases.

If you are starting to feel stressed, ask for help. If it's too much to host the gathering this year, ask someone else to take a turn -- they may welcome the chance. If you run out of time to bake, buy dessert or ask guests to bring it.

And take some time to reflect on what the holiday means to you, the psychiatrists suggest. That may mean reminiscing about happy times with loved ones, focusing on religious observances or thinking about your best moments and accomplishments of the past year.
Social Work Continuing Education http://www.aspirace.comThe American Heart Association has advice for coping with stress.

-- Jennifer Thomas
SOURCE: New York-Presbyterian Hospital, news release, December 2009

December 14, 2010

Holiday Fire Safety Tips


Sanford, FL -Seminole County Fire Department (SCFD) joins efforts with the National Fire Protection Association (NFPA) and the U.S. Fire Administration (USFA) to provide Holiday Decorating Fire Safety Tips. Decorating homes and businesses is a long-standing tradition around the holiday season. Unfortunately, these same decorations may increase your chances of fire. Based on data from the NFPA and the USFA, an estimated 250 home fires involving Christmas trees and another 170 home fires involving holiday lights and other decorative lighting occur each year. Together, these fires resulted in 21 deaths and 43 injuries.

Following a few simple fire safety tips can keep the ever popular Christmas tree, electric lights, and candles from creating a tragedy. Help ensure that you have a fire safe holiday season.

Christmas Trees
What's a traditional Christmas morning scene without a beautifully decorated tree? If your household includes a natural tree in its festivities, take to heart the sales person's suggestion - “Keep the tree watered.”

Christmas trees account for hundreds of fires annually. Typically, shorts in electrical lights or open flames from candles, lighters or matches start tree fires. Well-watered trees are not a problem. A dry and neglected tree can be.

Selecting a Tree for the Holidays
Needles on fresh trees should be green and hard to pull back from the branches, and the needles should not break if the tree has been freshly cut. The trunk should be sticky to the touch. Old trees can be identified by bouncing the tree trunk on the ground. If many needles fall off, the tree has been cut for too long and, has probably dried out, and is a fire hazard.

Caring for Your Tree
Do not place your tree close to a heat source, including a fireplace or heat vent. The heat will dry out the tree, causing it to be more easily ignited by heat, flame or sparks. Be careful not to drop or flick cigarette ashes near a tree. Do not put your live tree up too early or leave it up for longer than two weeks. Keep the tree stand filled with water at all times.

Disposing of Your Tree
Never put tree branches or needles in a fireplace or wood-burning stove. When the tree becomes dry, discard it promptly. The best way to dispose of your tree is by taking it to a recycling center or having it hauled away by a community pick-up service.

Holiday Lights
Maintain Your Holiday Lights
Inspect holiday lights each year for frayed wires, bare spots, gaps in the insulation, broken or cracked sockets, and excessive kinking or wear before putting them up. Use only lighting listed by an approved testing laboratory.

Do Not Overload Electrical Outlets
Do not link more than three light strands, unless the directions indicate it is safe. Connect strings of lights to an extension cord before plugging the cord into the outlet. Make sure to periodically check the wires - they should not be warm to the touch.
LCSW Continuing Education

Candle Care
Avoid Using Lit Candles
If you do use lit candles, make sure they are in stable holders and place them where they cannot be easily knocked down. Never leave the house with candles burning.

Never Put Lit Candles on a Tree
Do not go near a Christmas tree with an open flame - candles, lighters or matches.

Seminole County Fire Department reminds all citizens to have a working and properly maintained smoke alarm in all sleeping areas and on each floor of your home.

Holiday Drinking Can Kill, Experts Warn


Drunk-driving accidents, heart problems, home injuries are preventable, say U.S. emergency doctors.

WEDNESDAY, Nov. 24 (HealthDay News) -- Excessive alcohol consumption -- a common problem during the holiday season -- can lead to serious injury and death, warns the American College of Emergency Physicians (ACEP).
The group urges people to use good judgment when they get together with family and friends.
"Very few things are more heartbreaking than to see a family suffer the loss of a loved one because of an alcohol-related tragedy, and during the holidays, people take risks. A fun holiday celebration can turn into a nightmare in the blink of an eye, and it can happen to anyone, and we don't want that to happen," Dr. Sandra Schneider, ACEP president, said in a society news release.
Each year in the United States, 79,000 deaths and many more injuries occur as a direct result of excessive alcohol consumption, according to the U.S. Centers for Disease Control and Prevention.
"Alcohol-related injuries are not always driving-related incidents like some may assume. Emergency physicians have treated patients who have been seriously injured while decorating a home for the holidays," Schneider said.
These injuries can occur from falls while stringing lights on roofs, climbing ladders and using power tools incorrectly because of intoxication.
"These activities are dangerous under any circumstances. When you add alcohol to the mix, all of a sudden cognitive skills are lessened, personal judgments change, and your ability to think coherently is decreased," Schneider said. Heavy drinking at this time of year can also cause "holiday heart syndrome," which is an irregular heartbeat in otherwise healthy people. But the major concern during the holidays, and throughout the year, is drunk driving. "Drunk driving is 100 percent preventable. Don't get behind the wheel of a car if you've had too much to drink. You are not only a danger to yourself, but also to everyone else on the road," Schneider said. Alcoholism and Substance Abuse Dependency CEU Continuing Education
More information
The U.S. Centers for Disease Control and Prevention has more about alcohol and public health.

(SOURCE: American College of Emergency Physicians, news release, Nov. 9, 2010)

December 13, 2010

A Snapshot of Annual High-Risk College Drinking Consequences


A Snapshot of Annual High-Risk College Drinking Consequences
The consequences of excessive and underage drinking affect virtually all college campuses, college communities, and college students, whether they choose to drink or not.

•Death: 1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor vehicle crashes (Hingson et al., 2009).


•Injury: 599,000 students between the ages of 18 and 24 are unintentionally injured under the influence of alcohol (Hingson et al., 2009).


•Assault: 696,000 students between the ages of 18 and 24 are assaulted by another student who has been drinking (Hingson et al., 2009).


•Sexual Abuse: 97,000 students between the ages of 18 and 24 are victims of alcohol-related sexual assault or date rape (Hingson et al., 2009).


•Unsafe Sex: 400,000 students between the ages of 18 and 24 had unprotected sex and more than 100,000 students between the ages of 18 and 24 report having been too intoxicated to know if they consented to having sex (Hingson et al., 2002).


•Academic Problems: About 25 percent of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall (Engs et al., 1996; Presley et al., 1996a, 1996b; Wechsler et al., 2002).


•Health Problems/Suicide Attempts: More than 150,000 students develop an alcohol-related health problem (Hingson et al., 2002), and between 1.2 and 1.5 percent of students indicate that they tried to commit suicide within the past year due to drinking or drug use (Presley et al., 1998).


•Drunk Driving: 3,360,000 students between the ages of 18 and 24 drive under the influence of alcohol (Hingson et al., 2009).


•Vandalism: About 11 percent of college student drinkers report that they have damaged property while under the influence of alcohol (Wechsler et al., 2002).


•Property Damage: More than 25 percent of administrators from schools with relatively low drinking levels and over 50 percent from schools with high drinking levels say their campuses have a "moderate" or "major" problem with alcohol-related property damage (Wechsler et al., 1995).


•Police Involvement: About 5 percent of 4-year college students are involved with the police or campus security as a result of their drinking (Wechsler et al., 2002), and 110,000 students between the ages of 18 and 24 are arrested for an alcohol-related violation such as public drunkenness or driving under the influence (Hingson et al., 2002).


•Alcohol Abuse and Dependence: 31 percent of college students met criteria for a diagnosis of alcohol abuse and 6 percent for a diagnosis of alcohol dependence in the past 12 months, according to questionnaire-based self-reports about their drinking (Knight et al., 2002). Alcoholism and Substance Abuse Dependency CEU Course
MFT CE Requirements
Last reviewed: 7/1/2010


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Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 Unported License.