Celebrating Thanksgiving in 2020

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This year we have experienced many changes, from the way we celebrate birthdays and graduations, to elbow-bumps in place of handshakes. One of the more challenging differences of living through a pandemic, though, is going to be the holiday season, starting with celebrating Thanksgiving.

Typically, people travel to see family and friends, visit multiple homes on Thanksgiving and the days around it. Many people enjoy getting out with friends to local bars and restaurants. None of that, however, is safe in 2020 with COVID-19 increasing it’s hold on our communities and our health.

Celebrating Thanksgiving in 2020 may not be what we are all used to, but it can still be full of good food, friendly faces, and happy memories without risking anyone’s health and safety.

Tips for Thanksgiving 2020

  • Hold a Thanksgiving dinner just for your immediate family in your home.
  • Enjoy the beautiful Central Arizona weather and visit neighbors outdoors and with some distance between you.
  • Share your favorite recipes with friends and family, rather than making and bringing food to a big group Thanksgiving.
  • Delivering meals to isolated friends, family, or others in the community in a safe way.
  • Virtual Thanksgiving dinner with loved ones near or far.

Remember, that while health is critically important with COVID around, we also need to take care of our mental and emotional well-being. Seeing faces on screens and hearing voices over the phone doesn’t take the place of in-person holiday gatherings, but it is much better than not having that interaction at all. Relationships and seeing people you love – even on a screen that has grandma’s thumb covering it half the time – are so important.

Enjoy and embrace something new when you celebrate Thanksgiving, and remember to call, text, video chat, and safely visit (with masks or at a distance) with people you care about. If you need additional support from a counselor or community resources, reach out to the NOAH team for more information about services to support you and your family so you have a happy, healthy time celebrating Thanksgiving.

How to Talk to Your Teen about Sensitive Topics

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By Katelyn Millinor, LPC

As our children grow into independent and curious teenagers, we as parents want to be a guiding light to help our children make smart and informed decisions. Sensitive topics such as intimacy, sexuality, consent, relationships and substance use may be difficult or seem awkward. 

Here are some tips to help facilitate productive and positive conversations:

  1. Create an Open and Safe Space for Communication.

    Initiate conversations regularly with your teenager. What is their favorite musical artist? What is their favorite hobby? What does your teenager do for fun with friends? Getting to know your teen makes it easier to talk about anything. Starting this process early often has greater benefits.

  2. Give Them Privacy.

    We have all been where we want to keep things to ourselves and have time and space alone. Our teens do too. Make sure to allow your teen enough privacy. You may still invite conversations and allow them space until they are ready to share.

  3. Listen More, Talk Less. 

    Allow your teen to fully finish what they are saying before you offer insights or responses. Practice active listening by giving your full attention. Teenagers are more likely to be open when they feel heard. Most of the time, teenagers are not seeking for you to “fix” their problem, they just want a trusted adult to listen. Avoid being critical, judgmental, or getting emotional.

  4. Share Your Own Experiences.

    Don’t be afraid to share some of your own personal experiences with your teenager. Your teenager may see you as more relatable and understanding.

  5. Be Honest.

    Your discussions about sensitive topics may give your teenager the foundation of their understanding on certain topics. If you don’t know the answer to something, seek additional expertise from a professional.

  6. Offer Support and Advice. 

     Don’t Lecture. Phrases such as “If I was in this situation, I would do….” or simply asking “May I offer some advice?” can help facilitate meaningful conversations.

Tackling difficult conversations with your teen is a sign of a healthy relationship. If you know what is going on in your teen’s life, you are better equipped to help. Engaging in these conversations gives you and your teen the opportunity to explore choices and practice important decision making. If you need help talking about sensitive topics, learn about NOAH’s counseling services.

Diet and Lifestyle Tips for Cancer Prevention

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By Mina Goodman, RDN

While there is still much research to be done on what causes cancer, there are still some easy tips for cancer prevention and healthy living.

To reduce your risk, consider these tips:

  •  Limit processed and fatty meats – these include bacon, sausage, hot dogs, and lunch meats. Try for more fish, poultry, and plant based proteins (beans, tofu, tempeh, seitan, nuts, seeds, or soy products).
  • Choose foods with more nutrients – limit added sugars, sodium, saturated fats and trans fats. Look for choices rich in vitamins and minerals instead such as fruits, vegetables, and other plant based foods.
  • Eat more plants – these include, fruits, vegetables, whole grains, beans, nuts and seeds. Aim for 5 servings of fruits and vegetables daily!
  • Increase (or maintain) your level of physical activity – try to move your body for at least 30 minutes a day, most days. This can be walking, biking, swimming, dancing, online workouts, or whatever you enjoy.
  • Avoid alcohol – if you do choose to drink, limit your intake to one serving a day for women or two servings a day for men. One serving is estimated at 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of liquor.
  • Avoid tobacco or smoking in any form – if you need help quitting find the resources you need at NOAH
  • Drink plenty of water – drink at least eight 8 oz. glasses per day (64 oz. or 4 bottles of water or to drink half your body weight in ounces (so someone weighing 200lbs would drink 100oz daily).
  • Try a Mediterranean diet – this way of eating focuses on plant-based foods like fruits and vegetables, whole grains, legumes, and nuts. When possible choose healthy fats, such as olive oil, over butter and fish instead of red meat.

Getting started on a healthier lifestyle can be one way to focus efforts on cancer prevention and to prevent other diseases. Working with one of NOAH’s Registered Dietitian Nutritionists is a great first start. Make an appointment today!

Get Some Relief During TMJ Awareness Month

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Millions of people in the United States are living with TMJ (Temporomandibular Joint) disorder and have no idea that it is the source of their pain and discomfort. TMJ disorder, or TMD, is pain in the jaw and surrounding tissues. Symptoms and issues from TMD can range from mild or occasional discomfort, to more severe pain and disruptions to daily life.

It’s estimated by the TMJ Association that around 35 million people in the United States are affected by this disorder. That’s around 12% of the population and most of these people are women.

Why TMJ Disorder matters

Symptoms can range from things like headaches and migraines, neck and shoulder pain, jaw pain or stiffness to other symptoms like dizziness, and even ear pain or ringing. Finding the cause – and a solution – to these symptoms can make a big difference in your life. If left untreated, TMD can cause damage to your teeth, joint, muscles, and tissues, so you want to talk to your healthcare provider about it.

What are the causes

  • Injury or trauma to your jaw or face
  • Arthritis
  • Unaligned bite
  • Stress
  • Genetics
  • Hormones

Treating TMJ Disorder

Most jaw and facial muscle pain is temporary and will go away on its own. If it doesn’t go away in a few weeks, visit your dentist or primary care doctor to rule out any other causes. A few things you can do on your own include:

  • Eat soft foods
  • Reduce stress or talk with someone about your stress
  • Use ice or heat on the jaw or muscles
  • Avoid chewing gum and wide yawns
  • Don’t hold the phone with your shoulder
  • Sleep on your side with a pillow supporting your neck

TMJ disorder is something many people live with. And for some people, the symptoms will come and go. If you are someone who has lasting symptoms, talk to one or our healthcare providers.

Healthy Halloween Tips

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By Stephanie Olzinski, RDN and Rhyan Geiger, RDN

Does the thought of Halloween candy give you the spooks? Worried about trick-or-treating and wanting to stay home this year? Here are some ways to stay safe and on track for a healthy Halloween while still enjoying treats with your family and friends.

  1. Buy fewer bags of candy. 

    Especially if going door to door will be limited this year, try to buy less than usual for the candy that will be given out or kept in your house.

  2. Choose the mini sizes. 

    Larger candy bars come with double or triple the calories. To enjoy your favorite treats without going overboard, opt for the smaller sized candy.

  3. Eat before you treat.

    If you and your family decide to go out trick-or-treating or even to a socially-distanced event, make sure you are eating a balanced meal beforehand to avoid overeating any sweets. A good meal should include some protein and fiber to keep you full and satisfied!

  4. Stay active.

    Whether you’re walking around, doing activities at home, or having a spooky dance party, staying active each day is important to keep your body strong and healthy.

  5. Make your own treats.

    Using this year to begin new traditions could be a great way to have more family time and make healthy choices too. Below are some ideas for snacks that are festive, easy, and good for you!

BONUS CONTENT: recipe ideas for a Healthy Halloween!

  • Boo Bananas – cut bananas in half and place mini chocolate chips as eyes and a mouth.
  • Clementine Pumpkins – peel a clementine and add a small piece of celery to represent the stem of a pumpkin.
  • Witches Broomsticks – cut mozzarella cheese sticks in have and shred one end to make it look like a broom. On the other end, insert a pretzel stick to represent the handle of the broom.

Who? When? Why? Navigating Breast Cancer Screening

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By Zachary Whitaker, D.O. HonorHealth Family Medicine Residency, PGY-1

Summary – Your health and well-being are the primary goal! So, if you’re wondering when to start, what timeline to follow, or what your risk may be for breast cancer, speak to your physician and share your concerns, priorities, and values. Together, you can determine the best plan for you!

You, like many women, may be wondering when you should start getting screened for breast cancer. You may have heard different things from different friends, family members, or even doctors—you are not alone! One of the main reasons for those differences is that there are multiple organizations that give recommendations on what age screening should start and how frequently it should be done. Each woman’s individual risk for cancer and her preferences are also taken into account. Breast cancer screening looks for signs of possible cancer before symptoms are present. Having a positive screening test does not mean you have cancer. Further, diagnostic testing is required to actually diagnose cancer. The currently accepted best test for screening is mammography (a special low-dose X-ray).

Who should get screened? All women who do not have symptoms and who have never had breast cancer.

When should I get screened? This is where much of the confusion arises. The governing bodies of different medical organizations develop their own recommendations. Overall, the recommended age range for women at average risk to begin screening is between 40 and 50 years old. Some organizations recommend yearly screening, while others every 2 years. And some recommend stopping at age 74, while others recommend continuing until individual life expectancy decreases to less than 5 or 10 years. Bottom line: most women should start by at least age 50 and get it at least every 2 years until at least age 74.

Why should I get screened? Cancer is the 2nd leading cause of death in adult women in the United States. Breast cancer accounts for the second greatest number of deaths from all cancers in that same demographic. It is also one of the few cancers we have effective screening for, and the earlier cancer is found, the greater the chance of effective treatment and survival.

Raise Your Domestic Violence Awareness

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By Cody Randel

Domestic violence impacts millions of men and women every year. The more we know about identifying possible victims and offering support, the more individuals and families will get the help they deserve. Approximately one in four women and one in 10 men will experience domestic violence in their lives.

The Truth About Identifying Victims

The true nature of domestic violence makes it difficult to identify. Victims are often scared and shamed by their perpetrator, and they are hesitant to come forward. Knowing how to identify the signs of domestic violence could someday help save someone’s life. 

  • Physical signs such as bruises, cuts, or other marks on the victim’s body are a big indicator, these are often hidden with clothing or makeup, or by creating an untrue story of the origin of the injury.
  • Emotional signs like fear, low self-esteem, timidity, depressed mood, substance abuse, isolation and others are important to notice.

There can be other signs, but in general, noticing some of the above are strong indicators, especially if behavior changes.

How You Can Help

Many people still view domestic violence as a private family matter, but it isn’t. It is a public health and social issue that impacts the safety of the community.

If you believe someone is experiencing domestic violence in a relationship, there are ways to help. How you approach helping is very important because it can mean the safety of everyone involved.

You can help by:

  • providing emotional support for the victim by listening to and reassuring them that they do not deserve to be abused
  • letting the victim know that you worry for their health and safety
  • offering resources that can help them get out of the relationship
  • NEVER confronting the perpetrator
  • suggesting that the victim remove weapons from the home such as firearms, knives, etc.
  • helping the victim create a Safety Plan (see more details below)

A Safety Plan should include:

  • hidden bag packed with essentials like ID, money, car keys, etc. in case they have to leave quickly
  • list of numbers for hospitals, shelters, hotlines, and other community resources
  • a safe space for the victim (and possibly children) to go with other family, friends, or a shelter

If you see that a victim is in immediate danger, call 911. And if you are the victim of domestic abuse, there are resources and many professionals, like our team at NOAH, who can listen and provide resources to help.  

Domestic violence resources:

Honor World Mental Health Day

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By Cody Randel

World Mental Health Day is October 10th, to both raise awareness and to mobilize support for this important issue. This year, however, the World Health Organization (WHO) will host its advocacy event online due to the COVID-19 pandemic.

The Big Event for Mental Health brings together world leaders, celebrities, and advocates from all over the world. The focus will be on the serious need for widespread resources, a problem worsened by the pandemic. The event is free and will be broadcast on WHO’s Facebook, Twitter, LinkedIn, YouTube, and TikTok channels from 7 – 9:30 a.m.  

Big Event Highlights 

  • How can we better invest in mental health? A look at individual, national, and global levels and the actions needed to scale up resources. 
  • The event will include several short films that focus on the work of WHO and their partners’ initiatives around the globe. 
  • WHO’s event will ultimately highlight a variety of ways to improve mental health, spread more awareness, and share the benefits of investment that go beyond public health. 

Mental Illness Facts

  • Approximately 1 billion people worldwide live with a mental disorder 
  • 3 million people die every year from harmful alcohol use worldwide 
  • 1 person dies every 40 seconds from suicide across the world 
  • COVID-19 has impacted billions of people’s lives worldwide, and subsequently affected people’s mental health

One of greatest obstacles we all face is the social and internalized stigma associated with seeking help for these health issues. Programs like World Mental Health Day are important to not only bringing awareness to these issues, but also continuing to make it a mainstream topic which helps people around the world. Get involved in changing negative views about mental health issues by organizing events to raise awareness, or by simply listening to an individual who is suffering. We all have the power to change a life with even the smallest gestures. 

If you want to speak with someone about any challenges or concerns you are living with, request an appointment today.

Mental Illness Awareness Week – Mental Illness in Youth

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Mental health problems or disorders are surprisingly common in youth and children. The National Institute of Mental Health (NAMI) reports that 50% of all lifetime mental illnesses develop by age 14. However, differentiating the difference between expected behaviors and a mental illness can be tricky. In younger children, symptoms are typically behavioral as they are still learning how to deal with big emotions. Children can also have a hard time explaining how they feel or why they are behaving a certain way. Whether you are a parent, coach, teacher, religious leader, or just a trusted adult, you may be able to spot warning signs that a youth may need support or services.

Some common signs of mental illness in youth include:

  • Sudden changes in behavior (for example: has an active child becoming withdrawn and quiet or a good student starting to get poor grades)
  • Sudden change in feelings (for example: mood swings, lack of feelings)
  • Avoiding places or situations that have not been routinely avoided
  • New complaints of physical problems like headaches, stomach aches, problems eating or sleeping, or lack of energy
  • Suddenly keeping to themselves or increased shyness
  • Low self esteem
  • Frequent outbursts, tantrums, or meltdowns
  • Substance abuse
  • New physical harm to self, others, or property
  • Inattention or poor focus
  • Refusing to go to school
  • Difficulty with transitions within or between school, home, or social activities
  • Thoughts of death or dying

This list is not a complete list of symptoms. It is important to seek a complete medical exam to rule out any medical issues. Diagnosing mental illness in children may take some time and involve questionnaires or assessments. Psychotherapy can be helpful to assist the youth and the guardian or family members in treating symptoms and learning new skills. Mediation may also be helpful in specific situations.

NOAH has a team of trained clinicians such as doctors, counselors, and psychiatrists to help on this journey. No family or child has to navigate this alone.

4 Nighttime Habits That Will Set You Up For a Better Tomorrow

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Most people would benefit from getting more sleep or at least better sleep. Having a productive day starts with the sleep you get the night before. These 4 simple steps will help you get better sleep and promote healthy living by allowing your body and mind to relax before bed.

nighttime habits

At NOAH, we’ll work with you and your family to choose the best path for overall health and wellness. Learn more about our services and see how a NOAH provider can help you get better sleep and support your health and wellness goals.