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The Wave is a specialist mental health and wellbeing magazine distributed by Life Surfing CIC.
Citation preview
“You can’t stop the wave…
… but you can learn to surf”
- John Kabat Zin
In this issue:
Don’t Get Sad This Winter
End of the Line for Antidepressants
News Round-up
Walking Will Save You Money Too
5 Quick Ways to De-stress (without
alcohol)
Food for Mood—Green tea, omega 3
and tuna
Food for Mood Recipe
2
Your Advertisement Here?
For further information contact
Julia Kaye
0300 321 4514 / 07922537646
3
Don’t Get Sad This Winter
Chill mornings and browning leaves
mark the passage of another Summer.
Soon the clocks will go back. Then we
will baton down the hatches in
readiness for the Winter to come.
For a small number of us, these first
signs of the passage of Summer are
filled with trepidation. Around two
percent of us experience a form of
depression called Seasonal Affective
Disorder (SAD) that is caused by a lack
of daylight.
For those people, the Winter of
2012/13 looks particularly bleak. In
years (like this one) when Summer is a
washout, SAD starts early.
But it isn’t just those with a diagnosis of
SAD who are at risk. The underlying
causes of SAD point to a much wider
problem.
We know for certain that SAD is
triggered by a lack of daylight—the
further away from the Equator you
travel, the more cases of SAD you find.
We are less certain about why this
should be the case. However, it is likely
to be an evolutionary hangover from
those of our mammalian ancestors
that would have gone into
hibernation for the Winter months.
As the nights draw in, this
hibernation hangover makes us more
lethargic and sedentary. We get an
urge to bulk up on starchy and
sugary foods. Sounds familiar?
More than half of us are affected to
some degree by the fading light and
colder temperatures of Autumn.
Getting out of bed in the morning is
that bit more difficult. Work seems to
take that extra bit of effort.
Socialising during the evening seems
to be that bit more tiresome.
Of course, this is only a faint shadow
of the experience of true, diagnosed
SAD. But it may be part of the same
continuum. And there may be a great
deal that the rest of us could learn
from those people who have
recovered from SAD.
The most important lesson to learn is
that sunlight is precious. It is
thousands of times brighter than the
artificial lights that we use to
4
illuminate our homes and workplaces.
And it is essential for health and
wellbeing (in addition to warding off
SAD, sunlight is essential to the
production of vitamin D).
But how many of us skip taking a lunch
break? And how many employers
collude with this in the mistaken belief
that they are getting an extra hour of
work for free? In practice, so-called
“desk dining” plays into presenteeism
(being in work but unproductive) that is
thought to cost around £1,000 per
employee per year. If someone is over-
tired through lack of daylight, they may
be at their desk, but their performance
is far from optimal.
In the Winter months, there is little
daylight in the evening, so getting out
during lunchtime is essential.
We can also watch our diets. Our
ancestors bulked up during the
Autumn because Winter was a time of
famine. We don’t have that worry. So
watch out for eating too much starchy
and sugary food.
And if the worst comes to the worst,
and wellbeing slides during the
Autumn, there are always light boxes—
these are appliances that give out 10 to
20 thousand times the light of an
ordinary light bulb. Clinical research
has shown that light boxes provide
relief from SAD and from conditions
like jetlag. And many of the companies
that sell light boxes will offer you a free
trial before you buy.
End of the line for Antidepressants
When AstraZenica’s experimental
antidepressant Targacept failed in
phase III clinical trials earlier this year,
it effectively marked the end of
commercial research into
antidepressants.
Although antidepressant drugs have
been around since the 1950s, it is only
in the last 35 years that they have
become best sellers. Early
antidepressants weren’t popular
because they came with a raft of
unpleasant side effects and were highly
toxic in very low overdose—not
something you want to be dishing out
to a group of people whose condition
makes them prone to suicide.
Then came Prozac. Although not the
first Selective Serotonin Reuptake
Inhibitor (SSRI) antidepressant to be
invented, Prozac was the first to be
aggressively marketed in a manner that
set the trend for the next three decades.
5
SSRI antidepressants were no more
effective than the older tricyclic (TCA)
and Monoamine Oxidase Inhibitor
(MAOI) drugs that they replaced. But
they had fewer side effects and,
crucially, were safe even in very high
overdose. This, more than anything
else allowed the switch from psychiatry
to general practice.
For the first time, family doctors had
access to antidepressants that could be
safely prescribed to millions of people
worldwide.
What followed was the unseemly and
now discredited approach to marketing
that results from the way medicine is
funded.
Several companies quickly launched
“me-too” SSRI antidepressants just
different enough from Prozac to avoid
being sued for patent theft.
Soon the mental health industry was
awash with funds from the
pharmaceutical industry’s marketing
departments. Conferences were
sponsored for psychiatrists and doctors
to learn all about the new wonder
drugs. Celebrities were paid to talk
publicly about their struggles with
depression. Patient groups and
charities were given donations to allow
them to recruit thousands more
members and to maintain campaigns to
raise awareness of mental illness in
general and depression in particular.
For better or worse, most of what you
think you know about mental illness is
the result of the campaigning and
awareness raising that was funded by the
pharmaceutical companies.
Then it started to unravel. It turned out
that SSRIs were far from free of side
effects, and thousands of people were
struggling to come off them because of
withdrawal symptoms. There were
concerns about the safety of SSRIs for
children, and use was restricted
worldwide.
Governments began to tighten the screws
on the pharmaceutical industry,
demanding they sell their drugs cheaper
while also insisting that doctors prescribe
the cheapest drugs first. This means that
someone visiting a doctor with
depression today will be given as generic
version of either Prozac, Cipramil, or
Zispin (costing around £2.00 for a
month’s supply).
With the market flooded with cheap
generic SSRI antidepressants, there is no
profit in further research. So, for better
or worse, the failure of Targacept marks
the end of the antidepressant era.
6
News Round-up
Stress is the biggest problem for employers
Work-related stress has become the most common
reason that employers seek occupational
health advice, an analysis of
Department for Work and Pensions
statistics by Legal & General has shown.
(Source: OnRec 7.8.12)
Insomniacs 'should be given therapy not sleeping pills'
Tens of thousands of people with insomnia could be helped to sleep better if NHS staff were trained to provide safe psychological therapies,
according to a leading specialist in the field.
One in four Britons suffers from poor sleep and one in 10 has a sleep disorder, but the vast majority suffer
in silence or turn to potentially harmful drug treatments.
(Source: Independent 18.8.12)
Budget food is Better
According to a survey carried out by the mySupermarket website for the Sun,
the budget packs of a range of common foods proved to be healthier than the full price versions.
The survey found that budget lines
tended to have significantly less sugar, calories and saturated fats.
James Foord of mySupermarket said:
“There is a misconception that you have to spend a lot of money to eat well, but budget ranges are actually often better for you.”
(Source: Sun 6.2.12)
Mediterranean diet improves wellbeing
Eating a Mediterranean diet is good for the mind as well as the body and
improves a person's quality of life, according to researchers. The study found that the consumption of oil-rich
Mediterranean foods, such as fish and seafood, helps to improve overall wellbeing.
(Source: Daily Mail 31.5.12)
7
Outdoor exercise better than the gym for wellbeing
Regular exercise outdoors could halve the risk of suffering poor mental
health, according to a Scottish study.
Activities in natural environments
such as parks and forests have a positive effect on stress, mood and fatigue, University of Glasgow
researchers found.
Their study showed that exercising in
“non-natural environments” such as gyms did not protect against poor mental health in the same way
(Source: Scotsman 21.6.12)
Crisis as life expectancy gap widens
The health of people living in the
better-off parts of Britain is improving at a faster rate than those in poorer areas, official figures have revealed.
(Source: Daily Mail 16.5.12)
News Round-up
Is antidepressant use up again?
The number of prescriptions for antidepressants has continued to rise according to government data. However, in an analysis of the data for the life-
surfing.com website, shows that over the same period the cost per prescription has fallen significantly, suggesting (in line with research cited in the article) that
doctors are issuing smaller quantities on a more frequent basis.
Why this should be the case is unclear.
But the fact that the trend is more prominent in Wales suggests that it could be a result of free NHS prescriptions.
(Source: www.life-surfing.com)
Yoga Stress Relief for Soldiers
Faced with the
highest army suicide rates in at least 30 years, U.S.
military officials are examining
ways to help treat psychologically wounded soldiers. A study published in the March issue of the journal Injury Prevention found
the number of U.S. military suicides rose by 80 percent from 2004 to 2008. The increased risk of suicide is linked to combat service in Iraq and
Afghanistan and mental health problems like post traumatic stress disorder (PTSD).
(Source: Huffington Post 17.5.12)
8
Walking Will Save You Money Too
Walking just a mile a day is enough to
reduce your risk of developing serious
illnesses like diabetes, heart disease and
strokes. It is also an important form of
stress relief , and can help people
recover from common mental illnesses.
According to the NHS Choices website,
we should aim to walk around 5 miles a
day on at least 3 days a week if we are to
lose weight and improve our health and
wellbeing.
This might seem daunting. Lots of you
will say that after a busy day, you just
don’t have the time to go for a walk. But
this is a wrong—and expensive—way of
thinking about it.
According to Confused.com 80 percent of
us spend more than £150 a month on
parking fees, with the highest fees
charged in the urban centres where
most people work. Parking companies
bank on our reluctance to walk a mile or
so from the car park to work to make
their profits. Confused.com found that
lower parking charges in the suburbs
mean that walking about a mile into the
centres of our main cities could save
you £700 to £800 a year.
You can take a similar approach if you
use public transport. Getting off your
bus or train a stop or two out from the
city centre can save on your fare and
will help you knock off 2-3,000 of your
recommended 10,000 daily paces.
The more you walk, the greater your
stamina. In time, you may find that you
can walk even further and save even
more money. Indeed, you may even
find that you can leave the car at home
and avoid all of the stress involved in
crawling along at a snail’s pace in the
daily grind of rush hour traffic that
blights so many of our town and city
centres.
9
Publications from Life Surfing
Distress to De-stress guided
relaxation CD
Clinical research has shown that
regularly following a guided relaxation
reduces your risk of developing serious
illnesses such as heart disease, and has a
role to play in recovery from stress,
anxiety and depression.
The Distress to De-stress CD has been
created for anyone who needs that
extra something to help them relax at
the end of a stressful day (we even had
the sound engineer nodding off while
mixing the tracks!).
New booklet range
We have also created a new range of 32
-page booklets for anyone struggling
with life’s ups and downs.
Distress to De-stress provides an
introduction to stress management, and
includes information on how you can
cope with life’s stresses.
How to Help is for anyone who is
concerned about a colleague, client,
friend or relative. It will help you
understand common mental health
problems, and show you how to do
the right things to encourage them
to make a recovery.
Depression explains what depression
is, and what you can do to help
yourself recover.
Getting to Sleep is for anyone who
struggles to get off to sleep, wakes
up too early, or spends the day
feeling exhausted. It will show you
the many steps you can take to get a
good night’s sleep.
To find out more or to order your
copies, ring us free on 0300 321
4514
Or visit www.life-surfing.com
10
5 Quick Ways to De-stress (without alcohol)
Faced with stress, most of us turn to
quick fixes like alcohol, caffeine,
chocolate, nicotine and sugar. We do
this because we have learned that
these substances provide rapid relief
from short-term stress. And (with the
exception of smoking) there is
nothing wrong with using these
substances in moderation.
Problems start when stress becomes
more enduring.
It is one thing to put in an extra
couple of hours at the office to meet
a deadline, then have a glass or two
of wine or lager to unwind. It is
something quite different to find
yourself sinking several bottles of
wine a day in an attempt to cope
with profound stress. But if this is
what you have learned, what else are
you going to do?
It is important to get into the habit
of using healthy ways to de-stress
before your stress gets severe. Here
are five quick ways to de-stress:
1. Run water over your
wrists. The cooling of the
arteries will have a de-
stressing effect.
2. Slowly eat a square of
chocolate. This is not an
invitation to binge. Rather, you should
really try to focus all of your attention
on the chocolate—how it looks, feels,
smells and tastes.
3. Make lists of things you
have to do rather than
trying to remember them
(and beating yourself up
when you forget).
4. Catch some sunshine.
Daylight is essential to
physical health and mental
wellbeing, and just taking a
break will help you de-
stress.
5. Do something physical
to help your body burn off
the effects of stress and to
release natural de-stress
chemicals.
11
Food for Mood
Green Tea Stress Relief
Taking time out
for a cup of tea
has been a British
way of de-stressing
for centuries. But
in recent years
there has been a
growing interest in finding out why tea
should help you unwind. After all,
drinks containing caffeine usually have
the opposite effect.
The de-stress component in tea appears
to be L-Theanine. Research has shown
that this chemical has positive effects on
feel good hormones dopamine and
serotonin.
L-Theanine helps lower heart rate and
blood pressure while under stress. L-
Theanine in the quantities found in an
ordinary cup of tea has also been shown
to promote relaxation.
Green tea is a particularly good source
of L-Theanine, and is preferable to
ordinary tea because of its antioxidant
properties and its potential to lower
cholesterol, and help you burn excess
fat.
Taking a five minute break to sip a cup
of green tea is also a great way of
getting one of your 6-a-day drinks.
Omega 3
Omega 3 oils have a wide range of
health benefits from helping to lower
cholesterol and lowering the risk of
heart disease to improving mental
functioning and combatting stress.
Unfortunately, your body cannot
produce Omega 3, so you have to
obtain it through food—primarily fish.
However, the health benefits of Omega
3 have helped to spawn a massive food
supplement industry that often over-
states your need for Omega 3, and that
sometimes sells you the wrong kind of
Omega 3.
In fact, you can get all of the Omega 3
you need (and the right kind) from
eating a single tin of sardines a week. If
you don’t like sardines, a couple of
portions of tuna, salmon or white fish
like cod or haddock will do.
12
Tuna
Tuna is a reasonably cheap, versatile
and readily available food that contains
a range of feel good substances.
Most obviously, tuna (particularly fresh
tuna rather than tinned) is an excellent
source of Omega 3. Tuna is also a
source of vitamins A, B, C and E, beta-
carotene, bioflavonoids, and folic acid.
All of these substances have been shown
to combat stress and to help improve
wellbeing.
Indeed, the University of Bristol’s
Children of the 90s study of 14,500
children born in the early 1990s found
that “tuna-eating children are much
less likely to suffer depression”.
Tuna Recipe
(Tuna Florentino)
397g tin (drained) of chopped tomatoes
1 tsp dill
1/2 tsp ground black pepper
Food for Mood Recipe
1/2 chopped onion
1 tbs tomato puree
28g wholemeal flour
113g chopped mushrooms
2x 184g tins of tuna (drained and
flaked)
113g blanched leaf spinach or green
cabbage
285ml low fat natural yoghurt
85g grated cheese
2 tsp cornflour
Preheat oven to 200°C (gas mark 6). Mix
together tomatoes, 1/2 tsp dill, 1/4 tsp
pepper, onion, tomato puree and
wholemeal flour. Stir in the mushrooms.
Carefully stir in the tuna to prevent it
breaking up. Spoon the mixture into a
shallow ovenproof dish. Arrange the
spinach or cabbage on top.
For the topping, mix together the
yoghurt, 1/2 tsp dill, 1/4 tsp pepper, and
cornflour. Pour over the tuna mixture.
Sprinkle with the grated cheese. Cook in
the oven for 35 minutes or until golden
brown.
Serves 4
285 calories per portion
13
Life Surfing Workshops
Life Surfing offers two short (2-hr)
workshops:
Distress to De-stress is our bite-sized stress
management workshop for anyone who
wants to develop healthy approaches to
stress.
“I realise now how stressed I was
myself, and people I know too”.
Getting to Sleep is a bite-sized workshop
that will show you how making some
simple changes to your lifestyle and
your daily routine will result in a good
night’s sleep… every night!
Life Surfing offers two 1-day
workshops:
How to Help will help you understand
stress, emotional distress and common
mental health problems, and give you
the knowledge and skills to help
someone overcome them.
Banish your Blues provides knowledge,
understanding and self-management
skills for anyone experiencing the
stress, anxiety and depression that
accompanies life’s ups and downs.
To find out more, ring us on 0300 321
4514 or visit www.life-surfing.com
Sign up to Life Surfing
Sign up to Life Surfing for just £10 per year to receive your quarterly copy of The Wave
and to receive a discount on all of our publications, workshops and groups. Simply fill
out the form below or send your details with a cheque payable to “Life Surfing CIC” to:
Life Surfing, PO Box 4345, Cardiff CF14 8HH
Name:
Address:
Postcode:
E-mail:
Phone:
14
About Life Surfing
Life Surfing is a Community Interest
Company (like a charity, but with paid
managers) that was established to provide a
coaching, mentoring and training approach
for people experiencing common life
problems that can cause stress, anxiety and
depression.
Our mission is to help people learn to cope
with life without the need to call on over-
stretched NHS services that are better
deployed to help people with severe mental
illness.
Over the years we have found that there is a
huge amount that people can do to develop
their personal resources and to foster their
own wellbeing. In most cases, the real need is
for encouragement, support, knowledge and
skills. This is what Life Surfing offers.
We have developed a range of training
workshops, publications and a group
programme to give you the knowledge and
skills needed to address life’s problems in a
healthy way, and to promote long-term
wellbeing.
For further information, please visit the Life
Surfing website:
www.life-surfing.com
Or you can contact us on:
0300 321 4514/07922 537 646
15
Your Advertisement Here?
For further information contact
Julia Kaye
0300 321 4514 / 07922537646
16
The Wave is published by Life Surfing CIC. Life Surfing is a Community Interest
Company Limited by Guarantee (07399335) Registered in England and Wales
£1.00
Contact us to order your copy of
The Wave
0300 321 4514