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Mindful Parenting Motherhood

Family Matters: Here's How Having More Than 4 Kids Affects The Family Dynamic

The size of the American family has changed over the last four decades. According to Pew Research Center, the majority of women in the 1970s were having three or more children. A good number of mothers were raising large families, with 40 percent of moms giving birth to at least four children.

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For the last two decades, the American family has grown much smaller; having two children is the new normal. These days, large families are so out of the ordinary, we’ve made a spectacle out of those that break the mold. Take the Gosselins, who starred in a late-2000s reality TV show about their family of 10, or Nadya Suleman, more commonly known as the Octomom, who received international attention as the mother of 14 kids.
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We love to watch these families from afar, but what are their experiences really like? Those who didn’t grow up in a large family know very little about the real dynamics of big family life. What’s it like parenting four or more kids? How does growing up in a busy household change the childhood experience?

Growing Up in a Large Family

In 2015, the National Bureau of Economic Research published a research review discussing how growing up in a large family affects children. The research revealed that there is a trade-off—when the quantity of children in a family increases, the quality of the experience decreases.

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One of the most notable challenges the researchers found was parental involvement with children. When the family grows, it makes sense that the mother’s attention splits. Researchers also noted decreased cognitive performance in children of larger families, as well as a notable increase in behavioral challenges.
It is worth mentioning that not all research agrees on this topic. A study published in The Quarterly Journal of Economics in 2005 revealed that the negative impacts of growing up in a large family were insignificant once researchers took birth order into account or used twins in the study.
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Reflecting on their experiences, many adult children raised in large families identify both negatives and positives about the family dynamic.
“…I’m the middle [child] of seven,” Rebecca Gebhardt tells HealthyWay about her family. “As a child, there was always a lot going on, there was never a ton of money … but we didn’t know any different.”
Gebhardt says it was a busy childhood, but the memory that sticks out to her is eating every meal together, even if those meals only lasted a few minutes. She says that practice brought her family together.
As for the negative impact of being the child of a large family, she says the most notable thing was the competition between siblings—a dynamic that remains today when everyone gets back together for holidays.
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One of the most common remarks from adult women who grew up in a family with four or more children is that they were responsible for helping with younger siblings. Some of these women report this as a negative, saying they had less of a childhood, while others didn’t mind as much.
“I definitely helped my parents a lot around the house and with my younger siblings—especially the baby of the family—which was nice when I had kids of my own because I already had some experience with kids,” says Megan Rogers, who was the oldest of four.
Ari S. Yares, PhD, licensed psychologist and parenting coach, draws from his own experiences and his professional training to offer insight on family dynamics. Growing up, he was one of four. He now has four children of his own.
Yares believes there are many benefits to being part of a larger family, pointing out what children can learn from their experiences.
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“Larger families often tend to distribute responsibilities in the house,” he says. “So you are learning additional life skills, but also, at home, you are constantly learning how to deal with other people … there are some opportunities as you move into adult life where there are things you’ve been exposed to that have the potential to give you more skills as an adult and maybe even some earlier maturation because of the home environment.”

Raising a Large Family

Due to the amount of responsibility involved, it would be easy to assume mothers raising a large family give up the most, but there isn’t much evidence to indicate that. In fact, research by Bronwyn Harman, PhD, who specializes in the study of family, found the opposite to be true, ABC Perth reported.
[pullquote align=”center”]”There are a lot more people to enjoy.”
—Jamie Dunmore, mother of four, on large families[/pullquote]
In Harman’s study, parents of families with four or more children self-reported the highest levels of resilience and self-esteem. These parents also reported having the most social support.
Raising a large family is not stress-free, but those stressors are simply overshadowed by the positive aspects.


“It’s a lot of fun,” says Jamie Dunmore, mother of four. “After having one, we loved it, and now have four! There are a lot more people to enjoy … they’re all playmates, they’re busy playing with each other, and they’re all really close.”
Becky Morales, mother of five, also has a lot of positive things to say about being a mother of a large family. She points out just how much she enjoys sitting down for a family dinner and celebrating holidays together.

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“Our house is filled with laughter and screaming and lots of fun activities,” she says.
However, these moms don’t deny they have a difficult job. The most notable challenges these mothers report facing are all about time and how hard it is to manage their responsibilities with a limited amount of it.
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Dunmore mentions the juggling act of getting kids to different sports and activities. Morales says she has to say no a lot—to helping with homework or to adding more activities to the family schedule.

Creating a Happy and Healthy Home Environment

As research and anecdotal reports seem to suggest, there are so many factors at play when determining the quality of both child and parental experiences. Having a large family doesn’t need to be the determining factor.
Instead, parents should feel they have the agency to create a happy and healthy home environment, whether they have two or six kids. Dunmore, knowing that her time is split between four children, believes it is important to spend quality time with each one.

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“Sometimes, you do have to make an extra effort to make sure that everyone feels important and valued,” she says. “Because sometimes, when you have that many kids, you can get really busy, and someone can get lost in the mix.”
In her family, this means taking each of the kids for one-on-one time each month. Sometimes, this translates to something as simple as bringing one along on errands and treating them to a Starbucks beverage afterward. It is important to her and her husband that they are intentional with their time in this way.
[pullquote align=”center”]“Pay attention to your own mental and physical health and what your resilience is. When we feel zapped emotionally, we’re not available for our kids, and our relationships become that much more stressed.”
—Ari S. Yares, PhD[/pullquote]
Yares agrees that time is a finite resource for parents, suggesting they pay close attention to each child (and their different needs) individually.
“I once met with a dad who had eight kids, and I asked him how he did it,” he shares. “He said he uses his calendar, and he makes sure that, on his calendar, he is blocking off over the course of the week one-on-one time with each child.”
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It is this type of intentionality Yares sees as essential in large families. He says parents concerned about the division of their time and attention should reflect on how they are using their time and then be proactive, making changes where necessary.
He also warns against assigning too much responsibility to children, encouraging parents to make sure tasks and chores are age-appropriate and respectful of each child’s needs.
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Lastly, Yares says parents of large families can benefit greatly from scheduling time for themselves and their relationships to avoid burnout.
“Pay attention to your own mental and physical health and what your resilience is,” he says. “When we feel zapped emotionally, we’re not available for our kids, and our relationships become that much more stressed.”
Because of this, he encourages parents to make time for activities that they know will improve their resilience, like working out or going for a walk.
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Parents of large families are faced with many responsibilities each day. By prioritizing your own self-care, you can ensure you have the energy and emotional bandwidth to care for your children well. From that place of personal health, you can intentionally act to care for each child’s need for time, attention, and unconditional love.

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Life x Culture Lifestyle

How A Gratitude Journal Can Change Your Entire Outlook

Talk to people who keep a gratitude journal, and you’ll find a common theme: They’re all pretty grateful for the practice of gratitude journaling.
That’s no surprise. The 2000s ushered in new interest in gratitude among psychological researchers. Suddenly, departments of psychology, psychiatry, and neuroscience were all conducting studies about potential links between being thankful and overall well-being. And, indeed, some of this research suggests a link between what the scientists call gratitude interventions—including keeping a gratitude journal—and overall wellness.
The anecdotal evidence about gratitude journals is pretty convincing too. Just listen to author and lifestyle coach Suzie Carpenter.
“Gratitude journaling is something I do every day,” Carpenter tells HealthyWay. “It is an amazing tool for reconnecting with myself and my focus. It keeps me in a positive mindset and reminds me of who I am. It also [keeps] my brain from sliding down the slippery slope of not being good enough, not accomplishing enough, not being smart enough, et cetera, et cetera.”
Or what about the endorsement of Caroline Johnstone, a journaling coach and public speaker?
“Gratitude journaling changed my life,” Johnstone says. “I can’t remember who told me to try it, but I thought, ‘What the heck?’ Since I’ve journaled, I’ve become happier, found a loving relationship, put better boundaries in place, found balance, been able to deal with change more readily, and it has improved my working life, too.”
Sound good? Well, before you can enjoy the benefits of a gratitude journal, it’s important to learn just what goes into this powerful self-care practice.

What is a gratitude journal?

A gratitude journal can take many forms. It can be a cute blank Moleskine book or a diary with a lock. It can be an app on your phone. It could even be a part of your overall bullet journal. Ultimately, the best gratitude journal is one that you remember to write in regularly.
That covers the “journal” side of things, but what do we mean when we talk about “gratitude” itself? Robert Emmons, PhD, is the contemporary patron saint of gratitude interventions. He’s a psychology professor at the University of California, Davis, and author of many books and articles on how being thankful can improve lives.
From a clinical perspective, Emmons defines gratitude as “a cognitive-affective state that is typically associated with the perception that one has received a personal benefit that was not intentionally sought after, deserved, or earned, but rather because of the good intentions of another person.”
In other words, gratitude is the recognition that people are good to you, even when they don’t have to be. Expanding on that concept, you might be grateful for conditions or experiences, not just the actions of other people. You could be grateful for a sunset or a feeling or even for your own two feet. Gratitude is a healthy response to an unexpected, unearned, or even undeserved gift.

Writing in Your Gratitude Journal

So now you understand what gratitude is, but once you decide to start a gratitude journal, what do you actually put on the page? And how often do you need to make an entry to realize the benefits of gratitude journaling? How much time do you need to devote?
Relax. The first step is to remember that your gratitude journal is a gift to yourself. Don’t think of it as a burden or a responsibility. You don’t have to journal every day or every night. You can keep a daily gratitude journal, but one study actually suggests that keeping a weekly gratitude journal works even better than making more frequent entries.
Set aside 15 minutes to write in your gratitude journal. You might find it helpful to journal at the same time every week. Some journalers find it helpful to set an alarm to keep their writing on track and on time. Experiment, and see what works for you.
Now, the million-dollar question: What do you write in a gratitude journal?
Start small, maybe just three items per entry. Lots of sources suggest you write down five things you’re grateful for every time you sit down to write, but we find that it’s helpful to give yourself a little leeway. If five things occur to you, write them all down. Write down 10 things you’re grateful for if they occur to you. But when you have a hard time drumming up the gratitude, be content with just three items.
In a study of the relation between gratitude journals and health and wellness benefits (including increased energy, pleasant affect, and better sleep quality), Emmons gave study subjects these instructions on what to write on their daily journal page:

We want to focus for a moment on benefits or gifts that you have received in your life. These gifts could be simple everyday pleasures, people in your life, personal strengths or talents, moments of natural beauty, or gestures of kindness from others. We might not normally think about these things as gifts, but that is how we want you to think about them. Take a moment to really savor or relish these gifts, think about their value, and then write them down every night before going to sleep.

 Oprah Winfrey keeps a gratitude journal too; she offers an example of what she wrote in her gratitude journal on Oct. 12, 1996:

  1. A run around Florida’s Fisher Island with a slight breeze that kept me cool.
  2. Eating cold melon on a bench in the sun.
  3. A long and hilarious chat with Gayle about her blind date with Mr. Potato Head.
  4. Sorbet in a cone, so sweet that I literally licked my finger.
  5. Maya Angelou calling to read me a new poem.

Now, you might not have a world-changing poet reading her new work to you over the phone, but if you think about it, you likely won’t have a problem coming up with three to five things that get you all warm and tingly when you think about them long enough.

What You Need to Start a Gratitude Journal

As with any new project, your journey into positive emotion starts with gathering supplies. Indulge your inner crafter, and decorate your journal with markers or colored pencils. You can print beautiful templates like this one, this one, and this one, and bind them together yourself. Or you could simply grab your favorite notebook, write “Gratitude” on the cover, and date the pages.
On the other hand, you could always just buy a pre-printed gratitude journal—there are lots of options available, ranging from charmingly simple to openly inspirational.
Author Anne Bardsley has kept gratitude journals for years, and she’s had every type of notebook you can imagine. No matter what they look like, they all work the same, she says.
“My first journal was actually an account log book,” Bardsley tells HealthyWay. “It was 4 inches wide and 15 inches long. It was blue and very sturdy. It’s covered with the kids’ stickers now. Future journal covers varied: kittens, flowers, paintings, and even stick people. I have over 40 now, saved for posterity.”
All you really need to start gratitude journaling is paper and a pen or pencil. It’s not the physical object that helps, it’s the practice of staying mindful of all the positive events in your life.

The Ongoing Benefits of Gratitude and Gratitude Journals

The science on gratitude interventions like journaling is in its infancy. While some studies show powerful emotional benefits, one major meta-analysis of the research concluded that the positive benefits of gratitude journaling are limited—and that those benefits could be due to nothing more than the placebo effect.
But the research on thankfulness is ongoing. In fact, Emmons teamed up with the Greater Good Science Center at the University of California, Berkeley, to begin a multi-year scientific project called Expanding the Science and Practice of Gratitude.
Emmons, for one, is convinced that practicing mindful gratitude is a powerful tool for emotional healing. His studies found that participants who wrote in gratitude journals were more likely to offer emotional support to others during the study period. Maybe that’s the greatest result of establishing an ongoing journaling habit: You might end up in someone else’s gratitude journal at day’s end, sparking a chain reaction that truly makes the world a better place.

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Conscious Beauty Lifestyle

Beauty Industry Pros Talk Us Through Fixing 7 Major Dilemmas

It doesn’t matter how old you are or how much of an expert you are when it comes to beauty and skincare. At some point, all of us make a bad move that renders us ready to look into the mirror, slap our hands to our faces, and scream a la Home Alone’s freshly shaved Macaulay Culkin.

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Maybe you thought you’d try your hand at a DIY turmeric mask, only to gently wash away your self-made concoction and reveal a tinted yellow complexion. The horror! Or perhaps you built up enough courage to cut your own bangs and, well, let’s just say you’ve given Picasso a run for his money.
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Whether it’s an at-home beauty disaster, a salon visit gone horribly awry, or simply a need to recover from the long-term effects of a specific treatment—such as acrylics or lash extensions—we’ve rounded up a panel of industry pros to help you through each one. So stop panicking and start reading!

Healing Your Skin After Going Overboard With Picking

Everyone knows you shouldn’t pick at your skin or mess with pimples, but there’s something so satisfying about relentlessly attacking a problem area. In the end, though, you’re left with an inflamed, irritated patch that’s more problematic than it was to begin with. We’ve got you.

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First, start by applying an ice cube to the area for about a minute to quickly curb inflammation and reduce redness. Next, head to your sink.
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“Double cleanse the skin and spot treat with a lactic or glycolic corrector. Then moisturize with a light, oil-free moisturizer,” advises Andrea Freundt, an esthetician based in Los Angeles. If the wound is open, you can apply a bit of Neosporin or another antibiotic on top to fight potential infection. Otherwise, Freundt says to “finish with a slightly tinted sunscreen to conceal the area.”

Fixing Your Hair After Poorly Cutting Your Bangs

Whether it was one too many drinks or an overinflated sense of confidence and easy access to a pair of scissors, you’re officially the not-so-proud owner of botched DIY bangs. Perhaps you were going for thick Betty Paige fringe or wispy, face-framing layers, but either way, you’ve now got a hair monstrosity on your hands (or would that be on your head?). No problem.

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“My best advice is to go see your trusted stylist ASAP, and do not try to fix anymore yourself as it may make it even worse,” says Jenny Balding, a stylist at NYC’s Cutler Salon. “She or he will be able to blend the damage with the rest of the surrounding hair [and help the overall shape] flow beautifully and be seamless.”
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She adds that the growing out process will continue to evolve after the initial correction and recommends checking in with your stylist every six weeks “to keep you looking on point.”

Correcting a Bad At-Home Hair Dye Job

Maybe it wasn’t the scissors that rendered you horrified, but rather an at-home dye job gone terribly awry. Did you remove that highlight cap only to reveal uneven, leopard-like spots when all you wanted was Instagrammable balayage? Or did you step out of the shower with hopes of a Kardashian platinum blonde but you’ve just got a mop of orange atop your head? Cry your tears, but then run straight to the salon.

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“When correcting an at-home dye job gone wrong, do not attempt to fix it at home,” warns Adrianna Vizzoni, a colorist who’s also with Cutler. “Contact your colorist or stylist for professional advice and set up an appointment. Once you’re in the colorist’s chair and ready for a consultation, be sure to inform them everything used at home that brought you here. That way they can take better measures to ensure your hair health is not compromised when attempting to fix it.”
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She also recommends bringing in pictures for inspiration and to remain patient and hopeful. It may take hours and lots of cash—budget for around $150 to $400 depending on your location and salon—but a good colorist will ensure you look fabulous when all’s said and re-dyed.

Regrowing Lashes After Getting Extensions

They may look great at first, but when you consistently get lash extensions, your lash health inevitably suffers. Even if you’ve gone to a topnotch salon, repetitive application of glue and the weight of the extensions can make your natural lashes brittle, dry, sparse, and stubby. Whether you’re allowing your lashes a quick break or are giving up extensions for good, the first thing you need to do is have them removed professionally, says Courtney Buhler, the CEO and founder of Sugarlash PRO.
“Picking at them will only cause more damage and could possibly cause infection without proper aftercare instructions,” she explains. “Once removed, brush on your vitamins. If you have bald spots or sparse lashes from shedding or removal, nourish your lashes using a lash growth serum loaded with biotin and conditioners such as panthenol.”

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You can try an over-the-counter option, such as Lashfood’s Phyto-Medic Eyelash Enhancer, which is made with medicinal herb extracts, soy protein, lavender water, and an essential amino acid for hair growth called arginine. On a budget? Buhler says castor oil works great for traumatized lashes, too.
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Consistency is key, so make sure you apply your serum every day. While your lashes are growing out, try magnetic falsies (no glue required!) and opt for a nourishing mascara, like Milk Makeup’s new KUSH High Volume Mascara. It’s formulated with CBD oil, which helps to strengthen and condition your lashes while adding volume.

Recovering Skin After Accidentally Tinting It With a Face Mask

You may recall that time when Daisy Ridley accidentally dyed her face yellow with a potent DIY turmeric mask. Given how buzzy the ingredient is in skincare at the moment, she is definitely not alone in her Adventures With Accidentally Dyed Skin. There are also some super pigmented red clays that can tinge your skin, as well. Repeat after us: Everything will be okay, and you will laugh later.

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“If you accidentally stain your skin, the good news is that the stain only exists in the top layers of the skin. There are a few tricks you can do to alleviate the issue,” explains David Pollock, a beauty expert and cosmetic chemist who has formulated products for brands such as Smashbox, Lancôme, and L’Oreal. “You can saturate a cotton ball in rubbing alcohol (isopropyl alcohol), wipe it over the stain, and then rinse your skin well.”
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If your skin needs a little more help, he says to jump into a warm shower to loosen up the dead skin cells and then very gently massage the area with an exfoliator. Rinse away and, if necessary, repeat. When done clearing the stain, use a good moisturizer to help soothe the skin.

Regrowing Eyebrows After Over-Plucking

If you’re dealing with a case of plucking gone wild, rest assured you’re not the only one who got overzealous with a pair of tweezers. The ‘90s was proof of that. First things first, friend: Put the tweezers down.

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“The hair that was over-plucked will eventually grow back, but don’t do any further damage trying to correct it. You need to let them grow back in and then just groom where you need to in order to create the shape you are looking for. Slowly but surely, your brows will bounce back,” says Joey Camasta, a celebrity makeup artist who serves as director of Makeup Artistry’s Ready To Wear Beauty. “I recommend Latisse to my clients to regrow hair—it’s a hair growth serum that actually works. I have also heard of women using Rogaine on their brows. I think just getting a good hair regrowth product is a great way to [expedite] the problem.”
Meanwhile, you can use a brow powder or pencil to fill in sparse brows. The key is to use quick, sharp strokes that replicate natural brow hairs. If you have thin brows that stubbornly won’t grow—either from years of over-plucking or genetics—microblading could be a viable option.

Transitioning Your Nails Away from Acrylics

It’s no secret that acrylics are super damaging to your nail bed. If you’ve reached a point where you’re finally ready to give them up and transition into a regimen that’s healthier and easier to maintain, the first thing you need to do is remove the acrylics.

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“If you’re at home, soak nails in pure acetone. I recommend warming the acetone,” advises Gina Edwards, a celebrity nail artist with KISS. “You can put a bowl of acetone into a larger bowl of hot water and add oil to make it more gentle and less drying on the skin.”
That said, Edwards does recommend having them professionally removed if you can afford it. A pro has all the tools and knowledge they need to minimize damage to your real nails. Once your nails are removed, go crazy with conditioners.
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“My first recommendation is using a keratin-based nail product, such as a strengthening nail treatment,” says Edwards. Her favorite is KISS’ Breathable Manicure System; some other options would be OPI Natural Nail Strengthener and Nails Inc. Superfood Nail and Cuticle Repair Oil. Apply these products daily, allowing your nails to be naked for a good week before applying nail polish.

The Last Word

Whether you’re in the panicky midst of a beauty blooper or in reluctant recovery mode, you’re now equipped with the knowledge to go forth and correct. And remember, if Britney Spears can make it through 2007, then you can definitely combat a terrible haircut, tinged skin, or stubby lashes. You’ve got this!

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Health x Body Wellbeing

What Is Functional Medicine? What To Know And How To Find The Right Doctor

I’ll be completely honest; I’d actually never heard of functional medicine before I began my research for this piece. But as someone who’s dealt with chronic muscle pain for several years with few answers from conventional medical practitioners, I was eager to learn more.
In case you aren’t familiar with it, functional medicine is considered an alternative to the current model of healthcare and has been touted by Mark Hyman, MD—functional medicine authority and former advisor to the Clintons—as the future of medical care in the United States.
But just what is functional medicine? We spoke to experts and functional medicine practitioners to find out everything you need to know prior to your first consultation.

What is functional medicine?

In short, functional medicine strives to look at the body as a whole, considering how the affected organs function together to devise a treatment plan for patients.
Now, you may be thinking, Wait—isn’t that how traditional medical care is supposed to work?
Well…sort of. While medical practitioners know that certain parts of the body interact with one another, conventional medicine typically focuses on alleviating a patient’s individual symptoms.
For example, if you visit your general practitioner because you suspect you have heartburn, your doctor will probably prescribe antacids to alleviate the symptoms and send you home. A doctor of functional medicine, on the other hand, wants to know what’s going on in other parts of your body that may be causing your heartburn to flare up. They may determine that an underlying issue is the cause of your heartburn—one that can be treated without requiring you to take antacids.
There’s nothing wrong with either treatment method, as the goal of both conventional and functional medicine is to help patients get well.
Still, if you’ve suffered from chronic illness or are looking for an alternative to your current medical care, functional medicine might be for you.
“Functional medicine is helpful for anyone, but it is most useful for people who have been to many doctors, tried a lot of possible solutions, and are no closer to solving their health challenges,” says Amanda Malachesky, a functional nutrition coach based in Petrolia, California. “And while people often want to go straight to treating the root causes, functional practitioners begin always with the foundations of health: diet, sleep, exercise, stress reduction, and blood sugar management.”
Doctors of functional medicine are real doctors who have been to medical school and are licensed medical practitioners. In fact, functional medicine is built on the foundation of conventional medicine and is more a philosophy of care than a totally different healthcare field. There are three principles that guide doctors of functional medicine, Malachesky explains.
“Functional medicine works towards root-cause resolution, works to use tools and frameworks to help us identify these root causes … and honors each client or patient as a truly unique individual, and tailors recommendations and treatments to the individual.”
[pullquote align=”center”]“Functional medicine is helpful for anyone, but it is most useful for people who have been to many doctors, tried a lot of possible solutions, and are no closer to solving their health challenges.”
—Amanda Malachesky, Functional Nutrition Coach[/pullquote]
Doctors aren’t the only professionals who can leverage functional medicine’s principles. Almost any licensed healthcare provider, like a chiropractor, registered nurse, or dietitian, can practice functional medicine as it applies to their field of care.
These principles ensure that patients are always first, and while you may not get a quick fix for what’s ailing you, a quality functional medicine practitioner will be dedicated to finding the root cause of your healthcare concern.

Are functional medicine and integrative medicine the same thing?

Functional medicine is an extension of integrative medicine,” says Clayton Bell, MD, a physician at the University of Tennessee Medical Center who specializes in integrative medicine. “The two fields are more of a continuum than two distinct medical entities.”
“Integrative medicine is a mind-body-spirit holistic approach to healing that incorporates the best of Western medicine along with ancient healing traditions of the East,” Bell continues. “Anything that relates to a person’s health, wellness, and vitality would be an instrument of healing through integrative medicine. When one optimizes their nutrition, stress resiliency, physical activity, and sleep, all conditions have a better opportunity to heal.”
Both integrative medicine and functional medicine take a holistic approach to treating patients. In addition to finding the root cause of an illness, functional medicine focuses heavily on building healthy lifestyle habits to improve patient outcomes.
The goal of functional medicine is simply understanding underlying issues and contributing factors and addressing healthcare holistically,” says James Greenblatt, MD, medical director of Walden Behavioral Care.  
Bell adds that functional medicine is a science- and evidence-based field that takes more of a systems-based approach to medical care that’s uniquely personalized to the patient, focusing on the patient’s genetic background as a key to finding the root of a patient’s illness.
And, though there aren’t a lot of studies that specifically research functional medicine outcomes, Malachesky says there’s plenty of research to back up functional medicine’s science-based claims:

There are thousands of articles and publications studying the science of gut health, the role of inflammation in the development and management of chronic disease, and immune signaling and its role in chronic disease conditions. Functional nutrition and medicine practitioners view health problems through these and other related lenses, and I believe that we will find the approach fully validated as new studies are completed.

Are functional medicine practitioners real doctors?

The short answer: Yes!
All well-trained physicians of functional medicine are licensed medical professionals that have taken additional training not taught in medical school,” says Greenblatt.
The Institute of Functional Medicine (IFM) is currently one of the few training centers for functional medicine. To become certified in functional medicine, a healthcare provider must have already received a healthcare degree from an accredited university and hold up-to-date licensure in their area of practice.
To become a certified functional medicine practitioner, accepted IFM applicants must complete coursework in six areas: gastrointestinal, detox, immune, hormone, cardiometabolic, and energy. Students must also complete a case study and take a written exam to complete the course. To maintain certification, functional medicine practitioners must retake the written exam and provide up-to-date licensure information every six years.
[pullquote align=”center”]“The goal of functional medicine is simply understanding underlying issues and contributing factors and addressing healthcare holistically.”
—James Greenblatt, MD[/pullquote]
Ultimately a doctor of functional medicine certified by IFM will be an MD and be qualified as a conventional medical provider. Other healthcare workers like registered nurses, acupuncturists, and registered dietitians may also become certified in functional medicine, but they can only apply functional medicine to their specific fields.
Greenblatt says that, like every field of care, there are some functional medicine professionals who are more qualified than others, and that unfortunately there are sometimes imposters who aren’t licensed or certified. When looking for a functional medicine practitioner, Greenblatt suggests patients make sure their certification is from IFM or another reputable functional medicine certification program. If someone is calling themselves a doctor of functional medicine and they don’t have the proper licensure or hold a degree, then they’re likely not certified as real doctors of functional medicine.
In other words? Do your homework just as you would before seeing any new healthcare provider, and don’t be afraid to verify their credentials before attending an appointment or receiving treatment if you feel at all uncomfortable.

Functional Medicine Treatment

When making an initial appointment with a functional medicine doctor, be prepared to spend quite a bit more time at the visit than you would with your general practitioner. A functional medicine provider is going to take a detailed personal and family medical history and take into consideration your answers to questions about your symptoms and overall experience of health prior to prescribing any treatments.
Using IFM’s database, it’s easy to find a certified functional medicine provider. You can search by location, certification, and specialty to find the provider who’s right for you and your needs.
Part of functional medicine is building a trust-based relationship between provider and patient, so don’t be afraid to speak up, ask questions, and be an advocate for your own health. Not sure what to ask? Here’s a list of questions to get you started.
One of the hallmarks of functional medicine is a treatment plan that is totally individualized to the patient. Still, after your initial consultation, you can expect extensive lab work and genetic testing that will be an integral part of determining whether you have any underlying issues.
Greenblatt describes an example of crafting a care plan with patients: “if a patient is suffering from a mental health issue, we would do extensive testing to uncover whether or not an underlying issue might be affecting how they feel, like a gut imbalance”—a method that demonstrates functional medicine’s understanding of the mind–body connection. “Then, we’d work to treat those issues holistically rather than prescribing medication to treat the symptoms, like depression or anxiety, of the underlying issue.”
Typically, a functional medicine (much like an integrative medicine) care plan will focus on helping patients alleviate their health issues through lifestyle changes first. This treatment might be as simple as changing your diet, going for a daily walk, or participating in yoga and meditation. If these non-invasive treatments don’t work, then your doctor might consider medication or surgery.

Does insurance cover functional medicine?

Most of the time.
“Visits to most certified functional medicine physicians fall into the category of good medical care,” Greenblatt says. But because functional medicine relies on extensive testing, some costs, like lab work or other testing, may not be covered by your insurer.
Additionally, if you are seeking treatment with a functional medicine practitioner who is a healthcare professional in another field, like a chiropractor or a nutritionist, treatment may not be covered by your insurance.
[pullquote align=”center”]“If a patient is suffering from a mental health issue, we would do extensive testing to uncover whether or not an underlying issue might be affecting how they feel, like a gut imbalance.”
—James Greenblatt, MD[/pullquote]
The best thing to do?
Check with your insurance provider before scheduling an appointment with a functional medicine provider so there are no surprise out-of-pocket fees.

So is functional medicine right for you?

If you’re looking for a quick fix to a health problem, then functional medicine probably isn’t going to be a good fit. But if you’re really interested in understanding how your body’s genetics and biology work together, then functional medicine just may provide the answers to your medical concerns.

Categories
Health x Body Wellbeing

Can You Get Pregnant On Your Period? You Asked, We Answered

Can I get pregnant on my period? If you’ve ever asked yourself that question, don’t worry: You’re not the only one wondering.
Whether you’re trying to conceive or actively trying to avoid conception, knowing when you’re fertile enough for sperm to meet egg and make a baby can be confusing. Even if you got an A+ in health class, our bodies are all different, and that means the cycle of one woman, transgender man, or non-binary person can be ever-so-slightly off from their peers, making that exact moment when you might experience a pregnancy different from your best friend.
The short answer? Yes, it is entirely possible to get pregnant on your period.
If you are flashing back to health class and thinking hey, wait a second, we hear you. The longer answer is yes, but

Can you get pregnant on your period?

No matter what your high school best friend always said, there is no one time of the month when it’s 100 percent guaranteed that you can have unprotected sex with no repercussions. The risk of sexually transmitted infections aside, there is a risk of pregnancy—albeit a slight one—that comes with period sex.
If you’re wondering how it can happen, it all has to do with the timing of your menstrual cycle.
A “normal” (meaning typical of most folks) cycle lasts anywhere from 27 to 35 days, says Mary Fleming, OB-GYN and attending physician at Einstein Medical Center Montgomery in East Norriton, Pennsylvania. Day one of a menstrual cycle is considered the first day of your period (or the day you start bleeding). Your cycle then continues for that 27 to 35 days until a new cycle begins with the arrival of your next period.
For most people, a period lasts about three to seven days, Fleming says. Counting ahead, in most folks, ovulation occurs about two weeks later (anywhere from 10 to 17 days into the cycle). “Ovulation is the process of the ovary releasing the egg and its migration through the fallopian tubes,” Fleming explains.
Of course, it takes an egg for someone to get pregnant, as conception happens when a sperm and egg come together and form an embryo. That period of ovulation is also referred to as your fertile window, the one time in your cycle when you are most likely to get pregnant.
Do a little math, and it seems hard to imagine how someone could possibly get pregnant during their period, right? Ten days, which marks the early end of a fertile window for the average person, is at least three full days after the seven-day mark, which again marks the outset for most women’s cycles! Well, this is why it’s rare to get pregnant on your period.
But rare doesn’t mean it never happens, Fleming says. The most likely reason for someone to get pregnant during their period? A menstrual cycle that’s different from the norm.
“The most likely explanation for those women who conceive when they are on their period is that those women are not having regular ovulatory cycles,” Fleming says. “These women may bleed sporadically, have intermittent spotting, or bleed for long periods of time. This typically means they are not ovulating or ovulating unpredictably.”
Even in women who do have regular menstrual cycles, studies have found that estimating your fertile window may not be as easy as counting ahead 10 days after the menstrual cycle begins. According to one study performed by the Biostatistics Branch of the National Institute of Environmental Health Sciences, “In only about 30 percent of women is the fertile window entirely within the days of the menstrual cycle identified by clinical guidelines—that is, between days 10 and 17.”
In other words, it can fall earlier, putting fertility closer to the period when someone is still bleeding.
Getting pregnant “during your period” may also happen when you confuse your period with bleeding from some other condition.
For example, Fleming says, cervical or endometrial polyps may cause bleeding from the vagina, as can cervicitis (an infection of the cervix) or vaginitis (an infection of the vagina such as yeast or bacterial vaginosis) or even micro-tears in the vagina due to vaginal dryness.
If someone assumes that they’re bleeding because of their period but has not actually reached that point in their menstrual cycle, the risk of pregnancy from unprotected sex goes up.

How to Avoid Pregnancy on Your Period

If your goal is to prevent pregnancy, there are a number of birth control options to consider, all of which should be used straight through your period.
The IUD, birth control pill, and other contraceptives can all make period sex safer—at least when it comes to pregnancy risk. To protect against STIs, always use a condom.

What if you want to get pregnant?

If you are trying to conceive, skipping birth control is a big start, but don’t depend on period sex to get you there, Fleming says. Because it’s rare, she still recommends determining your fertility window and having sex more often during that time.
“You will need to determine when you ovulate by keeping a menstrual calendar with a mobile app, basal body temperature charting, or a commercial ovulation predictor kit,” she suggests. “The first day of bleeding is day one. Once you know the length of your cycles (day one to day one), count backwards 14 days.”
Have fun!

Categories
Fresh Fashion Lifestyle

How To Remove Stains Of Just About Anything, From Just About Anything

We’ve all been there: You’re out with friends, enjoying a night of great food and drinks, when the unspeakable happens. Someone bumps your arm during dessert, launching a glob of chocolate mousse directly onto your brand new, bright white skirt.
That’s it for the skirt, you think. It’s over. But it doesn’t have to be that way! What if you could save any garment from the devastation of a heavy stain?
There’s nothing worse than losing a wardrobe fave to a stain, so we’re here to save the day when the next spill strikes. These are the best ways to handle stubborn stains of all types.  

How to Remove Stains by Fabric Type

The type of fabric really does matter when it comes to stain removal. Certain products can make cleaning up grass stains or spilled coffee a breeze—but with the wrong garment, these products can also ruin your outfit for good. Those little tags with wash instructions are actually super important, so no matter how much they scratch the back of your neck, it’s best to leave them in place.  

How to Remove Stains From Cotton

Stain removal and general care for cotton clothes is comparatively easy—this isn’t silk or cashmere, thank goodness. You can wash your cotton items at home in your washing machine, making it pretty simple. Just remember that cotton clothes can and will shrink; it’s always best to use cold water during a wash cycle. If you’re particularly worried about your clothes shrinking, it’s best to put in the elbow grease and hand-wash cotton items.
For most cotton stains, pre-treat/soak with water as quickly as you can. You should blot most stains from the fabric, taking care to avoid rubbing, and then wash the stained item with a normal cycle. If you can still see the stain after the first round of cleaning, do not put the item in the dryer! Instead, treat the stain with your favorite pre-treat product, soak, and wash again.  

How to Remove Stains From Wool

Wool is quite a bit trickier to clean than cotton, as you might have guessed. Most laundry detergents remove stains with enzymes, which work by breaking down the proteins in stains—things like food, sweat, or blood. Unfortunately wool fibers—being an animal product—are made of proteins, too, so biological detergents break down the actual clothing along with the stain.
So this is the cardinal rule of getting stains out of wool: Wool items must be washed with non-biological detergents.
Follow those washing instructions on the garment. Use the right temperatures, the right detergent, and the right drying tactic on your wool clothes unless you want to kiss them goodbye. Before you do any stain removal treatment, check out the manufacturer’s washing instructions.
That said, with most wool stains, you want to start by blotting the discolored area. Then apply a wool-specified cleaner or diluted white vinegar to treat the stain. Finally, you’re back to blotting. Gently dry the stain with a towel (remember, no rubbing!) and then let the clothing air-dry.

How to Remove Stains From Synthetic Fabrics

Cotton and wool are both natural fabrics, but you can’t forget about synthetic options. That includes things like polyester, rayon, lycra, and acrylic. A lot of synthetics are formulated to resist stains, which is great for the clumsy amongst us, but since synthetics are most often made from plastics, they have different care requirements than their natural counterparts.
The first thing to be aware of when treating or cleaning this type of clothing is water temperature. Hot water can actually melt some synthetic fabrics, which kind of defeats the purpose of blasting away the stains. Again, washing instructions are the best source for learning to take care of these clothing items. At the risk of sounding like a broken record, always look for a tag before attempting any stain removal.
Luckily, synthetics can be pretty forgiving when it comes to stain removal. You can usually pre-treat synthetic clothes with a detergent as long as they’re not marked dry-clean only. Then just run them through a normal wash. Remember, no hot water for synthetics!

Stain Treatments by Type of Stain

All stains are pains. But there are huge strategic differences between attacking a ketchup blot and getting rid of grass stains. Here are some of the most common (and most frustrating) types of stains that threaten our favorite ’fits:  

How to Remove Makeup Stains

Whether you drop your mascara wand down your shirt or you hug a foundation-heavy friend, getting makeup out of clothing can be tough.

  • How to Remove Liquid Foundation Stains: Treat a liquid foundation spill as quickly as possible. First, scrape any excess foundation off with a plastic knife (or something similarly both flat and plastic). Blot the spot with a damp towel to get as much of the product out as you can. Then you can either use hydrogen peroxide or—believe it or not—shaving cream to help draw out the rest of stain. Rub your agent of choice onto the stain, then rinse with cold water. Repeat this process until the stain is gone.
  • How to Remove Lipstick Stains: Lipsticks can be tricky to remove because of the oil content in them. One decent option is to use plain old dish soap on the spot—Dawn to the rescue! Dish soap is formulated to dissolve oils, so lipstick stains tend to respond well to this simple treatment.

    First, you want to remove any extra lipstick from the fabric with a dry towel. Then dampen the area, being sure not to totally soak the stain, and dab a small amount of dish soap onto the spot. Gently rub the soap in with your fingers, then rinse with cold water. Another option is to use a cotton ball soaked with rubbing alcohol and simply dab the area until the stain is gone.
  • How to Remove Mascara Stains: Make sure there isn’t any extra makeup on the fabric before treating the area. Then lightly rub the stained area with dish soap, and rinse with hot water. If the stain is still there, you can try soaking the clothing in a mixture of one teaspoon of white vinegar with one cup of warm water for five to 10 minutes.

How to Remove Food Stains

Food stains are always a bummer—but you don’t have to walk around with a greasy spot on your shirt forever. Here are some simple-enough DIY stain-removal tips for all things food related.

  • How to Remove Red Wine Stains: Spilled wine is devastating for so many reasons: Not only might you ruin a perfectly good dress, you’re also left with less wine in your glass. We can’t help with the latter, but if you find yourself in a red wine disaster, look no further than the nearest salt shaker. Pour salt onto the stain, making sure to completely cover the affected area. The salt will absorb the wine and then you can simply brush the grains away and launder the clothing normally.  
  • How to Remove Coffee Stains: The key to removing coffee stains is to act fast! Pour boiling water over the stained area to draw out as much of the stain as possible. If the spot has already set, you can make a paste of Borax, put it on the stain for a few minutes, then wash normally.
  • How to Remove Grease Stains: Oily, greasy stains might seem like a total lost cause—but they aren’t! Not necessarily, anyway. If you act fast, there are ways to save your clothes from a grease stain. These spots won’t respond to water, so you have to use either dish soap or other caking products. Cover the stained area with cornstarch, talcum powder, or baking soda to absorb the grease. Let the powders sit for five to 10 minutes, soak in undiluted white vinegar for 15 minutes, then rub the stain with dish soap before rinsing and laundering as normal.

How to Remove Stubborn Stains (Even Ones You Thought Were Impossible to Treat!)

Sometimes, as you know, life can be gross and messy. Here are some random stain situations that we typically meet with hopelessness. But when you have the right strategy, no stain is safe!

  • Wax in the Carpet: A spilled candle doesn’t have to ruin your date night in, but it still helps to act fast when it comes to removing the mess. If you get wax on your carpet, first get a bag of ice and freeze the waxy glob for 10 minutes or so. Then you’ll need to grab a paper bag or a towel and your steam iron. Place the paper or towel over the wax, then, using the steam setting, iron the stained area. The wax should then transfer to the other fabric. Magic!
  • Blood: Blood stains are protein based, so you should avoid treating them with hot water. Your best bet for removing this type of stain is a cold water soak followed by treating the stain directly with either hydrogen peroxide or baking soda. After lightly scrubbing the area, rinse with cold water and then launder normally on a cold cycle.
  • Nail Polish: Okay, we admit it: Nail polish is a tricky stain. According to Today, though, you can vanquish it. Again, time is of the essence when removing an unwanted glob of polish from a pair of pants or shirt. First, carefully remove any excess paint that may be pooled on the clothing. No rubbing! That only pushes polish deeper into the fibers of your garment.Grab a white towel and some acetone nail polish remover and blot away at the stain, working from the outside toward the center. Then give your clothing a cold-water rinse and throw it into the washing machine as you normally would.

We’ll say it again: Stains happen. Once you know how to remove stains, though, they lose their power over you. Good luck!

Categories
Healthy Pregnancy Motherhood

Finally Full Term: Ways To Induce Labor When You're Over It

When I was 41 weeks pregnant, I got a push notification on my Baby Center app that my little precious bundle had arrived. You’ve waited all this time and now she’s here! Congratulations! it cooed.
She was not here. In fact, my daughter was showing zero interest in exiting my body. I was so upset and frustrated—and so insanely hormonal and hot and just over it—that I deleted the app and threw my phone across the room. Oops.
There is a particular weirdness to waiting for a baby to be born. There is nothing quite like it, nothing that feels so utterly out of our control and so life-changing at once. Will it happen today? Tomorrow? Next week? Is it happening now? Now? Now?
I did all the things I’d been told to do: acupuncture, long walks, climbing stairs (two-by-two), lots of sex, nipple stimulation. Finally, on day 10, I rubbed castor oil on my belly, and on day 11, I went into labor. Twelve (very, very, very long) days after my due date, my daughter arrived. Via c-section. After 28 hours of labor.

When can I induce labor?

“Between 37 weeks and 40 weeks + 6 days are safe times to have baby,” says Jocelyn Brown, LM, CPM, a certified midwife at GraceFull Birthing in Los Angeles. She says babies and mothers have good outcomes during that time frame. Between 41 weeks and 41 weeks + 6 days, the baby is considered late-term. After 42 weeks, the baby is post-term.
After 41 weeks, the risks of stillbirth, c-section, and pelvic damage seems to become a little higher (although this is still statistically unclear). But at 42 weeks, the risk of stillbirth goes up enough that it is a true risk. One study shows that between 37 and 42 weeks, risk of stillbirth goes from 2.1 per 10,000 births to 10.8 per 10,000. Babies also tend to do worse in post-term labor and are sometimes badly positioned.
If you’re hoping for a vaginal birth—especially one outside the hospital—you might not have that option after 42 weeks. It all depends on your state, so be sure to check with your midwife before you get close to delivery. “In California, I’m only licensed to deliver women until 42 weeks outside the hospital,” explains Brown. “So I have the induction conversation before a woman gets to her due date. She can’t be in my care forever until she has the baby. But the last thing I want to do is put pressure on her to give birth.”

I’m 38 weeks, but I want this baby out of me! Can I be induced?

Although the baby is technically full term, unless you are at high risk, there is no reason to rush things along. But this doesn’t mean that you shouldn’t start preparing for labor.
“We talk about cervical ripening,” Brown explains, “not inducing.” This means working to soften the cervix before you’re 41 weeks along. In many midwife and OB-GYN practices, after 42 weeks, you have to go to the hospital (if you weren’t planning to already), where the likelihood of a medicalized induction is high. This is why cervical ripening can start earlier, between 35 and 37 weeks. Of when you’re ready to deliver, Brown says, “I want a nice, favorable cervix, so we are looking for a high Bishop score.”
Here are a few things that can get your cervix ready to go:

Acupuncture

First used over 3,000 years ago to induce labor, acupuncture is a very common part of the birth experience for many women, especially in China. But while it can increase your cervical ripening score (which helps lead to labor!), it might not shorten or induce labor. That said, it doesn’t seem to hurt, so you can start weekly or biweekly sessions around 35 or 36 weeks.
I recommend it to patients,” explains Rachel Graves, MD, who practices in Portland. “The data is not great, but there is some that says it may help women to not go significantly past their due date.”
How does it work? “Acupuncture moves blood and qi [energy],” explains Kelly Smith, a licensed acupuncturist in the Twin Cities, “so I can bring blood to the uterus and move qi downward, using the right points on the right meridians. It also affects the sympathetic and parasympathetic nervous systems, which control hormone production.”
Starting at 39 weeks + 5 days, Smith encourages her patients to come in daily. That’s when she begins working on the “forbidden” points—the points that can possibly induce labor and have hitherto been avoided.

Nipple Stimulation and Breast Pumping

One recent study showed that women who performed nipple stimulation had shorter “phases of birth” than women who did uterine stimulation or nothing at all. (In this study, none of the women who did nipple or uterine stimulation had c-sections.) This can be started at 37 or 38 weeks. It might do nothing, but it could shorten the pregnancy by 3 days. “It doesn’t seem like a lot,” says Brown, “but 41 weeks + 5 is better than 42 + 1.” (Ain’t that the truth?) Plus, it can be the difference between a hospital birth and one at home, if that’s your goal.

I’m 41 weeks, and I want this baby out! How can I induce labor?

All the tips above are really meant to ripen the cervix before it’s go-time, but once it’s safe to actually start labor, you can take more advanced steps. “We don’t freak out at 41 weeks,” says Brown, but the approach becomes a little more intensive. But keep in mind that if nothing happens and you are almost at 42 weeks, your next stop is probably the hospital.
Here are some ways to move things along if you go past your due date:

Membrane Stripping

Membrane stripping (or sweeping) is often done at 41 weeks, sometimes earlier. One caveat to this less-than-pleasant process: The cervix needs to be dilated enough for your midwife or OB to get her finger in. “I put my finger in a curve hook shape and sweep around. I’m trying to separate the amniotic sac from the sides of the uterus and soften the cervix,” Brown explains.
Pros of Membrane Stripping:

  • It could put you into labor.
  • It could break your water (which can be a pro or a con). “If my messing with the amniotic sac easily breaks it, then probably that sac wasn’t long for this world,” says Brown. If your body is ready to go into labor, then that’s a pro, but if your little one isn’t quite ready to come out, membrane stripping could leave you and your baby at risk for infection.

Risks of Membrane Stripping:

  • If you are Group B Strep positive, there is a small risk of infection, so Brown always waits until the last minute. In other words, she personally wouldn’t do it at 39 weeks, but at 41 weeks, when you’re looking at a hospital transport, it might be worth it to you.
  • It’s painful. “It’s practice to labor—it’s intense, but labor is intense,” Brown says. “I always say the magic word is stop.”
  • It could send you into labor—but with your baby in a bad position (i.e. if the baby isn’t really ready to come out yet).

Castor Oil Induction

Ah, the dreaded castor oil induction! We’ve all heard stories. Poop for days!
The idea behind castor oil is that it has prostaglandins, hormones that soften the cervix. “If you take it, you poop your brains out. The laxative effect activates the prostaglandins and makes the uterus contract,” Brown says. “It’s the most powerful thing outside the hospital.” One study does show that it can induce labor.
Brown advises women to begin at 41 + 3 days or 41 + 4 days. “Because we know we’ll need to go to hospital at 42 weeks, we back up the clock and induce before time is very pressing.” In other words, don’t start wait until 41 + 6 because nothing might happen for a day or two.
Note: Do not—we repeat, do not!—do this without consulting your midwife or OB.
Brown advises her patients to take up to 6 ounces of castor oil throughout the day. “There’s no evidence that it’s hard on babies, but if you want your baby monitored through early labor, then it’s best to go to the hospital.”
A less intense step would be to simply put castor oil on your belly and go to sleep. If nothing happens, begin the drinking protocol.
Brown suggests a castor oil smoothie: 2 ounces in a smoothie with an ice cream flavor that you like—but not your favorite “because it will ruin it forever.” Wait two hours, do it again, wait two hours, do it again. If you have heavy contractions, stop. But otherwise, you can take up to 6 ounces.
Brown encourages her patients to not get too depressed. “If you drink that much castor oil and it doesn’t work, then maybe the baby needs more monitoring. I’m a big believer in things being meant to be.”
Pros of Castor Oil Induction:

  • You might actually go into labor!

Risks of Castor Oil Induction:

  • Discomfort—you could have a lot of diarrhea for an extended period of time and experience nausea.
  • A lot of pooping might lead to nothing—one study says castor oil is actually not all that effective in inducing labor.  
  • Very few studies have been done on castor oil induction.

Nipple Stimulation and Breast Pumping

Nipple stimulation creates an oxytocin response, which creates uterine contraction. It also helps you stop hemorrhaging, deliver the placenta, and bleed less. It also works to ripen the cervix before you’re full term, but if you’re closing in on 42 weeks with no sign of baby coming, you can go at this a little more intensely.
Brown suggests trying 20 minutes on, 20 minutes off for two hours, then taking a break. Then try again. That said, don’t overdo it. Brown doesn’t want your nipples to be so sore by the time the baby is born that you can’t actually nurse!

Random Bonus Idea: Eating Dates

One study actually suggested that eating dates in the last four weeks of pregnancy can help induce labor, but the results were non-significant. Another study claimed that date consumption reduced the need for labour augmentation with oxytocin but did not expedite the onset of labour.

I’m desperate! What else can I try to start labor?

We’ve all heard myriad tales. Here are some common labor-inducing activities, and Brown’s thoughts on whether or not they work.
Sex: Some women are so desperate they will try anything! “It’s thought that semen will induce labor because it has prostaglandins that touch the cervix,” says Brown, “and also that orgasm increases uterine activity in healthy pregnant women.” But there’s little evidence that it actually works.
Walking: People sometimes think walking can make the baby “drop” or get contractions going, but this won’t help unless the cervix is already effaced, and contractions will likely stop once you stop walking. Or, as Brown puts it, Walking is not going to make a baby come out.”
Spicy Foods: Many women are convinced this will do it—and will even name particular foods (e.g., tacos with TONS of super spicy habanero sauce). This thinking is based on the idea that spicy foods might give you diarrhea (obviously not true for everyone). “This doesn’t work unless it gives you diarrhea,” Brown says.
Evening Primrose Oil: There’s no evidence that this works, and studies have not shown that it is effective or safe during pregnancy, labor, or nursing. It might actually slow the labor or lead to a vacuum extraction of the baby, but again, there’s not enough evidence yet. Brown’s conclusion? “Doesn’t work and can make your water break prematurely.”

And if nothing works?

We know these last few weeks of pregnancy are impossibly hard. You feel huge and ready and scared. You have no idea when the baby will show up, and it’s incredibly anxiety provoking!
Brown’s recommendation? “Go to the movies. Have a good week,” she says. “I’m very businesslike about it—either let’s really get that baby out, or just enjoy your last few days of pregnancy.”
In the end, I tried to just lay low those last few weeks. I watched a lot of terrible movies and TV shows I would not have otherwise allowed myself (how many episodes of The Voice can one person watch?!). I read and napped and spent time with my husband. This time is also an opportunity—as crazy as it sounds—to just be in these last few moments of coupledom (or single kid-dom). This time won’t come again, so try as hard as you can to just take a deep breath and know all will change soon enough.

Categories
Nosh Nutrition x Advice

Everything You’ve Ever Wanted To Know About Kefir (Including How To Make It At Home)

With its rich taste and creamy texture, it’s no wonder kefir is finally making its presence more widely known in grocery stores across North America. If you’re already familiar with kefir, you know that it’s a highly nutritious and versatile ingredient on its own (or incorporated into recipes). What you might not realize is that kefir can be easily made at home using only a couple of basic ingredients and with very little special equipment.
Never heard of kefir? Learn all about its amazing nutritional profile and relation to other fermented foods before creating it yourself using our simple recipe.

What is kefir exactly?

Kefir is made from cultured, fermented whole milk (although non-dairy versions have begun popping up in specialty grocery stores), much like yogurt. Kefir differs from yogurt in that it has a thinner consistency, making it more of a fermented drink than something to be eaten with a spoon. Although both kefir and yogurt are excellent sources of gut-friendly probiotics, kefir contains up to three times the amount of probiotics as yogurt.
Because kefir is made with whole milk, it typically has a higher fat content than yogurt (excluding full-fat yogurts). Unlike kombucha, another popular fermented drink, kefir doesn’t contain caffeine because it isn’t made from tea (but it does have the added protein, calcium, and vitamin D associated with dairy products).
Whitney Wilson, author of the book From Kefir, With Love: An Irreverent Guide to Making Kefir and Healing Your Gut Naturally, loves kefir for its awesome probiotic power. She tells HealthyWay:

First, it has the highest number of natural probiotics than any naturally fermented food. Kefir contains 30 to 50 strains of bacteria, with a high concentration of these bacteria. Since a healthy gut thrives in a diversity of bacteria, introducing lots and lots of new bacteria is a good thing!
Second, kefir is one of the few probiotics that can actually repopulate the gut. Most probiotics are transient and will provide benefits as long as they are in your gut but will eventually pass through to the toilet like lots of other bacteria. They don’t stay and change the gut composition. Kefir, on the other hand, has the ability to introduce new bacteria to the gut microbiome and actually stay. The bacteria in kefir puts down roots, which leads to lasting change and the greatest healing in the gut.

Kefir clearly packs a probiotic punch, but is it safe for everyone to consume?

Kefir is safe to drink for many people, including those who suffer from lactose allergies and lactose intolerance. In fact, preliminary studies have actually shown that kefir could be used to improve lactose digestion in adults with lactose maldigestion. The American Pregnancy Association also recommends kefir as a safe and healthy source of probiotics for women who are pregnant.

How much kefir can I drink?

The answer to this question depends on how well your body tolerates the sudden influx of probiotics and dairy kefir contains, so it varies from person to person. For some people, kefir can cause bloating, gas, or constipation, so begin with a small cup of kefir daily to see how you react. Getting the green light from your gut? You can add more kefir into your daily or weekly diet based on your nutritional goals and taste.

Looking for more ways to incorporate kefir into your diet? Here’s how.

Kefir’s admittedly pronounced tangy flavor may be too intense for some tastes, but don’t despair, there are plenty of ways to incorporate kefir into your diet that don’t involve drinking a cup of it straight up! Wilson loves to add kefir to smoothies, especially her GO-TO Chocolate Kefir Protein Smoothie, which she likes to drink after a hard workout. She says, “My number one way to use kefir is post-workout! The proteins in kefir are partially digested during the fermentation process, which means it’s more readily absorbed, and you will get faster recovery! I mix it with my favorite protein and a banana/nut-butter/honey-combo, and I drink it after my workouts.”
In addition to smoothies, Wilson suggests you try pouring it over cereal. “I like to strain it a bit extra so it’s thick like a Greek yogurt; then you can make yogurt bowls, use it in recipes, or in place of sour cream.” Kefir can also be used in place of buttermilk or yogurt in salad dressing recipes, adding a super-healthy probiotic kick to green salads and beyond!

Making Milk Kefir at Home

Making homemade kefir is a surprisingly simple process that begins with whole milk and kefir grains. What’re kefir grains, you ask? Like SCOBY to kombucha, kefir grains are the “mother” culture that is the source of kefir’s fermentation and the formation of healthy probiotics in the beverage. You can get your hands on kefir grains in a couple of ways: If you have a friend who makes their own kefir, you can ask to use some of their kefir grains. Or, you can buy them at a health food store or order them online.
When ordering them online, make sure you’re ordering kefir grains from a reputable source that specializes in fermentation, such as Cultures for Health. It’s also important to avoid metallic equipment when making homemade milk kefir as it’s believed that the acidic kefir grains may react with metallic substances in a negative way. For this reason, it’s important that you opt to use equipment made of glass or plastic, not metal.

Yield: 4 cups of kefir

Ingredients:

  • 4 cups whole milk, organic if possible
  • 4 Tbsp. kefir grain, rehydrated according to package directions if needed

Equipment:

  • Two sterilized 1-quart mason jars with plastic lids (see this Goodtoknow article for sterilization methods)
  • Plastic measuring spoons
  • Glass or plastic mixing bowl
  • Cheesecloth or coffee filter
  • Plastic fine-sieve strainer or colander
  • Silicone, plastic, or wooden long-handled spoon

Method:

  • Using the plastic measuring spoon, add 4 Tbsp. of rehydrated kefir grains to one of the sterilized jars.
  • Add the whole milk to the jar, covering the kefir grains.
  • Using the plastic ring that’s part of the jar lid (or an elastic band), attach the cheesecloth or coffee filter to the top of the jar to cover its contents.
  • Place the jar on your counter or in a dark cupboard, keeping the jar out of direct sunlight.
  • Let sit for 24 hours, occasionally giving the jar and its contents a gentle shake.
  • After 24 hours, carefully pour the kefir through the fine-sieve strainer or colander into the mixing bowl, then pour the kefir into the second sterilized jar.
  • Test the taste and texture of the kefir. It should have a creamy yet fizzy consistency and a pleasantly tangy flavor. If your kefir smells or tastes “off” or gamey, throw it out and begin again.
  • If the kefir is to your liking, top the mason jar with the plastic lid and refrigerate for two to three weeks or freeze for one to two months.

The leftover kefir grains can be reused over and over again with fresh whole milk each time. Simply transfer to a sterilized jar and repeat the steps as listed.
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If creating your own homemade kefir isn’t for you, these are some of our favorite kefir brands available for purchase.

Note that when buying store-bought kefir, it’s important to read nutritional labels as some brands are high in sugar and preservatives.
Trader Joe’s Whole Milk Kefir: TJ’s has done it again with their line of whole milk kefirs! Drink this kefir in moderation as it’s fairly high in sugar.
Lifeway Kefir: From frozen kefir to kefir granola cups, Lifeway’s kefir products are widely available and here to satisfy all your kefir-loving needs!
Green Valley Organics Kefir: Love the idea of kefir but not convinced your gut can tolerate it? Green Valley Organics makes the best low-fat lactose-free kefir around!
Liberté Kefir: For Canadian kefir fans only, Liberté’s famous Quebecois brand now includes the richest kefir north of the border.

Categories
Healthy Pregnancy Motherhood

Hip Pain During Pregnancy? Here's How To Deal

There are so many aches and pains during pregnancy, it’s sometimes hard to tell what’s what: Will it affect the baby? Is this just run-of-the-mill pain, or is it something serious? Am I in labor?!
Almost all hip pain and back pain during pregnancy is simply a symptom of your changing body, not something that will stick around once the baby is out. (You might have hip and/or back pain then, too, but that will have more to do with the birth and/or carrying around an infant than pregnancy.)
That said, there comes a point when enough is enough. “It is always important to check in with a doctor or midwife if you are experiencing intensified pain that stops you in your tracks and/or becomes worse or doesn’t let up,” says former dancer and veteran prenatal massage therapist, Ellen Giglio, who is based in New York City. “Typical pregnancy symptoms tend to come and go with the hormonal and structural changes, but severe pain or discomfort that doesn’t let up could be a red flag.”

Why do I have hip pain during pregnancy anyway?

You’re growing a baby! This is all, unfortunately, totally normal. In fact, about 60 percent of women report lumbopelvic pain (that is, low back and hip pain) during pregnancy, so you’re in good—though pained—company.
The combination of surging hormones and growing a person inside you can be really challenging on the body, especially the lumbopelvic region, causing that dreaded hip pain during pregnancy. “The influx of pregnancy hormones naturally loosens soft tissue structures, especially ligaments and tendons,” explains Giglio. The connective tissue has to soften in order to make room for the baby to grow and then exit, but it also changes your own structural alignment—in other words, your bones and vertebrae need to shift around, which can be really uncomfortable.  “This has a huge effect on the structural alignment, and can weaken the muscles,” Giglio says.
There’s also the simple fact of gaining weight in a relatively short span of time. This alone can put a lot of pressure on your joints. Combining all of these factors results in hip pain in pregnancy, plus a few more aches and pains you likely hadn’t anticipated, like…

Round Ligament Pain: What are these sharp pains? Am I in labor?

Probably not, so don’t panic. Don’t confuse sharp, jabbing pains in your lower abdomen with normal hip pain: These are most likely round ligament pain.
According to the Mayo Clinic, “The round ligaments are a pair of cord-like structures in the pelvis that help support the uterus by connecting the front of the uterus to the groin region.”  As the baby grows in utero and the uterus expands, these ligaments also get stretched out and pulled on, causing some strain. The pain often occurs when the ligaments are in spasm or the nearby nerve feels irritated.  
“Pregnant women say they feel it when they are on their feet for too long, or when they are getting up from sitting, or when sneezing or coughing,” says Giglio. “Sometimes women feel it when they are exercising or making a sudden movement; others say they feel it any time of the day, mostly when they’re in motion, not typically while lying still.”

How can I alleviate round ligament pain?

Pay attention to when you are feeling round ligament pain the most, Giglio advises. Is it when you get up from sitting? When exercising? When sneezing? Figuring out when you tend to get the pain—becoming aware of the patterns—can help keep it from happening too often.
Here is some concrete advice to avoid round ligament pain during pregnancy:

  • Stand up slowly. Wait for the muscles and ligaments to settle into a standing position before moving or walking.
  • Sit down or flex the hips just before sneezing or coughing.
  • Use warm compresses and take warm baths.
  • Prioritize strength and flexibility. Keeping your core strong and both legs strong and flexible can help to ease the pain.
  • Get a massage.
  • Tylenol might help, but always consult your doctor before taking any medication.

Here’s the thing with round ligament pain, though: As long as the baby keeps growing, those sharp pains are likely to come and go as the stretching of the uterus, surrounding muscles, tendons, and the round ligament continue to stretch.  
If this pain becomes severe and does not let up, always get it checked for those rare cases of appendicitis or preterm labor.

Sciatic Pain: I’m feeling pain in my back and pain down my leg. What’s happening?

That hot nerve pain you feel down your leg when you sit, bend, or stand around for a while? That’s the dreaded sciatic pain.
Although sciatica can be caused by several things—most commonly a herniated disk, spondylolisthesis, or stenosis—in pregnant women, it’s likely because of the spinal alignment shifting around and added pressure on the pelvis, Giglio explains. Sciatica usually shows up somewhere in the second and/or third trimester when the soft tissue structures become more affected and the spinal alignment continues to shift around.
“What I typically see in pregnant women is the change in their stature and alignment as the baby grows in the uterus,” she says. “As the weight of the baby/uterus/placenta continues to stretch the uterus, abdominal muscles, and ligaments, the low back tends to arch more and more, causing a sway back. This puts the vertebrae in a completely different position, constricting lumbar muscles.”
This can also put more pressure on the sacroiliac joint, also known as the SI joint. This joint connects the sacrum to the ilium and allows for movement in the low back and hips. Trying to locate the spot? You can palpate it right where there’s a little divet on either side of your bony sacrum, right above your butt—probably right where it hurts! Pregnancy can pull on the SI joint, hamstrings, gluteal muscles, deep lateral rotators, and hip stabilizers, causing a world of hurt.  

How can I alleviate sciatica during pregnancy?

Try to remind yourself, first of all, that your sciatica won’t last. Unless you have a serious medical condition, like a herniated disc, once the baby is out of you, sciatic pain will go away. So as uncomfortable as you are, it will soon shift.
In the meantime:

  • Exercise. Swimming is especially good for back and sciatic pain because you are weightless.
  • Invest in regular massage therapy to help to release tightening muscles.
  • Take warm baths to help circulation to the muscles and with sciatica (but don’t make them too hot!).
  • Use ice.
  • Find the right position while at rest. This gives all the bony and soft tissue structures a chance to be in a neutral and relaxed position.
  • Use a lumbar support or regular pillows against the low back when sitting. This can calm aches in the low back, thus causing less strain on the sacrum, hip joints, and muscular structures.  
  • Wear comfortable, supportive shoes with some cushion. This lessens the compression of the joints due to the extra weight on the body and the shifting alignment issues.

How else can I avoid pain during pregnancy?

  • Don’t get stuck in any one position for too long, especially sitting or standing still. (This is true whether you’re pregnant or not!) “As my wise acupuncturist used to say, ‘too much of anything is no good!’” says Giglio. So moderation is important.  
  • Stay hydrated—more than usual. This is key for muscles, joint structures, blood volume, circulation, the production of amniotic fluid, and even the production of breast milk. “When you’re pregnant, your body makes about an extra quart of blood for the baby,” explains Giglio, “and that’s extra fluid that the body has to work to pump around.”
  • Exercise. Seriously. Look, we know all you want to do is nap sometimes. But it’s very important to keep your legs and core strong during pregnancy—those can also help during labor and delivery. Prenatal yoga, daily walking, gentle Pilates, swimming, or dancing can keep you moving, strengthen your cores and legs, and can help alleviate some of the aches and pains from many of these musculoskeletal changes and symptoms.

We know it’s no fun to be in pain, and hearing It’s all worth it! rarely helps. But most of your back and hip pain during pregnancy is just that: during pregnancy. So follow our advice (and moan to your partner and girlfriends all you like!), and know that soon you’ll have a gorgeous babe in your arms—and not in your body!

Categories
Happy x Mindful Wellbeing

Is Online Therapy Legit?

Therapy can be useful for anyone, whether you’re struggling with mental health issues or not. Sadly, though, it’s not always attainable for those who need it: Therapy can be expensive and difficult to access, especially if you live in a rural area.
Online therapy, also known as e-therapy, can make mental healthcare a little more accessible for those who need it. If you struggle to find transportation to a therapist, or if you can’t find a local therapist you like, online therapy could be the answer.
Jana Scrivani, PsyD, a licensed psychologist and online therapy expert, says that flexibility is a huge appeal of online therapy. “Online therapy sessions can be held wherever you have an internet connection! Additionally, online therapy makes it possible for people who are unable to get childcare or those with mobility limitations to have more choice and better access to care,” she says.  
“We live in a fast-paced society, and for some people, making an appointment and sticking to it is difficult,” says Sal Raichbach, PsyD, LCSW of Ambrosia Treatment Center. Ambrosia’s Family Wellness program offers free therapy sessions via webcam for addicts and alcoholics as well as their loved ones. “Additionally, mental health issues can pop up anytime, and the option of having a licensed therapist to talk to anytime is a tremendous asset to the mental health community,” Raichbach adds. “Those who are handicapped, live in remote areas, or are immobile can also enjoy the accessibility of e-therapy from the comfort of their home.”
If you’re considering online therapy, here’s what you need to know.

What is online therapy?

“Online therapy” is a broad term. It could refer to occasionally using video chat to talk to your therapist if you’re traveling or moving to a new city, or it could refer to using portals like BetterHelp or Talkspace to find and talk to a therapist. There are dozens of online therapy portals, each with their own guidelines, drawbacks, and advantages.
Online therapy could also refer to using artificial intelligence and chatbots for therapeutic purposes. For example, Woebot is a free-to-use automated conversational agent, or chatbot, designed by scientists at Stanford University. Woebot tracks the user’s mood, helps the user to find potentially harmful patterns in their behavior, and offers tools and strategies to help the user improve their mood and work through their struggles. In a trial, it was found that Woebot reduced depression and anxiety in users. Another example of a therapy chatbot is Wysa, which is also free.
Most online therapy—whether it involves talking to a real therapist or a chatbot—relies on talk therapy and cognitive-behavioral therapy (CBT) techniques. This involves discussing your thoughts, feelings, and actions, and processing them. It also involves noticing and breaking potentially harmful patterns of thought and behavior. It aims to make you more aware of your moods, and it’s one of the most widely-used and studied forms of therapy for mood disorders.

Does online therapy actually work?

Online therapy might sound good, but is it an effective alternative to in-person therapy?
Both Scrivani and Raichbach note that online therapy can be just as beneficial as face-to-face therapy. Studies have suggested that online therapy is an effective form of treatment for depression and anxiety as well as post-traumatic stress disorder. One 2013 study suggested that online therapy was just as good as face-to-face therapy.
Of course, there are some limitations to online therapy, Raichbach says. Communication is an essential element of therapy, and if that communication is compromised, it will influence the effectiveness of your treatment. “When it comes to chat therapy, where a therapist and client are joined by text or instant-message chat, there can be some things that get lost in translation,” he explains. “If you think about how often context is misunderstood when you are texting a friend or family member, you can understand why this isn’t ideal for a long-term therapeutic relationship.” Additionally, online therapy can be difficult if the client doesn’t have regular access to a stable internet connection.
However, Raichbach adds, online therapy can still be a more accessible alternative to face-to-face therapy—and some therapy is better than no therapy. “For someone who is nervous about therapy or doesn’t have a lot of time on their hands, it can be a great way to get their feet wet,” he adds. Some clients may be more comfortable seeking in-person therapy after they’ve experienced online therapy, so it can be a useful first step.

Will my privacy be protected in online therapy?

Many of us are increasingly aware of our online privacy—or lack thereof—especially when it comes to social media. Understandably, when it comes to e-therapy, many of us have privacy concerns too. After all, you’re telling someone your most intimate thoughts.
However, there are certain laws that protect your privacy when you speak to your therapist online. “Online communications between a client and therapist should be held to the standards outlined in the Health Insurance Portability and Accountability Act, or HIPAA, which is a law governing the privacy and security of electronic health information,” Scrivani says. HIPAA applies to all healthcare providers in the United States. “There are platforms that are encrypted and meet HIPAA standards for privacy protection, and these are the platforms which should be used for tele-mental health.” Scrivani adds that apps like Skype and Facetime are not HIPAA compliant. “In the event that there are questions about the use of unsecure platforms like email, your therapist should review the risks to your privacy with you prior to your agreement to use them,” she says.
Before you sign up with an online therapy platform, take a look at their privacy policy. Is the platform HIPAA compliant? If it’s not a platform based in the U.S., what laws are there to protect your privacy? Any therapist or platform providing online therapy should be willing to explain how they address issues of privacy and safety.

How do I choose an online therapist?

There are many ways to start online therapy. You might see a therapist in person, and they might suggest you use an online platform to continue therapy if you’re traveling or if you move away. You might also start looking for an online therapist through different platforms—but what exactly should you look for?
If you’re deciding between different therapy platforms, make sure they comply with HIPAA or whatever privacy laws are relevant in the country where they’re based.
It is also important to make sure therapists have been adequately screened. “Potential clients should look for an online therapy platform that diligently screens their therapists. This is not only a safety concern, but will ensure that the therapist is qualified and capable of doing their job,” Raichbach says.
It could also be beneficial to seek a specialized therapist. “When choosing an online therapist, it’s important to make sure that individual is qualified to give the type of treatment you require,” Raichbach says. “For instance, if you are having relationship issues, it would be wise to find a marriage or family counselor or someone who has experience in that subfield, rather than one that has a generalized psychology degree.”
Some online therapy platforms will give you a quick questionnaire and match you to a therapist who’s best suited to your needs. Remember that once you find a therapist, it’s not set in stone; you can always look for a different one later if you decide they’re not a good fit. Many online therapy platforms allow you to look for another therapist quickly and easily if you don’t like the one originally assigned to you.
Before you pursue therapy of any kind, Raichbach suggests thinking about your goals and reasons for pursuing professional help. Ask yourself, What do I need help with? Which issues do I want to discuss? What do I want to get out of seeing a therapist?
To see the benefits of therapy, online or off, both sides must put in some work. It’s very effective in improving mental health, Raichbach says, “but the person seeking help must be willing to work towards those goals with the help of their therapist.”

Digital Tools for Mental Health Beyond E-Therapy

In addition to e-therapy and CBT chatbots, technological improvements mean there are a number of other apps that can be used to support our mental health. Examples include:

  • Meditation apps like Headspace, which is available for both iOS and Android
  • Apps that help you make or break habits, like The Fabulous, also available for iOS and Android
  • Apps like Happify, available on iOS and Android, which help you break negative patterns with exercises that improve your mental wellness
  • Productivity apps that can help people who struggle with executive dysfunction and concentration; try Tide for iOS and Android, or Todoist for iOS and Android

These aren’t alternatives to therapy, and they won’t fulfill the role of a licensed mental healthcare provider, but they can support your mental health.
Online therapy is revolutionizing mental healthcare, making therapy more accessible to those who need it. Despite its limitations, many people are benefiting from having mental health support at their fingertips. In what ways do you embrace modern technology to support your own mental wellness?
Check out Senior Editor Maggie’s piece on apps that she turns to for a pick-me-up and our guide to making the most of a digital detox.