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Healthy Relationships Wellbeing

Signs You’re In A Codependent Relationship (And What To Do About It)

Let’s face it: Relationships are hard. Trying to parse out the right balance between sharing our life with someone versus being joined by the hip can start to get fuzzy over time.
And if Grey’s Anatomy has taught us anything, it’s that spending every waking hour with our “person” can make it hard to decipher where they end and we begin.

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Apparently, it’s a line that often gets crossed for couples. Although popular culture often glamorizes this kind of romantic enmeshment, according to psychologists, it can quickly devolve into an unhealthy dynamic called “codependency,” a tendency of over-reliance on others.
If you and your partner find it hard spending time apart or struggle to make even the most basic decisions without the other’s approval, read on.

Codependency for the Uninitiated

While most people automatically think of codependency as a generic term for any kind of dysfunctional relationship, the concept originally referred to the enabling behavior of the partners of those struggling with addiction. But the definition has since evolved within the mental health community. According to WebMD, codependency is a pattern of behavior where your entire sense of self revolves around your partner’s approval.

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Sara Stanizai, a licensed marriage and family therapist who specializes in working with high-functioning anxiety in couples, says that unlike independence, where each person is capable of meeting their own needs and then chooses to be present with their partner, “in codependence, people are not capable of meeting their own needs and require this from their partner.”
It impacts relationships because people have a hard time making even basic decisions on their own without consulting their other half. This means that on a deeper level, they are strongly influenced by their partner’s feelings and emotions.
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This is different from mutual dependency, says Claudia Luiz, a New York City psychoanalyst and author. “Codependency is very frustrating, like trying to walk through quicksand or being stuck in slow motion.”

Signs You’re in a Codependent Relationship

“It feels like playing a role as opposed to being a real person who is allowed the full spectrum of human experience,” says digital nomad Vironika Tugaleva, a Canadian life coach.

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Tugaleva, 30, has been in codependent relationships for most of her life. “Even the one I’m in now begins to curdle into those patterns,” she says, “and we have to claw our way out with self-awareness, honesty, and forgiveness.”
Many times, we don’t know what codependency looks like, as it’s often passed down as learned behaviors, says Keba Richmond-Green, a marriage and family psychoanalyst from Atlanta.
[pullquote align=”center”]“Codependency can wreak havoc on relationships and block someone from experiencing true intimacy.”
—Eliza Boquin, licensed marriage and family therapist[/pullquote]
In order to identify these patterns, she advises we take honest inventory of our relationship by asking ourselves the following questions: Do I always feel I get the short end of the deal? Am I worried about their opinion of me or my choices? Am I uncomfortable expressing my true feelings? Do I feel humiliation or like a child when I make a mistake? Am I passive? Do I keep quiet to avoid arguments?
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Taking stock of the answers that might arise isn’t easy, but here are other clear-cut signs to look for, according to experts:

Separation Issues

There is little to no privacy or personal time; you don’t spend time separate from one another. One of the resulting red flags is not having personal hobbies, only hobbies together. Another flag for this is when you have each other’s passwords for every account.

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This is the result of another symptom: One or both of you have difficulty setting or enforcing limits and boundaries. There’s constant texting or checking in with each other, and there’s panic if there’s no response to texts. There’s also a feeling of mistrust when spending time apart.

Needs and Emotions

You feel an overwhelming need to be liked and approved by the other person—this often results in you feeling emotionally and physically drained the majority of the time. Exacerbating this is the feeling that you can’t be happy unless the other person is happy.

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Oftentimes, you are unable to identify your own needs and desires and, consequently, not meeting them. You may also suffer from low self-esteem, feeling like you’re never good enough.
You’re easily swayed by your partner’s opinion or emotions, even when your instincts or feelings say otherwise. There’s a distinct fear of abandonment or exaggerated fear of the relationship ending.

How Codependency Inhibits Growth

Since intimacy is fueled by the perfect balance of distance and closeness, according to Eliza Boquin, a licensed marriage and family therapist from Houston, individuals in codependent relationships will often struggle to achieve the autonomy needed to experience the type of connection they so often desire.

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“Codependency can wreak havoc on relationships and block someone from experiencing true intimacy,” she says.
Tugaleva acknowledges that these dynamics have often held her back by not allowing her to explore a fuller range of emotions, but she also recognizes that these patterns have been embedded within her family for generations. In fact, research on codependency shows it’s trans-generational in nature and often stems from a child watching and imitating these behaviors from other family members.
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It’s also important to note that these symptoms can later be seen in a variety of different relationships and isn’t limited to those that are romantic in nature.
For someone prone to codependent traits—such as excessive caretaking or feeling the need to fix others—it’s easy to fall prey to toxic friendships where the person can initially feel both needed and appreciated. The danger here is in basing our sense of self-worth on our “friend’s” needs.

Likelihood of Thriving in Codependent Relationships

Sometimes couples can worry that they have “too much drama” to be happy, explains Stanizai. But if you and your partner have similar reactions to drama, then it’s not necessarily a problem. “For example, if you are both hot-headed or cool-headed, that’s a better situation than if one of you is very reactive and the other is cool as a cucumber.”

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One of the most important factors in making a relationship happy, she says, is if you and your partner match in communication styles, emotional patterns, etc. “Just feeling that you are codependent doesn’t necessarily mean your relationship is doomed,” Stanizai affirms. “There are many people in codependent relationships who have regular disagreements but still rate their relationship as very happy overall.”
Still, she cautions: “Codependency itself isn’t the best type of relationship to be in, so you should consider working together with a therapist, coach, or religious leader to help you manage your relationship.”
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Luiz agrees with her, saying an otherwise great relationship can often hinder a couple from working on the codependency. “It’s easier to sweep a problem under the rug when things are otherwise pretty okay.”

Making the Decision to Break Patterns

Giving each other space is the first step toward breaking these patterns.
The next, according to Boquin, is working with a licensed psychotherapist who specializes in healthy relationships and who can give you the necessary tools to identify and implement healthy boundaries. This also allows you and your partner to gain further insight into unhealthy relationship patterns and provide you with the necessary support to begin experiencing healthy relationships.

Young woman confronting her partner in a therapy session.
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However, experts offer a word of caution that not all relationships can be salvaged, especially if they are based on a foundation of toxicity or emotional abuse. “When two people trigger each other perpetually, cannot walk away when things get too angry, cannot be loving, can’t be heard, or [can’t] create a positive outcome, then the couple becomes tragically stuck in codependence,” says Luiz.
“But if the codependency is relegated only to a corner of the relationship,” she adds, “let’s say around food consumption, around having temper tantrums when there’s a particular trigger, or around not setting good boundaries with children perhaps, then the rest of the relationship may be fine.”
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She’s quick to note, however, that this doesn’t exempt a couple from the arduous task of working on their issues. “As a psychoanalyst, when a couple brings me their codependency issues, we are at the heart of everything that is unresolved for both people,” Luiz explains. “Like feeling unheard, being with somebody who is emotionally unresponsive, feeling loved, feeling respected, feeling in control, etc.”

Forging Independence

If you find yourself in a relationship that is (or could become) codependent, Stanizai recommends taking the following steps for improving autonomy:

Have personal hobbies, friends, or other things that are just for you.

Have separate gyms, Friday night happy hour, or certain events that are just fun for you. “Couples will have to negotiate what they are okay with,” Stanizai says, “but the idea is to deliberately spend time apart, take a risk, and cultivate trust.”

Self-soothe and calm yourself down when you start to get nervous.

If you partner hasn’t returned a text for a few hours or your mind starts to wander, counteract those negative thoughts with positive ones. It’s most likely not the worst-case scenario you think it is.

Practice active listening.

Believe your partner when they tell you something. You would want the same, right? When they tell you something, repeat it back to them until they are satisfied that you understand them. (This sounds weird on a daily basis, but it’s more useful after a disagreement.)

The good news: Codependency can be overcome!

Luiz reiterates that dependency in itself isn’t the problem. “Your dependence on each other should only be changed if it’s standing in the way of growth, productivity, or greater intimacy.”

Couple holding hands on a table.
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“This is an opportunity to scratch beneath the surface of the relationship,” she says, “and go deep into knowledge of each other to shake things up and come out ahead.”
Luiz recommends couples use their codependency to learn more about themselves; part of this means delving into uncomfortable truths about one’s past, such as exploring early childhood issues and their connection to current dysfunctional behavior patterns.


Working closely with a licensed psychotherapist can help you and your partner begin to turn things around and make significant strides toward improving your relationship—but equally important is turning an inward eye to where it all first started. While we can’t change events from our personal history, we can become more aware of the effects they have on our present and the ways we can reduce their impact.
Tugaleva now looks back on her prior relationships through the lens that time and introspection have given her. She says the more she’s allowed paradoxes into her experience, the more she’s been able to heal these negative patterns.

Couple hugging and sitting on a bed.
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She believes that in order to lead healthy relationships with ourselves and others, we must first be able to access the entire range of human experience when we need it. “I can be angry and sad, vulnerable and hard, strong and weak, loud and quiet,” Tugaleva notes. “I need to be all these things at different times.”
“Now that I am able to do so, I refrain from playing small, limited roles with others,” she adds. “I am free of needing them to act a certain way in order to be happy.”

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Wellbeing

How To Respond To The “When Are You Having Kids” Question

You’re sitting at dinner, just about to bite into that delicious macaroni salad, when your in-law casually throws out the old, “So…when are you two going to have kids?” It’s a question that’s been asked what seems like a million different times by pretty much everyone you know and in a multitude of very creative ways.
Maybe it’s something like, “It sure would be nice to have a grandchild…,” paired with a longing glance at a cute pair of baby-sized shoes. Or perhaps it’s a, “Wasn’t he cute as a baby?” wink-wink-nudge-nudge while flipping through old pictures in what you thought was an innocent and hilarious journey down memory lane. It could even be from an acquaintance you hardly know who cavalierly asks, “When do you think you’ll start popping ‘em out?”

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Here’s the thing. Whether someone has children is a deeply personal, highly intimate—and sometimes medically sensitive—decision made between two people. For some reason, though, it’s a topic that makes its way into the conversation with the kind of casualness with which you discuss the latest episode of Game of Thrones.
If you repeatedly find yourself on the receiving end of these questions and you’re straight up over it—or you’re someone who’s guilty of asking—the following breakdown will benefit you.

Why do so many people ask this intimate question?

Christen Reighter summed it up perfectly in a 2017 Ted Talk she gave about her decision to have a tubal ligation in her 20s. “I recognized the roles that were placed on me very early,” she said. “One persistent concept that I observed—existing in our language, in our media—was that women are not only supposed to have children; they are supposed to want to … There are countless reasons a woman may have for choosing to abstain from motherhood. The majority of them? Not self-prioritizing. But it is still socially acceptable to publicly vilify women as such because none of these reasons have made it into the social narrative.”

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Those reasons can range from a concern about the ecological impacts and overpopulation to an inability to provide the right resources for a child. Or they may be medically-fueled concerns about passing on congenital or psychological traits—or simply being dealt a hand where they’re unable to conceive.
The question is consistently on the tip of people’s tongues. It often begins as small talk but, depending on your audience, can deteriorate into a debate that feels not just personal, but sometimes offensive.
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“The reason why it’s such a casual conversation topic is most likely influenced by values and conditioning of upbringing and personal beliefs that when two are together in a relationship, there is an assumption that children will be a part of the family,” notes Lisa Bahar, a licensed clinical counselor and marriage and family therapist based in Newport Beach, California.
If you’re often on the receiving end of this question, she says it’s important to try to understand that these are not personal attacks against you. Rather, they’re assumptions that the individual has been conditioned to believe (as frustrating as they may be).
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For those who are guilty of asking the question, really think about the reason why you’re asking to begin with. If you simply view it as small talk, there are certainly less personal conversations you can have with others, including about work, travel, and hobbies. You can avoid awkward conversations and potentially offending or striking a nerve with someone by removing the “when are you having kids” topic from your small talk arsenal altogether.
If you’re talking about it because it’s an interesting topic to you and you are eager to hear someone else’s perspective, broach it that way. Refrain from interjecting a “you should do it this (read: my/society’s) way,” and don’t prod or try to poke holes in the other person’s (highly personal) decision.
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We argue the best practice is to avoid this conversation altogether unless the other person brings it up. Then, if it does inadvertently come up, engage your empathy and be sensitive.
Whether you’re an asker or an askee, the below anecdotes might help broaden your perspective and equip you with a keener set of social skills when it comes to this topic.

Actively Choosing Not to Have Children

We’re living at a unique time in history when actively [linkbuilder id=”6805″ text=”choosing not to have children”] has become the more popular choice but still intersects with a strong societal conditioning that assumes women and couples automatically have a desire to procreate. As a result, the “we’re not having children” conversation has proven tricky to navigate.

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Sarah Feuerborn, 26, and her husband, 29, have been together for nine years and married for three. They decided years ago that they didn’t want to have children but still find themselves on the receiving end of this question.
“People ask us all the time when we’re going to have kids,” Feuerborn tells us. “Our families are fine with it at this point, but we still get the occasional ‘You’ll change your mind.’ With strangers, if they ask if we have kids, we usually politely respond with, ‘Oh no, no kids.’”
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If the conversation ends there, then all’s well, she says. However, that response usually leads people to ask when they will.
“I usually respond with, ‘Actually, we don’t really want kids.’ Sometimes I’ll add a ‘We may change our minds, but at this point, we don’t see them in our future.’ At that point, people usually say, ‘Oh you’ll change your mind! You’re still so young!’ which I respond to with, ‘Maybe!’”
“It’s definitely interesting to see how people react,” she says. “I don’t really argue with people much about it. If they’re insistent about it, I get more stern, but I typically say something to politely brush it off and try to change the topic. Many people, especially those with kids, get offended when I say I don’t want them, so I try to be as polite and delicate about the subject as possible.”
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Joanne Williams, 36, has a slightly more aggressive approach to this conversation. She made the decision to be child-free when she was 19 years old.
“I realized how life-altering children truly are to people and their lives,” she said. “I realized that I’m more career-oriented than I am maternal, and ultimately, I am too selfish to have kids. I like to have freedom to come and go as I please, without having to focus on the needs and commitment of others.”
While her parents and friends don’t pester her about her choice, having the conversation with those she’s never met before is a different story.
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“Strangers that have asked always seem slightly confused. It’s as if I’m alien since I have zero desire to have children. I’ve been pretty curt with the answer to this, [saying] that I simply do not, and never have, wanted kids. I feel like it’s been effective for the most part,” she tells us. “I have had a few friends’ parents, [including] my best friend’s mom, ask me when I’m going to get married and have kids. I’ve told her in jest that I’ll do it after her other daughter—who is three years younger than me—does first.”
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For Jenn Schaeffer, who’s in her 40s, the decision to not have children came later in life.
“I was never against having children and actually pictured myself as a mom quite often when I was younger. Though I am nontraditional in many aspects of my life, I had a traditional mindset when it came to having kids: I wanted to be married when I had kids,” she explains.
[pullquote align=”center”]“There have been—and continue to be—so many times that I feel like a failure, despite all of my other accomplishments, because I haven’t had children.”
—Jenn Shaeffer[/pullquote]
“Well, I didn’t meet my husband until I was 38, and we didn’t get married until I was 41. I had sort of a rule for myself that if I didn’t have children by the time I was 40, I wouldn’t have any. Yes, modern medicine has advanced so that you can have children at a very late age, but that wasn’t something I wanted to do.”
She says she gets the “When are you having kids?” question all the time, especially since she works with older people who are inclined to ask.
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“I had a woman even say, ‘Don’t you know it’s your obligation to populate the earth?’ Wait, what? A lot of times I kind of laugh it off and say that ‘We are sticking with fur kids.’ Oftentimes, though, I feel angry that people just expect me to have children because I am a woman,” she confides.
“There have been—and continue to be—so many times that I feel like a failure, despite all of my other accomplishments, because I haven’t had children. I am slowly coming to terms with not having kids, but it definitely has not been easy, especially when I am continuously asked why I don’t have kids. As if there is something wrong with me. Guess I will someday get used to being in the small club of not having children despite what society dictates.”


It’s easy to see from these personal experiences why this conversation topic can trigger a host of feelings ranging from frustration to guilt to even sadness. If you find yourself on the receiving end, understand that there really is no such thing as the perfect response. However, one route you might consider taking is simply being honest about your decision.
“The truth is the straightest path. Rather than make up reasons or ways to dodge the question, why not answer truthfully?” advises Alex Dimitriu, MD, a double-board certified psychiatrist based in San Francisco. “It helps to spend a minute—or 20—thinking this through and understanding one’s own reasons. With an understanding of what drives this decision, it should not be hard to express to someone. The truth shall set you free.”

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Behar agrees, adding, “Be open to talking, if you want, about your decision in a non-defensive way and think in terms of your truth and how that can help another expand their awareness of what it means to be having children.”
And if you don’t want to talk about it with someone at all? Politely tell them, “I’d prefer not to discuss it.” Most people will respect that, and if they don’t, you have every right to walk away.

When Medical Issues Interfere with a Desire to Have Children

Not having children isn’t always an active decision. For example, pregnancy or childbirth could lead to potentially life-threatening medical issues for the mother or result in passing down ailments or defects to their newborn. In some cases, not having children is an undesired reality for those who’ve desperately tried to conceive but have struggled with infertility.
In this situation, being joyfully asked, “When are you having kids?” can be particularly painful. This is something Rachel Schroeder can personally attest to.

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“I have struggled with infertility, and I’ve suffered a miscarriage,” she tells us. “I was diagnosed with polycystic ovarian syndrome (PCOS) when I was 19 and have had pain and irregular cycles and other related issues since then. PCOS is one of the leading causes of [linkbuilder id=”6803″ text=”infertility in women”], so I was prepared that pregnancy may be difficult for me. I also have complex regional pain disorder, a nerve condition that causes chronic, severe nerve pain. This condition may or may not be genetic, and if it is, I do not wish to pass it along.”
In the 11 years of marriage to her husband—along with 10 years working in childcare—she’s been asked countless times when she’ll have children of her own or why she hasn’t already.
“It’s a super personal question, and my answers have varied over the years as I have struggled to decide how much to share and with whom. And honestly, my answers have changed as I have come to terms with the fact that the plans I had as a child to be a parent have not happened and may not happen at all,” she says.
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“Sometimes, I simply say not yet. Other times, I am more forthright and say that it has been a struggle. Other times, I go into more detail about the financial and circumstantial roadblocks that have come our way as we considered adoption.”
An interesting perspective surrounding this topic—and one that isn’t often considered by askers—is that sometimes mothers who have one child experience medical issues that prevent them from having another. Such is the case for Ashley Kenney, whose child turns 12 this year. She had her son “accidentally” at the age of 19 and has since been diagnosed with PCOS. She also recently had a hysterectomy.
“I get asked at least once a week. I’m told that I should at least give my son one sibling. That only children aren’t as well adjusted. Or they will just straight up say, ‘Why aren’t you busy making that little boy a brother?’ which feels like such a personal question in so many ways. Are you asking me why I’m not having enough sex?” says Kenney, “It’s been really hard. My husband and I tried for six years before being told that it wasn’t going to happen and that I needed to take steps to prevent developing cancer.”
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She says she usually just responds as kindly as she can, explaining that her pregnancy journey hasn’t been an easy one. And that, as much as she’d love to give her child a sibling, it isn’t an option for their family.
“Most of the time, people feel awful for having asked,” she says. “I think people just think it’s all in fun for the most part, and until they meet someone who tells them otherwise, they just don’t think about what the underlying reasons might be. Recently, I had someone say they will pray for us to get pregnant. As though even without a uterus it could still happen by the grace of God. And I try to appreciate the sentiment, but mostly I just want to scream that it’s none of their damn business.”
[pullquote align=”center”]“There is so much focus on babies that mothers often get overlooked for the healing and caring process, but that’s a whole other issue. This continued battle I am fighting for my voice to be heard is hard enough without the constant ‘when’s the next child coming’ questions.”
—Lauren Christie-Veach[/pullquote]
Lauren Christie-Veach has a similar story. She had her daughter a year and a half ago and has been eager to have another, but medical roadblocks have made that journey difficult. She says she is overjoyed to have had a healthy daughter and easy pregnancy, but that birth “destroyed her body.” Within 14 months of having her child, she’s experienced a range of medical complications that include ovarian cysts and [linkbuilder id=”6806″ text=”thyroid problems”].
“I get asked all the time when we are having another. Usually, it’s, ‘She’s so sweet and happy. When’s the next one coming along?’ Usually, I just smile and make some stupid small talk comment, but the last time I was asked, I burst into tears,” she says. “There is so much focus on babies that mothers often get overlooked for the healing and caring process, but that’s a whole other issue. This continued battle I am fighting for my voice to be heard is hard enough without the constant ‘when’s the next child coming’ questions. We want another baby, but there is a chance it won’t happen.”
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While we wish we could make the habit of asking such a personal question disappear, we, unfortunately, cannot. However, for those who are asked this question under medically complicated circumstances, you have every right to respond with a simple, “I prefer not to discuss it.” Alternately, if you’re feeling up to it, you could take the “speak your truth” approach.
“Honesty helps bring awareness and also acceptance of the challenges of being medically unable to have children,” says Behar. “People can learn from one another if the answers are real and genuine.”

TL;DR?

If there’s one thing you take away from all this, it’s that asking someone when they’re going to have a child, or when they’ll have another, could affect them in ways you might not fully appreciate. And if you’re on the receiving end of the question, we know you’re frustrated, annoyed, and maybe even hurt every time you hear it. You have every right to feel that way. When the topic comes up, you can refrain from talking about it altogether, or respond from a place of honesty to further the progress regarding the topic at large. It’s a long road until these conversations are a regular and fully accepted part of the social narrative, but we’re getting there by having open conversations—like this one.

Categories
Mindful Parenting Motherhood

How To Read Your Baby (And Gain Their Trust)

For parents of a new baby, deciphering what they need based on a series of subtle cues and seemingly identical cries can be overwhelming. As a new mom, I found a lot of comfort in developing a pattern of feed, sleep, and play, with diaper changes sprinkled in the mix, but there were still plenty of instances when I found myself confused to the point of tears.

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It often felt like nothing I tried would calm my baby or help her drift to sleep. With time, I learned that my baby was actually an excellent communicator—I simply needed to learn to watch for patterns in how she expressed her needs. My daughter wasn’t extraordinary; babies actually begin communicating with their parents from a very young age. Want to learn how to read your baby? Here’s what you need to know.

The Development of Communication

The foundation of communication is being built long before babies are born, according to Ayelet Marinovich, pediatric speech-language pathologist and parent educator.
“We know that even babies in utero are starting to use their sense of hearing,” she says. “So they’re listening to things like the components of speech and the melody of the language or languages.”

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This learning begins around 20 weeks into the pregnancy.
From birth, developing children tend to hit specific communication milestones, both verbal and nonverbal. One of those first milestones, seen roughly around 6 weeks post-birth, is a social smile. The baby observes someone smiling at them and returns the smile, noting that their smile evokes a positive response from the recipient.
“They can recognize … ‘Oh! That gets a response,’” Marinovich says, noting that crying functions very similarly, with babies learning quickly what their cries achieve.
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At 4 to 6 months, babies coo, indicating that they are learning vowel sounds. This is followed by babbling, which is all about learning to use vowels and consonant combinations. At 9 months, babies begin using gestures to draw attention to things.
And around 12 months, the first words are spoken.

Listening and Watching for Subtle Cues

A year is a long time to parent a baby without the assistance of words. The good news is that words aren’t the only form of communication, and babies use crying, body language, and facial expression to give voice to what they want and need most from their caregivers.

I’m hungry!

Although many babies cry if they’re hungry, most babies start dropping hints long before things feel urgent enough for tears. Cries are actually not considered hunger cues; instead, they signal distress, according to WIC Works (link opens a PDF), a project of the United States Department of Agriculture. According to this resource, parents can avoid distressing hunger in their children by learning patterns and subtle cues babies use to draw attention to their hunger.

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In newborn babies, rooting around for the breast, sucking on their hands or fingers, and drawing their hands to their face are all signals of hunger. Most babies also open and close their mouth when they’re ready for a meal.
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Typically, babies are ready for solid foods once they are sitting up on their own. Parents can gauge their baby’s interest in solid foods by watching for common signs like reaching for what is on their parents’ plate or the ability to handle foods without pushing them out of their mouths.

I’m full!

Just like babies signal their parents when they are hungry, they also communicate when they are satisfied. This is an interesting and important topic, as properly reading infant cues on hunger and satiety is considered part of obesity prevention. It helps avoid over-consumption, according to a research review in the journal Maternal & Child Nutrition.

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Newborns typically slow their sucking or even fall asleep when they are satisfied, according to WIC Works. They may turn their head away and appear more relaxed. As babies grow older, they become distracted or want to play while eating. Some babies clamp their mouth shut to refuse a bottle or breast.

I’m tired!

If you’ve ever cared for an infant, you know there is such thing as an overtired baby. Some babies become so exhausted it is actually more difficult to get them to sleep. Watching for cues that your baby is ready for a nap or bedtime can make the whole experience less dramatic for everyone involved—saving you from a bedtime struggle or hysterical crying from a wiped out baby.

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Most obvious, perhaps, is that newborns yawn when tired. They also pull their hands to their face, clench their hands into fists, rub their eyes, or pull at their ears, according to Today. As babies grow more tired, their movements become jerkier and they become less interested in their surroundings.
Catch sleepiness early, use a routine to make naps simple and predictable, and encourage healthy sleep habits in developing babies.

I need quiet.

From a young age, babies drop hints when their environment has become too much for them. Like older children and adults, babies need quiet and breaks from stimulation.
“Maybe they’re closing their eyes,” says Marinovich. “Or they’re crying for ‘no apparent reason.’”

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Many babies will also look away, wave their hands, or kick their feet if they’re becoming overstimulated. The solution to overstimulation is as simple as making an adjustment to their environment like lowering or removing noise, stepping away from them for a time, or lowering the lights in the room.

I want to play.

One of the primary jobs that comes with being a baby is learning by interacting with their brand new environment, according to Marinovich.
“The baby is in this sensory world, they’re all of a sudden exposed to noise and everything they’re seeing and everything they’re touching,” she says. “This is a very different environment than what they had in the womb.”

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As they watch, listen, and learn, babies are focused on finding patterns in their environment and indications of what deserves their attention, Marinovich explains. Having a parent present and close gives them an opportunity to learn through interaction.
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Of course, newborns don’t exactly toss a ball or drag out a train set when they’re looking for a little one-on-one with their caregiver. How can you know when they’re up for some interaction? According to Marinovich, babies indicate this even within their first week of life by settling into an awake, but calm, state of being.
“Babies sort of have these patterns of alertness and quiet,” she says.

I’m in pain.

Babies do so much crying, it is difficult to determine what their cries mean exactly. Are they tired and hungry, or is something causing them pain? Crying that indicates pain escalates in intensity and doesn’t resolve with comfort or food. A cry caused by pain may also have a higher pitch than usual, according to Kyla Boyse, RN, of the University of Michigan.

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Parents can also watch for body language typically associated with pain. Infants in pain scrunch up their faces, and their body may become tense. Determining the source of pain is difficult, but a common cause is gas or an upset stomach. If you are concerned about your baby, a doctor can help determine what is causing the pain and if further treatment is necessary.

Encouraging Strong Lines of Communication

A strong bond between an infant and their caregiver is foundational to their emotional and physical health. One popular school of thought on child attachment, developed by German psychologist Erik Erikson, argues that the first lesson children must learn is that the world and the people around them are trustworthy. For this reason, understanding how to read your baby and responding to their needs is an important part of building a healthy relationship with your child.

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The good news is that encouraging strong lines of communication with an infant or young child isn’t rocket science—it’s really about being present and consistently tuned in to their needs. Marinovich strongly believes that parents are already equipped with the tools they need to bond with their baby, and she says many parents are already doing many of the things necessary to encourage communication.
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“We tend to overcomplicate things,” admits Marinovich. “We can see how they are communicating by these early cries … we can offer comfort through things like our touch and smell and voice and milk.”
[pullquote align=”center”]”[Take] a moment while you’re changing a diaper or while you’re nursing, to get into a comfortable position, to make eye contact, to include a moment of touch on your baby’s skin. We already have the materials we need.”
—Ayelet Marinovich, pediatric speech-language pathologist and parent educator[/pullquote]
One specific example is the use of infant-directed speech, which is often referred to as motherese. Listen to yourself talk to a baby for even a few seconds, and you’ll probably hear it—you may slow down your speech, speak in a higher pitch, or add a kind of sing-songy component to your speech. This habit is universal, according to Marinovich, and doing so encourages more attention from infants.
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There is also research published in the journal Infancy that suggests infant-directed speech contributes to language acquisitions and is specifically helpful for learning the skill of word segmentation.
Lastly, consistent communication with your newborn can easily be included in your routine. Think about the things you do day in and day out with your baby and how talking and play could be introduced into those tasks.
“[Take] a moment while you’re changing a diaper or while you’re nursing, to get into a comfortable position, to make eye contact, to include a moment of touch on your baby’s skin,” encourages Marinovich. “We already have the materials we need.”

Categories
Mindful Parenting Motherhood

The Boy Scouts Are Allowing Girls, But Is There Such A Thing As Too Much Inclusivity?

This year, the Boy Scouts of America are making changes.
In February 2019, the organization will officially drop the word “boy” and change its name to “Scouts BSA.” It’s not an idle change; for the first time in its history, the Scouts are allowing girls to join and progress through scouting ranks, eventually earning the coveted Eagle Scout designation.

Eagle scout award
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“The leadership of the BSA determined that the best way to welcome girls to serve today’s families is to offer a unique model that builds on the proven benefits of our single-gender program, while also providing character and leadership opportunities for both boys and girls,” a representative of the organization tells HealthyWay via email.
The move is somewhat controversial—and understandably so, since major changes to century-old organizations usually create some amount of controversy. But the Scouts’ new inclusivity highlights a cultural shift toward gender neutrality; these days, separating kids by biological sex seems almost arbitrary.
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Of course, the Scouts aren’t totally ignoring gender. The organization claims the change is practical, geared toward getting more families involved with scouting.
“Now families can choose to sign up their sons and daughters for Cub Scouts,” the organization’s spokesperson explains. “Chartered partner organizations may choose to establish a new girl pack, establish a pack that consists of girl dens and boy dens, or remain an all-boy pack. Dens will be single gender—all boys or all girls.”
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We asked whether the Scouts have received any significant backlash from members.
“Response has been very positive,” the spokesperson says. “In fact, 8,912 girls have already joined the Cub Scouts.”
That’s a surprisingly large—and incredibly specific—number. The Cub Scout program, by the way, is the largest of the BSA’s scouting divisions, open to boys and girls from first through fifth grade.
“Many of our current families, Scouts, donors, volunteers, and professional staff are in support of this decision, and in a number of cases from our Early Adopter efforts, we have heard that more parents have started volunteering since their entire family could now be involved.”

But soon after the Scouts announced the change, another major organization harshly criticized the move.

“Girl Scouts is the best girl leadership organization in the world, created with and for girls,” the Girl Scouts wrote in a blog shortly after the Scouts BSA announced their name change. While the blog didn’t mention the Scouts BSA by name, the message was clear.
“We believe strongly in the importance of the all-girl, girl-led, and girl-friendly environment that Girl Scouts provides, which creates a free space for girls to learn and thrive.”

Girl scouts walking together
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The Girl Scouts—long maligned by traditionalists for their progressive stances on LGBT acceptance—were, in a sense, criticizing the Boy Scouts for being too inclusive. Their rationale: Some amount of gender exclusivity is healthy.
“The benefit of the single-gender environment has been well-documented by educators, scholars, other girl- and youth-serving organizations, and Girl Scouts and their families,” the blog post continued. “Girl Scouts offers a one-of-a-kind experience for girls with a program tailored specifically to their unique developmental needs.”
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The blog, however, did not provide any references to support its “well-documented” benefits. It’s true that some educators and researchers believe single-gender structures can have benefits for kids. The science, however, is a bit complicated.

Let’s start with a widespread myth: Biological gender differences are, for the most part, overstated.

Some arguments against gender-neutral groups often cited psychological differences between boys and girls.
Those differences aren’t exactly clear-cut, however. According to the American Psychological Association, a 2005 meta-analysis indicated “that men and women are basically alike in terms of personality, cognitive ability and leadership.” From adolescence to adulthood, males and females are more similar than dissimilar.

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We know what you’re thinking; boys and girls are different, almost from birth. But while some other studies show more defined differences between boys and girls, gender roles and social context play an enormous role—an objectively more significant role than neurological differences.
For example, one meta-analysis looked at the stereotype that boys are generally better than girls at math. The research showed that boys and girls perform equally well in the subject until they reach high school. Through high school, boys gain a minor advantage.
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Even so, women are underrepresented in STEM fields. We can blame established gender roles for that unfortunate reality, along with key differences in how boys and girls are treated in classrooms. One study found that elementary school teachers routinely value boys’ comments over girls’ comments, and that, while boys are eight times more likely to call out in class without raising their hands, girls who called out were more likely to get a reminder to raise their hands next time.
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Those social differences are troubling, but again, they’re not physiological. We can’t really blame any fundamental differences between male and female brains for the distinctions, and we can’t really use physiological differences as an argument against mixed-gender activities.

The physical differences between the sexes might be a better argument for some single-gender groups.

In that area, the differences between boys and girls are obviously more pronounced. If an activity requires certain physical traits, it makes sense to limit enrollment to a single sex.
Except, of course, when it doesn’t.
In 2013, 12-year-old Madison Paige Baxter made headlines when her school, Strong Rock Christian School, kicked her off their football team. Madison had been a successful player, but according to her mother, Cassy Blythe, an official from the school said the boys on the team might “think of [Madison] in an impure way.”

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As Strong Rock Christian School is a private institution, it was not subject to Title IX regulations, which prevent public schools from discriminating on the basis of sex.
The case brought an interesting tangle to the inclusivity discussion: Madison was apparently kicked off the team because of the way that boys might react, not because of concerns for her safety or a desire to provide boys with a single-gender group activity.
The ejection was, in a word, unfair—not simply because it excluded Madison, but because it did so for the wrong reason.
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“My mom counted that I had five sacks,” Madison said at the time in an interview with ABC News. “The entire crowd thought it was one of their boys but when they saw my number and looked at the roster, they saw it was me. It’s taking that fun that I had for a year and snatching it right out from under me.”

That’s not to say there isn’t any justifiable reason to separate activities by gender.

Our point is simply that questions of inclusivity need to be treated carefully. In some situations, gender exclusivity might actually be beneficial for kids.
Remember those social constructs we mentioned earlier? They’re certainly powerful, and in order to correct them, we need to teach young girls to recognize them. Boys and girls are treated differently by our society, and sometimes there’s nothing wrong with recognizing those differences.

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The Girl Scouts provide an excellent example. Writing for Slate, Parrish Turner notes that the organization provides kids with important lessons and leadership that wouldn’t be possible with a mixed-gender membership. Because the Girl Scouts assumes its members are female, scout leaders are able to talk about sexual harassment, discrimination, and various other topics specifically directed at women. They’re able to promote STEM fields, encourage girls to innovate, and give kids a safe space to develop into strong women.
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With that said, moderation is still crucial. We do know from research that mixed-gender friendships and activities can be helpful, and when there’s no reason to separate the sexes, it’s probably best to let them mingle. One study found that increasing cross-gender interactions actually diminishes aggression; in schools where those types of interactions were rare, cross-gender friendships created “status distinctions” that magnified the effect.
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In other words, in social environments where boys and girls aren’t typically expected to be friends, cross-gender friendships can have a powerful beneficial effect on behavior and, potentially, development.

Gender-exclusive situations may be helpful, but the reasoning behind them needs to be clear.

Ultimately, gender-exclusive groups aren’t necessarily a bad thing, provided the exclusion is occurring for a good reason. Kicking girls off a football team because the boys might have “impure thoughts” is harmful reasoning; establishing a girls-only group to give kids powerful female role models is perfectly reasonable.

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As for the Boy Scouts—soon to be called the Scouts BSA—the move towards inclusivity seems like a practical one to drive recruitment and keep families involved in scouting. It’s also not quite as inclusive as the headlines might indicate; single-gender packs and dens will still exist. Time will tell, but scouting purists probably don’t have to worry about the organization changing in profound ways.
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In the meantime, a mix of single- and mixed-gender activities seem like an appropriate foundation for well-rounded children. More important is that we keep discussing gender imbalances—and making sure that when we’re excluding kids from anything, we’re doing it for the right reasons.

Categories
Nosh

The Best Foods To Eat To Alleviate Anxiety (And Which To Skip)

When we reach for that king-sized candy bar or order the extra-cheesy bread at dinner, it’s not like we’re dooming ourselves to a future of failure. However, it’s important to recognize that all the seemingly insignificant dietary choices we make throughout the day can actually have an effect on how we feel. Not just physically (anyone else feel like they have to be rolled away from the dinner table after a particularly heavy meal?), but also in terms of our mental state.
“Think about how certain meals make you feel,” says Alex Caspero, a registered dietitian and nationally recognized nutritionist. “Without even knowing the science behind it, we all know how different we feel after eating a donut versus eating a salad.”

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With Caspero’s and another registered dietitian’s expert input, we’ve outlined some of the worst food offenders that can potentially contribute to mental issues such as anxiety and “foggy brain,” and discovered some delicious alternatives.

Why It’s Important to Consume With Care

Before we dive into foods that may negatively affect our mental state, let’s first get into the science behind why food is so closely related with our mood.
“Food provides us with tons of nutrients, many of which are the precursors to our neurotransmitters, which work to communicate within our brain. How well these neurotransmitters communicate and what they communicate is affected by what we eat,” explains Lisa Hayim, a registered dietitian and founder of The Well Necessities and TWNtv.

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Some foods can trigger too much of a specific neurotransmitter, which can have a negative impact on our mental state. For example, glutamate—found in monosodium glutamate (MSG), which is an ingredient in many preservative-ridden foods—is a neurotransmitter that can be toxic to the brain in large doses.
Contrarily, lack of certain foods means our bodies aren’t sending enough of a specific neurotransmitter to our brains. For example, a neurotransmitter that we want more of is serotonin.
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“Anxiety is alleviated by serotonin, a neurotransmitter that regulates sleep and appetite, but also happiness. The lower [we are] in serotonin, the more anxious or depressed we may feel,” says Hayim. “Surprisingly, about 95 percent of serotonin is produced in the gut. That means that having a healthy gut is a key element to producing serotonin that gets delivered to the brain.”
[pullquote align=”center”]“There likely isn’t any blanket food that contributes to anxiety for all of us, as the gut is unique. Therefore, what works for one person doesn’t mean it will work for another. Each of our guts is different, and what’s there is just as important as what’s not there.”
—Alex Caspero, registered dietitian[/pullquote]
There are more factors at play aside from neurotransmitters, of course. Ultimately, it boils down to how certain foods are processed in our bodies and how that process affects our brain. Let’s get into some specifics.

Foods to Avoid Eating in Excess

We want to begin this section by saying that, while there are certain foods that generally ought to be avoided in excess, everyone’s body is different.

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“There likely isn’t any blanket food that contributes to anxiety for all of us, as the gut is unique. Therefore, what works for one person doesn’t mean it will work for another. Each of our guts is different, and what’s there is just as important as what’s not there,” says Caspero.
That said, repeatedly loading up on unhealthy foods can make us feel sluggish, tired, foggy-brained, and potentially anxious—all of which can affect numerous aspects of our lives.
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One of the more notorious culprits associated with a poor mental state is highly processed foods, which tend to be high in chemical preservatives, artificial flavors and colorings, trans fats, and MSG. The body struggles to process these foods adequately, and they tend to do very little in terms of our daily recommended vitamin, protein, and mineral intake. In other words, they’re largely empty foods.
[pullquote align=”center”]“With my clients, I like to recommend filling up on lots of plant-based foods while also allowing for treat foods, guilt-free, [since] guilt surrounding food can also increase negative feelings.”
—Alex Caspero, registered dietitian[/pullquote]
Both of our experts agreed that it’s best to avoid trans fats as much as you can. Trans fats are commonly found in fried foods, baked goods, partially hydrogenated foods like non-dairy shelf stable creamer, margarine, and salty snacks.
“Trans fats affect blood flow to the brain, and some studies have linked them to depression and anxiety,” Hayim says.
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When consumed in large quantities, coffee and artificial sweeteners can also contribute to increased anxiety.
“Coffee has some amazing nutritional benefits, but it also increases our production of cortisol, which is our ‘flight or fight’ hormone. This can make us feel jittery and can exacerbate anxiety,” says Hayim. “Artificial sweeteners, like those found in ‘diet’ products or in the pink, blue, or yellow packet, may destroy an otherwise healthy gut and reduce levels of serotonin, that feel-good hormone.”

Foods that Help Foster a Healthier State of Mind

Now that we’ve talked about foods you should avoid in excess, let’s dive into the foods that tend to have a positive effect on the gut and, therefore, our physical and mental health.

Salmon

First up is that delicious pink fish we all know and love: salmon.
“Salmon is rich in DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid), which are omega-3 fatty acids that play an important role in normal brain function,” says Hayim. “Several studies have also suggested that omega-3 fatty acids play a role in alleviating [linkbuilder id=”6755″ text=”depression symptoms”].”

HealthyWay
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The American Heart Association recommends eating fatty fish, such as salmon, two or three times per week. When shopping, choose wild-caught, no-color-added salmon for the best nutritional effects.

Lentils

Hayim also recommends adding lentils to your diet, which are a plant-based protein that’s rich in folate. Studies indicate that folate plays a role in the production of mood-boosting neurotransmitters like serotonin.

Fermented Foods & Probiotics

Another type of food—or rather, a food genre—that’s good to regularly incorporate into your diet for an improved mental state is fermented food and probiotics.
“Eating fermented food can help to boost levels of good bacteria,” notes Caspero. “Sauerkraut with live cultures and non-heat-treated yogurt with live bacteria, kimchi, and kefir are all great options.”

HealthyWay
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Consider this news the perfect opportunity to patronize your local German or Korean establishment.
“Additionally,” she says, “a daily probiotic can help reduce anxiety levels. Studies suggest that combination probiotics of the lactobacillus and bifidobacterium family can ease digestion, suppress ‘bad’ bacteria, and support the immune system.”

Turmeric

It may be an ultra-buzzy ingredient at the moment, but that’s for good reason. Turmeric contains a compound called curcumin, which has been shown to foster brain health and alleviate anxiety.

HealthyWay
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A 2014 study has also shown it can boost levels of DHA (that omega-3 fatty acid also found in salmon that we talked about above) in the brain. Because of its high antioxidant levels, it’s good at keeping you healthy in general.

Adaptogens

Adaptogens can also help boost mental agility and reduce anxiety, says Caspero. An example of an adaptogen is an herb called rhodiola rosea.

HealthyWay
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“Rhodiola rosea root extract helps to stabilize stress levels so the body can easy ‘adapt’ to physical and environmental strains,” says Caspero. “A UCLA study conducted in 2008 found that those who took the herb for 10 weeks found a significant improvement in their anxiety levels. I like HUM’s Big Chill supplement, which contains 500mg of rhodiola extract.”
Other adaptogens include holy basil, maca, and chaga and reishi mushrooms.

Chamomile

Now’s the perfect time to incorporate chamomile tea or chamomile extract into your nightly routine. This calming plant contains high levels of antioxidants, and studies have shown that it effectively reduces anxiety.
https://twitter.com/chillinlaidback/status/1007849910069334021
Many people have chamomile tea in the evening because it also helps coax them to sleep.

Shiitake Mushrooms

Shiitake mushrooms contain selenium and magnesium, two minerals that play a role in mood and are typically low in the Western diet,” says Hayim. “They also play a role in fighting inflammation.”

Final Note

Hopefully all the above helped further convince you of what you already know: It’s important to choose foods that fuel your mind and body versus blindly consuming. This article isn’t meant to force you into a rigid diet, but rather to encourage you to be more aware of what you’re putting into your body.

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“Enjoying vibrant, nutrient-rich food typically makes us feel more energized and therefore able to tackle the day in a different way. That’s not to say that you should avoid treats completely. Some research shows the pleasurable effects we get from eating a delicious food—say, an ice cream cone on a hot summer day—that actually improves mood, not decreases it,” notes Caspero. “With my clients, I like to recommend filling up on lots of plant-based foods while also allowing for treat foods, guilt-free, [since] guilt surrounding food can also increase negative feelings.”
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Basically, what we’re saying is that, while nobody can maintain a perfect diet, and while treats are okay in moderation, we ought to strive toward better care of our bodies and brains. So here’s to many days ahead that are filled with vibrant, colorful, plant-based diets and fewer processed foods.

Categories
Healthy Relationships Wellbeing

Mr. Right (Enough): What Does It Mean To Settle?

Picture, for a moment, the perfect romance.
If you’re like us, your mind just built a quick movie, complete with an awkward introduction, a passionate first kiss (probably taking place at the quirky cupcake shop you own, because hey, a fantasy’s a fantasy), and a tear-jerking proposal. “They lived happily ever after, baking cupcakes and making love.” Roll credits, right?

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In real life, things don’t always work out so cleanly. Your husband might have a few disgusting habits, he might be losing some hair, and he almost certainly won’t live up to the “man of your dreams” you’ve got in your head (after all, it’s pretty hard to live up to Idris Elba).
You’ll likely end up settling for someone who doesn’t check all the boxes of a “perfect” partner—and, contrary to what Hollywood wants you to believe, that’s totally fine.
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For starters, you’re certainly not alone. According to one survey, about 73 percent of people say their “true love” got away. Those respondents said they settled for their current relationships. That means the vast majority of people are trying to make the best they can with who they’ve got.
If that sounds like bad news, keep this in mind: By settling for Mr. Right Now, you’re probably setting yourself up for a happier life.
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“The media makes romance look easy,” Alisha Powell, PhD, a licensed clinical social worker, tells HealthyWay. “But honestly, it’s just two people who are willing to put in the work and create something where they both feel valued and understood. Fireworks don’t always happen, and friendships can last a lot longer than initial sparks, which go out quickly.”
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That’s not to say that “love at first sight” always fails, but it’s not a great basis for a healthy adult relationship.

By the way, that initial spark certainly doesn’t last.

Let’s tackle the first problem with waiting for Mr. Right: If you’re relying on your body to tell you when you’ve found the perfect person, you’re making a mistake.

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The feeling of love—those butterflies in your stomach, the sweaty palms, and the passion you feel when looking at your partner—lasts for about a year, according to research performed at the University of Pavia in Italy. A team led by clinical pathologist Enzo Emanuele found that romantic love was linked to levels of nerve growth factor (NGF), a chemical believed to be involved in the formation of new bonds.
In new relationships, participants experienced a spike of NGF; after about a year, however, their NGF levels were comparable to those of single people. In other words, even in the best relationships, that first wave of passion starts to fade over time. If you never felt that spark with your partner, that’s good news, in a sense, since you’re not really missing out on anything after about a year or so.
https://twitter.com/justahuman2b/status/987760171584802816
So to recap: Love (or the romantic feelings we associate with new love) is just a chemical, and the vast majority of people don’t marry their true love. Every Disney movie is a lie, and you’ll never marry into royalty.
That’s the bad news, but stay with us on this. It gets less depressing from here.

We also know that the security of a marriage can make people happier.

The good news is that—at least in most Western societies—a strong marriage can be enormously beneficial for your overall happiness, and factors like communication and flexibility are far more important than a storybook romance.

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A 2017 paper found that married people reported higher life satisfaction than their single contemporaries, and a 2018 study found that couples became happier with their marriages over time, with happiness peaking around the 20-year mark. In other words, if you’re able to stay with the same person and put in the work, the relationship will likely improve over time.
And we’ve got plenty of research to show that marriages and other close relationships have a positive influence on overall health. The moral: If you want to live a healthy, happy, goal-driven life, find a suitable partner and start building your relationship.
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“When we gathered together everything we knew about them about at age 50, it wasn’t their middle-age cholesterol levels that predicted how they were going to grow old—it was how satisfied they were in their relationships,” said psychiatrist Robert Waldinger in a popular TED Talk. Waldinger directed the Harvard Study of Adult Development, one of the longest studies of adult life ever performed. “The people who were the most satisfied in their relationships at age 50 were the healthiest at age 80.”

So what really makes for a happy marriage?

Building a [linkbuilder id=”6740″ text=”happy marriage”] isn’t complicated, but it isn’t easy, either. You don’t need a perfect partner; you need a good friend with a decent work ethic and a sense of empathy.
[pullquote align=”center”]”There’s a common misconception that relationships are always 50-50, and that’s not the case. Sometimes it’s 80-20 or 60-40. What matters at the end of the day is that trust and commitment are present.”
—Alisha Powell, PhD, licensed clinical social worker[/pullquote]
For starters, you should have a partner who’s willing to work as hard as you. Generally speaking, marriages are stronger when both partners share roles and responsibilities. The National Survey of Marital Strengths found that role sharing is of “growing importance” in marriage satisfaction, so if you’d characterize your current relationship as unequal, it’s time to make a change.

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However, Powell says that building an equal relationship doesn’t always mean splitting up chore lists; it’s more about understanding one another and applying consistent effort towards the relationship itself.
“There’s a common misconception that relationships are always 50-50, and that’s not the case,” she notes. “Sometimes, it’s 80-20 or 60-40. What matters at the end of the day is that trust and commitment are present. It takes a lot of work, and each partner has to decide every day that they want to be with the other person. It’s fun and can be fulfilling, but it also requires dedication. Tough times will either draw you closer to your partner or push you further away from them.”
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Powell recommends looking for a few key characteristics in your potential lifemate. If your relationship is healthy from the start, you won’t have to do as much work to keep the marriage healthy.
“Mutual respect, shared goals and values, trust, and commitment [are] factors that are present in every successful and healthy relationship,” she says. “Each couple has to decide what works for them and act accordingly. Communication about areas of disagreement is also important and should be free of defensiveness and criticism in order to maintain a healthy relationship.”
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Yeah, yeah, we know; at this point, everyone knows communication is important. Still, research backs that up, and the National Survey of Marriage Strengths found that communication, flexibility, closeness, and conflict resolution—in that order—are the most effective categories for predicting marriage strength. Note that “complete and total perfection” isn’t one of the categories.

Relationships take work. That’s why “settling” isn’t always settling.

Sure, you could wait around for the perfect person to sweep you off of your feet, but you’re going to be waiting for quite a while—and even if you find someone who checks all of the boxes, you’re still going to have to put in the work.

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Sometimes, it’s (gasp) better to settle for someone who checks most of those boxes. They might have a few annoying habits, and they might not find themselves modeling underwear anytime soon, but that’s not what makes a relationship worthwhile anyway.
[pullquote align=”center”]”It’s not outdated to expect to be attracted to your partner. It’s just possible that it may not be at first sight. We all might want those initial butterflies—but they may come over time.”
—Alisha Powell, PhD, licensed clinical social worker[/pullquote]
“It’s important to remember that everyone has baggage,” says Powell, “and whether it’s from [linkbuilder id=”6741″ text=”past relationships”] or from childhood, it still exists. It’s important to look for ways to grow with your partner and learn how to support each other. Consider where you want to be as a person long-term, and decide if the person you’re with is complementary to your goals and aspirations. Don’t be afraid to have conversations about sensitive topics, and be honest about how you feel without being accusatory.”
Maybe “settling” is the wrong term. Powell says building a healthy relationship simply means taking the time to look past your partner’s faults and to work with them on building your relationship. We’d call that “foundation building.” That sounds nicer, right?
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And before we receive thousands of angry emails, we’d like to make this point clear: Settling certainly doesn’t mean starting a long-term relationship with someone who doesn’t interest you in the slightest. You should have a mutual attraction, even if you never felt a spark during the early days of your courtship.
“It’s not outdated to expect to be attracted to your partner,” Powell says, “It’s just possible that it may not be at first sight. We all might want those initial butterflies—but they may come over time. And you want your partner to also be attracted to you. It’s important to recognize when you are not attracted to someone in any way and [to] not force something that will never happen.”
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With that said, instead of waiting for perfection, learn to look past the occasional flaw. Look for someone who communicates effectively—someone who’s stable, kind, and ready to work with you. That approach helps you build a love that’s far stronger and more rewarding than that first spark of attraction. Real love takes much more work than you’d see in any 90-minute rom-com, and that’s love, actually.

Categories
Conscious Beauty Lifestyle

7 Myths About Makeup That Need To Be Wiped Away

Wearing makeup is a completely personal choice. If you choose to do so, the number of products and styles available can be intimidating.
The good news is that there’s tons of great information and resources out there like YouTube videos, step-by-step articles, makeup forums, and Instagram tutorials.

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The not-so-great news? There are tons of myths and misconceptions out there. What really happens if you sleep in a full face of makeup every night? Is it true that you can ignore expiration dates on your products, especially if you don’t use them that often? And how often do you really need to clean your makeup brushes? Here are seven common myths and misconceptions debunked.

Myth 1: If you’re going to wear makeup, you have to put on a full face of it.

“I’d say the number one misconception people have about makeup is that you need a full face of it,” explains makeup artist Suzy Gerstein. “Let’s say we’re talking about foundation. The most important thing to get right when choosing a foundation is the color match.”

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“Once you match your skin tone exactly, you can apply the product sparingly and only where more coverage is needed. In fact, by letting the areas that don’t need coverage remain bare, you get a more modern, realistic look to your makeup application.”
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Basically, you should wear whatever amount of makeup you are comfortable with. If you only want a couple of dots of concealer on some red spots, great. Excited to get a whole face of makeup on, complete with false lashes? Excellent. But don’t feel like you have to cover your whole face every single time, because you don’t.

Myth 2: Makeup is a “girly thing.”

In reality, people of all genders wear makeup, and there is nothing inherently feminine about it. Men in Hollywood often wear makeup on the red carpet, which Benedict Cumberbatch called “a wonderful thing.” And obviously, actors and actresses wear makeup while filming television shows and movies.
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Brands are also becoming more inclusive to all people who might be interested in makeup. Makeup artist and beauty blogger Manny Gutierrez became the first male Maybelline ambassador in 2017, after Covergirl named makeup artist and model James Charles an ambassador in 2016. More recently, makeup artist Jessica Blackler made headlines after she launched a vegan, cruelty-free, unisex makeup brand called JECCA, with products designed to address the concerns of transgender individuals—for example, covering up facial hair stubble.
“JECCA overlooks gender and celebrates individuality,” Blackler told The Cut. “We’re not a brand that concentrates on just women.”

Myth 3: It’s NBD to fall asleep with your makeup on.

If, on rare occasion, you end up sleeping in makeup after a long night, chances are that nothing bad will happen. Just don’t make it a regular occurrence—at the very least, it could irritate your skin and stain your bedding.

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It could also be worse. A case study published recently by the American Academy of Ophthalmology showed one potentially disastrous outcome. When Theresa Lynch, a 50-year-old housekeeper, complained of irritated, swollen eyes, her doctors discovered that small, calcified deposits of mascara were embedded in her eyelids. The cause? She had worn heavy eye makeup almost every day for 25 years but didn’t remove it properly each night.
“I had fallen into a bad habit of wearing a lot of makeup and not washing it off,” Lynch said in an interview with The Daily Mail. “I should never have let it get this far.”
Lynch was extremely uncomfortable, and the deposits were scratching her eyes, potentially causing a risk to her vision. Her doctors were concerned about potential infections, so Lynch had surgery to remove the deposits and now has permanent scarring inside her eyelids.
https://twitter.com/EmilyHolland24/status/1014739235461423105
This is certainly an extreme case, but it shows that nasty things can happen if you consistently neglect to remove your makeup before bed. Keep makeup remover and cotton balls—or whatever your preferred makeup removal method is—in an easy-to-access place, like near your toothbrush or on your bedside table. Make taking off your products part of your bedtime routine.

Myth 4: There’s only one “right way” to apply makeup.

“Even the same person needs a different approach to her makeup depending on the season, situation, or day,” Gerstein says. “I like to tell clients to step back and look at the whole picture. …And then ask yourself: What do I need today that will make the most impact? Perhaps it’s a quick shot of blush, maybe it’s the curl of your lash, or maybe you want to skip lashes all together and give yourself a little extra help in the brow department. It could also be a statement lip, or perhaps it’s simply a good facial massage with a gorgeous vitamin C serum or facial oil.”

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According to Gerstein, the best part about putting on makeup is playing and experimenting with new things.
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“It’s key to throw out the ‘shoulds’ and the paint-by-numbers charts, and instead look at what is in this moment,” she recommends.

Myth 5: Natural makeup brushes are better.

In reality, so-called “natural” makeup brushes are made with animal hair. Some animal hairs could potentially cause an allergic reaction, and they may be made using cruel practices (though you can buy cruelty-free natural brushes from certain brands). Plus, animal hairs are more porous than synthetic fibers, meaning they absorb more of your product and could host harmful bacteria.
[related article_ids=1005850]

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“A brush made of animal hairs is really bad,” says Jacqueline Schaffer, MD. “We want to use a makeup brush that is cruelty-free and synthetic. These are more gently packed with fine bristles, providing an even tone.”
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Schaffer explains that the hairs in a natural brush can also be uneven, causing an uneven application of makeup.

Myth 6: You don’t need to clean your personal makeup brushes that often if you only use them on yourself.

Cleaning your makeup brushes can be a drag—you don’t want to damage the delicate bristles, and they can take a while to dry, which can be annoying if you want to use the brush later on that same day. According to Schaffer, we should all be cleaning our makeup brushes after every single use. But realistically, she says deep cleaning them once or twice a week is okay, too. Regular brush cleanings will make your brushes last longer. Plus, sticking to clean brushes is good for your skin in the long run.


“You will end up saving money on your skincare products because you won’t have all that bacteria building up on your skin,” she says. “You won’t need to cover up that much because you won’t be the cause of your skin reacting.”
Invest in some brush cleaning wipes, baby shampoo, or special brush shampoo and commit to a regular cleaning schedule. It’s particularly important to clean beauty blenders or similar items after every use because they absorb a lot of product.

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In a similar vein, if you ever get your makeup done professionally, make sure the brushes are clean first. Professional makeup artists know exactly how important this is, so anyone who tries to use dirty brushes may be inexperienced.

Myth 7: You can ignore makeup expiration dates.

Yes, I hate to break it to you, but makeup expires—and it’s very important to pay attention to that. Firstly, the consistency of the products will change over time which can make them less effective. But more importantly, old makeup can harbor bacteria which could irritate your skin and eyes.

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“Look at when you bought your mascara,” Schaffer advises. “Past the four-month marker, it can build up bacteria and cause serious damage. The mascara is more likely to be clumpy, so it will weigh down your lashes, and they will fall off faster. It can also make you look older.”
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Generally speaking, Schaffer says, “If you use makeup that is too old, you’re going to ruin your skin.” So go through your makeup collection and toss anything that’s expired, pronto.

Ultimately, makeup means different things to different people.

For some, it’s an art form. Others use it to feel more confident or incorporate it into their daily routines. Some wear it as part of their professional uniform, and others love nothing more than playing with fun looks for a night out. And of course, some people opt not to wear makeup at all.

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Many so-called makeup “rules” are stylistic, and you should feel free to ignore them—who cares if a green eyeshadow doesn’t “fit” with your skin tone?—but other guidelines are expert-backed, and they are definitely worth following.
So always be sure to clean your brushes, follow expiration dates, and wipe off your makeup before you go to bed. Everything else is up to you.

Categories
Mindful Parenting Motherhood

The Problem With YouTube: Protecting Kids From A Bizarre, Dangerous Trend

Parents, we need to talk about YouTube.
With over a billion users, YouTube’s audience includes nearly one-third of all of the people on the internet. By any measure, the site’s an excellent entertainment resource—for adults.
For kids, it’s problematic. We’re not talking about mature videos, intended for adults, that children might accidentally stumble onto while looking for something to watch; we’re talking about disturbing, shocking videos purposely created for children. Some of those videos are capable of traumatizing children, and if you allow your kids to browse the site unsupervised, you’re taking a significant risk.

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Here’s a basic overview of the problem: YouTube uses various algorithms to match search terms to appropriate videos. Type in a search term like, “how to cut a dog’s hair,” and the site will provide you with a list of (relatively) high-quality instructional videos; if one of those videos is subpar, poor user ratings will eventually drive that clip from the search results.
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While YouTube (and Google, which owns YouTube) keeps its search algorithm factors a secret, we know that likes, dislikes, video length, and exact-match keywords play a significant role. That last point is crucial: If a video matches the exact keywords you type into the search bar, it’ll have a better chance of showing up on your search results.

For the most part, the system works great—for adults.

Children, however, don’t know how to search for content like adults.
When younger kids look for videos on YouTube, they’re often typing in a few simple keywords and clicking on the first interesting clip that comes up. They don’t know how to like or dislike videos, and they don’t mind sitting through longer content.
They also don’t recognize video titles that flagrantly take advantage of YouTube’s search algorithm. That makes them easy prey for content creators.

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For instance, if an adult searches “how to cut a dog’s hair” and finds a video titled, “cut dog hair how to cut dog hair cut golden retriever hair dog barber,” the adult will probably recognize that the video is trying to trick people into clicking; a toddler wouldn’t draw the same conclusion.
That brings us to the problem. YouTube’s algorithm currently rewards videos that steal copyrighted characters, use crass titles, and contain shocking content. If the clips keep young kids clicking, they’re valuable—regardless of whether the content itself is harmful.
Take a look at this clip:
https://youtu.be/lfwxfQoobiA
Titled, “Disney Pixar Coco 2 Miguel Hector Wrong Heads Finger family Nursery Rhymes song,” it’s a relatively harmless (if slightly disturbing) example of the problem. It’s clearly designed for extremely young viewers, and at over 10 minutes long, it has probably made some decent money for its creator (the YouTube channel Super Story).
With that said, it steals copyrighted content and purposely exploits YouTube’s algorithm to do so.
That video we linked currently has more than 3.6 million views. Super Story has dozens of similar videos, most of which have tens of thousands of views.
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Another video (which we won’t link here and have reported to YouTube) has a similarly exploitative title, but with a lewd keyword hashtag. It contains violent, bizarre content, including Mickey Mouse fighting while dressed up as various Marvel superheroes. It’s over 35 minutes long.
While these examples are strange, we’re just scratching the surface. Other clips include explicit sexual content, bad language, and depictions of violent acts. We’re not linking those videos for obvious reasons.
https://www.youtube.com/watch?v=7Eh8WQfwDnk
Unfortunately, they’re fairly easy to find, and thanks to YouTube’s current algorithm, they’re extremely profitable for content creators. For a much more detailed look at the content algorithm issues, check out this excellent piece from James Bridle of Medium.

YouTube claims to have taken steps to curb the problem.

In August 2017, the site said it wouldn’t allow creators to make money from videos that “made inappropriate use of family-friendly characters,” and three months later, YouTube announced stricter controls for videos aimed at young children. The company claimed the new controls had been in development for some time and said that they were not introduced in response to widespread media coverage.

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However, the problem hasn’t disappeared. While researching this article, we easily found over a dozen disturbing videos that were clearly marketed toward young children. Some of the videos were over a year old. Some had millions of views.
We reported the offensive links to YouTube, and will not link to those clips in this article, but parents who want to understand the extent of the issue can do so by adding a few offensive terms to kid-friendly search strings (for instance, “finger family,” or “nursery rhymes”).
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This isn’t to say that YouTube isn’t taking action, but thousands of videos exist, and they don’t disappear from search results after they’re de-monetized. While YouTube’s strategy could eventually curb the problem, it relies on volunteer moderators and adults who can flag offensive videos before kids get a chance to see them.
For parents, that’s not good enough.

To keep your kids safe, here’s what you need to do.

The obvious answer is to prevent kids from using YouTube and to thoroughly monitor screen time until kids are old enough to understand how to use the website responsibly.
[pullquote align=”center”]”If parents decide to [use parental controls], it is okay to discuss with the child why these steps are being taken. Kids need to know there are dangers online parents are responsible for preventing.”
—Támara Hill, licensed child and adolescent therapist[/pullquote]
Practically, that’s something many parents have trouble with; children can become remarkably tech-savvy, as any mom who’s ever given her 4-year-old an iPad has quickly learned. Still, creating limits is absolutely crucial to ensuring your child’s developmental health.

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“Children having unlimited access to the World Wide Web is like having your front door open to your home, and YouTube can be a highway to the danger zone,” says Gretchen Campbell, a licensed professional counselor specializing in parent-child relationships (and, apparently, metaphors).
Campbell recommends restricting access to YouTube on any computers, tablets, smartphones, and other devices preteen children use.
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“YouTube offers an option to apply a ‘restricted mode’ and lock its settings,” she notes. “This feature attempts to prohibit your child from viewing material that has been marked as inappropriate by the YouTube community. This, however, is not a guarantee that your child won’t be exposed to content that you don’t approve of, but it is an additional step that parents can take.”
YouTube also offers YouTube Kids, a mobile app designed to make browsing safer for children. It gives parents easier access to controls, but YouTube admits that it’s a work in progress.
“We use a mix of filters, user feedback and human reviewers to keep the videos in YouTube Kids family friendly,” the company says on its app’s website. “But no system is perfect and inappropriate videos can slip through, so we’re constantly working to improve our safeguards and offer more features to help parents create the right experience for their families.”

More importantly, parents should establish clear limits to electronic time for preteens.

“Set a time where [your child] can utilize their devices, preferably a time where the parent is available to check in on what they’re doing,” Campbell says. “Establish ground rules … Kids know when they’re viewing something that their parent wouldn’t approve of and will always test the limits when given the opportunity.”

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Campbell recommends establishing clear consequences for broken rules, noting those consequences should be directly related to screen time. That helps establish the connection between the bad habits and the consequence. For instance, if kids watch a video without telling the parent, the parent might take away screen time for a day or week.
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To make sure younger kids don’t stray into dangerous parts of the web, parents should check browser histories and use mobile apps designed to limit access.
“Parents can monitor a child’s access to inappropriate material by downloading apps such as  Screen Time Parental Control,” says Támara Hill, a licensed child and adolescent therapist specializing in trauma. “These apps make it possible for parents to monitor and locate content on iPads and cellphones.”
Again, these apps aren’t completely foolproof, but they can serve as an additional deterrent.
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“If parents decide to do this, it is okay to discuss with the child why these steps are being taken,” Hill adds. “Kids need to know there are dangers online parents are responsible for preventing.”

Another crucial tip: Don’t wait to establish guidelines.

If kids are old enough to use a smartphone or tablet, they’re old enough to follow the rules.
[pullquote align=”center”]”If you don’t allow kids to educate you to their social media worlds, how can we prevent the dangers of it? We can’t.”
—Gretchen Campbell, licensed professional counselor[/pullquote]
“It’s important that parents practice setting parameters around all social media as soon as possible so that kids will understand the consequences of accessing inappropriate materials online,” Hill says.

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Finally, realize that your child can help you identify (and avoid) questionable material. Keep communicating, and ask what they enjoy watching. Watch the occasional video with your child, and, if necessary, guide them toward higher-quality content from established brands (for example, Disney operates several YouTube channels, which are carefully curated for audiences of all ages).
“When I meet with families struggling with managing their child’s social media access, especially YouTube access, I often encourage them to let their children educate them to the YouTube influencers they are following and the types of videos they find funny or interesting,” Campbell says.
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“I have had many sessions with kids where the majority of our conversation is about YouTube influencers and why they are interesting. During these conversations, I have learned of inappropriate and disturbing content that needed to be discussed in the open. If you don’t allow kids to educate you to their social media worlds, how can we prevent the dangers of it? We can’t.”

Categories
Wellbeing

Understanding And Overcoming Emotional Trauma

While it’s tempting to think of emotional trauma as something that affects a small, unfortunate subset of the population, it’s an inaccurate assumption. In fact, this dismissal is part of the problem. There is a stigma associated with those suffering from trauma and post-traumatic stress disorder (PTSD) that impedes their recovery, allowing shame and victim-blaming to diminish their experiences.

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Perhaps if we recognized how common trauma is, we would be less afraid to discuss it. The statistics are sobering: According to the U.S. Department of Veteran Affairs, “Approximately 70 percent to 90 percent of adults aged 65 and up [living in the U.S.] have been exposed to at least one potentially traumatic event during their lifetime.”
Adults aren’t alone in this regard—a 2011/2012 survey from the Data Resource Center for Child and Adolescent Health said nearly 35 million U.S. children aged 17 years and younger have experienced trauma in some form.
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Given the majority of us have experienced a traumatic event, we must also realize that keeping it a secret, ignoring it, or trying to marginalize it only makes things worse. To move past it, or to at least keep it under control, there are plenty of treatment options, many of which we’ll discuss here.
So, let’s explore the different types of trauma and how they can be treated, along with the stories of people like Kristin Rivas, state-certified counselor and hypnotherapist, who not only confronted and triumphed over her own personal traumatic experience, but now dedicates her life to helping others in similar situations.
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“Since my recovery, I’ve been committed to paying my health and healing forward,” she says, “by empowering others when I’m counseling or speaking, teaching mental health practices that I’m sure would have prevented my quarter-life crisis, as they say.”

Types of Emotional Trauma

Before you can treat emotional trauma, you need to identify what type you’re experiencing, as there are a variety of issues that can contribute to the condition.
While trauma can come from a variety of factors, the most common causes are abuse or assault—be it physical or emotional—from isolated events with strangers or from family, friends, and romantic partners.

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In addition, experiencing a serious accident, surgery, or illness, witnessing a natural or man-made catastrophic event or tragedy (including military incidents), or grieving the loss of a loved one can cause trauma. Even history can lead to trauma, negatively impacting an entire community. This includes experiences like systemic racism, which can be transmitted across multiple generations.
Neglect is another contributing factor, according to Anahid Lisa Derbabian, licensed professional counselor. It’s particularly devastating to children.
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“Emotional trauma comes in so many shapes, sizes, and situations. A subtle way may be when a mother is stressed and does not give her child the emotional availability, sensitivity, or compassion that she deserves, which leaves her feeling less than,” she says.
“It occurs when a busy father returns home, only to watch TV or get on the internet instead of to give his lonely son the time and attention that he longs for, which leads to him growing into a man who always is longing for something or someone.”

The Symptoms of Trauma

Now that we know some causes of trauma, the next step is to identify how they manifest, as symptoms can vary widely from person to person. The University of New England has even produced a trauma checklist to help identify symptoms for those wondering if they should seek treatment.
“Trauma manifests in many ways, including nightmares, easy startle response, increased anxiety, and fear,” says Scott Dehorty, LCSW-C, a licensed social worker and executive director of Maryland House Detox at Delphi Behavioral Health. It can often be distinguished by shock, denial, confusion, irritability, and depression.

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A sense of isolation is also common. The shame many survivors feel causes them to withdraw from activities with others. “[This can also lead to an] inability to form close relationships,” Dehorty says.
Karen Carlucci, licensed clinical social worker, who not only treats trauma, but also dealt with it firsthand after the passing of her fiancé in 2001, says during her recovery, “[I often felt] like a foreigner in my own life. Nothing made sense. I was lost. …[I had] the sense that I was waiting to wake up from a bad dream. …I was uncomfortable no matter what I did and felt alone no matter who I was with.”
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That last sentence marks an important distinction, as trauma symptoms aren’t strictly psychological. They can be physical as well, often presenting as fatigue, racing heartbeat, headaches, muscle aches and tension, dizziness, insomnia, and flashbacks.
These symptoms can also be present in PTSD, the most extreme response to trauma. People can experience PTSD for months or years after the initial traumatic event took place.
This was the case for Rivas who, in addition to surviving assault, struggled with the loss of her sister during college. “I had repressed my emotions … when I was a freshman in college and became as busy as possible, working part-time while going to school full time and committing to a bunch of extracurricular activities. …But suddenly, one day, my health fell apart.”
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Rivas exhibited a less-discussed symptom of trauma known as conversion disorder (aka functional neurological disorder), which can cause numbness, blindness, or paralysis.
In Rivas’ case, she experienced non-epileptic seizures up to nine times a day, forcing her to use a wheelchair and wear a helmet for her safety.
While less-known to the public, a 2017 study showed a strong correlation between conversion disorder and childhood trauma: Between 50 and 55 percent of respondents named a stress factor as a trigger.

How Women Experience Trauma

While gender doesn’t determine who can experience trauma, women are more at risk. Rivas has seen this firsthand. “My practice is made up of approximately 60 percent women and 40 percent men,” she says. “I tend to do way more trauma clearing with my female clients, even if they came to see me for a seemingly unrelated issue such as weight loss or goal achievement. The traumas also tend to be more intense, and they tend to experience more consecutive traumas.”

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According to a 2017 study from the European Journal of Psychotraumatology, “The lifetime prevalence of PTSD is about 10–12 percent in women and 5–6 percent in men.”
Rivas agrees: “Women have a higher risk of developing PTSD than men do, with a woman’s risk being around two to three times higher than a man’s. …Women, in general, are more exposed to trauma from a younger age than men.”
Hesitation to seek help can often worsen trauma symptoms in women. “Survivors often wait years to receive help, while others never receive treatment at all,” wrote the American Psychological Association on their website. This can eventually lead to a cumulative effect of mental and physical health implications.
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“In regard to the disorders I used to suffer from, I’m aware of much higher rates in women versus men,” Rivas says. “Within their lifetime, women are twice as likely to suffer from somatic symptoms and conditions such as fibromyalgia, chronic fatigue, IBS, and functional neurological disorder.”

Options for Trauma Therapy

While dealing with trauma can feel overwhelming and hopeless, there are a variety of treatments to help conquer or manage symptoms. But Dehorty says the first step is acknowledging you need help: “The most important aspect to recovering from trauma is a willingness to get better. …It is also important to accept help from others, including loved ones. Trauma therapy is a specialized practice, and one should only seek treatment from a trained professional.”

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Derbabian stresses the importance of listening to trauma survivors. “[Give them] the necessary time and space to share,” she says. “…Do not talk at or lecture to them. Help them to ground themselves in the present if they are living in past hurts and guide them to a therapist.”
Examples of trauma treatments include pharmacotherapy, which uses medications to manage symptoms, exposure therapy, which has the subject confront the source of their trauma in a controlled environment, and group therapy. “[Group therapy is] powerful in providing the opportunity to relate and share in a certain type of suffering which can empower participants to face what they have endured and overcome its debilitating effects,” says Carlucci.
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Other recognized treatments include trauma-focused cognitive behavioral therapy, which is primarily targeted at helping children suffering from trauma and PTSD, and hypnotherapy, which uses hypnosis and suggestion to improve patients’ mental state—Rivas uses hypnotherapy in her own practice.
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She also endorses biocognitive therapy. “[Biocognitive therapy] addresses the impact of cultural paradigms and the traumas or fears of being shamed, abandoned, betrayed, and rejected during your developmental years as it relates to your health and behaviors,” she says.

Write your own recovery.

In addition to seeking out therapy, those trying to recover from trauma can find relief in a variety of other methods. “Mindfulness, meditation, and yoga,” Dehorty says, “have been shown effective with healing trauma.” Even opening yourself to fun activities and experiencing (or creating) music can prove therapeutic.
Writing is another powerful tool to heal from trauma. Alex Harkola, who suffered from a severe childhood trauma, found it so helpful for his own recovery that he created Novni, which he describes as “an online writing and support platform for better mental health.” Now one of the top-ranked anonymous platforms for mental health support, Novni boasts users and participants from dozens of countries.

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“There is great power in getting all the messy thoughts out of your head and into words,” Harkola says. “Throw all care for proper grammar to the side, and write your heart out. Don’t just take my word for it. There are proven therapeutic health benefits from writing, and, at the very least, it should help you de-stress. If you’re carrying an untold story within you, especially as it relates to some sort of emotional trauma you experienced, writing can help.”
This can also be helpful in creating a dialogue with others, he says: “Talking about your trauma to friends or family can be daunting at first. Think of writing as a test-run to help you visualize your thoughts first until you are comfortable enough to open up to someone you trust. The more you tell your story, the easier it becomes to process and eventually overcome.”
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In addition to writing, Harkola adds that one of the most important ways to overcome trauma is through forgiveness: “Being able to forgive the person that caused you the emotional trauma might be the most important thing you can do of all. …As long as you continue to allow the emotional and/or physical damage to consume your life, the person who caused you this harm will have power over you and hold you back from living your highest life. Forgiveness is for you to regain your power, free your hardened heart, and mentally accept the fact that the past cannot be undone.”
And one of the most important people to forgive for your trauma is yourself. It’s not your fault, and making peace with yourself can help with the journey ahead. For Rivas, accepting and surviving her trauma has inspired her to share her story.
“My greatest goal is to empower more people,” she says, “especially youth, professionals, and parents, with greater understanding and skills for their own mental health and well-being.”

Categories
Healthy Pregnancy Motherhood

The Realities Of Vanishing Twin Syndrome

You may have heard of vanishing twin syndrome—where one twin is absorbed by the other in the uterus during pregnancy—in the media over the past few years. One particularly stark example comes from the HuffPost story about a 2-year-old boy from China who “gave birth” through his abdominal cavity to his twin brother’s fetus.
What you probably didn’t know, however, is that the syndrome, while not as extreme as the story mentioned above, is more common than you might think.

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According to Kimberly Martin, MD, senior global medical director of women’s health for Natera, an estimated one in three to one in five pregnancies that start as twins result in the birth of only one baby. One study even indicated that it occurs in up to 21 to 30 percent of multifetal gestations.
But despite the fact that this phenomenon is hardly new, many of us aren’t familiar with the signs, symptoms, and effects it can cause the mother and remaining twin. We spoke with experts and women who have gone through this experience: Here is what they had to say.

Once there were two.

“My mom is an OB-GYN labor and delivery nurse, so when she found out that she was pregnant with me, she had ultrasounds done fast and frequently—that’s how she saw there were two babies,” says Erin (whose name has been changed to protect her privacy), 35, of Oswego, Illinois. “Then suddenly, there was only me.”

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For as long as she can remember, Erin has known she was missing her other half. “It was kind of a running joke among my friends that I ‘ate my twin,’ since it was absorbed.”
While she’s never experienced any physical effects from being a solo twin, she often speculates about how things could have ended up differently: “What if I was the one who withered away instead of the other child? Would [they] have made my parents’ lives easier than I have? What if that baby was supposed to live and I was supposed to die?”
All of these what ifs, Erin admits, “kind of [mess] with your head from time to time.”

Where does the term “vanishing twin syndrome” come from?

The term was initially recognized by Walter Stoeckel in 1945, before the days of ultrasound, when women and their doctors never even knew something had happened. But the syndrome has since gained more traction, as the use of ultrasonography in [linkbuilder id=”6720″ text=”early pregnancy”] has led to more frequent diagnoses.

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“The great technology we have that allows us to closely monitor our pregnancies is both a blessing and a curse because we are aware of so many more things,” says Erin O’Toole, a board-certified prenatal genetic counselor.
She explains that a vanishing twin is essentially a miscarriage of one baby in a twin pregnancy (spontaneous or IVF). “When these miscarriages happen early enough, the demised baby will ‘dissolve’ and be reabsorbed into the mother, making it look like the baby simply vanished.”
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The difference here, according to Martin, is that unlike most miscarriages, where the pregnancy is passed through the birth canal, in vanishing twin syndrome, it happens on the inside.

What are the causes of vanishing twin syndrome?

Approximately 15 percent of all clinically recognized pregnancies end in miscarriage, says O’Toole. A vanishing twin is unique, however, because there is still another baby. “For most miscarriages, we never know the reason why, but over 50 percent of pregnancies that miscarry have a chromosomal abnormality,” she tells HealthyWay. Some studies also point to improper cord implantation as playing a role.

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Finding out the specific reasons for vanishing twin syndrome, however, isn’t so straightforward, as it’s difficult to test.
“Depending on how early the loss of the twin was, tissue from the demised twin is often not identifiable at delivery,” O’Toole explains.
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However, she’s quick to point out that in these pregnancies, the DNA of the demised twin will still contribute to the DNA from the pregnancy in the mother’s blood. “One time, I had a patient with a vanished twin whose blood test identified Y chromosome. Her living baby was actually female, but the vanished twin must have been male.”

What are the signs to look for?

Bleeding can be a sign of a vanishing twin, says Martin, but because it’s common for 20 percent of women to experience light bleeding in the first trimester, the condition can be hard to detect from this sign alone.
Some women can experience classic miscarriage signs like cramping, bleeding, or pelvic pain—but these signs do not necessarily equate a miscarriage. Others may have no symptoms at all and will only learn of their condition by ultrasound.

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For 50-year-old mother Jamie (whose name has been changed for her privacy) of New Jersey, bleeding at seven weeks was the first sign something wasn’t right. At the time, she had been receiving infertility treatment and recalls watching the ultrasound monitor with her fertility doctor—yet they couldn’t make out what they were seeing. While one twin was clearly visible, the other was murky, she recalls. Was it just a sac? A cyst?
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“We weren’t sure until we went to the OB-GYN for my 12-week appointment, and she clearly told me,” she says.
[pullquote align=”center”]“Getting pregnant can be difficult for some couples, and the let down of losing a child, even though you are still pregnant with one, is very real and doesn’t diminish the loss of that child.”
—Kristen N. Burris on vanishing twin syndrome[/pullquote]
Jamie’s experience is similar to other women who go through fertility treatment, says Martin, as they tend to have ultrasounds more frequently in the first few weeks of their pregnancy. However, she points out that this isn’t the case for women who aren’t going in for fertility treatment, as most won’t have an ultrasound until later in the first trimester.
“So it could happen, and no one would ever know,” she says.

How is it treated?

Finding out about the syndrome often leads to the next question—what treatments are available? According to O’Toole, since the discovery is incidental, most of the time there is no treatment for a vanishing twin, and the mother will continue to carry both babies.
Denise (who asked to remain anonymous), a 34-year-old mom from Chicago, can still recall the panic she experienced eight weeks into her first pregnancy. “I went to the bathroom and saw blood. I thought I was miscarrying,” she remembers, “I thought it was done.”
“We’d had no trouble getting pregnant, and so maybe this was our heartbreak,” she adds.

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When Denise later met with her doctor, she was surprised to discover that the ultrasound had revealed the presence of not one, but two amniotic sacs. The doctor explained that while one held a heartbeat, the other did not. “They suspected the bleeding was from the one who wasn’t going to make it.”
According to Medscape, uncomplicated vanishing twin syndrome requires no special medical care, but the pregnancy should continue to be closely monitored.
Studies have shown that the timing of this loss can significantly alter the outcome for both the mother and viable twin. If it occurs in the first trimester, for example, neither mother nor remaining fetus will typically show any signs or symptoms.
Should the loss happen during the second or third trimester, however, the fetus could be at greater risk of developing cerebral palsy or aplasia cutis. It can also pose complications for the mother in the way of potential infection or preterm labor.
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O’Toole says that many women who have experienced a miscarriage of a singleton or had a vanishing twin pregnancy are often concerned about their risk of experiencing another in the future. However, she urges women to keep in mind that miscarriages are common, and having one or two losses is no reason to worry.
[pullquote align=”center”]I would want other mamas to know that I had, and you can have, a perfectly healthy pregnancy after [losing one twin in the womb].[/pullquote]
“Most healthcare providers define recurrent pregnancy loss as experiencing three or more miscarriages,” she says, as that is typically when a medical investigation occurs to explain why the miscarriages are happening. Research by Holly Ford, MD, and Danny Schust, MD, estimated that the rate of women who do experience recurrent miscarriages is one to two percent.

How is the mother affected?

Even though there is little cause for concern for a recurrence of a vanishing twin, the grief response of losing one can be quite deep.
“It’s still a miscarriage, just not in the way we think of miscarriage,” explains Kristen N. Burris, a licensed acupuncturist who treats women for ailments during pregnancy. She says it often happens quickly, from the joy of finding out you’re expecting twins to the devastation of finding out one of the twins has not made it.

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These highs and lows are hard to take, Burris says. The accompanied terror that ensues about something bad happening to the other child is hard to shake.
“Getting pregnant can be difficult for some couples,” she observes, “and the let down of losing a child, even though you are still pregnant with one, is very real and doesn’t diminish the loss of that child.”
And the further along in a pregnancy, the more attached a couple can become—causing the loss to be that much more difficult.
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Martin, who has given this diagnosis to patients many times over the course of 20 years, is adamant that healthcare providers become more aware of these conflicting emotions and offer greater understanding and support.
“This situation can be particularly challenging because there is joy related to the anticipated birth of one child, but a sense of loss about the other,” she says.
But just as each pregnancy varies from patient to patient, the same can be said of each reaction.
“Certainly for some women, it is a very sad moment,” says Robert O. Atlas, MD, chair of the Department of Obstetrics and Gynecology at Mercy Medical Center in Baltimore. “For others, it’s a big relief due to the stress which a mother may feel. It really depends on the individual—how they will respond to this finding.”
In many cases, the amount of trauma relates to how soon in the pregnancy a mother receives her diagnosis. For Denise, receiving hers early helped her cope with the news.
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“I was just so happy I wasn’t losing the pregnancy that it really wasn’t emotionally that hard on me,” she recalls. “I remember thinking ‘I thought there was one baby, and you’re telling me there’s one baby? I’m good.’”
While Denise was grateful she wasn’t losing the pregnancy, she notes the following visit was somewhat tougher to process.
Yet, despite her initial experience, she doesn’t feel that her diagnosis has produced any long-term emotional consequences. She has since gone on to carry two full-term pregnancies with no related complications. “I would want other mamas to know that I had, and you can have, a perfectly healthy pregnancy after.”

What about the remaining twin?

In vanishing twin syndrome, many questions arise: Does a surviving twin have a prenatal memory of death? Do they experience any symptoms afterward or feel an inexplicable connection to their sibling?
Psychologists have long theorized about the lasting effects of sole surviving twins, yet the intricacy and nature of these bonds are still a gray area within science. Martin says the possible mental effects of the surviving twin remain unknown.

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“We are not sure if this has ever been studied,” she says. But, as David Cohen of The Independent put it, this “certainly does not mean that such a bond doesn’t exist.”
While more research is needed to measure these effects, one thing remains clear: The absence of one twin can fill the other with a persistent feeling that something is missing.

And then there was one.

“Would we be best friends? Mortal enemies? Would my sibling look like me?” Erin asks. She says the news of her twin didn’t necessarily affect her when she found out, but she adds, “It just made me kind of wish for someone and something that will never be.”
“I recently had a miscarriage of my own at 12 weeks and got to bond with my mother over the fact that she lost a baby, too—no matter how small that child was when it passed.”

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Despite many years of longing for answers, Erin has made peace with the fact that some things can’t be neatly explained, nor should they be. She wants other women to know that.
“Some babies are healthy, and some babies are not,” she says. “Sometimes, things just aren’t meant to be, and we have to deal with the consequences of that.”