Thursday, June 24, 2021

H.A.L.T: Avoiding Self Care Red Flags

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The Growing Through Grief series

As a young woman driving cross country homeward after a breakup, I'd touch base with my dad, in the evenings. There were no mobile phones, so I'd call him from the motel room telephone. It was a grim, lonely trip but one of the most important things my dad told me was to eat. "Don't skip meals, Deb; keep your strength up."

The 'strength' that comes from regular, complete nutrition cannot be overstated. In the infographic, 10 Reasons Doctors Talk About The Need For Good Nutrition & Diets, four of the ten points emphasize improved wellbeing, mood, focus and energy. When nutrition is shoddy or spotty, your personal house of cards can quickly spiral into depression, confusion, inertia and health complications. 

Despite the stress, it is important to push past all tendencies to avoid food ("I don't feel like eating" or "I've always had a small appetite"). Postponing meals and snacks ("I'm too busy to eat.") must also be counteracted. Many grieving people experience weight shifts, up or down; monitor this and consult your doctor if it goes beyond a 5-10 pound change.

Keep your battery charged

In general, coping with any stress--pandemic isolation, job or financial pressures, relationship challenges, and grief-- requires remarkable inner strength, physical stamina, and a fully charged “mental battery.” Self help writers long ago coined an acronym to assess one’s mental battery strength:  HALT. It stands for Hungry. Angry. Lonely. Tired. and feeling any one of those is a red flag needing immediate care. I am spending more time talking about nutrition (the H of HALT) because it can support and regulate so many functions of the body, brain, and mood.

H.A.L.T.

Hungry. 

Strong emotions can drive out an appetite and stress affects easy digestion, so I
would suggest sitting quietly for five to ten minutes before eating. Calm yourself by stroking your pet, listening to soft music, walking in your yard, breathing mindfully. Your brain needs fuel and choosing ‘high octane’ nutritious foods over sugary or packaged snacks is vital. Make every food choice count: high quality protein, complex carbs, fresh dark green veggies. AVOID alcohol and sugar.  Another tip for low appetite is to eat a small portion morning, midday, and late afternoon. ‘Bedtime snack’ is not a dirty word, either.

Angry.  

Anger can be a natural response to dramatic change and pain. Every cell of our being wants to react to it or run from it. You know your triggers, so choose exposure carefully. Then, know how to calm down:  call a friend or counselor, open a good book, say a prayer, find something to laugh about, listen to music, hug your pet, and my favorite: go outside for some fresh air.

Lonely.  

With CDC guidelines relaxed or cancelled as the U.S. pandemic and vaccinations stabilize, emerging from isolation is a process. For many, the experience was emotionally or financially devastating. Grieving also triggers powerful moments of loneliness. The set of HALT red flags includes loneliness because it is not just a state of mind or a poorly managed mood. It can seriously affect mental and physical health! Reach out: make phone calls to friends, family, your hospice social worker or clergy. Arrange a visit with someone. If you feel your options are narrow, just go out to a store for a break in the ache of feeling alone. 

Tired.  

A lot of things can make us tired: poor sleep, meds, stress and emotional spikes. Grief--especially the early period (which may vary by individual)--can upend your circadian rhythms, trigger fears, worries and obsessive thoughts, which seem to spike in the dark! Rest: where, when, and how you can, and shutting your eyes on the couch or recliner counts. Ask your health care provider for suggestions.

The role of a caring friend

If you are the friend of someone struggling with a loss, gently ask from time to time about the HALT aspects of self care. Bringing nutritious prepared food or taking the grieving person out for a meal can be very helpful. Offering your quiet companionship or assistance in the home may allow the person to relax and nap. Make the call, send the text: being present and open to simply listen is a huge support. 

Thank you for caring!

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