Meet Our Partners & Friends in the Fight Against Cancer ft. Biju Poulose, MD

Featuring:
Biju Poulose, MD
Michigan Behavioral Medicine
2525 Crooks Road, Suite 100
Troy, MI 48084
https://www.michigantms.com
248-731-7305

Dr. Biju Poulose began his medical training in India and completed his residency in psychiatry at St. Mary Mercy Hospital in Michigan. He is boarded with the American Board of Psychiatry & Neurology and practices with Michigan Behavioral Medicine. He fell in love with psychiatry in medical school. Drawn to its holistic approach and the opportunity to practice empathy, he sees a diverse group of patients including cancer patients and their caregivers.

Cancer can hold so much meaning for patients depending on their unique circumstances. Not only can challenges like anxiety, depression, or panic arise, but cancer can also have physiological impacts on brain chemistry, mood, and sleep. Both patients and their families can benefit from mental health support,” states Dr. Poulose.

Here at Associates of Integrative Medicine, we have masters level counselors who are specialists in anxiety, grief, and depression associated with cancer. But patients may wonder, when should I seek out psychiatric help.

Usually, it’s when we need pharmacological support, but Dr. Poulose cautions that there is a difference between a normal reaction to an abnormal situation, and something more complex and unmanageable. He adds, “Panic, anxiety, and fearfulness are all normal emotions. Providers should be comfortable accepting those normal emotions rather than labeling them as depression. However, chronic changes in sleep, appetite, or sense of pleasure may be indicative of something deeper.

Sometimes when we are in the middle of the fight, or even after, recovering and concerned about the risk of recurrence, we forget about the role stress can play in creating an environment in which disease flourishes. Dr. Poulose agrees, “Any and every means of de-stressing is a good one—whether it’s friends, exercise, good food, indulging in hobbies, sleep, music, or arts. Even stealing 15 minutes of quiet time, where your brain and body are not in constant chatter, can be very beneficial. Oftentimes, our minds can be compared to a car that is braked, but whose engine is constantly engaged. Mindfulness techniques are a great way to put the “car” of our mind in neutral. One of my favorite mindfulness experts is Dr. Ajahn Brahm, an Australian Buddhist monk, whose guided meditation you can check out here at the Buddhist Society of Western Australia:
https://bswa.org/”

Dr. Poulose shares our concerns about how problematic unmanaged stress can be. “Chronic stress is the real villain - whether it’s psychological, physical, or financial problems. These changes in the brain can lead to changes within the nervous system.” This underlies our emphasis on a holistic approach to survivorship. Staying open to the many ways we approach stress management can be a powerful tool in not just surviving, but thriving.


Interview taken by Raveena Mata, Medical Intern.

A Letter from Our Therapist

Dearest Mothers and Fathers,

“Now is not the time to simply tighten our bootstraps and power through...

avoiding anxiety actually fuels it to grow and keeps us from moving forward in our lives.”

As the new school year continues to unfold, I can’t help but think of all the parents out there working tirelessly to keep the peace amidst chaotic changes. We knew parenthood would be challenging, to say the least, but we never anticipated the extent of that challenge as we face it today. 

School is now at home, there’s a global health crisis, many societal changes, a financial crisis, and tons of uncertainty… Through all of this, our children need us more than ever, and yet our schedules and our emotions have us spread so thin it can be difficult to help ourselves, let alone anyone else.  

I know what you may be thinking; “I’m actually going to lose my mind. What is wrong with me?” Trust me, you are not alone in thinking this way. 

For some of us, anxiety is an altogether new and scary experience; for others, anxiety is like an old acquaintance you wish would stop showing up at your doorstep. Whether anxiety is new to you or simply different today than ever before, you may be wondering how to manage it. 

First, I want to stress that it’s actually entirely normal to be feeling anxious right now. Anxiety is the result of a complex alert system in our bodies that is actually designed to help us. It says “Hey, you! There’s a threat!” to which our bodies can respond by fighting or flying. 

Sometimes the threat is real, like an angry bear charging down the path on your hike, and sometimes it’s imagined, like the criticism we fear facing from other parents if we post that picture of our child eating cookies for breakfast (even though he looks so adorable). 

Right now, our alarm system is alerting us left and right, but there is nowhere we can fly and nothing tangible to fight. So, what does anxiety do? It courses through our bodies again, and again, and again, unless we step in to change it. It can show up as frustration, as tension in our muscles, as a racing heart or tormented thinking. It can leave us feeling helpless.

“What can I do about it?” you may ask, “If I ignore it, won’t it just go away?”

Well, you can’t ignore anxiety. Feelings don’t respond well to people trying to fix them. Now is not the time to simply tighten our bootstraps and power through, no matter how much we may want to. In reality, avoiding anxiety actually fuels it to grow and keeps us from moving forward in our lives. 

Despite what our anxious thoughts may tell us, there is actually a lot we can do to embrace our emotions and make them manageable. Knowing this, I want to share some tips to help us feel more in control of our lives and prepared to face whatever new challenges may arise.

Make time for yourself. 

I don’t mean just bubble baths and pedicures (although Lord knows we all would love that right about now) rather time dedicated purely to your needs. I know how challenging this can be with the whole family cooped up under one roof, but intentionally carving out time for yourself is still possible. 

For example, my fiancé and I made a pact that, once the kids are asleep in the evening, we each take 30 minutes to do something entirely for ourselves before we dive into Netflix or collapse into bed. Let me tell you, a measly 30 minutes a day has made an immense amount of difference. By dedicating even a small chunk of time, you can keep yourself and your health a priority in your life. 

Encourage independence in your kids.

Right now, our school-aged (and younger) children are lacking opportunities to interact with anyone outside of their immediate families. At first glance, it may seem wonderful to spend so much more time with our kids than ever, but there are downsides to this new reality as well. 

Children need space to learn, grow, and become self-sufficient. When Mom and Dad are suddenly also Teacher, Friend, and Disciplinarian, the boundaries between us and our children start to blur and kids can easily begin to regress. It’s important to foster independent actions in our children whenever it is safely and responsibly possible. Yes, they’ll likely need your help navigating this virtual education system in place today, but that doesn’t mean we can (or should) spend every waking moment together. 

Let them run around the back yard, even if they’ll be filthy when they come inside. 

Let them pick out their clothes for the day, even if that Superman cape and that pajama shirt don’t seem “school appropriate”. 

Let them choose their own lunch, even if that means they don’t eat as healthy as you’d like (because let’s be real here, they throw the healthy stuff away at school half the time anyway.) 

Most importantly, let them be kids, even if that means they’ll have to work a bit harder when school does become face-to-face again. 

See a counselor.

Sometimes managing your emotions on top of every other responsibility on your plate is simply too much. Talking to a counselor or therapist can help you discover new ways to cope with whatever it is that you, as a unique human being, are facing. Even just to release some of the mental energy you are inevitably carrying around, talking with a professional can only help.

If we aren’t the right git, we will help you to find the right fit.

Minimize social media time. 

This one is HUGE. While there are obviously many incredible things about social media, over-use can also have a devastating impact on our emotional state. Yes, we can connect to our friends and families, as we absolutely should right now. However, I encourage you to think about social media as the business that it is. 

Social media platforms are designed so that their funding comes from external sources, such as advertisers or news stations. They make money off of tailoring content on your newsfeeds to whatever it is that keeps you engaged, even “fake news” that generates fear and distrust in others. By limiting your social media time, you can gain some control over the information you consume and, ultimately, the way you feel. 

Grounding techniques. 

Anxiety is often fueled by thinking about future events and anticipating negative outcomes. 

“What if my car breaks down on the way to the store?”

“My boss is going to be so mad if I can’t get this done today.”

“My son is going to fail his class because I can’t figure out this online-learning thing.”

Sound familiar? Human beings, by nature, often jump to worst-case-scenario as a part of that complex alert system I mentioned earlier. If we can predict a threat, we have a better chance of changing it, right?

In reality, this type of thinking doesn’t give us the control we hope for, it simply gives us anxiety.

Another way to really combat this anxiety is through grounding, which is a fancy way to describe bringing your attention back to the present moment. What we really have control of is the here-and-now in front of us and focusing on that can alleviate a lot of anxiety. 

A grounding technique that seems simple but can be powerful is distraction. You can distract yourself from your thoughts and begin focus on the here-and-now in many ways, but one discreet technique that can be used anywhere is: naming or numbering:

Pick a color. Now name all of the items or objects you can see that are that color. 

Pick an object. How many of them can you see from where you are?
Whatever you choose, using your senses to ground yourself in your current surroundings is a powerful way to shift your focus away from anxious thoughts. 

Patience. Patience. Patience. 

Whether it’s with your kids needing what feels like constant attention, with yourself for dropping the ball more than you usually would, or with the world at large for feeling so foreign right now, practicing that tried-and-true virtue of patience is absolutely critical. 

We are all learning to cope with this new and constantly changing world we live in. Remembering we are all in this together, we all deserve that extra bit of patience, and kindness can go a long way. Take a deep breath, and know that despite the uncertainty we feel, this is temporary, and normalcy will find us again in time. 

My heart is with every single one of you. Together we can support one another and make the absolute best of an immensely challenging time. If you are feeling overwhelmed, or want some extra support right now, know that I am here for you. Give me a call at (269) 808-6422, call our front desk at (248) 798-2942 or send me an email at jessica@aimnatural.com so we can make a plan to help you through. 

Until we speak, be well.

Jessica
MA, LPPC

A Message to Parents

Dear Patients,

Our children bring so much joy to our lives. Their goofy antics; their sticky kisses; their relentless questions; they keep us on our toes and ground us in what is truly important. We love them with all that we are and cherish the time we spend with them.

…but being cooped up in the house with them 24/7 with no breaks? That’s enough to drive even the best parent a little bit crazy (myself included!).

I know you may be thinking there’s no way to get through this with your sanity intact. I want to reassure you that you and your family can not only “get through this” but grow closer and stronger in the process.

Take a look at these essential strategies for helping your family through this stressful time that you can start using today regardless of what age your kids may be.

1. Develop a routine. Kids of all ages need structure. The sudden shift from a planned-out school day to the freedom of home can be a real challenge. By creating a routine, your children can feel a sense of security and know what to anticipate, and you will feel more in control.

2. Plan ahead. Spend a few hours scouring the internet for kid- or teen-friendly at home activities. So many items we all have just lying around can be turned into games, toys, crafts, or learning opportunities for us and our kids to share. By planning ahead, you will always have something in your toolbox to pull out when boredom strikes.

3. Talk to your kids about what’s going on. Think of this as an opportunity to show your kids how to handle stress with grace. By sharing your feelings and keeping them informed (age appropriately) they will learn how to better communicate their emotions and feel empowered.

4. Finally, don’t forget about yourself. Being a caregiver of any kind can be overwhelming. It’s easy to prioritize our children’s needs over our own. Even if it’s just in the evening after the kids are asleep, make sure you allow time for self-care. Read a book, write a letter, have a pretend “date night” with your spouse, go for a walk, or do whatever it is that helps you feel a sense of calm.

As a mother to a two-year-old boy, I’ve had my share of struggles with being cooped up at home. Dr. March shared a wonderful quote with me that brought me a great deal of comfort, and I want to end by sharing it with all of you:


“Parents: What we are being asked to do is not humanly possible. There is a reason we are either a working parent, a stay-at-home parent, or a part-time working parent.

Working, parenting, and teaching are three different jobs that cannot be done at the same time.

It’s not hard because you are doing it wrong. It’s hard because it’s too much.
Do the best you can.

When you have to pick, because at some point you will, choose connection. Pick playing a game over arguing about an academic assignment. Pick teaching your child to do laundry rather than feeling frustrated that they aren’t helping. Pick laughing, and snuffling, and reminding them that they are safe.

If you are stressed, lower your expectations where you can and virtually reach out for social connection. We are in this together to stay well. That means mentally well, too.”

-Emily W. King Ph.D.


I’m here to support you through this. Call me or email me (269-808-6422; jessica@aimnatural) so we can set up a time to talk through what you’re going through.

Until we speak, be well.

Jessica

Caring for Your Mental Health

Hello everyone,

With so much information flooding us at every turn, it’s easy to feel overwhelmed or confused or even yelled at.

Many media sources urge you to take care of yourself by not touching your face or washing your hands (which are excellent suggestions) but what about your mental health? How do we care for that when we face a real threat?

The answer isn’t always so straight forward.

My name is Jessica, and I’m one of the mental health counselors at Associates of Integrative Medicine. I specialize in crisis, anxiety, stress, trauma, grief and loss associated with a cancer diagnosis.

As we all settle in and shelter at home, my hope is to share strategies for managing your emotions.

To get the support you need, call me or send me an email (269-808-6422; jessica@aimnatural.com).

Even if it’s for a few minutes, I am here for you to discuss any concerns you may have or help you find the right strategies to improve your mood.

Dr. Roy is waiving copays for the time being as a gesture to you all, so there is NO cost to you to pick up the phone and get the help you need.

So, how do we begin to care for ourselves mentally/emotionally? The first step to caring for your mental health is identifying what you are feeling. Much like any health issue, how can you fix it if you don’t know what’s wrong? As many of us are experiencing more stress than usual in today’s climate, I want to share some tips for identifying stress in yourself.

Here are some common signs of stress you may be experiencing:
1. You’re easily irritated or quick to snap on those you love.
2. You’re struggling to find the motivation to keep up with everyday tasks.
3. You’re experiencing headaches, stomach aches, or body aches.
4. You feel tightness or tension in your muscles.
5. You feel exhausted all the time.
6. You feel like you are working hard all the time, but not making any progress.
7. There is so much to do, but you’re having a hard time deciding what to do first.
8. You are having trouble sleeping.
9. You aren’t putting effort into your physical appearance or taking care of yourself.
10. You have worrisome, racing thoughts.

If any of these sound like you, remember you are not alone. Take a moment to breathe, pause, reflect, and get in touch with yourself and the emotions you are feeling. Call a friend, read that book you’ve had on your shelf for months, clean out your junk drawer, go for a walk, or reach out to a professional like myself to talk it out.

Call or email me directly to set up a time for us to talk. I am here to support you no matter where you are at emotionally.

Until we speak, be well.

Jessica Blodgett

Email: jessica@aimnatural.com
Cell: (269) 808-6422
Office tel: (248) 798-2942

Grounding Exercise

Dear Patients,

In this time of turmoil and stress, many of us are losing sight of what is most important and that is, at least to our minds, our emotional and psychological well-being.

Let me just take a minute here to introduce myself to those of you who may not have met me yet. My name is Jessica, and I am one of the in-house counselors for Associates of Integrative Medicine. My specialties are crisis, anxiety, trauma, grief/loss and stress associated with a cancer diagnosis. I am here to help you navigate this time of crisis. I plan on using this time to reach out to you all with techniques for managing stress over the next 12 weeks or so. If you need to speak with me, even if it is just for a minute, I am here for you, to discuss strategies for coping or whatever is on your mind.We can talk over the phone or Zoom and no matter how much time we use, we will bill your insurance. We will waive any co pays as a gesture from Dr. Roy at this time, so there is NO cost to you.

With that being said, let’s talk about a Grounding exercise:

First of all, what is grounding? Essentially, grounding is to bring your focus to what is happening to you physically, either internally or in your surroundings, instead of focusing on thoughts that can keep you feeling stuck in an anxious cycle.

This simple, effective exercise can be done anywhere and anytime.
It’s called “5-4-3-2-1” and goes something like this; wherever you are, bring your attention to your physical senses.

Identify:
5 things you can see
4 things you can hear
3 things you can touch or feel
2 things you can smell
and 1 thing you can taste.

Really sit with those sensations and see what comes up for you. You may feel new emotions or be flooded with different thoughts; just do your best to shift your focus back to the physical when this occurs. Remember, there is no right or wrong way to do this! It simply works to break your thought cycle and bring you into the present moment.

Stay in touch with us, you can email or call me directly to set up a time to talk through your concerns. I’ve provided my contact information below and will respond to you as promptly as I am able.

Remember, you are not alone. We are in this together. I am here to support you in any way I can.

Be well.

Jessica Blodgett

Email: jessica@aimnatural.com
Cell: (269) 808-6422
Office tel: 248-798-2942