The answer is YOU!

This time I was determined to fix this on my own. After all, I had a certification in corrective exercise, how could I not fix this? At that point I realized the only person that can help me was me. I was sick of paying chiropractors and doctors to temporarily ease the pain, but never giving me a path forward so that I could enjoy aggressive sports, lifting heavy, snowboarding, or whatever I felt like doing. I thought to myself, shouldn’t these professionals know how to fix this? Well yeah, but their answer was surgery. Not mine. By the way, I realize that sometimes the only answer is surgery in certain cases. And that’s okay. But I wanted to give my body a chance to see if I could figure this one out on my own. Feeling frustrated, but hopeful, I started to study every article about sacroiliac joint pain related to exercise and nursing it back to full strength, if it was even possible. There was a lot of trial and error, stumbling along the way, and figuring out which exercises were doable and which ones I needed to avoid. I slept different. I changed my posture. Patience was needed because this was a slow process. I slowly began building up my joint strength, my core strength, hip mobility, working in different planes of motion, and finally lifting heavier and heavier weight. I succeeded. I felt as if I had never experienced this injury because I was pain free and felt strong enough that I could do anything. This was probably one of the most satisfying experiences of overcoming something that seemed impossible to do. 

I feel like we all have something like this, whether it is losing fat, getting stronger, eating healthier and living a healthy lifestyle, training for a difficult event, overcoming an injury, getting over an addiction, succeeding at a business or career, and so on and so forth. My challenge to you is to be patient and be hopeful. Don’t give up. If it’s worth it to you, then give it all that you can whether that be physically, mentally, emotionally, or spiritually. Be your best self. You have the potential and you are well worth it! 

 

 

Seasonal Affective Disorder – SAD

Every now and then, most of us feel down or blue – this is different than depression. Situational sadness comes and goes with whatever is getting us down. For example, if you don’t get recognized for something you worked hard at, you will probably feel sad. After time, your sadness will start to disappear. It isn’t as sad over time. This is situational. Depression, on the other hand, seems to last beyond these events. Even when something potentially sad has come and gone and if there is seemingly no reason to feel sad, you still might feel sad. This can especially be true in the winter. The days are shorter and colder. This causes most of us to stop moving as much, and to stay inside. We then lack exercise and sunlight. On top of that, with the Halloween, Thanksgiving, Christmas and New Year’s, we tend to eat food that isn’t as healthy. We eat more sugar. This all contributes to feeling sad when we don’t seem to have anything to be sad about. Seasonal Affective Disorder (SAD) is what happens to many people during the winter months. Most people don’t realize they have this type of problem, they just think that they are down or blue. It is more than just having the ‘winter blues’. It impedes you in your daily life and interferes with your functioning. Recognizing that you have SAD will help you know what to do to overcome and let go of it. Some of the symptoms include: feeling sad, losing interest once enjoyed, change in appetite, change in sleep (usually sleeping more), loss of energy, restless activity, feeling worthless or guilty, trouble making decisions, and thoughts of suicide or death. If you think you might have this type of depression talk with a therapist today.

How do I Get My Husband to Come to Counseling?

Counseling, if done right, is husband friendly! Find the right therapist and you’ll understand. The problem is that many husbands worry that the therapist is going to take their wife’s side and gang up on him, or that therapy will be uncomfortable. While the latter may be true, the former isn’t. A good therapist doesn’t take sides or act as a referee. I have had many couples want to hash out an argument in front of me in counseling so that I can tell them who is right. I stop them, and explain that even if one of them ended up right, that they would be so wrong in their rightness – their marriage would suffer because they insisted on being right instead of compassionate and forgiving. A good therapist, rather, is able to foster healthy interactions between spouses so that they both feel safe and are able to be vulnerable and genuine with each other. When husbands understand that what they feel and think is important, then they are more willing to make this uncomfortable leap with their spouse. Women are more likely than men to initiate therapy, but without buy-in from the man, it is difficult to be successful in therapy. My suggestion to women who want to initiate counseling, but have a reluctant spouse is to recognize that this is scary for your spouse. They may feel as if they will be attacked, or worse yet, that they will lose you. Help them understand that your desire for counseling is because you love him and because you want this to work – but aren’t sure how to make fix it. Ask him to give therapy at least 3 sessions – after that, if he still feels reluctant there might be another counselor or approach that you could try. Most men feel better about therapy after at least 3 sessions if you have the right therapist for you.

 

Originally published on www.tristonmorgan.com

 

The Secret of Pornography

Secrets fuel addiction. As I’ve mentioned before in previous posts, addictions, such as pornography addictions, are a shame-based experience. This means that when someone uses pornography they feel as if they are a bad person, rather than feeling that they are a good person despite making a mistake. When someone feels shame, they often compartmentalize what they have done – they hid it and separate it from who they think they really are, or, think that that mistake totally defines who they really are.

This is where secrets come into play. Over time, a man (or woman – I’ve worked with both in therapy for pornography issues) who has been using pornography and feeling shame because of it will gather many secrets. He won’t want to tell anyone what he is doing, or won’t want to tell them all that he is doing. He might only present the best parts of himself or just tell enough about his mistakes to others to appease them or to feel like he is being open. But, in fact, he is keeping secrets. These secrets start to bury him and make him feel more shame. They take an effort to maintain and keep hidden. They cause him stress and to feel disconnected from others. All of these things can lead to more addictive acting out.

Being transparent is key. This, in part, is why in the 12-step model of recovery (for alcohol, sexual addiction or substance addiction) addicts are asked to write a fearless moral inventory and to share it. Being open with others can feel uncomfortable and embarrassing. Many would say, “It’s in the past – let it stay there” or, “I don’t want to hurt her, so I’m not going to tell her about it”. These mindsets only make things worse for someone using pornography and their spouse/family. Telling others and being transparent is on the path towards recovery.

Pornography counseling offers a venue to be transparent and honest with yourself and with your loved ones. A good therapist will help you through this process in a way that might be painful, but certainly not shameful.

Originally published on www.tristonmorgan.com

 

When the Holidays Hurt

For many people, the holiday season is a time of joy and magic, a time where people relive and create happy memories. They are moments of joyous gatherings filled with love, laughter and crowded tables. But if you are not one of those people, the holiday season can be very difficult to endure. For individuals who have experienced the loss of a loved one, abuse in childhood, or another tragedy or trauma, the holidays just remind you of that loss and pain. Your days may not be merry and bright. Your days may feel more gloomy, more isolating, and you may feel more disconnected from the world around you.  

The holidays are here, and the holidays can hurt. 

Maybe it’s because of the chairs that will be empty or the phone calls that won’t come. Maybe it’s the time off from work that allows you to think about your life and feel the pain. Maybe it’s the reminder that all of your holidays your whole life were negative and filled with dysfunction and abuse. And maybe it’s the perception that everyone else has the picture perfect holiday gatherings with all their loved ones. Whatever the reason may be, a heavy sadness can take hold of you and you don’t know how to shake it off.  

For many of us, depression, grief, and sadness are constants and we get used to fighting them off and keeping them at bay. There’s nothing like the holidays that make you feel like you not only have to have it all together, but you have to wrap it up with a bow and display it for the world to see.  

If you happen to be hurting this holiday season, I’d like to offer some helpful advice. 

Let it hurt. Allow yourself to feel the pain and allow it to come fully without altering or inhibiting it. Life is difficult and painful sometimes and it is okay that you are not okay during this time. You don’t need to pretend that you are. Emotional reactions are expected and there are no right or wrong feelings.  

Don’t hide it. Be as authentic as you can with the people you are closest to. Allow people who love you to be there for you and support you in your time of pain and distress. Let them see you and know you–not an edited, “better” version of yourself.  

Today is really just another day. Don’t fool yourself into thinking that it must be the most wonderful time of the year. It doesn’t have to be, and it clearly isn’t that this year.  

Practice self care. Be aware of yourself and what you’re feeling and if something is triggering and overwhelming.  Allow yourself to disengage or leave a painful situation and attend to your pain. Only you truly know how you are feeling and what your boundaries and limitations are. Be true to yourself.  

Embrace this holiday as-is. You may feel overwhelmed and in pain, but there is still goodness to be experienced, even in the pain. There will be holidays in the future that are lighter and happier, and these difficult days are part of the healing path to get there.   

New traditions. New traditions can be healing and can help you create better connections to the loved ones in your life. If you have survived the loss of a loved one you can start a new tradition that symbolizes letting go, such as sending balloons or floating lanterns in the air. 

Above all, know that is okay to be blue during the holiday season.  

If you need someone to talk to you can contact the Center for Couples and Families at (385) 312-0506, text  HOME to 741741 to reach the crisis hotline or call the suicide hotline at 1-800-273-8255. 

 Originally published on Utah Valley Health and Wellness Magazine

Winter Can Be Enjoyable

As we roll into the winter months, fitness can be more and more difficult to stay on top of. To help avoid the “Utah winter hibernation” I want to give 4 tips that have helped me to take control of the bleak Utah winters and be able to maintain my fitness lifestyle!  

 

 

  1. Make time for exercise. The most difficult thing about transitioning from summer to winter is planning. During the summer it can be easy to be active just be default. We can ride our bike, go for a walk, and participate with friends and family in outdoor activities without thinking twice about it. During the winter, these activities are not anywhere near as easy to do, if possible at all. So it requires planning to attend a fitness class, go to the gym, etc. So be sure and plan your workout and make it a priority. 
  2. Find a friend to workout with. We all know how hard it can be to get a fitness routine going in the winter. When it is cold outside the thought of leaving our warm bed and going to work out is less than desirable. Finding a friend that has similar fitness goals will help keep you motivated and accountable! Another substitute for this is hiring a personal trainer, even just initially, to help develop those habits.  
  3. Find a new winter hobby. During summer, it can be easy to get a quick workout in by just stepping outside and going for a walk. The cold brings unique opportunities to try something new! I personally love snowboarding, and it provides a great workout. Other things you might try is joining an indoor sports league, fitness classes at a local gym, indoor cycling, etc.  
  4. Be safe. In applying these tips, be sure that you have the right equipment and proper dress attire. One problem that I see, in the winter time is that people don’t dress adequately for winter sports and this can cause physiological problems. For example when running outdoors it is crucial to warm up properly, if we begin a jog by jumping right into it, the cold air can cause our respiratory tract to constrict, decreasing our flow of oxygen when our body needs it. This can lead to lightheadedness, dizziness, nausea, hypothermia, and other problems. If you are unsure on what might be needed, ask an expert. 

 Winter can be an excellent time for fitness goals if combated properly! I would love to hear about the fun winter experiences that you have and any new winter activities that you find. You can reach out to me with these experiences and any questions you might have on instagram @trainerkelli or on Facebook! Have fun and be safe!  

Originally published on Utah Valley Health and Wellness Magazine

Discovering You Have ADHD as an Adult

Attention-Deficit/Hyperactivity Disorder (ADHD) is not just a childhood disorder. As a neurodevelopmental disorder, ADHD is usually identified in childhood, but several individuals reach adulthood without being accurately identified as having the condition. An estimated 8 million adults in the United States suffer from ADHD. In many of these cases, it is attention, rather than hyperactivity, which is the primary problem; this form of the disorder, formerly called “ADD,” is one of the more common types of ADHD in adults.  

 Missing ADHD in Childhood 

While all adults who meet criteria for ADHD will always manifest some form of significant symptoms in childhood, the level of impact of these symptoms can be quite variable. Several children do not manifest the hyperactive or impulsive symptoms sometimes associated with the condition. Their behavior in the classroom and at home may not be entirely problematic. Instead of being disruptive, talkative, or irresponsible, they may only appear forgetful or flighty. Some children learn how to hide their distractibility or compensate for attention concerns. They may be embarrassed by their limitations, but may be motivated to keep up appearances. Some children are able to compensate for attention concerns with high intelligence, perseverance, flexibility, creativity, and other strengths. Many children might have difficulty understanding their symptoms. They might lack insight into whether there is a problem. They might not verbalize their symptoms in a way which would impel an adult to seek a consultation. 

Because of these reasons, the full impact of ADHD-related symptoms in a child may not be obvious to others. When parents or teachers do not see that there could be a problem, it is unlikely that the child will be referred for an assessment. Even more obvious cases are not always given the opportunity to be assessed for ADHD. Some parents may believe that there is a problem, but may be hesitant to access mental health services. 

 Noticing the Impact of ADHD 

As academic demands, work demands, and household responsibilities increase in adulthood, problems with attention can become more noticeable and more frustrating. Some adults may question whether they themselves have a problem as they see their siblings or their own children struggle with symptoms of the disorder. Many of the risk factors for ADHD, after all, are genetic factors. Adults who previously felt like they had effectively covered up their attention problems may sense that their coping mechanisms are losing their effectiveness.   

How ADHD can be Identified 

For adults who believe their own attention problems may have flown under the radar, there is a way to determine whether ADHD is present. Self-report questionnaires, used to compare an individual’s symptoms to hundreds or thousands of other individuals, can be helpful in providing information about the problem, but these are just one aspect of a comprehensive evaluation. An individual’s developmental history is important and this is usually obtained through a comprehensive interview with a psychologist, psychiatrist, or other qualified mental health provider. Computerized tests and performance-based tests can also help to assess the full extent of the problem. 

Sometimes attention problems can be due to normal forgetfulness. Sometimes these problems can be directly caused by depression or anxiety. Sleep problems and other medical problems can also negatively influence attention. Not everything that looks like ADHD is ADHD. Participating in a psychological assessment with a qualified provider can be an effective way to know the difference. Understanding the cause of symptoms is the first step in finding ways to improve.  

Originally published on Utah Valley Health and Wellness Magazine

CCD Smiles: One in a million

I am the only one in my family with CCD (Cleidocranial Dysplasia), which was a random mutation. Having CCD influenced my studies and career choices. I have always been fascinated by the body, genetics, and helping others with physical or emotional health problems. I started my career as an emergency room registered nurse. I did my Master’s thesis on CCD and then went on to obtain a Doctorate in Nursing Practice (DNP) degree. I have been a nurse practitioner for the past 14 years, working in family medicine and mental health. My background in medicine helps me better understand CCD. I want to share my experience and medical understanding with others.  

I was born in Reedley, California in 1975. When I was born, it was obvious to my parents and doctors that something was wrong. My body, mostly my head, was shaped differently than a “normal” baby’s. At 3 months of age, I was diagnosed with Cleidocranial Dysplasia. 

I grew up knowing I was different. The most difficult part of CCD was all the oral and facial surgeries. My baby teeth never fell out on their own, my permanent teeth didn’t grow in on their own, and I had several extra teeth which had to be surgically removed. Everything in my mouth had to be done manually. I started having oral surgeries at age 7 and I spent most of my Christmas, Spring, and Summer breaks undergoing surgery. My last major surgery was when I was 19 years old. 

 CCD dental treatment was not easily navigated. My dentists, orthodontists, and oral surgeons had never treated anyone with CCD. Everything they tried was experimental. 

Medical insurance and dental insurance did not cover the cost of my surgeries. Medical insurance considered my teeth problems to be dental. Dental insurance considered the surgeries cosmetic. My parents were paying for my surgeries until I was in college. 

When I was growing up, I didn’t know anyone with CCD. In 2001, technology helped me to connect with other people with CCD for the first time. I heard about other people’s experiences as I conducted phone interviews for my Master’s thesis “CCD: The lived experience.” Eight years ago, I met Steffani and her daughter Hally, who have CCD, for the very first time. 

 CCD Smiles 

I felt inspired to create a nonprofit organization to help others with CCD. I started working on the foundation in 2013. In 2016, Gaten Matarazzo’s dad contacted me. Together, we made CCD Smiles an official IRS approved nonprofit organization in January 2017. Since it’s official beginnings, we have had gatherings and fundraisers across the country. I have met 38 other people with CCD, which has been a tremendous blessing in my life.  

 Gaten Matarazzo, from the series Stranger Things, is a huge part of bringing awareness to CCD. As his popularity in Hollywood has grown, so has familiarity with CCD and CCD Smiles.  

CCD Smiles is still in its infancy, but you can go to www.ccdsmiles.org to learn more about us and watch us grow! Currently, the website is a place for donations, purchasing CCD swag and education about CCD. In the future, the website will be a place where those with CCD can connect, share pictures, exchange stories, and find hope. I want others to know they are not alone. It will also provide current and accurate medical information, written in plain English. Doctors, dentists, orthodontists, and surgeons can come together and discuss treatment, research, and options for their patients. 

As CCD Smiles grows and donations are made, we can help cover the costs of oral/facial surgeries. If insurance isn’t going to help, then we can. I don’t want the medical/dental expense to keep parents from being able to provide beautiful smiles for their children. 

My ultimate dream is coming true. July 13-15, 2018 will be the first national CCD conference in Salt Lake City.  Watch the website for more information. If anyone is interested in donating time, money, or talents to this event, please email me at kellywosnik@ccdsmiles.org. 

CCD Smiles Mission Statement: We bring global awareness, provide assistance for dental care, and support research to improve outcomes and quality of life for individuals with cleidocranial dysplasia. 

CCD Smiles can be found in the media and on social media— Instagram, Facebook and Twitter (@ccd_smiles, #ccdsmiles) 

Originally published on Utah Valley Health and Wellness Magazine

Now That My Teen Has Come Out – WHAT DO I DO NOW?

Ive told my son that nothing changes, that I still love him, but I expect him to live the same standards as the rest of the family, and yet he seems more and more depressed. Why isnt this working? 

I dont want my daughters ideas about being lesbian to influence the younger kids in the family, so Ive told her not to talk about it at home. 

I think if my son is going to wear makeup, hes going to get made fun of at school. I cant stop that. 

In the September/October issue of Utah Valley Health and Wellness, I talked about parental self-care. It’s important for parents to have people to talk with who understand and don’t blame them for what they are feeling and experiencing. In the July/August issue, I talked about how to keep lines of communication open when a child “comes out” as lesbian, gay, bisexual, transgender, etc.  In this issue, we’re going to talk about how to keep you and your teen connected. 

Some families consider that their main responsibility to a child that comes out is to continue to teach truths about sexuality and gender, and to make sure their teen does not misunderstand or ignore these teachings. In my experience with hundreds of teens from good homes, this emphasis generally results in a disconnection that makes communication feel tense and difficult. Because teens need a good relationship with parents in order to navigate the experiences of being a healthy teen, I recommend that parents: 

  1. Consider that your child may not be choosing to rebel against your teachings and beliefs as they learn new things about themselves and want to share them with you. 
  2. Recognize that your child knows where you stand with regard to teachings about sexuality and gender. 
  3. Learn to be open to hearing from your child what internalizing these ideas has been like (both recently and in the past). 
  4. Find out what your child’s hopes and dreams for themselves are, and how they may be changing. 
  5. Show respect for your child, especially as your child’s experiences are different from yours. 

These five things will make a dramatic difference in your child’s interest in re-opening a relationship with you. The most important thing is that you – as a parent – remain a steadfast connection with the world of respectful and loving relationship with your child. Children who do well – that is – avoid risky sex, drug abuse, alcohol abuse, and suicidal behaviors – have parents who show respect for their childrens sense of what is true about them. (For details about the retrospective studies of families who demonstrate accepting and rejecting behaviors and the outcomes for teens, see http://familyproject.sfsu.edu/) 

If you want help navigating how to support your teen while making sure they are safe and mentally healthy (especially if identifying as a gender or sexual minority goes against your beliefs), you may want to:  

  1. Meet with other parents who have found peace in this journey ( the last issue listed several groups that meet in Utah County) 
  2. Meet with a therapist who can help you and your teen navigate issues of safety and mental health. 

Many families have found their way through this journey with greater love and appreciation for each other and for their relationships, which strengthens everyone, including parents and the younger children in the family. 

Originally published on Utah Valley Health and Wellness Magazine

 

Sport Climbing in Utah County

If you want to get into sport climbing, Utah County is the place. Between American Fork Canyon and Rock Canyon you have two world-class climbing areas that have a large range of climbs, from beginner to some of the hardest in the world. Rock Canyon alone has over 400 climbs. If you include American Fork Canyon and other climbing areas in Utah County, you have over 1000 climbs to choose from. You could spend a lifetime just trying to climb everything in Utah County! 

What is sport climbing?  

Let me answer that by explaining there are two major types of rock climbing: sport climbing and trad climbing (traditional climbing). Sport climbing is a style of rock climbing that relies on permanent anchors fixed to the rock for protection, usually drilled and glued bolts and anchors. Trad climbing is a style of rock climbing in which a climber (or group of climbers) will place all gear required to protect against falls, and then remove it when a passage is complete. Sport climbing has a cheaper cost of entry and takes less time to get out and climb. It’s a great alternative to hitting the gym, if you do it 2 to 3 times a week. Can you say full body workout?! 

How is sport climbing classified?  

The rating (degree of difficulty) or grade of climb is designated by a class number. A class five climb would require the use of rope, belaying, and gear to protect the climber from a fall. Fifth class is further classified by a decimal and letter system, increasing in difficulty as the number gets larger. The degree of difficulty can be broken up from 5.0 – 5.7 for beginners. Most anyone can start at these ratings and have a good time. 5.8 – 5.9 is where most weekend climbers become comfortable; they employ the specific skills of climbing, such as jamming, liebacks, and mantels. (If you get into the sport you’ll learn these terms pretty quickly.) At 5.10 you have to be a pretty dedicated weekend climber. 5.11-5.15 is in the realm of experts/pros; it demands dedicated training and natural ability, not to mention a crazy obsession for the sport. 

 What kind of gear do I need to sport climb?  

At a minimum, you’ll need climbing shoes, chalk bag, harness, belay device, a rope and 8-10 quickdraw. You will also want the app MtnProject. It’s a great way to find the climbs and get beta (information) about the climb. Two local shops where you can obtain gear, beta, and lessons are Mountain Works in Provo and Out N Back in Orem. 

 Which climbing area should I choose?  

Both American Fork Canyon and Rock Canyon have beginner climbs, but the bulk of the beginners start in Rock Canyon. The climbs are shorter and you can top rope them to test your chops for the sport. Some great beginner areas lower down in Rock Canyon are Tinker Toys and The Appendage. Further up the canyon is The Wild—hands down the best crag for beginners. For intermediate and advanced climbers there are climbs ranging from 5.10 to 5.13 all along the canyon. Some of my favorites are Black Rose, Bug Barn Dance Wall, and The Zoo. 

 American Fork Canyon is known for lots of overhanging “juggy” (pockets) and harder climbs that get you pumped super fast. Some standout areas are The Membrane, Division Wall and Escape Buttress. For some of the hardest climbs, checkout Hell Cave, with a mind blowing 5.14. People come from all over the world to climb this canyon. It’s hard to go wrong with either canyon. Get out there and give it a go! 

 

Originally published on Utah Valley Health and Wellness Magazine