The Gym For Your Mental Health

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Getting The Most Out Of Therapy

If you’ve never had therapy, what image do you have of it? Perhaps you imagine a bearded and bespectacled man in a suit, impassively making notes on a clipboard. Perhaps you imagine an empathetic woman, with tissues and camomile tea on standby.

The reality is: the experience of therapy can vary, a lot.

In its results, too! Sometimes we may try therapy and think “well that was a waste of time and money”. Sometimes we may try therapy and it’ll change our life.

So… Is there any way to make it less of a lottery?

First: knowledge is power

And while the therapist-client relationship certainly shouldn’t be a power struggle, you do want to be empowered.

So, read about different styles of therapy, and also, read some how-to guides for self-therapy. We’ve recommended some before in previous editions of 10almonds; you can check those books out here:

This will serve two purposes:

  • You’ll know what to expect out of a therapist
  • You can more efficiently “get to work” in therapy

It also, of course, could help you already, without even going to therapy!

Second: begin with the end in mind

A person who does not know what they want to get out of therapy, will likely not get much out of therapy. Or rather, their first task will be to figure that out. So, figure it out in advance, if you can.

Maybe you have a problem that has a specific name, for example poor self-esteem, anxiety, stress, depression, trauma, neuroticism, phobia, etc.

This isn’t Alcoholics Anonymous, and in this case you don’t want a lifetime of “Hello, my name is ______ and I have ______”, if you can help it.

So, what do you want?

  • Maybe you want to be able to go to social events without feeling anxious
  • Maybe you want your relationship(s) to be more secure and fulfilling
  • Maybe you want to no longer have nightmares about that traumatic thing
  • Maybe you want to be able to greet each day’s tasks with confidence and without overwhelm

…etc.

A good therapist will help you to set such goals (if you haven’t already), and attain them.

If you’re going the self-therapy route, then this is your job now!

It will probably start with the question: imagine that everything currently troubling you is now healed.

What would that look like, to you?

Third: get a good match for you

Unless you are going entirely the self-therapy route (which can work for some), you will want a therapist who’s a good match for you.

It may take a degree of “suck it and see” trial runs before you find the right one, but that takes time and money, so you’ll want to streamline the process as much as you can. If you do this well, you may be able to find a good therapist for you first time.

For this, personal recommendations (such as from friends) may help more than exmaining academic and institutional affiliations.

Yes, you want a well-qualified therapist who is a member in good standing of a respectable regulated body… but whether your therapist is easy for you to “get on with” will matter at least as much as whether their approach is psychodynamic, or 4th wave CBT, or IFS, or whatever seems popular in your time and place.

Bear in mind:

  • Some therapists are specialized in helping with some kinds of things and not others. It will obviously help if the therapist you choose is specialized in the thing you are seeking help for.
  • Some therapists may be able to relate to you better (or not), based on simple factors of who they are. To this end, while your therapist certainly doesn’t have to be a mirror image of you, factors like age, gender, race, etc can be relevant and may be worth considering, depending on what you are seeking help with, and what factors impact that thing.

Prefer keeping things to yourself?

Therapy isn’t for everyone, but having a good relationship with oneself definitely is. You might want to invest in one of the books whose reviews we linked above, and you might also get value from previous Psychology Sunday articles, which you can find in our archive (every seventh edition here has a Psychology Sunday main feature):

Click Here To Check Out The 10almonds Archive

To borrow the catchphrase of Dr. Kirk Honda (a therapist and therapy educator with decades of experience):

❝Take care of yourself, because you deserve it; you really, really do.❞

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  • Coconut vs Avocado – Which is Healthier?

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    Our Verdict

    When comparing coconut to avocado, we picked the avocado.

    Why?

    In terms of macros, avocado is lower in carbs and also in net carbscoconut’s a little higher in fiber, but not enough to make up for the difference in carbs nor, when it comes to glycemic index and insulin index, the impact of coconut’s much higher fat content on insulin responses too. On which note, while coconut’s fats are broadly considered healthy (its impressive saturated fat content is formed of medium-chain triglycerides which, in moderation, are heart-healthy), avocado’s fats are even healthier, being mostly monounsaturated fat with some polyunsaturated (and about 15x less saturated fat). All in all, a fair win for avocado on the macros front, but coconut isn’t bad in moderation.

    When it comes to vitamins, avocados are higher in vitamins A, B1, B2, B3, B5, B6, B9, C, E, K, and choline. Most of those differences are by very large margins. Coconuts are not higher in any vitamins. A huge, easy, “perfect score” win for avocados.

    In the category of minerals, however, it’s coconut’s turn to sweep with more calcium, copper, iron, magnesium, manganese, phosphorus, zinc, and selenium—though the margins are mostly not nearly as impressive as avocado’s vitamin margins. Speaking of avocados, they do have more potassium than coconuts do, but the margin isn’t very large. A compelling win for coconut’s mineral content.

    Adding up the sections, we get to a very credible win for avocados, but coconuts are also very respectable. So, as ever, enjoy both (although we do recommend exercising moderation in the case of coconuts, mainly because of the saturated fat content), and if you’re choosing between them for some purpose, then avocado will generally be the best option.

    Want to learn more?

    You might like to read:

    Take care!

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  • This Is Your Brain on Food – by Dr. Uma Naidoo

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    “Diet will fix your brain” is a bold claim that often comes from wishful thinking and an optimistic place where anecdote is louder than evidence. But, diet does incontrovertibly also affect brain health. So, what does Dr. Naidoo bring to the table?

    The author is a Harvard-trained psychiatrist, a professional chef who graduated with her culinary school’s most coveted award, and a trained-and-certified nutritionist. Between those three qualifications, it’s safe to she knows her stuff when it comes to the niche that is nutritional psychiatry. And it shows.

    She takes us through the neurochemistry involved, what chemicals are consumed, made, affected, inhibited, upregulated, etc, what passes through the blood-brain barrier and what doesn’t, what part the gut really plays in its “second brain” role, and how we can leverage that—as well as mythbusting a lot of popular misconceptions about certain foods and moods.

    There’s hard science in here, but presented in quite a pop-science way, making for a very light yet informative read.

    Bottom line: if you’d like to better understand what your food is doing to your brain (and what it could be doing instead), then this is a top-tier book for you!

    Click here to check out This Is Your Brain On Food, and get to know yours!

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  • Women’s Strength Training Anatomy – by Frédéric Delavier

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Fitness guides for women tend to differ from fitness guides for men, in the wrong ways:

    “Do some squats and jumping jacks, and here’s a exercise for your abs; you too can look like our model here”

    In those other books we are left wonder: where’s the underlying information? Where are the explanations that aren’t condescending? Where, dare we ask, is the understanding that a woman might ever lift something heavier than a baby?

    Delavier, in contrast, delivers. With 130 pages of detailed anatomical diagrams for all kinds of exercises to genuinely craft your body the way you want it for you. Bigger here, smaller there, functional strength, you decide.

    And rest assured: no, you won’t end up looking like Arnold Schwarzenegger unless you not only eat like him, but also have his genes (and possibly his, uh, “supplement” regime).

    What you will get though, is a deep understanding of how to tailor your exercise routine to actually deliver the personalized and specific results that you want.

    Pick Up Today’s Book on Amazon!

    Not looking for a feminine figure? You may like the same author’s book for men:

    Check out Strength Training Anatomy (for men) here!

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  • How To Heal Psoriasis Naturally

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Nutritionist Julia Davies explains the gut-skin connection (& how to use it to your advantage) in this video:

    Inside out

    Psoriasis is a chronic autoimmune skin condition, in which the skin renewal process accelerates from 28 days (normal) to 3–5 days, leading to red, scaly patches. It most commonly affects the outer joints (especially elbows & knees) but can appear anywhere, including the scalp and torso.

    Autoimmune diseases are often linked to gut barrier integrity issues, as leaky gut syndrome allows toxins/food particles to penetrate the gut lining, triggering an immune response, which means inflammation.

    Standard treatments often include topical or systemic immunosuppressants, such as steroids. Such medications suppress the immune response (and thus the symptoms) but they don’t address root causes.

    What to do about it, from the root

    As you might imagine, part of the key is a non-inflammatory (or ideally, anti-inflammatory) diet. This means starting by removing likely triggers; gluten sensitivity is common so that’s near the top of the list.

    At the very top of the list though is sugar*, which is not only pro-inflammatory but also feeds candida in the gut, which is a major driver of leaky gut, as the fungus puts its roots through your intestines (that’s as bad as it sounds).

    *as usual, sugar that comes with adequate fiber, such as whole fruit, is fine. Fruit juice, however, is not.

    It is likely to see early improvements within 6 weeks, and significant improvement (such as being mostly symptom-free) can take 6–8 months, so don’t give up if it’s day 3 and you’re not cured yet. This is a marathon not a sprint, and you’ll need to maintain things or the psoriasis may return.

    In the meantime, it is recommended to do all you reasonably can to help your gut to repair itself, which means a good amount of fiber, and occasional probiotics. Also, focusing on whole, nutrient-dense foods will of course reduce inflammation and improve energy—which can be a big deal, as psoriasis is often associated with fatigue, both because inflammation itself is exhausting (the body is very active, on a cellular level), and because a poor diet is not invigorating.

    Outside of diet, stress is often a trigger for flare-ups, so try to manage that too, of course.

    For more on all of this, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    Of Brains & Breakouts: The Brain-Skin Doctor

    Take care!

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  • Burn – by Dr. Herman Pontzer

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    We all have reasons to want to focus on our metabolism. Speed it up to burn more fat; slow it down to live longer. Tweak it for more energy in the day. But what actually is it, and how does it work?

    Dr. Herman Pontzer presents a very useful overview of not just what our metabolism is and how it works, but also why.

    The style of the book is casual, but doesn’t skimp on the science. Whether we are getting campfire stories of Hadza hunter-gatherers, or an explanation of the use of hydrogen isotopes in metabolic research, Dr. Pontzer keeps things easy-reading.

    One of the main premises of the book is that our caloric expenditure is not easy to change—if we exercise more, our bodies will cut back somewhere else. After all, the body uses energy for a lot more than just moving. With this in mind, Dr. Pontzer makes the science-based case for focusing more on diet than exercise if weight management is our goal.

    In short, if you’d like your metabolism to be a lot less mysterious, this book can help render a lot of science a lot more comprehensible!

    Click here to check out “Burn” on Amazon today, and learn to manage your own metabolism the way you want it!

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  • Milk Thistle For The Brain, Bones, & More

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    “Thistle Do Nicely”

    Milk thistle is a popular supplement; it comes from the milk thistle plant (Silybum marianum), commonly just called thistles. There are other kinds of thistle too, but these are one of the most common.

    So, what does it do?

    Liver health

    Milk thistle enjoys popular use to support liver health; the liver is a remarkably self-regenerative organ if given the chance, but sometimes it can use a helping hand.

    See for example: How To Undo Liver Damage

    As for milk thistle’s beneficence, it is very well established:

    Brain health

    For this one the science is less well-established, as studies so far have been on non-human animals, or have been in vitro studies.

    Nevertheless, the results so far are promising, and the mechanism of action seems to be a combination of reducing oxidative stress and neuroinflammation, as well as suppressing amyloid β-protein (Aβ) fibril formation, in other words, reducing amyloid plaques.

    General overview: A Mini Review on the Chemistry and Neuroprotective Effects of Silymarin

    All about the plaques, but these are non-human animal studies:

    Against diabetes

    Milk thistle improves insulin sensitivity, and reduces fasting blood sugar levels and HbA1c levels. The research so far is mostly in type 2 diabetes, however (at least, so far as we could find). For example:

    Silymarin in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

    Studies we could find for T1D were very far from translatable to human usefulness, for example, “we poisoned these rats with streptozotocin then gave them megadoses of silymarin (10–15 times the dose usually recommended for humans) and found very small benefits to the lenses of their eyes” (source).

    Against osteoporosis

    In this case, milk thistle’s estrogenic effects may be of merit to those at risk of menopause-induced osteoporosis:

    Antiosteoclastic activity of milk thistle extract after ovariectomy to suppress estrogen deficiency-induced osteoporosis

    If you’d like a quick primer about such things as what antiosteoclastic activity is, here’s a quick recap:

    Which Osteoporosis Medication, If Any, Is Right For You?

    Is it safe?

    It is “Generally Recognized As Safe”, and even when taken at high doses for long periods, side effects are very rare.

    Contraindications include if you’re pregnant, nursing, or allergic.

    Potential reasons for caution (but not necessarily contraindication) include if you’re diabetic (its blood-sugar lowering effects will decrease the risk of hyperglycemia while increasing the risk of hypoglycemia), or have a condition that could be exacerbated by its estrogenic effects—including if you are on HRT, because it’s an estrogen receptor agonist in some ways (for example those bone benefits we mentioned before) but an estrogen antagonist in others (for example, in the uterus, if you have one, or in nearby flat muscles, if you don’t).

    As ever, speak with your doctor/pharmacist to be sure.

    Want to try it?

    We don’t sell it, but here for your convenience is an example product on Amazon

    Enjoy!

    Don’t Forget…

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    Learn to Age Gracefully

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