National Alzheimer’s Awareness Month

November is observed as National Alzheimer’s Awareness Month. This month recognizes the importance of understanding what Alzheimer’s is and what steps you can take to care for your brain.  

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history. 

Dementia is not a specific disease, but an overall term that describes a group of symptoms like memory loss and the loss of other mental abilities severe enough to interfere with daily life, caused by physical changes in the brain.  

Different types of dementia include: 

  • Lewy Body Dementia and Parkinson’s Disease 
  • Creutzfeldt-Jakob Disease 
  • Down Syndrome and Alzheimer’s Disease 
  • Frontotemporal Dementia 
  • Huntington’s Disease 
  • Korsakoff Syndrome 

There are many signs and symptoms of Alzheimer’s and dementia. They include: 

  • Memory loss that disrupts daily life 
  • Challenges in planning or solving problems 
  • Difficulty completing familiar tasks 
  • Confusion with time and place 
  • Trouble understanding visual images and spatial relationships 
  • New problems with words in speaking or writing 
  • Misplacing things and losing the ability to retrace steps 
  • Decreased or poor judgment 
  • Withdrawal from work or social activities 
  • Changes in mood and personality 

Even though there isn’t a cure for Alzheimer’s and many other types of dementia, there are many preventative measures you can follow to care for your brain, including: 

  • Breaking a sweat: regular cardiovascular exercise elevates your heart rate and increases blood flow to the brain and body. Several studies have found an association between physical activity and reduced risk of cognitive decline. 
  • Eating healthy: eating a healthy and balanced diet that is lower in fat and higher in vegetables and fruit to help reduce the risk of cognitive decline. Although research on diet and cognitive function is limited, certain diets, such as the Mediterranean and Mediterranean-DASH (Dietary Approaches to Stop Hypertension) diets, may help reduce the risk. 
  • Catching some ZZZs: Not getting enough sleep due to conditions like insomnia or sleep apnea may result in problems with memory and thinking. 
  • Taking care of your mental health: Some studies have linked a history of depression with an increased risk of cognitive decline. Seek medical treatment if you have experienced symptoms of depression, anxiety, or any other mental health concerns. Also, try to manage stress. 
  • Stumping yourself: Challenge and activate your mind. Try building a piece of furniture, completing a jigsaw puzzle, doing something artistic, or playing a strategy game. Challenging your mind may have short- and long-term benefits for your brain. 

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Type 3 Diabetes

Diabetes is a chronic disease that occurs when the body doesn’t produce enough insulin or can’t use the insulin it produces effectively. There are two main types of diabetes: type 1 and type 2. Another type of diabetes is gestational diabetes, which develops exclusively in pregnancy when blood sugar levels are too high.  

However, another type of diabetes, type 3 diabetes, has been linked to Alzheimer’s. 

Insulin helps control blood sugar levels by enabling glucose to enter cells. Insulin also affects metabolism, nerve cells, how neurons communicate, and the brain’s cognitive functions.  

When a person develops insulin resistance, it can reduce the supply of glucose to the brain and cause changes to the protein involved in the development of dementia called tau. Additionally, the brain can become damaged, and the connection between the regions of the brain can be weakened when it doesn’t receive a sufficient amount of glucose.  

Type 3 diabetes occurs when the brain becomes resistant to the effects of insulin. This insulin resistance is believed to lead to symptoms that are commonly associated with Alzheimer’s disease.  

It is important to note that type 3 diabetes isn’t officially recognized by the American Diabetes Association and other major health organizations. However, some experts have called Alzheimer’s disease type 3 diabetes because of the pathological implications that address a major decrease in glucose levels and how that affects brain cognition and memory.  

Researchers call Alzheimer’s type 3 diabetes due to the similar features that are present in diabetes, memory deficits, and a decline in thinking abilities in older adults. A study in 2020 listed the potential risk factors for developing type 3 diabetes, such as: 

  • A diet that is high in calories, sugar, and fat, but low in fiber 
  • A low socioeconomic status 
  • Exposure to stress 
  • Race and ethnicity 
  • A lack of physical activity 
  • Genetics 
  • Family history 
  • Birth weight 

The study also indicated that high blood pressure and impaired lipid, or fat, transportation play a role in the development of Alzheimer’s. The Alzheimer’s Society notes that diabetes is a risk factor for developing dementia.  

Although there isn’t a cure for Alzheimer’s and many other types of dementia, treatment for the disease includes medications that slow the progression of the condition or treat its symptoms.  

It is important to note that there is another type of diabetes known as type 3c diabetes mellitus that occurs when endocrine dysfunction affects the pancreas, such as damage to the exocrine glands, which harms the endocrine glands. This condition is distinctive and shouldn’t be confused with type 3 diabetes. 

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Family Caregivers Month

Families are often the primary source of support for older adults and people with disabilities. Today in America, more than 53 million family caregivers provide unpaid care.  

November is observed as National Family Caregivers Month. It is dedicated to recognizing and honoring the selfless individuals who provide essential care and support to ill, disabled, or elderly loved ones. National Family Caregivers Month was established to recognize their significant contributions and raise awareness about their challenges. President Bill Clinton officially proclaimed in 1997 that November would be a time to honor and support caregivers across the country.  

Celebrating family caregivers during National Family Caregivers Month involves: 

  • Raising awareness of family caregiver issues 
  • Celebrating the efforts of family caregivers 
  • Educating family caregivers about self-identification 
  • Increasing support for family caregivers 
  • Reducing feelings of isolation 

There are several ways to get involved and show your support for family caregivers during National Caregivers Month, including: 

  • Express your gratitude 
  • Offer your assistance 
  • Join support groups 
  • Advocate for caregiver rights 
  • Donate to caregiver organizations 

Family caregivers should be celebrated every day. Taking care of a family member who is elderly, infirm, sick, or physically disabled can be emotionally and physically demanding. We must recognize and honor caregivers nationally, raise awareness around caregiving issues, educate communities, and work to increase support for our nation’s caregivers. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Postpartum Depression and Psychosis

Postpartum refers to the time after childbirth. Postpartum mothers may experience mental health changes or challenges after giving birth, including mood disorders such as postpartum depression and postpartum psychosis.

Postpartum depression is a type of depression that happens after having a baby. It affects up to 15% of women, involving emotional highs and lows, frequent crying, fatigue, guilt, and anxiety. A postpartum mother may have trouble caring for their baby or themselves.

Postpartum psychosis (PPP) is a mental health emergency that affects a postpartum mother’s sense of reality, causing hallucinations, delusions, paranoia, or other behavior changes. In severe cases, postpartum mothers with PPP may attempt to harm themselves or their newborn.

Postpartum depression is common. A mother who has just given birth may experience baby blues, which affects between 50% and 75% of women after delivery. Up to 15% of them will develop postpartum depression. Postpartum psychosis is rare, as experts estimate that it affects between 0.089 and 2.6 out of every 1,000 births. In the United States, that means it happens in between 320 and 9,400 births each year. Globally, that means it happens between 12 million and 352.3 million births.

A mother can experience postpartum depression for up to one year after their baby is born. However, this doesn’t mean that they will feel cured in one year.

Symptoms of postpartum depression can include:

· Feeling sad, worthless, hopeless, or guilty

· Worrying excessively or feeling on edge

· Loss of interest in hobbies or things you once enjoyed

· Changes in appetite or not eating

· Loss of energy and motivation

· Trouble sleeping or wanting to sleep all the time

· Crying for no reason or excessively

· Difficulty thinking or focusing

· Thoughts of suicide or wishing you were dead

· Lack of interest in your baby or feeling anxious around your baby

· Thoughts of hurting your baby or feeling like you don’t want your baby

It is believed that hormonal changes are linked to postpartum depression; however, more research is needed to determine the link between the rapid drop in hormones after delivery and depression. The levels of estrogen and progesterone increase tenfold during pregnancy but drop sharply after delivery. When a mother is three days postpartum, levels of these hormones drop back to pre-pregnancy levels.

In addition to these chemical changes, the social and psychological changes associated with having a baby increase the risk of postpartum depression. Examples of these changes include physical bodily changes, lack of sleep, worries about parenting, or changes to relationships.

Experts don’t know why postpartum psychosis happens, but suspect it involves a combination of factors, including:

· History of mental health conditions

· Number of pregnancies

· Family history of mental health conditions, especially PPP

· Sleep deprivation

· Hormone changes

· Other medical conditions

Hallucinations and delusions are the two main symptoms of postpartum psychosis. However, there are several other common symptoms, including:

· Mood changes, such as mania and hypomania or depression

· Depersonalization

· Disorganized thinking or behavior

· Insomnia

· Irritability of agitation

· Thoughts of self-harm or harming others, especially their newborn

Researchers have organized the symptoms of PPP into three types: depressive, manic, and atypical/mixed.

The depressive subtype of PPP is the most common, making up about 41% of cases. It is also the most dangerous. Research shows that depressive symptoms and psychosis are almost always a factor in cases that involve self-harm or harm to a child, especially hallucinations or delusions that command a person to harm their child or themselves. The rate of harm to a child is about 4.5% with this subtype, about four or five times greater than with the other subtypes. The rate of dying by suicide is about 5%. Symptoms that are most likely experienced with this type include:

· Anxiety or panic

· Delusions and hallucinations

· Depression

· Feelings of guilt

· Loss of appetite

· Loss of enjoyment related to things they usually enjoy

· Thoughts of self-harm, suicide, or harming their child

The manic subtype is the next most common of the types, affecting about 34% of cases. The risk of self-harm or harm to children is lower but still possible, happening in about 1% of cases. Symptoms can include:

· Agitation or irritability

· Disruptive or aggressive behavior

· Talking more or faster than usual, or both

· Needing less sleep

· Delusions of greatness or importance, such as believing your child to be a holy or religious figure

The atypical/mixed subtype makes up to 25% of cases. This can mix the symptoms of manic and depressive subtypes. It can also involve symptoms where a person seems much less aware or completely unaware of the world around them. Symptoms can include:

· Disorganized speaking or behavior

· Disorientation or confusion

· Disturbance of consciousness, where a person doesn’t appear to be awake or isn’t aware of activities or things taking place nearby

· Hallucinations or delusions

· Inappropriate comments, behaviors, or emotional displays

· Catatonia or mutism

There isn’t a specific test that diagnoses postpartum depression. A healthcare provider will evaluate you at your postpartum visit, which may include discussing your health history, how you have felt since delivery, a physical exam, a pelvic exam, and lab tests. They may also perform a postpartum depression screening or ask a series of questions to assess if you have postpartum depression.

Postpartum psychosis can be diagnosed by a mental health provider who can determine either by observation or what you describe whether you have the condition or not. They may also perform physical and neurological exams and order blood, urine, or imaging tests.

Postpartum depression is treated differently depending on the type and severity of symptoms. Treatment options include anti-anxiety or antidepressant medications, psychotherapy or cognitive behavioral therapy, and support group participation.

Treatment for postpartum psychosis may include medications to treat depression, anxiety, and psychosis. You may also be admitted to a treatment center for several days until you’re stable. To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Chair Exercises for Older Adults

Physical activity can reduce not only the risk of heart disease but also cognitive decline. It can also help you to sustain your ability to perform everyday activities. Maintaining physical fitness as we age becomes increasingly important for our overall well-being. However, for many older adults, high-impact workouts may not be suitable or comfortable, especially if they have challenges with balance or mobility.

Fortunately, engaging in seated or standing chair-based exercises has many health benefits that can help older adults stay active safely.

Doing chair-based exercises offers many health benefits to older adults, including:

  • Improved flexibility
  • Improved balance
  • Improved stamina and endurance
  • Helps build strength
  • Helps burn calories
  • Helps maintain muscle mass
  • Contributes to weight management

Some seated chair-based exercises include:

  • Seated leg extensions
  • Pelvic tilts
  • Seated calf raises
  • Toe raises
  • Shoulder blade squeezes
  • Thigh squeezes
  • Arm raises
  • Bicep curls
  • Seated marches
  • Side bend stretches
  • Seated shoulder stretches
  • Seated hamstring stretches
  • Seated neck rotations
  • Sit-to-stands
  • Knee extensions
  • Seated torso twists

Some standing chair-based exercises include:

  • Standing leg curls
  • Chair planks
  • Standing side leg raises
  • Calf raises
  • Standing marches
  • Standing torso twists

Older adults should aim to do chair-based exercises regularly. It is recommended to engage in these exercises at least two to three times a week to maintain and improve strength, flexibility, and balance. Consistency is key to experiencing the full benefits.

Whether you are looking to maintain your current level of fitness or start a new journey towards better health, these chair-based exercises offer a safe and effective way to achieve your goals.

It is recommended that you consult your doctor before starting a new exercise routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Primary Care Week

National Primary Care Week is celebrated from October 6th through October 11th. It is a time to raise awareness about family medicine and to thank the doctors, physician assistants, nurses, and healthcare teams who help keep us healthy every day.

Primary care is the first stop you make when you’re sick, require a checkup, or have any questions about your health. These are the family doctors, pediatricians, or nurse practitioners who know you best and help you to stay healthy, catch problems early, and guide you when you need more care. They don’t just treat you when you are ill; they help keep you well.

Primary care providers do more than administer shots or check blood pressure. They listen to a patient’s concerns, help manage long-term conditions such as diabetes or asthma, and refer you to specialists when needed. They also help with mental health, food and housing needs, and other factors that may affect your well-being.

Here are some ways you can participate in National Primary Care Week:

  • Schedule a checkup if you haven’t had one in a while
  • Update your health records to make sure your healthcare provider has your latest information
  • Thank your doctor or nurse for the care they give
  • Learn more about what your primary care provider can do for you
  • Talk to family and friends about the importance of having a primary care provider

If you would like to receive a checkup, you can receive treatment from a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Having a Sedentary Job Contributes to a Higher Risk of Insomnia

According to a study published on January 7th, 2025, by the Journal of Occupational Health Psychology, people with sedentary jobs, an estimated 80% of the workforce, have a much higher risk of experiencing insomnia compared with people who are active at work. Insomnia is a common sleep disorder that can make it difficult to fall asleep or stay asleep. A sedentary job is any job that requires an employee to sit for about six hours of an eight-hour workday.

Researchers surveyed nearly 1,300 people twice over a span of ten years, inquiring about their job schedules and physical activity levels while at work. They also asked about the participants’ sleep habits, identifying three sleep health categories: good sleepers, insomnia-like sleepers, and catch-up sleepers.

Good sleepers are people who exhibit optimal sleep patterns, such as regular sleep cycles with low levels of daytime tiredness.

Insomnia-like sleepers are people who experience short sleep cycles and higher levels of daytime fatigue.

Catch-up sleepers fall between both groups and often rely on naps or extra weekend sleep to compensate for irregular sleeping patterns.

Compared to active work, sedentary work was 37% likely to lead to a variety of insomnia symptoms, such as difficulty falling asleep, interrupted sleep, and frequent daytime tiredness. The findings of the study also indicated that workers who fall into a pattern of poor sleep due to their job design (defined as elements such as the amount of technology used at work, levels of physical activity, and work schedules, and specifically the time of day when the employee works) can end up stuck in such unhealthy patterns for many years. Insomnia-like sleepers, for example, reported their symptoms persisted ten years later, at the end of the study.

Those experiencing insomnia may have the following symptoms:

  • Having a hard time falling asleep at night
  • Waking up during the night
  • Waking up too early
  • Feeling tired or sleepy during the day
  • Feeling cranky, depressed, or anxious
  • Having a hard time paying attention, focusing on tasks, or remembering
  • Making more errors or having more accidents
  • Having ongoing worries about sleep

If you are experiencing insomnia, there are several ways you can improve your sleep, including:

  • Taking short breaks throughout the day to move
  • Unplugging smartphones and computers two hours before bedtime
  • Using light exposure to readjust your circadian rhythms if you work a night shift

If you are experiencing symptoms of insomnia, you can learn more about our outpatient mental health services at Flushing Hospital Medical Center. To schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Making Lifestyle Changes Can Reduce the Risk of Chronic Diseases

According to the World Health Organization (WHO), chronic diseases, also known as non-communicable diseases, are conditions that tend to have a long duration and result from a combination of genetic, physiological, environmental, and behavioral factors.

Chronic diseases are the leading cause of death worldwide. These diseases include:

  • Cancers
  • Cardiovascular disease, such as heart attacks and strokes
  • Chronic respiratory diseases, such as chronic obstructive pulmonary disease (COPD) and asthma
  • Diabetes

A person’s lifestyle and daily habits can increase their risk of developing a chronic disease. About 80% of chronic diseases are driven by a person’s daily habits. These include:

  • Tobacco use, including the effects of exposure to second-hand smoke
  • Unhealthy diets, including excess salt, sugar, and fats
  • Excessive alcohol use
  • Insufficient physical activity

These habits can contribute to metabolic changes that can increase a person’s risk of chronic disease, including:

  • Hypertension
  • Obesity
  • Diabetes
  • High cholesterol

Making the following lifestyle changes is one of the best ways to address harmful habits and help prevent chronic diseases.

  • Dietary changes include eating whole, unrefined, and minimally processed plants. Eating plant-based foods can help reduce diabetes, heart disease, and the risk of cancer
  • Increasing physical activity by engaging in a recommended 150 minutes of moderate-intensity activity each week
  • Getting a good, restful night’s sleep of about seven to nine hours. This can be achieved by:
    • Having a consistent bedtime and waking up on time, even on weekends
    • Being physically active
    • Limiting alcohol and caffeine
    • Putting digital devices away 90 minutes before bedtime
    • Keeping your sleeping area cool, dark, and comfortable
  • Reducing stress by practicing mindfulness, meditation, and gratitude can help relieve stress and improve your physical and mental health.
  • Staying socially connected with friends and family can help keep you emotionally and physically healthy.
  • Quitting smoking, or never starting, lowers the risk of serious health problems, such as heart disease, cancer, Type 2 diabetes, and lung disease, as well as premature death
  • Limiting alcohol use can reduce health risks that excessive drinking can lead to, such as high blood pressure, various cancers, heart disease, stroke, and liver disease

By avoiding these risks and getting good preventive care, you can improve your chance of staying well, feeling good, and living longer.

For more information on how you can make lifestyle changes, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Caring for a Loved One with Bipolar Disorder

Bipolar disorder, formerly called manic depression, is a mental condition that causes intense shifts in mood, energy levels, and behavior. These shifts can last for hours, days, weeks, or months and can interrupt a person’s ability to carry out day-to-day tasks.

Many people with bipolar disorder experience both manic/hypomanic and depressive episodes. These changing mood states don’t always follow a set pattern, and depression doesn’t always follow manic phases. A person may also experience the same mood state several times, with periods of a state of mental tranquility and stability that’s free of mood disturbances, called euthymia, in between, before experiencing the opposite mood.

Mood changes in bipolar disorder can happen over weeks, months, and sometimes years. An important aspect of mood changes is that they are a departure from a person’s regular self and that the mood change is sustained for a long time. It can be several days or weeks in the case of mania and several weeks or months in the case of depression.

The severity of the depression and manic phases can differ from person to person and in the same person at different times. Some people with bipolar disorder will have episodes of mania or hypomania many times throughout their lives, while others may rarely experience them. Signs and symptoms of a manic episode include:

  • Excessive happiness, hopefulness, and excitement
  • Sudden and severe changes in mood, such as going from joyful to angry and hostile
  • Restlessness
  • Rapid speech and racing thoughts
  • Increased energy and less need for sleep
  • Increased impulsivity and poor judgment
  • Making grand and unattainable plans
  • Reckless and risk-taking behavior, such as drug and alcohol misuse
  • Psychosis, such as experiencing hallucinations and delusions (in the most severe manic episodes)

Most of the time, people experiencing a manic episode are unaware of the negative consequences of their actions. If a person is having an intense manic episode, especially if they’re experiencing hallucinations and delusions, they may need to be hospitalized to protect themselves and others from harm. With bipolar disorder, suicide is an ever-present dancer, with some people becoming suicidal in manic episodes, not just in depressive ones.

Some people with bipolar disorder can have milder manic-like symptoms called hypomania. When experiencing hypomania, they may feel great and feel like they can get a lot done. They may feel like nothing is wrong during an episode; however, family and friends may notice their mood swings and activity level changes and think they’re unusual for them.

After a hypomanic episode, a person might experience severe depression. The symptoms of depressive episodes in bipolar disorder are the same as those of major depression, including:

  • Overwhelming sadness
  • Low energy and fatigue
  • Lack of motivation
  • Feelings of hopelessness or worthlessness
  • Loss of enjoyment of things that were once pleasurable for you
  • Difficulty concentrating and making decisions
  • Uncontrollable crying
  • Irritability
  • Increased need for sleep
  • Insomnia or hypersomnia
  • A change in appetite that causes weight loss or gain
  • Thoughts of death or suicide

When caring for a loved one with bipolar disorder, it is important to be patient and understanding, and offer them stability, consistency, and practical help through mood shifts.

There are several ways you can help a loved one through a manic episode. They include:

  • Creating a calm environment
  • Spending quality time together
  • Having honest conversations
  • Preparing easy-to-eat meals
  • Encouraging them to rest
  • Setting limits on their risky behavior
  • Involving a mental health professional if necessary
  • Encouraging medication adherence

There are several ways you can help a loved one through a depressive episode. They include:

  • Listening to and communicating with them
  • Encouraging small steps in self-care
  • Reducing external stressors
  • Suggesting low-energy activities for them to participate in
  • Monitoring them for any signs of crisis
  • Encouraging them to seek professional care

Caring for a loved one with bipolar disorder can be stressful and challenging. However, it is important that before you take care of anyone else, you should take care of yourself. You can do this by setting boundaries, not taking things personally, finding support for yourself, such as through friends, family, mental health professionals, or a support group, seeking family therapy, and practicing self-care.

Call, text, or chat 988 to speak to a trained crisis counselor offering support 24/7/365. And to learn more about our outpatient mental health services at Flushing Hospital Medical Center or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Many Steps Do You Need to Walk Every Day to Be Healthy?

Ten thousand steps per day is a commonly cited goal when it comes to improving your health. However, factors such as age, sex, and occupation may influence the best step count for you.

Researchers examined how the number of steps people take affected their risk for disease and their lifespan. They found that 10,000 steps per day doesn’t always mean people are healthier. Additionally, there is a point at which the number of steps taken per day levels off when it comes to improving health.

For adults younger than 60 years of age, 8,000 and 10,000 steps per day were associated with a decreased risk of death.

For adults older than 60 years of age, 6,000 to 8,000 steps per day achieved a lower risk of mortality.

Researchers also found that people who lose more than 10% of their body weight over 18 months walk approximately 10,000 steps a day. At least 3,500 of those steps were at least of moderate-to-vigorous intensity in short, 10-minute bursts.

Walking is excellent for the heart, as it can lower your risk of cardiovascular disease and help prevent a cardiovascular event such as a stroke or heart failure.

The American Heart Association reports that older adults who take 4,500 steps per day have a 77% lower risk of having an adverse cardiovascular event than people who take fewer than 2,000 steps. Each time you add 500 steps to your daily average, you incrementally lower your risk by 14%. However, this benefit can plateau between 6,000 and 8,000 steps.

Walking can have many health benefits for your mind, as it can help preserve your cognitive function. The more steps you take each day, the more your risk of developing dementia. Once you hit 9,800 steps per day, that benefit can plateau. However, you can begin seeing significant benefits at just 3,800 steps daily, and getting that many steps consistently may lower your risk of dementia by 50% over time.

According to the American Diabetes Association (ADA), walking at least 30 minutes per day, five days a week, can significantly lower your risk of Type 2 diabetes. Whether you walk it all at once or you split it into smaller walks doesn’t matter. Exercises such as walking increase insulin sensitivity and help lower your blood sugar.

A short burst of 10 minutes of brisk walking can increase your energy, mood, and mental alertness. You can also use walking to significantly lower your risk of depression.

According to the American Psychological Association, people who walk at a moderate pace for 75 minutes weekly have an 18% lower depression risk than people who don’t get any physical activity. Walking for 120 minutes weekly can lower your risk by 25%.

Walking greatly benefits your overall health. It doesn’t matter if you do most of your walking during the day, at night, during the week, or on the weekends. You are still helping your health.

It is recommended that you consult your doctor before starting or adding new exercises to your routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.