Riding the Rapids

We recently spent a few days hiking up mountains, camping and white-water rafting in Wyoming and Montana, because isn’t that what people who are afraid of heights (me) and can’t swim (yeah, me, again) do for fun? And it was fun. It’s good to push out of the comfort zone.

Most parents and the other adults who care for and work with children are quite serious about helping them get out of their supposed comfort zones and into a healthier lifestyle. Recently, I was speaking to a group of adults about the topic, “Raising Mentally Healthy Children.” We spent our time focused on what we can do.

One problem that arises in these conversations – whether in a group, one-on-one, or with a family, is that making time for change seems impossible. The days are packed, and nothing on the schedule seems negotiable. Yet, in reality, what’s not negotiable is what humans need to be healthy and thriving.

What most kids need, and what we need, too, is more appropriately divvied-up time. For example, children and teens benefit from a solid two hours or more of physical activity every day. They need time outdoors, in nature, for their immune systems, Vitamin D, circadian rhythms and even their eyesight development. The near-and-far variation in focus that being outdoors elicits promotes healthy eyesight in young children; kids are supposed to go from crouching down to study a beetle to peering across the field to see if that’s a hawk in the tree and then taking off running to make sure. Optimally, they’re outside for at least two or so hours every day – more on weekends.

Kids need enough sleep – probably 9 or 10 hours a night, with an absence of screens. Recent research links high levels of artificial light at night (ALAN) with increased rates of cancer due to disruption of the circadian rhythm. An immediate risk with insufficient sleep is the attention system. Sleep-deprived people are irritable, inattentive, forgetful, disorganized and generally not fun to be around. Sleep-deprived drivers test as impaired, much like those with alcohol and/or drugs in their system. Think about inexperienced and sleep-deprived teenagers driving to and from school and work, often in the dark.

Kids, and we adults, need unstructured time. Most of the adults present had a creative hobby or two, and we all agreed that it takes time to shift gears into that hobby. It’s hard to walk in the door after work and immediately pick up a paintbrush, or guitar, or journal, or woodworking tools, and be in flow. The segue into creativity requires a sort of almost boring downtime – something many adults and children avoid compulsively through electronics.

I can’t tell people what sacrifices have to be made for their family to have a healthier life. It varies from family to family, and it is never easy. It might be simple or quite complex, but it is never easy. However – after the white-water part, when you aren’t on nature’s roller coaster, there are always some smooth, easy times ahead. Thank you to all the parents who go for it – who strive to be sure their children to have the range of experiences they need to grow up resilient, curious and confident.

Hard Changes

Most of us have some changes to make. And most changes are not so easy. That’s why people postpone them, or poke at the edges, or just pretend the problem will go away by itself. Sometimes people convince themselves there isn’t even a problem, really; that it just depends how you look at it. Maybe so. But maybe there’s something that needs changing.

Let’s say you have a teenage child, or a child approaching the teens. S/he is cranky, sullen, uncooperative with chores, sulks during family meals and resists being on time for school and other appointments. S/he wants to spend time alone, in the bedroom, with electronics. The child is depressed and/or anxious and/or obsessive and/or perpetually angry. You know the situation will change, one way or the other. Everything changes. If you do nothing, you are gambling that your child will continue down this road and somehow, at 18 or 19 or 20, wake up, shake themselves off like a wet Golden Retriever and come out of their bedroom, smile and say, “Wow! How could I have been so wrong?!”

Yeah, I doubt it, too.

If you have this situation and need to take it on, it can be hard to know where to start. Here’s a suggestion: if the situation is not a crisis, then the most practical first step may be to start with yourself.

You will have to change. Perhaps you have to start the change process by being sure that all the adults in the house are on the same page in your expectations. Perhaps you need to get yourself on the right path.

You go first. You get enough fresh air, and time in nature, and sleep, and healthy nutrition, and balanced physical activity. You strive to do interesting and challenging things in what little free time you have. You will, quite naturally and incidentally, spend less passive screen time. You’ll be leading from strength rather than being a target for adolescents’ favorite criticism: that we adults are hypocrites. You’ll be in a much better stance to steer positive changes for your tween or teen.

Not another horrible day

A different day, another awful situation.

A child, or teen, or young adult has been struggling with emotional turmoil and is tumbling into danger. They confide in a friend, or maybe a few friends.

They may have “met” someone in an online chat and now this person is their “boyfriend” or “girlfriend,” and they are planning to run way to meet this person.

Perhaps the young person has been “sexting” with someone they know personally, or “met” online, and now are being threatened with “sextortion,” that the images of them will be spread around, unless they meet some demand. This has recently led to many teen and young adult suicides.

Perhaps the young person shares that they are a victim of abuse.

Or, perhaps they stumbled upon, or were led to, the terrible misinformation that hurting oneself is a useful way to cope with painful feelings. The young person proceeds to experiment with self-harm, and posts online about it.

So-called friends hear the plan, listen to the horrible stories, or see the images of scratches, cuts or burns, and fail to turn to an adult for guidance.

Every parent I’ve ever spoken to is under the impression that their child would, of course, come to them if a friend were in grave danger. And sometimes that is true, but an awful lot of the time – in almost any of these kinds of incidents I’ve ever encountered in clinical practice or consulted on, as it happens – that was not the case. The case was, almost every time, that other young people knew about the plan to run away, or the abuse, or the self-harm, and did not seek the guidance of an adult.

Sometimes these “friends” have an unflagging alliance, suddenly, to keeping promises (unlike the promises they have made to you, dear parent, about everything from cleaning their room to homework being done well to treating your automobile with respect). Sometimes they believe they are better equipped to help than an adult would be, although they cannot arrest an abuser, drive someone to the emergency room or help them connect with a mental health professional for counseling, and their capacity to manage extreme distress is probably not much better than the troubled friend’s skills. Sometimes they dread social disapproval for breaking the rule that you keep adults out of it, whether the “it” is someone self-harming, or sharing that they are a victim of abuse, or are planning to run away from home to meet up with the “boyfriend” they “met” online.

I urge you to have frequent, open conversations about these topics with your young people. Make them age appropriate; be calm and encouraging. If you are too stressed out, you may be misread as “angry.” Remember that adolescents go through a stage where their brain interprets almost every non-happy facial expression as “angry.” If that happens, the conversation will probably be a complete failure.

Be calm, be matter-of-fact, and be sincere. Ask questions, too:

How do the people you know handle things like a friend telling them this kind of stuff?

If this was your friend, what would you do?

If it were (fill in the blank for some close friend or family member), what would you want their friends to do in this type of situation?

Why do you think people are reluctant to ask adults for help with this?

What would make an adult seem safe to go to with this problem?

Don’t lecture; have the conversation. It may be a conversation that occurs for a few minutes at a time over an extended period. That’s okay; sometimes a few sentence and letting it simmer is what’s necessary.

You may, without knowing it, be setting the groundwork to save a life.

Why didn’t you call me?

The Mystery of the Missing Phone Call

If you leave voicemail and I do not call you back, odds are it is because the voicemail did not come through, or, as sometimes happens due to cell phones, it was impossible to understand. During 2024, there was a week in the autumn in which my cell phone record clearly shows no phone calls and yet later, several people complained about having called and receiving no call back. Their number popped up showing they’d called during the week in question, but the cell phone call logs of that week showed no such call. These things happen; it is regrettable and out of your, and my, control. If there is no call in a day or so during the business week, please call again!

If you email me and ask me to call you, I will email back and invite you to call me. Sometimes people find this annoying or avoidant. I have two reasons for this.

First, I cannot be sure that whomever is emailing (or texting) is the person in question. That is why we therapists have requests about not sending confidential information by text or email. Believe it or not, several times in my over quarter-century in practice, people have left voicemail or email with a name and number that was not their own. They had decided that “Alex” was in need of a therapist. In their imagination, leaving unsuspecting me a message to call “Alex” was a way to have “Alex” unexpectedly encounter a real, live therapist and jump at the chance to make an appointment. This is not how it ends up, believe me. On occasion, people have called and directly requested that I call some family member or friend, and I decline. I appreciate the honesty in the latter case, but it is still inappropriate.

Secondly, I cannot be sure that I will be calling when it is safe and private.

Thanks for calling!

Loneliness can kill you…Part 1

According to new research from the journal Nature, Human Behavior published on January 3, 2025, loneliness and social isolation lead to molecular changes that, in my simple terms, seem to set the body up for serious problems – increased risk for dementia, depression, cardiovascular disease, diabetes, stroke, and early death. The researchers’ recommendations include routinely asking about loneliness and isolation, the way a health professional asks about sleep habits, alcohol use, and drug use.

If you are lonely on an ongoing basis, this is for you.

Loneliness can strike through no fault of one’s own.

Losing your spouse, for example, or a best friend, will almost inevitably lead to a long stretch of deep loneliness during the initial year or so of grief, and can continue beyond, as the bereaved person struggles to outsource some of that emotional, intellectual and spiritual intimacy to other relationships. In a healthy marriage, you share all sorts of confidences with a spouse that you simply might not share with anyone else – fears, dreams for the future, spiritual insights and struggles, and the warmth of shared memories that are no one else’s but the two of yours. Somehow, some of that must be extended to others, and depth built over time. It an absolutely monumental task to parcel out these small slices of the immeasurable depth of a healthy marriage.

Moving, alone, to a new city, for a new job, can be exciting, but the reality can include aching loneliness when everyone at the new job goes home to their lives and you go to your apartment and try to figure out how to build a life. Developing the big, and small, connections that make a place feel like home can be daunting, and for most people, it takes longer than they had ever anticipated.

Loneliness hits other people, too. Those who are living primarily second-hand, separated by screens and trying to substitute electronic connections for human ones, are often intensely lonely. Some people interact with others in person, but the conversations are shallow, guarded and therefore nearly empty of connection and meaning. This type of loneliness can be even more painful, because it seems inexplicable; how can a person live with family or a partner and yet feel deeply lonely?

So, what to do? Unfortunately, the impetus is mostly on the lonely people to do something differently.

Here are some suggestions I would give to a client in such a situation.

Go to church or synagogue. If you are grieving, try to go back to your own – but if that’s painful, go somewhere else, at least for now. If you are new to the area, just find a place that seems like a possibility. Then go to the hospitality time afterwards. Introduce yourself, and invite people to tell you about the faith community. Do not stand around with your cup of coffee and wait for people to notice you. Set a goal: perhaps that you will introduce yourself to three people, get their names, and ask a little about this community. See what happens. Try to focus on the other person; make the conversation a chance to get to know them and about their community – not about you. If it goes fairly well, go back the next week, greet those three people (and anyone else you met) by name if you can, re-introduce yourself without taking them forgetting your name personally, and see if you can meet a couple of other people. Within a month, you will have some acquaintance with a dozen or more people and have a solid idea if this community offers activities for education, worship and service for you to join.
Even if you usually like to do things solo join at least one activity – one exercise class, one art class, one talk at the local bookstore, etc. – on a regular basis. Get to be a regular. Greet other people.
Volunteer in your community. Do this with others. Doing good solo is beautiful, but if you’re not getting out of your head and focused on others in an interactive way, you are missing part of the point.
Be friendly but don’t try to bully people into being your friends. For example, if you are new to the area, don’t wear out your welcome with the neighbors who came over to introduce themselves on moving day.
Please do not use alcohol or other substances, or resort to hanging out having drinks as a way to cut loneliness.
Be patient and keep trying! Think of these steps as experiments. Track what happens over time; be willing to change to a different experiment if the first one isn’t working after a month or so.

As you can see, the remedies for loneliness all include getting out of your head and into the world. Focusing on others, in small ways (such as greeting them and showing interest) to big ones (such as volunteering), is a critical part of overcoming loneliness. This can be really hard, because loneliness tends to make people even more withdrawn, more insular – it is a self-perpetuating problem unless you boldly step out, even with small but courageous steps, into focus on others.

More about connecting with others in Loneliness can Kill You, Part 2, coming soon.

7 Things to do When Life Is Crazy

Sometimes, life just goes horribly sidewise. This week, like most weeks, I spent time with people who have lost their homes to natural disasters, lost their job, had loved ones die, and sometimes are grappling with multiple serious problems. The world seems crazy, you can feel like you’re going mad, and it is oh-so-easy to slide into attempts to numb the pain that are ultimately harmful.

It’s easy to advise people on what NOT to do – don’t drink alcohol. Don’t use drugs. Don’t eat a lot of junk food. Don’t let yourself scroll through social media and/or your newsfeed for extended periods of times. It’s easier, though, to “do” than to “not do.” Anyone who has tried to break a bad habit knows that; it’s easier to “eat an apple” than to “not smoke/drink/eat a bag of cheesy poofs the size of a pillow.”

So, here are seven things to do – and keep doing – when life is crazy

Say grace. Say grace when you get to sit at a table and say grace – together – when you eating a granola bar in the shade after another few hours of trying to make sense of the debris that used to be your home. Say grace when you are out on a hike, just about out of water, and have miles to go. G.K. Chesterton famously noted he said grace when he sat down to write, to draw, etc. A moment of gratitude shifts the focus from the mud to the mountaintop.
Put the social media/news scrolling down and, instead, watch something that will make you laugh, preferably either an episode of a sitcom or a funny movie. Why? These require sustained attention, will bring a focus on characters who have ups and downs, and have the potential to make you laugh. Laughter releases dopamine – that feel-good chemistry that helps you heal. Make it better and share that humor break with someone else. Sharing laughter with the person you love helps that sense of connection that seems strained, or even lost, when life has gone crazy.
Eat food that is good for you. Ongoing extreme stress causes havoc in your body, including your brain, and getting decent nutrition is essential to your well-being, now and later. I did the price comparison: a precooked chicken, a bag of salad, some fruit and a little something else healthy, for example, feeds two or four people far cheaper than most or all fast food. Your brain will thank you.
Listen to music that is soothing: piano or guitar, instrumental jazz, classical, baroque: as tempting as it may be to listen to “angry” music because you feel so angry about what’s become of your life, that will only reinforce your distress. Let peace soak into you, however slowly it may come.
Check in with other people every day. Reach out to someone to see how s/he is doing. It helps us get out of our own heads, our experiences, and feel less alone.
Get outside, preferably in the morning, for natural light exposure. You don’t need to bake in the sun; just get out there. Take a walk if you can. Early natural light helps the brain regulate the sleep/wake cycle, setting you up for a healthy rhythm of melatonin production over the course of the day.
Ask God to show you where He is at work in the events of your life, because when life goes crazy, the fog can make God’s loving presence hard to detect. Ask for the grace to notice the helping hands, the kind words, the moments of clarity.

I’m sorry if life has gone crazy. It is scary, and lonely, and disorienting when disaster strikes. If you find that you are sinking, reach out for help: call your local helpline (in Pinellas County, FL the number is 1-888-431-1998, for the new Care About Me program that helps match those in crisis with an appropriate mental health provider). Call a friend, a family member, or, if you are feeling unsafe and considering suicide or plan to harm yourself or others, go seek immediate help via 911 or go to an emergency service location. When life has gone crazy, it is natural to feel frightened, confused and even helpless, but remember that none of us were designed to “handle it all.” We are, in fact, designed so that our strengths are distributed so that each has something to offer but none has every gift and ability. Please reach out for help if you feel you are sinking.

Random Life Lessons

Here, on a beautiful autumn day, are a few life lessons I’ve picked up on the way…perhaps one will be useful to you.

Walking in the morning, before sunrise, can lead to being stopped by law enforcement, who, upon getting a look at me from the front (wrinkles and rosary beads) say things like, “Oh. I thought you were a kid out breaking into cars.” Wearing a reflective vest and a skort, instead of baggy gym shorts, has solved that problem. Either that or I have succeeded in looking old from behind. The lessons: be reflective and dress appropriately to the task at hand.

Don’t save special stuff for special occasions. Eventually someone else will just throw your treasure away or it will end up, sad and dusty, on a thrift store shelf. Use it up, whether it’s that fancy cocoa mix someone gave you at Christmas or your grandmother’s crystal. Drink sweet tea out of a fancy goblet.

Not from personal experience (see a prior post about this issue) If you change your hairstyle and/or color on a regular basis, you might not be the best candidate for a tattoo. The same goes if you try to destroy or at least hide any photos of you from five or more years ago because you can’t believe you left the house looking like that.

If there is something you really want to do, and it’s realistic for you, then pick a reasonable time frame (say, one year) and reverse engineer backwards all the way to tomorrow. If you want to achieve “X” – your G.E.D., your master’s degree, a marathon, writing your first book – there will be something specific that you do and/or don’t do tomorrow that is different than yesterday. Then the next day, you will, again, do/not do something different because you have this goal. If it’s your G.E.D., and you want to pass by one year from now, then the first thing to do is look up where to go for information. Then call the place. Then go. Then decide what you will give up to make time to study. Then do that: give up some of that time to study. Learn how to study (a lot of people get to college without knowing how to study; no shaming). And study again and again. Enlist people who will encourage you because it will be hard and discouraging and there will be people who try to pull you off course.

Don’t spend time around people who discourage you when you are trying to become a better person. If you have thought things through, and realized you must change some habit or adopt a new plan for life, and wise people agree it is a good move, then be very skeptical about the motivation of people who try to interfere.

Unless you have doctor’s orders to the contrary, odds are that alcohol is not your friend. Remember when Pinot told you what a great dancer you were at your cousin’s wedding? Or how some kind of brown liquor helped you straighten out that miscommunication with your in-laws? Yeah, not your friend. Besides, alcohol is eager to share bad things: disrupted sleep, increased risk of cancer (it’s a major factor in a number of types of cancer), dementia, prematurely aging skin and who knows what else. Disclaimer: I don’t drink and I’m not in recovery, which means this one comes from 1) observing life and 2) reading the medical research.

Be wary of people who think it is funny to scare animals. A guest who tries to frighten your cat because it’s “funny” when the cat’s fur stands on end needs to go away and not visit again. This is a red flag, no matter how “nice” you thought this person was. They exert power by terrifying others; is that nice? No. If a five-year-old could easily explain it, I shouldn’t have to say another word.

The above does not include the person who is willing to make an absolute ass of themselves trying to scare a squirrel, bunny, rat, lizard, etc., out from under their parked car so they can leave without killing it.

Try, if you can, to be patient with people who act as if they didn’t need to let you know about something they wanted you to know about because they put it on social media. Give yourself permission to explain that you don’t spend time looking for something you ought to know on social media. Unless you do, in which case you have bigger problems, perhaps, than missing one person’s newscast.

And, in closing, bear in mind that one person’s life lesson is not necessarily yours…but then again, maybe it could be.

Why Ask Me That? Third in a series on questions in the therapy room

Someone who is struggling with anxiety just wants to feel better. It’s understandable; anxiety feels awful. The physical symptoms, so often hovering just below full-blown fight-or-flight; a mind that won’t rest, a brain that hops from topic to topic like a rabbit in a vegetable garden. Add to this the fear that so many people have when they come to therapy: will the therapist tell me I’m crazy?

No; no, I won’t tell you that, but I am probably going to annoy you with a lot of questions that may seem to be irrelevant to your suffering. My paperwork asks about your history, decade by decade; your losses; job satisfaction; health issues; your alcohol and drug use; your prescribed medications; your exercise and sleep patterns. I ask about screen time, social memberships, supportive relationships. I ask a lot of questions, and I can tell who thinks those questions are irrelevant by who leaves them unanswered, handing me incomplete paperwork and acting surprised when I follow up on the many blank places.

All these questions are important, and here’s a short discussion on just a few aspects and the explanation.

Your sleep patterns, and any difficulties, can both contribute to, and be worsened by, anxiety, stress and depression. If you need more, or better sleep (and most people do), figuring some ways to improve your quality and quantity of sleep can help across many categories of your life: focus, memory, energy, stress level, and mood. When these improve, relationships can often improve, as you might expect when you can pay attention and be less cranky.

If you have major health conditions that are not properly managed, these may contribute to problems with sleep, anxiety, or mood. For example, poorly managed diabetes, besides being physically very dangerous, impacts focus and mood. I would refer you to your physician to see if there are problems that require medical attention.

Social isolation is a recipe for loneliness and depression. Social media use tends to make this worse – something that seems weirdly contradictory. Lonely people eventually withdraw, and this creates more loneliness, isolation and possibly anxiety and depression. We need to explore ways to enter back into activities with others. From my guidance counselor days: children who are isolated suffer. If you ask a child if s/he has friends, and then ask him/her to name those friends, and there is a flash of hesitation, you know you are dealing with a child suffering social isolation. Just so, adults who cannot identify some supportive relationships and what is good about those relationships is an adult who is emotionally isolated.

I ask questions that make sense to me; if they don’t make sense to you, please ask why I’m asking. Thanks!

Social Contagion

(This post mentions eating disorders, self-harm, substance abuse and suicide. Please reach out to your local emergency services if you or someone you know is struggling with any of these!)

When I was in 9^th grade, I unwillingly, and briefly, attended our parish’s very small Catholic Youth Organization meetings (CYO. The group comprised mostly boys, all altar servers, who played ping pong and pool with our associate pastor, a well-meaning middle-aged priest from Poland. The only other girls were the type of enmeshed best friends that are normal at that stage of life. Their shared passion was Bay City Rollers. They put together, in that era of typewriters with ribbons and no internet, a monthly fan newsletter with some success. Life would have been oh, so easy, if only I could have mustered enthusiasm for the boys from Edinburgh. I tried. But, despite the social costs, a Dylan fan I remained.

Go ahead, laugh. But you have faced the challenge of social contagion, too. You may even now be wearing a style of clothing you don’t actually even like. It’s just what’s “in.” As a teenager, you wore the right clothes, or pined after them; you strove for the right hair style. You wore the trendy colors even if they made you look ill, and were anxious for the approval of your peers. It’s not just kids who follow the crowd; every married person knows that when your spouse’s friend circle comprises mostly divorced people, there may well be trouble ahead.

Over the years, we’ve seen waves of societal concern about the risks of contagion. Were young people teaching each other to cut or burn themselves (1990s), how to purge or starve themselves (ongoing since at least the 90s), how to get a so-called “high” from household items? Could a teen’s suicide lead to copycat attempts? The answer to all of these is, yes.

Children now are not gifted with preternaturally adult-style brain development. The ability to sound sophisticated by parroting what you’ve read or heard is not the same as an adult brain with a well-developed executive function – something that takes into the early to mid-20s to acquire. Your kid is not any more resistant to peer pressures of even the subtle type than you were when you were screaming in excitement over a band because all your friends were. As it happens, they are more vulnerable, because peer pressure can surround them wherever their cell phone works. Odds are, you were free – as soon as you were off the school bus, there was some space for other influences to counterbalance the noise of adolescents striving to show their individuality by being as much like their desired group as possible.

Notice the vagaries of the teenage years: they move from music star to music star, aesthetic nomads in lockstep. No one wears jeans; then they all wear jeans. The games, the accessories, even the car you drive falls under the anxious eye of a child who wants to fit in. It’s important for all of us to be attuned to the various social pressures to conform, because we want our young people to survive, and thrive, throughout these very turbulent times.

Life-Changing Hacks

Confession: I really dislike the term “hack.” It sounds awful, like a data breach somewhere, drenching the dark web with the personal info of thousands of people. It also used to mean someone whose work was poorly done and usually rushed, or the work itself. Somehow it became slang for “something you can do to make things easier/simpler/better.”

So be it, then. In the spirit of openness (in which I score extremely high in personality tests), here are seven “hacks” for a happier life:

Spend at least 15 minutes a day sitting in silence. For me, it is prayer time. This is a powerful early-day practice. If you are religious, this is a good time to sit with Scripture, a devotional book if you use one, and a small notebook in which to write a brief response as part of your prayer. For some people of faith, opening with a short Scripture reading and sitting silently in a contemplative mode of prayer is better.

If you are not religious, use it as quiet meditation time, focusing on breathing in a way that feeds relaxation and focus.

Why it works: The research on the benefits of such a meditative practice is robust: brain health, heart health, reduced depression and anxiety symptoms. For people of faith, it becomes an opportunity to listen and reflect on God’s presence in their lives and how they are called to live. Taking a few moments to formulate your thoughts and write to God can help anchor you into the experience. The act of writing – words of gratitude, questions, fears – helps with focus and invites you to be in dialogue.

Go on a news fast. If something horrible that actually requires your attention happens or is imminent, like a hurricane or other disaster, you’ll find out about it. Otherwise, just skip the news for a week, or two, or more. Then titrate your dosage: 15 minutes a day, checking into two or three varied sources.

Why it works: repeated exposure to what are often the same events, or people discussing those events, has the neurological effect of repeated distressing experiences and amplifies your stress level. By quickly reading, rather than watching and listening, you will be better able to glean information without being overly stimulated emotionally.

Once a week, avoid all electronics except:
- Live interaction with loved ones at a distance
- Shared experiences with family or friends such as watching a movie together, which you can then discuss over a meal.

Why it works: you will necessarily be spending more time in the real world, either resting, being creative, or otherwise having your life rather than passively observing others’ lives.

Go outdoors every day, preferably in the morning.

Why it works: Morning daylight helps with brain chemistry; it contributes to a better mood and improved sleep by getting your melatonin system set properly. It is also a good time of day to get your beneficial Vitamin D exposure (check with your physician) and to take in the benefits of exposure to nature: the sky, the sights, sounds and smells of plants, the sight and sounds of animals.

Clean up your diet. Experiment with giving up highly processed junk foods. If you are a “one toe in the water” type, pick one change at a time and stick with it. Add a small change a week. If you are a “cannonball into the pool” type, go all in: get rid of the chips, the fast foods, the super-sweetened snacks. See how you feel after a couple of weeks, after the worst of the withdrawal has passed and your tastebuds start to recover.

Why it works: junk food is addictive, hijacking your dopamine system; it leads to erratic moods both because of the direct up and down of dopamine and the very complex relationship between the gut and the brain. The research here is abundant and easy to find; simply put, you’ll feel better. Your energy level should be more stable, helping you feel more energetic and, without that brain/body overstimulation from processed snacks in the evening, you may even sleep better, which leads to number 6:

Be religious about sleep. If you are a 7-hour-a-night person, get those 7 hours; if you are a 9-hour person, get the 9. Since you will be consuming less electronic media you should be able to squeeze out the time.

Why it works: Sleep is essential. It is when your brain, and the rest of your body, does a lot of its clean-up and repair work. Your brain uses sleep to sort out information, store memories, and do important work such as using your new, improved, healthier diet to rebuild your stress-and-junk-damaged hippocampi, amygdala, etc. Try to go to bed and get up at around the same time every day. If you are skeptical, then be scientific about it: do this as a four-week experiment and then assess the outcome.

Be committed to a daily exercise routine appropriate to your health requirements. Your physician can give you info on recommended guidelines and any limitations or considerations you need to bear in mind. There is no one routine for everyone, but unless you are on doctor’s orders to remain resting and sedentary, there is something you could do in this area. You may have to start slow; you may have to scale back because you are burning out; you may need to add variety so you are addressing cardiovascular health, strength, flexibility and balance.

Why it works: Well, look at the data! We are engineered to move, not to sit for hours. Regular exercise is good for physical and mental health, can help with social well-being for those who exercise with or around others, afford time in nature, and help with sleep and digestion.

So, there you go. Seven simple hacks for a happier life. Most of them cost nothing; even healthier eating could start with a money-saving switch of water in lieu of sugar- or artificially-sweetened prepared beverages. So – all simple, all potentially free. Since it doesn’t cost anything – what’s the harm in giving it a one-month trial run? If one month of free, simple changes could mean more well-being in multiple areas of life, that seems like a great bargain – cheaper than coming to therapy and paying me, or someone else, to tell you the same thing.