Archive for the ‘Integrative Medicine’ Category

Teaching Children Mind-Body Skills

Thursday, January 27th, 2011

Dr. Kathleen Farah speaks to the power of mind-body skills at any age

Kathleen Farah, MD, is board certified in both family and holistic medicine, and joins Marti and Erin Erickson for an important and encouraging discussion of the power of mind-body skills to help children face a wide range of everyday challenges, as well as more serious health problems. From simple breathing exercises to guided imagery and biofeedback, these skills can improve the quality of life for people of any age, whether included as part of formal health care or taught and practiced in the home. Erin and Marti already have discovered the importance of these skills in their own lives, so they add their own stories of how these skills now are helping even the youngest members of their family..

Listen to the podcast (30:16)

More Children’s of Minnesota integrative medicine resources

Paying Attention to “Nature Deficit Disorder”

Thursday, August 12th, 2010

Tim Culbert, MD: Paying Attention to Nature Deficit Disorder

Having just spent a week on vacation in the beautiful mountains around Vail, Colorado, I was impressed how quickly and completely relaxed I felt once I entered the natural beauty of this area. In fact, my personal experience has been that whenever I am in a natural, non-built environment-forests, mountains, beaches, rivers – I feel calmer, more peaceful and usually quite happy.

So this invites a question – how important is a walk in the woods for our own sanity as humans and for our kids’ development?

Turns out, according to author Richard Louv, that this relaxation response I experienced in the lovely areas of Colorado, is quite common and explained by the fact that humans have an instinctive liking of nature (which is called the biophilia hypothesis) and that a nature-oriented existence is likely hard-wired into our brains. Louv authored the book “The Last Child In The Woods” and coined the term “nature deficit disorder” to describe this phenomena of children spending less time outdoors in natural environments and the resultant behavioral problems in children based on this lack of exposure. Children that spend less time in nature may experience higher rates of Attention Deficit Hyperactivity Disorder (ADHD) and depression. We know for example that lack of sun exposure can contribute to low mood via low vitamin D levels.

Causes for “nature deficit disorder” may include parental fears about kids getting hurt or lost in natural settings, restricted access to natural environments for many kids who live in cities, and the lure of indoor “screen” activities including video games, TV shows and surfing the internet on home computers.

Research studies examining the effects of nature exposure (and lack of it) on human behavior are fascinating. In one study of kids with ADHD, parents described their observation that their kids with ADHD generally exhibited less of the core ADHD symptoms (inattention, impulsivity, and hyperactivity) when in a natural environment than when in a “built” environment.

Although time in nature is not a “magic bullet” that will cure all behavioral challenges, parents should see woods, streams, lakes, and fields around their neighborhoods as a potential type of “therapy” to help keep kids focused, confident, healthy and balanced.

Here are some actions parents can take to prevent nature deficit disorder in their kids

  1. Be a role model. Show your children how much you enjoy outdoor activities in nature
  2. Plan a weekly or monthly surprise outdoor adventure for your family
  3. Limit kids to no more than 2 hours of total “screen time” per day on computer, TV or video game
  4. Take a nightly walk after dinner as a family in a natural area
  5. Get a map of local parks and trails and get out and explore them once or twice a month

How does your family take advantage nature to reduce stress and even manage behavioral challenges?

Tim Culbert, MD

 
Tim Culbert

Tim Culbert, MD, is the medical director of Children’s Integrative Medicine program. You can also read more about him in his first post to the Kids’ Health blog.

Weather Worries

Monday, July 26th, 2010

Self-care skills and weather worries

As a kid I always got excited about thunderstorms and tornadoes. I would run outside to see them when possible. However, for many kids, severe weather is a source of significant anxiety.

Summer is severe weather season in Minnesota and if you live here you know we’ve had our share lately of intense thunderstorms, hail, high winds, and even tornadoes. Studies show that fear of personal harm associated with severe weather is quite common in kids grades 2 through 12 and it makes the top-20 list of things kids worry about (other top stresses for kids include public speaking, terrorist attacks, drowning, monsters/ghosts, and loss of a parent).

Kids can learn to manage weather related fears (and other fears). Self-care skills can help build their confidence in coping more positively around feelings of anxiety before or during extreme weather (watch Tim Culbert, MD, on WCCO working with a patient and family on these self-care skills).

Self-care skills that are calming include:

Parents can also model a calm, self-controlled style when inclement weather strikes (this is a good self-care skills exercise to practice and model at home as a family unit).

If kids anxiety related to storms and tornadoes interferes substantially with day-to-day life (for example they won’t go outside – even in good weather), then they should see a pediatrician or child psychologist for further evaluation.

Here are some tips and resources I find useful in helping kids cope with anxiety around severe weather:

Having A Plan

  • Have a Weather Worries Toolkit stashed in the basement or wherever you go for severe weather
  • Include a board game that you can play, some scented candles, music CDs that are relaxing and some comfy blankets and pillows

Finding The Calm Within The Storm – Things to Do

  • Acknowledge Your Child’s Fear. Do not criticize, ignore, or belittle these feelings. Talk about it openly and give a name/words to what it is they are most afraid about.
  • Have a Plan and Rehearse It. It is best to practice skills when things are calm and controlled. Practice several times, then you will all be ready when severe weather occurs. With practice kids develop mastery and confidence. Parents should practice with younger kids and also model these techniques.
  • Limit Media Exposure. Television and radio media will sometimes cover inclement weather intensely. It is best to limit children’s exposure to this.
  • Get The Facts. Research the facts about severe weather and understand the reality of it and the conditions for it. Knowledge is power and will often reduce fears.

Websites about Severe Weather for Kids

Children’s Books about Severe Weather and/or Stress Management

  • Be The Boss of Your Stress Book and Kit
    Timothy Culbert and Rebecca Kajander
  • The Buffalo Storm
    Katherine Applegate
  • Franklin and The Thunderstorm
    Paulette Bourgeois
  • Flash, Crash, Rumble and Roll
    Franklyn Branley

What strategies do you use when helping your children cope with fear or anxiety around severe weather (or other fears)?

Tim Culbert, MD

Dr. Tim Culbert is the medical director of Children’s Integrative Medicine program. Read more about him in his first post to the Kids’ Health blog.

Plastics on My Mind (and Yours Too!)

Tuesday, May 18th, 2010

I don’t want to give away my age, but I remember a classic line from the 1967 movie “The Graduate,” where Dustin Hoffman gets some important career advice in a single word –“plastics.”

The plastics industry has been quite financially successful in the packaging and food container business over the past 30-40 years, but, as it turns out, this has likely come at a cost for us and our kids in terms of brain development and potentially the development of cancer, obesity and diabetes amongst other concerns.

I was thinking about plastics recently as I attended a new “product launch” party in New York City for the first-ever line of environmentally safe baby bottles and related products that are manufactured to be free of harmful chemicals called “endocrine disruptors.”  It is a bit sad to me that this is such a big thing and took so long to get here. I was bottle-fed as an infant, as that was promoted to many moms back then. It made me think: how many kids have been exposed over the years to plastic-related chemicals?

A rather dramatic study from the Environmental Working Group examining the cord blood of 10 newborn babies from minority families showed that the blood samples contained 232 toxic chemicals at the time of birth!  Some feel that the FDA and other government regulatory agencies have been asleep at the wheel for many years as it relates to this issue and that plastics related toxins are only the tip of the iceberg.

Evidence is mounting that many commonly used plastic products that contain our favorite foods and drinks — including baby bottles, canned vegetables and water bottles — tend to leach chemicals called “endocrine disruptors” into our foods and beverages with serious long-term consequences to mind/body health. These chemicals — things like bisphenol A (BPA), Polychlorinated Binphenyls (PCB’s) and phthalates, to name a few — are being linked to breast, prostate and ovarian cancers in adults, and to autism, ADHD and learning disabilities in children (as well as obesity and diabetes). The reality is that, with few exceptions, we have all been exposed to a lot of these chemicals as part of modern life. As a board-certified developmental pediatrician, I am amazed by the rapid increases in mental health and developmental diagnoses in childhood- ADHD, autism, and depression are all occurring in record numbers  and we don’t know really know why. I think we really may have missed something here.

Other adults are now speaking out.  I read about an interesting project called “Mind-disrupted,” which details the toxic exposures of a group of 12 adults who themselves have emotional/learning problems and who also have offspring with learning disabilities. They actually tested themselves for the presence of some 89 toxic chemicals including lead, mercury and plastic residues. The study found that all 12 participants had at least 26 environmental toxins above acceptable levels in their bodies!

The Collaborative on Health and the Environment organization has new report by a working group on learning disabilities and developmental problems in kids (“Scientific Consensus Statement on Environmental Agents Associated with Neurodevelopmental Disorders.”

This report details the various potential links of environmental toxin exposure (the burden of which is higher in low SES kids and families and in developing nations) to a broad spectrum of learning, behavioral and emotional problems in childhood. We know that the developing nervous system in infants and kids is exquisitely sensitive to even very low doses of endocrine system chemicals (hormones) and so during windows of time when the developing fetus, infant and child is exposed-even to low levels of endocrine disruptors (and heavy metals and other pollutants) — profound, detrimental changes can ensue within the developing human.

So where do we go from here? Parents and kids need to let our government know that these regulatory issues need to be better funded and enforced. We all need to heed a time-tested principle in public health – “The Precautionary Principle,” which states that “when an activity raises threats of harm to human health and or the environment, precautionary measures should be taken even if some cause and effect relationships are not fully established scientifically.” Simply stated it means that until we know better, we should err on the side of caution in considering health risks. It is better to ban many of these chemicals that may do harm until we figure it out more definitively.

In the meantime, see the Green Guide for tips when buying plastics. A few tips follow:

  • Don’t microwave food in plastic containers
  • Use fresh or frozen veggies not canned
  • Use metal water bottles
  • Look for not just BPA-free bottles and utensils ,but for products made from materials like “Triton” that are free of “estrogenic activity”

What do you think about this as a parent?

Tim Culbert, MD

Dr. Tim Culbert is the medical director of Children’s Integrative Medicine program. Read more about him in his first post to the Kids’ Health blog.

Video: Be Fit, Be Strong, Be You

Thursday, May 13th, 2010

Timothy Culbert, MD, medical director of integrative medicine at Children’s Hospitals and Clinics of Minnesota, discusses his new book, “Be Fit, Be Strong, Be You.” The book teaches tweens the importance of being healthy and staying true to themselves.

Defining Complementary and Alternative Medicine

Tuesday, March 16th, 2010

Dr. Culbert With a Patient Some of the most fascinating trends regarding consumer preferences for medical care for themselves and their kids, have to do with the increasing tendency of our patients and families — that means you — to choose more natural, non-drug, so-called Complementary and Alternative Medicine (CAM) approaches.

CAM refers to techniques such as massage, meditation, acupuncture, herbals, and energetic therapies like Reiki and Healing Touch. A recent national survey showed that 38% of adults nationwide state that they use CAM and 12% of kids report CAM use. Other studies have suggested that 50-85% of kids/teens with chronic illness Cancer, cystic fibrosis, developmental challenges) use some form of alternative medicine.

At the Integrative Medicine Program here at Children’s Hospitals and Clinics of Minnesota (the largest and longest-running pediatric CAM clinic in North America) we have had 10 years of experience talking to many of you — parents, kids and teens — about why you want alternatives to conventional prescription medication & invasive high-tech procedures. Our experience suggests that people seek out CAM for a few common reasons:

  • some individuals just don’t do well with conventional medical approaches (for example, kids with certain kinds of chronic pain) and are looking for more effective options
  • patients are interested in learning self-care techniques that allow them to be more active participants in their own treatment
  • people appreciate more natural, less invasive options that support the body’s natural healing capacities
  • families value a holistic approach that considers mind, body and spirit in the assessment and treatment process

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