Dr MargiAnne Isaia, MD MPH

1. www.enthusiasticlife.net with Dr MargiAnne Isaia,MD MPH Emotional Wellness…

2. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS questionnaire ARE YOU ABLE TO EXPRESS YOUR FEELINGS? ARE YOU AWARE OF YOUR OWN ANGER? DO YOU FEEL COMFORTABLE TO EXPRESS YOUR WORRY? ARE YOU ABLE TO MANAGE YOUR EMOTIONS? ARE YOU ABLE TO SET PRIORITIES? DO YOU FEEL FREE TO SAY “NO” TO SOMEBODY? ARE YOU ABLE TO MAKE DECISION WITH A MINIMUM OF STRESS? DO YOU FEEL SECURE WHEN INTERACTING WITH AN ANGRY PERSON? DO YOU LAUGH EVERY DAY? ARE LITTLE CHILDREN ENJOYING IN YOUR PRESENCE? ARE YOU ABLE TO EMPATHIZE WITH PEOPLE IN THEIR SORROWS? If you answered "NO" to any of the questions, it may indicate an area where you need to improve the state of your physical wellness

3. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Includes: Being aware of and accepting a wide range of feelings in him/her and others, and being able to empathize with others. Being able to arrive at personal choices/decisions based upon the integration of feelings, cognition and behavior; Being self-aware and self-accepting while remaining flexible and continually open to personal development; Similar to Emotional Intelligence, refers to the ability to be aware of feelings, manage overwhelming negative feelings, and express inner feelings.

4. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS • EMOTIONAL INTELLIGENCE • DOMAINS: • Self awareness • Self regulation • Motivating yourself and using your abilities • Empathy • Social skills

5. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Includes: Being able to function autonomously but aware of personal limitations and the value of seeking interpersonal support and assistance; Having the capability to form interdependent relationships based upon mutual commitment, trust and respect; Being willing to accept challenges, take risks, and acknowledge conflict as being potentially healthy; The emotionally well person maintains a generally positive approach to life that is rooted in his/her sense of personal responsibility for, and ability to manage, his/her life in personally fulfilling ways.

6. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Emotional Wellness is related to Emotional Competence which is described as an essential social skill to recognize, interpret and respond constructively to emotions in yourself and others. Emotions are normal aspects of being human. The suppression of emotion is not useful and teaching people to suppress their emotions is part of trying to control them. Emotionally competent people will express emotion appropriate to the situation and their needs and they will not seek to suppress emotions in others.

7. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Psycho-social stages (Erikson) From a dependent newborn, with a limited emotional repertoire to a person with complex feelings and the ability to understand and control them Early experiences are essential in developing trust (Erikson) Basic trust versus mistrust (birth to 12-18 months) Baby develops sense of whether world is good and safe place. Virtue: HOPE. Autonomy versus shame and doubt (12-18 months to three years) Child develops a balance of independence and self-sufficiency over shame and doubt. Virtue: WILL

8. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Psycho-social stages (Erikson) Initiative versus guilt (3 to 6 years) Child develops initiative when trying new activities and is not overwhelmed by guilt. Virtue: PURPOSE Industry versus inferiority (6 years to puberty) Child must learn skills of the culture or face feelings of incompetence. Virtue: SKILL Identity versus identity confusion (puberty to young adulthood) Adolescent must determine sense of self (Who am I?) or experience confusion about roles. Virtue: FIDELITY

9. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Psycho-social stages (Erikson) Intimacy versus isolation (young adulthood) Person seeks to make commitments to others; if unsuccessful, may suffer from isolation and self-absorption. Value: LOVE Creativeness versus stagnation (middle adulthood) Mature adult is concerned with establishing and guiding the next generation or else feels personal impoverishment. Virtue: CARE Integrity versus despair (late adulthood) Elderly person achieves acceptance of own life, allowing acceptance to death, or else despairs over inability to relive life. Virtue: WISDOM

10. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Attachment styles Psychological or emotional attachment styles: secure, avoidant, ambivalent (resistant) and disorganized-disoriented The development of attachment styles revolves around issues regarding the relationship with the caregivers and child temperament (gene-environment interaction and correlation)

11. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Adult attachment a long-lasting affectional bond: wanting to be close to a romantic partner Attachment consists of both cognitive and emotional representations that guide attachment-related behavior. Secure attachment -positive view of self, positive view of others -low attachment anxiety, low avoidance Dismissing attachment -positive view of self, negative view of others - low attachment anxiety, high avoidance of others, avoid dyadic closeness, use distancing strategies

12. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Adult attachment Preoccupied attachment - negative view of self, positive view of others - high attachment anxiety, low avoidance of others, seek dyadic closeness, use pursuit strategies Fearful attachment - negative view of self, negative view of others -high attachment anxiety, high avoidance of others, avoid dyadic closeness, use distancing strategies

13. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Emotional Responsiveness The willingness to experience and share emotions. Defense mechanisms are developed in order to cover the anxiety or psychological pain Covered-up emotions result in physical and mental diseases. There is a lot of evidence to support the claim that negative emotions can suppress the immune system or raise blood pressure. Conversely, the ability to express positive emotions has been linked to a strengthened immune system.

14. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Emotional Responsiveness Conversion disorder is a condition in which you show psychological stress in physical ways. The condition was so named to describe a health problem that starts as a mental or emotional crisis — a scary or stressful incident of some kind — and converts to a physical problem.

15. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS • Emotional Distress Symptoms • Sleep disturbances: sleeping more than usual or less than usual, • being unable to fall asleep or waking up after only a few hours and not being able to go back to sleep. • 2. • Dramatic weight fluctuations/changes in eating patterns: • gain or lost a significant amount of weight without any changes in the diet or exercise regime, lack of appetite.

16. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Emotional Distress Symptoms 3. Unexplained physical symptoms: complete physical workout and a visit to a specialist or two, no one can find a reason behind physical complaints: headaches, stomach pain, diarrhea, constipation, and chronic backaches. 4. Difficulty managing anger or controlling your temper 5. Compulsive/obsessive behaviors: Obsessions are repetitive thoughts which resemble worry and are accompanied by anxiety. Compulsions are behavioral acts designed to eliminate the obsessions. 6. Chronic fatigue, tiredness and lack of energy: when a physical checkup shows everything is alright -- can be a sign of emotional distress and depression.

17. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Emotional Distress Symptoms 7. Memory problems: if everything checks out OK, then anxiety, depression, or sometimes an unrecognized reaction to a traumatic event may be behind one’s forgetfulness. 8. Shunning social activity: Any significant change in social behavior for a significant amount of time could indicate a stress overload or other emotional issues are at work 9. Sexual dysfunctions 10. Mood swings and erratic behaviornoticed by more than one person.

18. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Ways toward Emotional Wellness Awareness of thoughts and feelings Using a positive attitude Seeking support and expressing emotions in a suitable manner Learning time management skills Setting priorities Accepting mistakes and learning from them Maintaining life balance Seeking out support from a mental health professional when needed and gathering information in order to make informed value decisions

19. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS Bible references… “Now I am happy, but not because I hurt your feelings. It is because God used your hurt feelings to make you turn back to Him, and none of you were harmed by us.” 2 Corinthhians7:8 (Contemporary English Version)

20. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net EMOTIONAL WELLNESS CLASSIC QUOTATION “The relation that exists between the mind and the body is very intimate. When one is affected, the other sympathizes. Many of the diseases from which men suffer are the result of mental depression. Grief, anxiety, discontent, remorse, guilt, distrust, all tend to break down the life forces and to invite decay and death.” EGW {MH 241.1} “Courage, hope, faith, sympathy, love, promote health and prolong life. A contented mind, a cheerful spirit, is health to the body and strength to the soul. "A merry [rejoicing] heart doeth good like a medicine." Proverbs 17:22. EGW {MH 241.3}

21. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net REFERENCES: Granello, D. H., & Young, M., Counseling Today, Foundations of Professional Identity (2012) Roscoe, L.J., Wellness: A Review of Theory and Measurement for Counselors, Journal of Counseling & Development ■ Spring 2009 ■ Volume 87 Papalia, D., & Feldman, R., D., A Child’s World, Infancy through Adolescence (2011) Barnett, O.W., Miller-Perrin, C.L., & Perrin, R., Family Violence across the Life Span, 3rd edition (2011)