The Magic Wand – A Brainspotting Therapy Session

Photo by Mikhail Nilov on Pexels.com

I would like to tell you about my recent therapy experience. I believe in order to be a good therapist, one should be seeking therapy as needed to deal with their own issues. Even the best therapists need a therapist occasionally! To optimize my emotional and psychological health, I occasionally seek outside help. With this in mind, I saw Clinical Social Worker Ruth B.Z. Thomson of Winnipeg, Manitoba, for a therapy session. She used a therapy technique called “Brainspotting” (BSP) which was new to me and which I was very curious about. 

“Brainspotting is a powerful, focused treatment method that works by identifying, processing, and releasing core neurophysiological sources of emotional/body, pain, trauma, disassociation, and a variety of other challenging symptoms. Brainspotting is a simultaneous form of diagnosis and treatment, enhanced with bilateral sound, which is deep, direct, and powerful, yet focused and containing.”

David Grand, Phd, Brainspotting Developer and Trainer

By the way, bi-lateral and BIO-lateral are two different things. It sounds confusing, but here is a way to explain the difference. Also, there is a link between brainspotting and EMDR therapy (Eye Movement Desensitization Reprocessing).

After filling out forms and consenting to treatment I entered Ruth’s beautifully decorated and comfortable office. She said I could choose any chair to sit on. There were about six chairs. I scanned the room, chose a chair, sat down, and got comfortable. I rearranged the cushions and used a little step stool. She sat across from me. She told me after a brief talking session, I would be listening to music with headphones, and she would use a wand for me to look at and focus on. The wand looked like one of those telescopic back scratchers and it had a dark blue handle.

We chatted for a bit to discuss my issues and then she told me we were going to get started with the brainspotting treatment. She passed me the headphones and made sure I could hear the music in both ears. It was not too loud as she also wanted me to be able to hear her. She said she was going to be watching me and I was to focus on my physical and emotional responses related to the issues I had presented to her with. 

The music she chose for me is called “bilateral” and it’s not exactly music. It was calming peaceful sounds such as chimes, waves, and birds chirping. The sounds alternated between the left and right ears. 

The music was very relaxing and calming. I noticed a yellow “glow” around the wand. (It almost looked like a magic wand!) Ruth held the wand to the left of her, almost at an outstretched arm’s reach, at eye level and I stared at it. She moved the wand slowly and watched my physical reaction. Sometimes I blinked more or fidgeted or took deep breaths. She also watched my facial expressions. 

After a few minutes she moved the wand and asked me to follow it. She moved it to the right of her body. It was about eye level. Very slowly and methodically she would move the wand up or down all the while watching my reaction. 

She asked me what I was feeling and thinking. I shared my thoughts, then she took the wand and moved it back to her right side. 

The music was very calming. I processed some feelings and thoughts. At one point I felt mad, and this was a bit of a revelation. This was good!

She then had me talk it out some more until I was done with my observations and feelings about the issue at hand. 

Then Ruth had me close my eyes and brought the wand closer to me. She had me open my eyes and I followed the wand, and she brought it back to her right then circled downward and back up closer to me. She repeated this closeup – back to the right – downward swoop movement in a fluid moderately paced motion about 4-5 times. It was like drawing a sideways “D” in the air with the wand. We then paused for a bit. 

Photo by Laura Stanley on Pexels.com

She then had me do a relaxing visualization. I found myself on a hammock in Hawaii! All the while the bilateral music played quietly in my ears, alternating between left and right.

After the guided imagery was over, she had me take off my headphones. There was a long pause as we sat in silence. She then asked me for my thoughts. 

I told her I like analogies to explain things when I can’t quite put my feelings and thoughts into words. I told her it felt like I was put into a long, dark tunnel and now I’ve come out of the tunnel and I’m not quite sure where I am. I’m looking around, but I’m not quite sure what just happened and where I ended up. It feels good though. I told her I think it’s going to take me a little while to process what just happened. She agreed and said that it will take a few days for the neural pathways to change. She told me to drink lots of water and gave me a couple pages to read on brainspotting.

As promised, she emailed me this link as an example of bilateral music – 1 HR Bilateral Music Therapy – Relieve Stress, Anxiety, PTSD, Nervousness – EMDR, Brainspotting (best heard with headphones). 

I am hopeful that this treatment will help me with my issue, and I could already tell just a couple hours later that I was already feeling some benefit. 

For more information on brainspotting check out David Grand’s book, Brainspotting: The Revolutionary New Therapy for Rapid and Effective Change.

Angela G. Gentile, MSW, RSW

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“Flourish or Fade” Book Launch Giveaways and Contest Details

Celebrate National Women’s Health Week with us! On May 11, 2021, at 8:00 pm CST, Angela G. Gentile will be hosting a Zoom book launch for her newest book, “Flourish or Fade.” Register on Eventbrite to attend. There are a number of awesome books, services, and products that have been donated by some amazing women to help make this book event special. Please see the list below and enter to win! (see Contest Details below).

Flourish or Fade

1. Angela G. Gentile: “Flourish or Fade: A guide to total well-being for women at midlife and beyond” (paperback, $21.00 CAD value). Now available!

BrainShape Accountability Calls

2. Dr. Andrea Wilkinson: BrainShape Accountability Calls ($300.00 CAD value)

“Free Phase II Accountability Calls with Dr. Andrea of BrainShape” ($300 CAD value)

Accountability Appointments take place via TWO 60-minute video calls. 

CALL 1: Discuss your concerns and struggles + build a plan to help you address them (e.g., sleeping difficulties, chronically stressed, low energy, lacking mental focus, etc.) Whatever the problem, let’s talk about it & build a plan you can implement right away. 

CALL 2: Accountability Appointment to check-in on the goals you set out in Call 1.

The winner of the BrainShape Services prize will book their INITIAL CALL by visiting www.BrainShape.ca/call and book a time in Dr. Andrea’s calendar. This is a free offering of the supportive elements provided inside the Brain Vitality Blueprint, and helps people take the first step towards improving their health and well-being. 

How I Made a Huge Mess of My Life

3. Billie Best: “How I Made a Huge Mess of My Life” (paperback, $12.99 USD value)

https://billiebest.com/

The World Came to Us

4. Molly Duncan Campbell: “The World Came to Us” (paperback, $12.99 USD value)

http://mollydcampbell.com/

The Playground of Possibilities Card Deck

5. Kay Ross: “The Playground of Possibilities” (card deck, $20.00 USD value)

This card deck is a self-help, personal-development tool with 52 questions for you to ask yourself. Every question starts with “What would be possible for me if I…?”, to prompt you to let go of your old, limiting thoughts, beliefs and stories about yourself and the world, choose more useful ones, take inspired action, and improvise more resourceful, joyful ways of being. Kay was born in Scotland, grew up in Australia, and has lived in Hong Kong for 27 years. She’s passionate about personal development and healing, and is also an improv performer. The deck costs $20 USD plus postage from Hong Kong (the full amount depends on the number of decks ordered and the destination).  

https://playgroundofpossibilities.com/card-deck/

Seize the Moment!

6. Camille Goscicki, of Vitalaging4women, “Seize the Moment! A Guide to Living in the Present” (ebook, $4.99 USD value)

Do you live with regrets from the past, and fear the unknowns of the future?

It’s time to let go of fears and regrets and live for today. Seize the Moment! is your mini-guide to grab the present moment and live for today. It includes three bonus worksheets that will help you become more mindful. (Everyday mindfulness tips, practicing mindfulness, and becoming present for peace of mind.) Note: eReader not included.

https://www.vitalaging4women.com

The Unexpected Journey of Caring

7. Donna Thomson: The Unexpected Journey of Caring (hardcover book, $39.00 CAD value).

“The Unexpected Journey of Caring: The Transformation From Loved One to Caregiver” by Donna Thomson and Zachary White, PhD with a foreword by Judy Woodruff (Rowman & Littlefield, 2019) Available at all online booksellers Hardcover – $39.00 CAD)

With a foreword by Judy Woodruff, The Unexpected Journey of Caring is a practical guide to finding personal meaning in the 21st century care experience.

Personal transformation is usually an experience we actively seek out—not one that hunts us down. Becoming a caregiver is one transformation that comes at us, requiring us to rethink everything we once knew. Everything changes—responsibilities, beliefs, hopes, expectations, and relationships. Caregiving is not just a role reserved for “saints”—eventually, everyone is drafted into the caregiver role. It’s not a role people medically train for; it’s a new type of relationship initiated by a loved one’s need for care. And it’s a role that cannot be quarantined to home because it infuses all aspects of our lives.

Caregivers today find themselves in need of a crash course in new and unfamiliar skills. They must not only care for a loved one, but also access hidden community resources, collaborate with medical professionals, craft new narratives consistent with the changing nature of their care role, coordinate care with family, seek information and peer support using a variety of digital platforms, and negotiate social support—all while attempting to manage conflicts between work, life, and relationship roles. The moments that mark us in the transition from loved one to caregiver matter because if we don’t make sense of how we are being transformed, we risk undervaluing our care experiences, denying our evolving beliefs, becoming trapped by other’s misunderstandings, and feeling underappreciated, burned out, and overwhelmed.

Informed by original caregiver research and proven advocacy strategies, this book speaks to caregiving as it unfolds, in all of its confusion, chaos, and messiness. Readers won’t find well-intentioned clichés or care stereotypes in this book. There are no promises to help caregivers return to a life they knew before caregiving. No, this book greets caregivers where they are in their journey—new or chronic—not where others expect (or want) them to be.

“Nobody grows up planning to be a caregiver, but many of us will become one and sometimes when we least expect it. Thomson and White bring powerful insights to help understand what it means to be a caregiver and how to truly support those of us who will travel this unexpected journey.” – Samir K. Sinha, director of geriatrics, Sinai Health System and University Health Network, Toronto; health policy research director, National Institute on Ageing

www.donnathomson.com 

Keeping it Together

8. Eleanor Silverberg: “Keeping it Together: How to Cope as a Family Caregiver without Losing Your Sanity” (paperback, $20.00 CAD value)

https://www.eleanorsilverberg.com/kit-book

I Could Be Wrong

9. Billie Best: I Could Be Wrong (paperback, $7.99 USD value)

https://billiebest.com/

Contest Details:

  • Contest open to adults aged 18+, worldwide. No purchase necessary.
  • Identify which prize(s) you would like to win. Submit the item name/number, your name and email address to Angela at caretoage@gmail.com. (Your name and email address will not be given out to anyone else, unless it is required in order for you to obtain your prize(s)).
  • One entry per person, per item.
  • Entries accepted from Wednesday April 21, 2021 at 5:00 pm CST until Saturday May 15, 2021 at 12:00 noon CST.
  • Winners will be drawn on or before Sunday May 16, 2021 at 12:00 noon CST.
  • Qualified winners will be notified by email and your mailing address will be required so we can ship you your prize.
  • Every attempt will be made to get your prize to you, however, in the unfortunate event there are restrictions in your country, you will be ineligible. In that case, another draw will be made to seek a suitable winner.

Good luck!

Angela G. Gentile, MSW, RSW

www.angelaggentile.com

“Improving Your Memory” –– A Great Handbook for Those Concerned About Memory Changes (Book Review)

What do you get when two clinical social workers who work in a geriatric centre write a handbook on how to improve your memory skills? A fine little guide for helping older people who are concerned about the changes in their memory!

Janet Fogler and Lynn Stern team up in “Improving Your Memory: How to Remember What You’re Starting to Forget” (2014) in this fourth edition. Originally published in 1988, these social workers have created the book that I have been looking for. In this fourth edition, they have included the smartphone and other technologies that are helpful to us as we manage our daily tasks and are challenged by our aging minds and bodies.

The paperback (168 pages) is medium-sized and is packed with real-life stories and examples to help the reader understand the concepts. There are also quizzes throughout to help the reader apply the knowledge learned (to help one remember!). It is divided into four parts:

  1. How memory works
  2. How memory changes as we age
  3. Factors that affect memory
  4. Techniques for improving your memory

I cracked open the book and dived into section four, as I was eager to see what techniques the authors were recommending. They offered some great ideas, and even ones I had not heard of before. One of them had to do with switching your ring or watch to your other hand or wrist, as an indicator that you had something to remember. It is much like the classic “tying a string around your finger” trick. I found some of the mental exercises fun and a little tricky, and I enjoyed trying out some new skills to help me remember things. The one example for myself that comes to mind is when I am attending an appointment and I have to park in a large parkade. I will use an “active observation” technique so I won’t forget where I left the car!

The first three parts of the book are very easy to understand and come with an illustration of “A Model For How Memory Works.” For us visual learners, these kinds of diagrams are helpful. Encoding (getting something to stick) and retrieval (being able to recall something) can become a little more difficult as we get older, for a variety of reasons. The authors explain, in simple language, why these things happen and how we can try to combat them. Whether our forgetfulness is due to stress, grief, depression, poor concentration, medications, or illness, memory problems can cause added stressors. The authors give some good advice in the appendix on Alzheimer’s Disease and Related Dementias; “What is good for your heart is also good for your brain, so monitoring heart disease, diabetes, stroke, high blood pressure, and high cholesterol is important” (page 142).

I was surprised to learn the book doesn’t talk about “mild cognitive impairment” and the prevalence rates of Alzheimer’s disease and other related dementias. Knowing that the risk of Alzheimer’s disease increases with age is important to know, but not knowing the level of risk does not allay any fears or concerns one may have. (The World Health Organization estimates, of those 60 and over, 5 to 8 people per 100 will develop dementia.)

I also noticed the absence of the terms “mindfulness” and “meditation,” as those two terms are used quite often in most of the current brain health literature I have been reading. Fogler and Stern mention how alcohol can negatively affect your memory, but they omitted any mention of drugs. Interestingly the nutrition section has no reference to supplements. I also observed God, higher power, and spirituality are not discussed.

Overall, a highly recommended guide and workbook for those who want to learn about: how the brain stores and retrieves information (in our “working” and “long-term” memory); what happens to the aging brain; what may cause memory problems; and tips and techniques on how to maximize your chances of remembering things. I’ll leave you with these two tips: “Much of what is called ‘forgetting’ is a lack of paying attention” (p. 137); and “Study after study shows that increased fitness levels result in improvement on cognitive tests” (p. 64).

Angela G. Gentile, MSW, RSW
Author/Specialist in Aging

www.AngelaGGentile.com

“Brain Rules for Aging Well” Misses the Mark – Book Review

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Dr. John Medina’s book, “Brain Rules for Aging Well: 10 Principles for Staying Vital, Happy, and Sharp” (2017), disappointed me. Perhaps I had high expectations as I was impressed with his first book “Brain Rules.” He has labeled himself the “grumpy neuroscientist” and his writing in this book shows. The hefty price of the hardcover ($36.99 CAD) made me believe that the information contained within must be good. As a specialist in aging, and someone who is very interested in the concept of “aging well,” I had to take a look.

I was encouraged by most of the reviews that this book was full of useful and helpful strategies to help one age well. As I dug in, I quickly realized that the book’s premise was inspired by the findings of an experiment from 1979 known as the “counterclockwise study” (Langer).  This was a very small study based on the experience of eight seventy-year-old men who were “stereotypically old.” For one week they were subjected to a time warp –– and lived as if it were 1959. After being immersed in the happy days of old, they came out seemingly younger –– happy with improved postures, hearing, and vision. Their hand grips strengthened and they moved with improved ease. As a woman in my fifties, I started to doubt how this book could adequately cover the topic of aging well – and my doubts were confirmed.

The book is divided into four sections, with the proposed “10 Brain Rules for Aging Well” which Medina starts and ends with as the guiding principles. Parts called Social Brain, Thinking Brain, Body and Brain, and Future Brain with a handy index at the end comprises the layout of the book. He refers to many scientific studies and other resources, and he directs us to “Extensive, notated citations at http://www.brainrules.net/references.” I found this style of referencing quite odd, and it was difficult to find what I was looking for. When I sit down to read a book, I don’t want to have to go to the internet to find the references. Also, the way the references are listed doesn’t make it easy to find what you are looking for.

I found myself bored with all the scientific jargon and his stories to help explain some of the complicated workings of the brain didn’t hit the mark. I ended up skim reading through quite a bit. Some of his aging well advice, such as engaging in friendly arguments and playing certain video games were quite surprising to me. I have yet to understand how a specialist in brain research would suggest arguing with people and playing video games as part of a good plan for overall brain health.

I liked the summaries at the end of each chapter. Medina’s advice about exercise, healthy diet, friendships and “say no to retirement” were well-taken. I found the discussion on the updated term “working memory” for the outdated term “short-term memory” interesting.  The personal stories he shares were endearing, especially the one about nostalgia, reminiscing and the “our song” syndrome he and his wife share.

The book was apparently well-proofed and edited (as Medina notes in his acknowledgments); however, I found two glaringly obvious errors. The first was on page 104, where Medina mistakenly tells us that reading from books 3.5 hours a DAY will help reduce our risk of dying by a certain age when compared to those who didn’t. In actuality, the research states it is a 30-minutes-a-day activity, which translates into 3.5 hours WEEKLY.

The second error, which I was astonished by (as an author and editor myself), was on page 164. Medina was talking about research on exercise done with people with limited mobility. He said that the participants were “assessed by a test called” and there was a blank space after that. The next paragraph started with a period. Perhaps that was the period that he deliberately omitted back in the introduction on page 7? I’d be pretty ticked if I were Medina, knowing this one slipped by all the reviewers.

I believe this was a good attempt by Medina to write a book on Aging Well; however, his dated references to works from 30-40 years ago (e.g., Hauri’s book No More Sleepless Nights, and the movie Cocoon) made me less confident in thinking he was using fresh and current research. This book was a good attempt at starting the conversation about brain health and aging well, but I think he has a lot more reading and researching to do on the subject. One last thought –– I wish he’d avoid using the term “elderly.” That’s a term we are getting away from in the aging well literature when discussing older adults. I believe mainstream media is also moving away from using that term.

Angela G. Gentile, MSW, RSW

www.AngelaGGentile.com

 

 

 

 

 

 

Memory Rescue by Dr. Daniel Amen (2017) – Book Review

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I am a geriatric mental health clinician, and frequently I am asked: “How can I improve my memory skills?” The usual recommendations from doctors are, “Exercise and learn new things.” I have been on a quest to find some other tips and tools that people can use to help improve or maintain their brain and memory functions as they age. This need has led me to try to find the perfect book to recommend to those who are looking for more information. “Memory Rescue” has some useful information but it’s not the book I was looking for.

I purchased a copy (Amazon) of psychiatrist Dr. Amen’s book “Memory Rescue: Supercharge your brain, reverse memory loss, and remember what matters most” which has a second subtitle, “The official program of the Amen Clinics.” The Amen Clinics are found all over the USA, and the services and programs offered there are to help people with various mental health and brain health concerns (such as memory loss, ADD, and traumatic brain injury).

This book starts out with 20 testimonials and reviews which is very impressive until I realized they were all from men. The male-dominated view about memory problems and the Amen Clinic program was very strong. The only female presence I felt was from Dr. Amen’s wife, Tana, which was very sparse. There were also a handful of case studies that were about females. As a woman reader and professional, I wish there had been a more balanced perspective.

The overall takeaway of this book, for me, was that this was a big advertisement for his Memory Rescue Program that he offers through his Amen Clinics and the MyBrainFitLife.com website. There were case examples of how his clinics help people, and there were lots of “SPECT” (single photon emission computed tomography) scan photos to “prove” it. Even after looking at numerous SPECT images, I still wasn’t 100% sure what I was looking for. I felt these images were a bit overkill.

Here in Canada, we don’t have access to Amen Clinics, and SPECT scans are reserved for those exceptional cases (which I am still not sure what those cases are.) We tend to favour CT, MRI and PET scans.

Ultimately I was looking for concrete tips on “how to improve memory skills” and “how to improve memory problems.” Amen’s program is intended to enhance your mood and memory skills using the BRIGHT MINDS risk factor approach, with each letter standing for a component of the “ultimate memory formula.” Blood Flow, Retirement and Aging, Inflammation, Genetics, Head Trauma, Toxins, Mental Health, Immunity/Infection Issues, Neurohormone Deficiencies, Diabesity, and Sleep Issues. There was quite a lot of repetition throughout the book, with the main recommendations being: Exercise, Nutrition, Nutraceuticals (and supplements).

On pages 28-30, you can take the “Amen Clinics’ Early Warning Signs Questionnaire.” Your score will provide you with a risk of “significant memory issues,” from low to high. Amen states, if you are at moderate to high risk, it is important to get a thorough medical evaluation.

This book brought up some new terms and concerns. Those including my need for nutraceuticals (which Amen sells on his BrainMD website), getting tested for the APOE gene (related to Alzheimer’s disease), an integrative medicine doctor (but doesn’t say where I can find one). He was heavy on the recommendation of Gingko Biloba (a natural supplement that has limited research evidence to help prevent memory problems, see GEM study). He was anti-marijuana use and wasn’t that clear on what the recommendation was for alcohol use (was it 2-4 servings a week or only 2?).  He suggests coconut oil is good for our brains, but I have read that it is not good for our bodies. There is a lot of reference to the Memory Rescue Diet, but it is not discussed until chapter 16. There are a lot of references to the Bible, which surprised me. He also suggested that “praying to release your worries and to rejoice over the good things around you can help reduce your risk of mental health problems” (p. 337).

Ultimately, as I mentioned earlier, I was looking for specific tips and techniques to help people improve their memory skills. The most helpful part of the book in this regard is found in Chapter 17 “Sharpen Your Memory––Brain Workouts for a Richer Life.” He provides a lot of suggestions of what activities can help strengthen the different areas of the brain such as playing Scrabble, completing crossword puzzles, and learning to play a new musical instrument. He suggests engaging in “map reading” without a GPS device. He’s a big fan of table tennis and other coordination activities, such as dancing, yoga, and tai chi. He says we should travel to new and interesting places and develop relationships with smart people. Music, especially classical, can enhance memory and cognitive function. Surprisingly, I didn’t find the instruction to “pay attention” to what we are doing, which I believe is an essential tip for being able to remember things in the first place. He doesn’t speak to word-finding difficulties, either, which is one thing a lot of older folks are initially concerned about.

The book is well-referenced, and he claims to walk the talk. The index is sub-par, and it could have been enhanced to make finding things a lot easier to find. Some of the reviews online of Amen Clinics state it is a very costly program. There is no mention of costs, but there is mention that the process of improving cognition or mental health often takes months. It’s assumed the program costs thousands of dollars. The MyBrainFitLife.com online program also has a cost, a yearly fee of USD 99. There are some free Brain Assessments (which I completed) which can help one decide on the level of risk one is at. If someone already has memory impairment, a caregiver or loved one will need to read this book as it tends to have some jargon and technical language, and there is lots to read and learn about.

I would recommend this book to anyone who is interested in the Amen Clinic Memory Rescue Program. For specific information on brain health and tips for improving memory skills, Chapter 17 is where you want to start. If you believe in God or a higher power, this will also confirm your faith in how prayer and scripture can support your mental health. The book is somewhat repetitive, however, it drives home the main message––that having a healthy body means better chances for a healthy brain.

I’ll leave you with this: Amen provides hope––“Yet new research suggests that a ‘memory rescue’ program, like the one presented in this book, can dramatically improve memory and can prevent and sometimes even reverse some forms of dementia. Given how most doctors approach this issue, however, you cannot count on traditional medicine to rescue your memory.” (p. 4).

Angela G. Gentile, MSW, RSW (Specialist in Aging)

 

 

Ways to Improve Your Memory Skills Podcast Interview

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I had the pleasure of being interviewed by Kathe Kline in March 2017 for the Rock Your Retirement Show and it went live on 23 Oct 2017. Have a listen to my 30-minute audio only podcast (it’s like a radio show) to hear me talk about various topics including tips on how to improve memory skills. You can play it off your device, or download and listen to it later. There is a freebie on this as well, you just have to sign up to get a copy of it (see link below).

Link to the interview – Ways to Improve Memory Skills

Here are links to the show in popular smartphone apps:

iTunes

Stitcher

iHeartRadio

I have also provided a Freebie for the listeners – Five Strategies to Help Improve Memory Skills.

After you’ve had a listen, please feel free to comment on the Rock Your Retirement Show interview link page (see link above), or down below, here. Or just send me a personal note.

About Rock Your Retirement and Kathe Kline.

Rock on!

Angela G. Gentile

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Angela G. Gentile  MSW, RSW is a clinical social worker and author of the book, “Caring for a Husband with Dementia: The Ultimate Survival Guide”, “A Book About Burnout: One Social Worker’s Tale of Survival” and the “Dementia Caregiver Solutions” app for iPhone and iPad. She lives in Winnipeg, Manitoba with her husband and has two adult children. She is creator of the Facebook communities – “Aging Well for Women” as well as “God, Cancer and Me.” For more information, visit: www.AngelaGGentile.com

 

 

 

Aging Specialist Offering Two New Courses This Spring (Winnipeg)

7fd3c75caf166af80aef7cb58709152dWinnipeg, Manitoba – There are two new courses being offered by Angela Gentile, a registered clinical social worker. Angela has a Master’s degree in Social Work and a graduate specialization in aging. She has worked with many older adults and their families and she has written two books and an app. She is passionate about helping people and exploring what it means to age well. Attend these informative and interactive sessions and get Angela’s professional advice. Come away feeling confident and empowered.

10 Tips for Graceful Aging

Learn what you can do to help yourself thrive in your middle years and beyond. The dimensions of wellness will also be covered.

►Date and Time: Tuesday April 25, 2017; 7:00 – 9:00 pm.

►Location: St. James Civic Centre, 2055 Ness Avenue, Winnipeg Manitoba.

►Fee: $25.00

When a Loved One Has Memory Loss

Are you living with or do you know someone who has been experiencing memory loss and you’re not sure how to help? Get some information and tips on how to approach this sensitive and difficult topic.

►Date and Time: Thursday May 11, 2017;  7:00 – 9:00 pm.

►Location: St. James Civic Centre, 2055 Ness Avenue, Winnipeg Manitoba.

►Fee: $25.00

Registration Information:

Both courses are listed in the City of Winnipeg Leisure Guide, Spring/Summer 2017 pages 69 and 70. See page 4 of the guide for registration information which begins Wednesday March 15, 2017 at 8:00 am. It can be done online, by phone, or in-person. Limited spots available!

Contact Angela toll-free at: 1-(855) 974-4219 or online at www.AngelaGGentile.com for more information.

Memory and Aging Program™ is Motivating and Uplifting

 

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Creative Retirement Manitoba – Memory and Aging Program™

I first heard Dr. Ronak Patel, clinical neuropsychologist, speak about the Memory and Aging Program™ last fall here in Winnipeg. This is an evidence-based program that comes out of Baycrest Centre for Geriatric Care in Toronto, Ontario. Many of us fear developing dementia in our older years, and many of us start to get worried when we have memory problems. Now there is a program to help enhance memory skills that works. (It doesn’t prevent Alzheimer’s or related dementias, however.)

I met up with a friend, Sherry Cels, a retired social worker, who completed the Memory and Aging Program™. She says it is a very popular program, and there is a wait list for people who want to go. It’s very popular with those 60 and over who are experiencing memory problems.

For Sherry, at 70, she was worried about her own cognitive health and memory skills. One of her parents had Lewy Body dementia, and she was concerned she may have inherited the condition.

I asked her, if after taking the course, was she still worried about developing Lewy Body dementia and she replied,

“There is no predicting that. But for now, I believe my memory problems are very normal for my age group. Sharing with others in the class helped me see that.”

Not everyone has problems in this area, but she learned it is quite normal to experience changes and there are things that can be done to combat these memory problems. I asked her to tell me about the Memory and Aging Program™ she attended.

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The workshop was $150.00 and it is held at the classroom at 1075 Portage Avenue in Winnipeg (The Creative Retirement Manitoba office). Free parking is available. The building has an elevator, but unfortunately it isn’t reliable. Space is limited to 25 participants. They met once weekly for five sessions, of two-hours duration (1:30-3:30pm). She said everyone, except for one man, attended every session. No one stayed home!

They are given a 74-page participant workbook, “A Practical Guide to Managing your Memory: Memory and Aging Program™.” It has “Baycrest” on the cover, and it is authored by Dr. Angela K. Troyer and Dr. Susan Vandermorris. It’s unfortunate that the binding is already falling apart, but the content is very useful (it’s well-used!). This was the book that Dr. Patel used during the course. It includes worksheets and space for notes. Each participant had “at home” activities to complete between sessions.

The content includes three sections:

  1. The Science of Memory
  2. Memory Strategies
  3. Putting your Skills to Practice

The main focus of the course was on the Memory Strategies portion. The acronym SHARP is used, which stands for:

SHARP:

  • Seeing and Saying

  • Habits

  • Associations

  • Records

  • Practice Retrieval

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Sherry learned about associations, and how it can help her learn names. For example, she has a beautiful garden in her backyard. In order to remember the names of flowers, she makes an association with them. She doesn’t forget the name of the “climbing” Clematis anymore. She is able to remember her license plate by giving each letter a name of the people she knows or knew. I was impressed when she told me the names of the new neighbours, including their kids names, based on association!

She uses the same purse she’s had for years because it helps with remembering where everything is. This is an example of the the “Habit” strategy she learned about. This made me well aware of the fact that I need to decide what purse pocket to put my keys in because I can never remember which pocket I put my keys in! Sherry learned we can develop new habits to help us remember things more easily.

Sometimes habit can backfire though. We laughed as we could both relate to our forgetfulness in the shower. For example, we both use shampoo and conditioner. We sometimes forget if we’ve used the conditioner or not!

“Hmm, let me think? Does my hair feel like it was conditioned? Did I use conditioner?”

To help correct this memory issue, we are to pay attention to what we are doing, instead of doing activities on autopilot. At least if we put our seat belt on without thinking about it, we can easily check to make sure it’s fastened. This reminded me of the term “mindfulness” and how we can be more in tune with our actions if we pay more attention and be mindful of what we are doing.

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Deep breathing and visualization (such as meditation) is recommended for managing stress and promoting relaxation.

An important part of the program is keeping a log of your activities. The program recommends at least 100 minutes a week of physical activity (to get the blood flowing to the brain for good brain health) and cognitive activity which includes brain exercises and socializing with others. Good nutrition is also an important part of nurturing our bodies and brains for good brain health.  Canada’s Food Guide can also be helpful.

Sherry and I were also discussing the different ways we prefer to learn and remember things. I like to write things down, as doing this can help me remember. How many of us write our shopping list out, then can still remember the items on the list although we forgot the list at home? When receiving and retaining information, some of us need to see it, others need to hear it. Some of us may also say it out loud to ourselves to help remember. Others like to do or act it out. The four main learning styles are: Visual, Auditory, Kinesthetic (movement) and Tactile (touch). Exploring what your preference is and implementing it can make a big difference in remembering.

The main takeaway for Sherry was the emphasis on lifestyle and memory strategies. She felt very uplifted. The group discussions among the participants were quite helpful. She says with the cocooning phase of a Winnipeg winter, she found her “memory slipping,” and this course has motivated her to make lifestyle changes, such as “more physical and cognitive activity.” Adding to this, several new strategies practiced in the five weeks of the course has resulted in an improved memory and more positive attitude. She would highly recommend it anyone 60 or older who is experiencing mild memory problems.

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Angela G. Gentile, MSW, RSW

http://www.AngelaGGentile.com

Senior Moments: Should I Be Worried?

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Although I don’t particularly like the term “senior moment,” most older people know what that means. When someone who is at middle age or beyond has difficulty remembering something such as, “Where did I put my reading glasses?” or “I can’t remember her name” he/she may find someone else responding in a joking fashion, “Are you having a ‘senior moment?'” The other person is replying with a joke about having a poor memory. I have heard people themselves make jokes about their own “senior moments” in hopes of making light of the situation. It’s true that as people age there are normally changes in memory and thinking skills. On one end of the spectrum there is normal aging that affects everyone. At the other end is dementia which is common but not normal.  In between is a condition known as mild cognitive impairment. I will touch on all three.

We all have memory lapses on occasion

It’s true we all have occasional lapses in our memory. I even see my teenage children doing it. I even remember walking into a room years ago, forgetting what I went in there for, having to go back to what I was doing in order to jog my memory. Little lapses in memory is common for everyone. We get distracted or side-tracked especially when it is something that is not really that significant. Forgetting names is a common occurrence for example.

I have been working with older adults for over 25 years now and I see all different types of memory and thinking problems. I also know many older people (including caregivers) who do not show any signs of cognitive (brain function) decline.

I often note increased anxiety in people who are struggling with the loss of cognitive abilities. It must be a scary feeling to know that they are losing their faculties.

One of the common fears people have is developing dementia. Declining memory skills are often one of the first signs of dementia. The good news is that memory problems do not always lead to dementia.

Normal aging, mild cognitive impairment and dementia

Slowed thinking and minor problems with remembering things is quite common and almost expected in our later years. There are some things we can do to help reduce our risks of further problems with our cognition such as exercising (to get the blood pumping to our organs including the brain) and doing brain exercises (such as crosswords and learning a new musical instrument). Normal aging causes us to slow down in more ways than one.

Sometimes our memory problems become more problematic and they are noticed by other people. If you are continuously forgetting someone’s name or miss appointments, this may start to interfere with your relationships and daily functioning. You may have to learn new ways of coping with the normal changes in your brain such as keeping lists handy and using your calendar more regularly. Memory and thinking problems that can be noticed by others but don’t really affect your day-to-day functioning is called Mild Cognitive Impairment (MCI).

By the way, it’s a good sign if a person is aware of or concerned about their changing memory skills as one of the skills lost in dementia is the ability to know they have problems with their memory. If you ask someone with dementia if he/she has memory problems, he/she will most likely say “No.” It’s true that long term memory may still be intact.  It’s the ability to remember recent events and learn new information that is lost.

In some cases your memory skills, thinking and cognitive functioning may be impaired to the point where you can no longer do things on your own. For example, you may need someone to give you your medication on a daily basis or else you will forget. Or you can no longer drive because your sense of direction is off. Dementia is a syndrome and can be found in a variety of conditions  that affect cognition (such as Alzheimer’s disease). In early stages of dementia you can  live on your own as long as you can enlist the support you need to keep yourself safe. Dementia can create a variety of problems. For example, sometimes people with dementia forget to eat, or think they have already eaten. In this case it’s important to have someone provide a reminder or stop by to ensure he/she eats. In the later stages of dementia, it is not possible to live alone.

Seek a memory assessment if you are concerned

If you are concerned about your memory skills or other brain-related functions (such as language, problem-solving or judgment skills), please speak to your doctor for a memory assessment. Let your doctor know if you are concerned your problems are beyond the changes seen in normal aging (such as slowed thinking, and the occasional difficulty remembering things). Only a skilled practitioner can diagnose and determine the difference between normal aging, mild cognitive impairment and dementia, and provide treatment and management solutions.

For more information, check out National Institute on Aging’s  Memory, Forgetfulness, and Aging: What’s Nomal and What’s Not.

You may also like to check out Senior Moments Explained by Terry Hollenbeck, M.D.

Angela G. Gentile, MSW RSW

www.AngelaGGentile.com