Categories
Articles

Learn the basics

LEARN THE BASICS

Podcast: Managing mom guilt

No matter how hard you try to be a great mom, sometimes you feel like your best just isn’t good enough. What you’re experiencing is “mom guilt.” And you’re not the only woman who feels this way.

On this episode of Behaviorally Speaking, Angela Nelson, MS, BCBA, and Kristin Bandi, MA, BCBA, discuss this very common and unpleasant experience. They highlight what mom guilt is, where it comes from and how to manage it. Whether managing unrealistic expectations, asking for help or setting ourselves up for success, there are several ways to work through this uncomfortable feeling. And you can explore them in this informative podcast.

Print

Looking for more? Find other articles below

parent balancing holding a child with all the other obligations and roles

Podcast — Managing mom guilt

+

Show transcript

Categories
Articles

Learn the basics

LEARN THE BASICS

Stay healthy at every age and stage

The foundation of good health is the same no matter your age! Eat healthy, be active, go to the doctor or nurse for regular checkups, take care of your mental health, and don’t take unnecessary risks, like texting while driving. Whether you’re in your 20s, 30s, 40s or beyond, we’ve got you covered.

Print

Looking for more? Find other articles below

Family photo of 4 generations of women

Here’s what you should do every day to thrive no matter what age you are:

  • Eat healthy — use the MyPlate Plan to get started.
  • Get help to quit smoking or using tobacco products (or don’t start).
  • Limit alcohol use to 1 drink or less per day, 6 or less per week.
  • Understand the signs of substance misuse.
  • Wear a helmet when riding a bike and wear protective gear for sports.
  • Wear a seat belt in cars and don’t text while driving.
  • Protect yourself from the sun by applying sun protection factor (SPF) sunscreen of 30 or more before you head outdoors.
  • Get at least 30 min of physical activity a day for your physical well-being. Activities can include walking the dog, hiking with your family, gardening or even cleaning your house.
  • Get between 7-9 hours of sleep each night so you’re not tired in the morning.

Learn what steps to take for good health at your age

Choose your age group:

Late teens, 20s & 30s | 40s & 50s | 60s, 70s & beyond


Stay healthy in your late teens, 20s & 30s

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Whether I plan to get pregnant in the next year or the right birth control for me

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer
  • Cervical cancer (from age 21)
  • Chickenpox
  • Flu
  • Hepatitis A, B or C
  • HIV
  • HPV
  • Measles, mumps and rubella
  • Meningitis
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

Stay healthy in your 40s & 50s

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • Perimenopause/menopause symptoms
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Whether I plan to get pregnant in the next year or the right birth control for me

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer (including mammogram)
  • Cervical cancer
  • Cholesterol
  • Diabetes
  • Flu
  • Hepatitis A, B or C
  • HIV
  • HPV
  • Measles, mumps and rubella
  • Meningitis
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

I’m in my 50s, so I’ll also ask my doctor about:

  • Low-dose aspirin (for heart attack or stroke risk)
  • Colorectal cancer
  • Lung cancer (if 55 and older and smoking now or have quit within the last 15 years)
  • Osteoporosis
  • Shingles

Stay healthy in your 60s, 70s & beyond

Here are some topics to help guide your discussion at your annual exam with your doctor.

  • My family health history, especially of cancer, heart disease and diabetes
  • My weight, diet and physical activity level
  • Whether I use tobacco, alcohol or drugs
  • Any violence in my life
  • Depression and other mental health concerns
  • Who will make health care decisions for me if I’m unable to

I’ll ask my doctor whether I’m at higher risk for or need tests, medicine or vaccines this year for:

  • Blood pressure
  • Breast cancer (including mammogram)
  • Cervical cancer
  • Cholesterol
  • Colorectal cancer
  • Diabetes
  • Flu
  • Hepatitis A, B or C
  • HIV
  • Lung cancer (if you smoke now or have quit within the last 15 years)
  • Measles, mumps and rubella (if born after 1956)
  • Meningitis
  • Osteoporosis
  • Pneumonia
  • Shingles
  • Sexually transmitted infections
  • Tetanus, diphtheria and whooping cough
  • Tuberculosis
  • Urinary incontinence

I’m in my 70s, so I’ll also ask my doctor about:

  • Low-dose aspirin (for heart attack or stroke risk)
  • Cervical cancer
  • Measles, mumps and rubella (if born after 1956)
quotes icon

Here’s what Costco employees are saying about 2nd.MD:

The doctor was amazing and made sure I was aware of all my options before I made a decision. She mentioned a couple things my doctor didn’t even discuss with me which totally changed my mind about how I wanted to move forward. I am very grateful that I went through this process because it opened my eyes to things I wasn’t aware of!

2nd.MD offers expert second opinions regarding a health condition or surgery recommendation.

Source: Office on Women’s Health. Healthy living by age.

Categories
Articles

Explore more

EXPLORE MORE

Coping with infertility

When you’re having a hard time having a baby, it often seems as if the whole world is filled with pregnant women and new moms. Infertility can be enormously stressful — and the stress, depression and anxiety can worsen as time goes on. Regardless of the reason you’re unable to get pregnant, the feelings it brings up are powerful. But there is hope.

Print

Looking for more? Find other articles below

Person standing by the window, thinking about a baby

Here are some strategies you can use to cope with infertility and the resources to help you.

1. Identify and acknowledge your feelings and fears.

Your emotional response to infertility is seldom the result of just one stressor. More than likely, you’re experiencing feelings of depression, anxiety, isolation and loss of control. You may also feel shame, guilt, jealousy and low self-esteem.

Take the time to pull apart your web of emotions and think about your feelings and fears. Why are you feeling how you feel? What are they about? Who are they directed toward?

By trying to better understand each emotion or fear, you can gain a deeper understanding of yourself. If you’re having a difficult time identifying your feelings, talk to a close friend or counselor who can help you sort through your range of emotions.

2. Give yourself permission to cry and be angry.

Don’t turn off your emotions because you think they’re unpleasant or hard to justify. Feel the way you feel. Allow yourself the time and space to have a good cry, punch a few pillows or even scream. Don’t shut off your feelings. It’s perfectly fine to cry about one more friend who got pregnant “without really trying.” Just find safe and healthy ways to release your anger or sadness.

3. Don’t blame yourself.

Accepting that conception isn’t going to happen on its own can be very difficult. But blaming yourself, your partner, or others wastes important energy that could be put to better use focusing on the things you can do to achieve your family-building goals.

4. Understand your options.

This is where a fertility specialist is essential. Schedule an appointment with a reproductive endocrinologist for a full fertility evaluation of you and your partner. It’s important that both partners are evaluated since you play an equal role in the conception process.

Once you’ve had an evaluation, your provider will have the necessary information to recommend fertility treatment options that fit your goals. Creating a game plan can make you and your partner feel more optimistic about where you are and where you’re headed.

5. Be open and honest with your partner.

When you’re dealing with infertility, it’s normal to feel angry about your situation. It’s also completely natural for some of this anger to be directed toward your partner. But it’s important to remain a united front throughout this journey.

Learn to share these feelings in a healthy way. Make sure you’re listening carefully, responding thoughtfully and asking questions when you don’t understand. If you’re not able to do this on your own, don’t be afraid to reach out for help and support.

And don’t be surprised if your partner experiences the emotions of infertility differently than you do. Accept that everyone copes in their own way.

6. Practice self-care.

Make sure you take time out from caring for everyone else to spend time on yourself. Go for a walk, read a book, get a massage or take a relaxing bath. And make sure you’re eating well and getting plenty of sleep.

7. Find healthy outlets, hobbies and pastimes.

Take time to participate in other healthy, non-reproductive-related outlets and hobbies.

Get active. Register for a charity walk with friends. Go bowling. Volunteer at a local shelter or soup kitchen. Take an art class or learn to make jewelry or pottery. Art can be great therapy.

Doing something positive can help you channel some of your negative energy into creating happiness for others at a time when you may not be feeling happy about most aspects of your life.

8. Re-establish intimacy with your partner.

Sex on demand based around your ovulation schedule can be challenging. Spontaneity goes out the window, and sex can feel mechanical and focused on conception rather than intimacy and pleasure. Couples need to work a little harder to connect. Intimacy of any kind can re-establish this connection and make you feel like you again. Physical and emotional connections are critical. And because infertility can often be a marathon and not a sprint, it’s important to establish good habits from the beginning.

9. Be realistic, but highly optimistic.

Thinking that you’ll somehow get pregnant naturally despite an ovulation issue or sperm problem may not be realistic without taking active steps to increase your fertility. It’s helpful to discuss with your fertility provider all the things you can be doing to improve your fertility and what are realistic goals and a realistic timeline.

10. Join an infertility support group.

Feeling understood and supported while dealing with infertility can help couples cope, particularly when the support comes from people who have experienced their own fertility struggles. While friends and family are great, if they haven’t experienced what you’re going through, it can be difficult to relate.

Support can mean different things to different people. Some people find one-on-one support to be what they need, while others like the comradery of a bigger support group of others dealing with infertility.

11. Use a fertility coach.

A fertility coach is another support option. Fertility coaches help you on your fertility journey, from beginning to end. They can help you clarify your goals, set realistic expectations, reconnect with yourself and each other, and offer supplemental resources as needed. They also look to educate and inspire you no matter where you are on the road to parenthood.

12. Seek professional support.

If you’re feeling depressed, are having trouble expressing how you feel, or you think you need more guidance than friends or a support group offer, consider getting help from a professional.

Couples should choose the structure that works best for them. This can be counseling as a couple, separately or a combination of the two. Most fertility clinics have professionals they recommend who specialize in helping fertility patients.

Miscarriage and stillbirth

Multiple studies suggest that between 8% and 20% of recognized pregnancies end in miscarriage, and 30% to 40% of all conceptions end in miscarriage (though your chances are largely contingent on your age). However, there’s still a stigma associated with this type of loss. Coping with infertility, miscarriage and neonatal loss can be an isolating experience. Emotions can waiver from surprise, sadness, guilt and anxiety about future pregnancies. And the hormonal shifts don’t help.

Take time to grieve your loss. Some couples choose to do something to honor their child, like planting a tree or getting tattoos. Sharing your experience with other women who have been through the same thing can be reassuring. You’ll be surprised to learn how many women you know have experienced miscarriage. Joining a support group may help, as well.

Source: CNY Fertility. How to deal with infertility: 12 powerful coping strategies.

Categories
Articles

Take action

TAKE ACTION

Put your well-being on the calendar

In January, the new year is still a blank canvas. If you’ve taken the 2023 pledge, you’re probably already thinking about your goals for your emotional, financial and physical well-being. You may also be thinking about all the ways you plan to grow this year.

Want to make the best possible start? Take the pledge (if you haven’t already) and encourage your spouse or domestic partner to join you. Then take out your calendar and start scheduling appointments that are essential for your well-being.

Print

Looking for more? Find other articles below

person pointing to a circled day on a calendar

Schedule these appointments in 2023

Here are just a few of the well-being appointments you should schedule for and put on your calendar. Check the resources below to learn more, including how to find a primary care doctor.

Annual physical

COST: $0*

During this exam, the doctor will check your vitals, like your blood pressure, heart rate and temperature, and will talk to you about your family’s medical history. Depending on your health background and history, your doctor might also do some blood work or further testing. Even if you’re young and in excellent health, it’s important for your doctor to get to know you, establish a baseline and be alert to changes in your health that may occur in the future.

Two dental exams and cleanings

COST: $0*

It’s important to get a dental exam and have your teeth cleaned every six months. Not only will your dentist monitor your dental hygiene, but they’ll also check for gum disease. And they’ll periodically take X-rays to check for tooth decay, impacted teeth or tooth movement. Remember, the earlier oral health problems are treated, the less costly and aggressive the treatment will be.

Dermatology exam

COST: VARIES

According to the Skin Cancer Foundation, 1 in 5 Americans will develop skin cancer in their lifetime. Be sure to conduct monthly skin cancer self-exams. Plus, annual skin exams by a board-certified dermatologist may be recommended if you have a:

  • History of skin cancer in your family
  • History of blistering sunburns or tanning bed use
  • Large number of moles or a history of atypical moles
  • History of regular sun exposure

Vision exam

COST: COVERED UP TO $80*

The American Optometric Association recommends getting an exam at least every two years to have your eyes checked for things like cataracts and glaucoma. After age 40, you’ll want to get an eye exam every year.

Gynecology exam

COST: VARIES

If you’re female and over age 21, or are sexually active (whichever comes first), you need to start seeing a gynecologist. During this exam, your doctor will check your breasts, conduct a pelvic exam and possibly do a Pap smear (this is typically done every three to five years, depending on your age), where they’ll check your cervix to test for any cancerous cells or abnormalities. 

Mammogram

COST: $0*

A mammogram is a low-dose X-ray of the breast. Regular mammograms can help detect breast cancer at an early stage. They can often find breast changes that could be cancer years before physical symptoms develop.

  • Women under the age of 40 with family history of breast cancer, or who have discovered a lump.
  • Women between ages 40 and 44 have the option to start screening with a mammogram every year.
  • Women ages 45 to 54 should get a mammogram every year.
  • Women ages 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screenings should continue as long as a woman is in good health.

Vaccinations

COST: $o*

Make sure to get your flu shot and any other vaccinations your in-network primary care provider (PCP) recommends. You’ll find a complete list of vaccinations the CDC currently recommends by age group here.

Financial checkup

COST: VARIES

A financial checkup looks at the current state of your finances and helps you determine any changes you need to make to meet your goals. It may include the following.

  • Reviewing your life changes. They can affect your taxes and financial goals.
  • Creating a budget to be intentional about spending, saving and investing.
  • Assessing, reducing and managing your debt.
  • Checking your credit score since it affects loan rates and terms you receive.
  • Revisiting your retirement plan to make sure it aligns with your goals.
  • Evaluating your estate plan so your loved ones are protected.

Get a free 30-minute financial consultation through Resources For Living® (RFL®)**.

*If you’re enrolled in a Costco medical plan.

**Resources For Living is available to all employees and members of their household, including children up to age 26 living away from home.

Sources: InStyle. The 6 doctors’ appointments you need to make this year.
American Cancer Society. American Cancer Society recommendations for the early detection of breast cancer.
Investopedia. How to conduct a financial checkup.

For more information on how your Costco benefits can support your efforts to enhance your emotional, financial and physical well-being, see the resources below.

Categories
Articles

Learn the basics

LEARN THE BASICS

Video: 7 ways to create a new habit

January 2023 will be here before you know it and so will your annual list of New Year’s resolutions. Will you start exercising regularly? Get to bed by 10:00 p.m. every night? Lose 20 pounds? Stop drinking soda?

If you’ve tried and failed to keep resolutions before, don’t be discouraged. Just take a minute to watch this video — and learn some tips that can help you succeed.

Print

Looking for more? Find other articles below

+

Show transcript

Source: The Mayo Clinic. 7 ways to create a new habit.

Ready to create some healthy new habits in 2023? Your Costco benefits can help. Check out the resources below for more information.

Categories
Articles

Explore more

LEARN MORE

Have an attitude of gratitude

You can’t always change your circumstances, but you can decide where to focus your mind and heart. By choosing to make gratitude a daily practice, you can increase your happiness, enhance your emotional well-being and even improve your health. 

Print

Looking for more? Find other articles below

loved ones gathered around a thanksgiving table

What is gratitude?

Gratitude is being aware of and thankful for the good things you have. These good things are not necessarily material possessions. They can be relationships, events or anything positive in your life. 

Gratitude is a feeling that can come to you spontaneously, but it’s also a daily practice you can cultivate. During this busy time at work, it’s still important to take a few moments to focus on what’s meaningful to you. Choosing to count your blessings and taking the time to be grateful for the good things in your life can have far-reaching positive effects. 

The benefits of gratitude

A gratitude practice can lead to:

  • Increased happiness. Gratitude helps people feel happier and experience positive emotions. When you focus your mind on things that make you feel grateful, you’ll find that positivity follows.‌‌
  • ‌Reduced depression. Verbally expressing or silently reflecting on gratitude decreases depression. Practicing gratitude regularly has also been shown to protect against developing depression in the future. 
  • Strength when facing adversity. Gratitude is good for your emotional health. It can help give you emotional strength and resilience when you’re confronted with stress, loss, grief or trauma. Gratitude lowers cortisol, a stress hormone, in your body. Lowered cortisol levels help you avoid many physical and mental side effects of stress.
  • Improved physical health. People who are grateful tend to sleep better and have fewer aches and pains. Increased feelings of gratitude might even indirectly improve immune function and reduce inflammation. 
  • Community building. People who are focused on gratitude are inspired to give back and support their community in positive ways. This means cultivating gratitude will not only benefit you — it’ll also benefit those around you.

How to foster gratitude

Gratitude can be felt and expressed in several ways. Your feelings of gratitude can be for the past (thankfulness for memories and blessings), the present (appreciating what you have) or the future (an optimistic outlook). If you want to foster gratitude in your life, there are many simple ways you can try. 

  • Practice mindfulness. Mindfulness and gratitude are connected. Mindfulness is the practice of intentionally focusing your attention on something. Even just a few minutes of meditation focusing on thankfulness can increase your feelings of gratitude. 
  • Say thank you. The simple act of saying a sincere “thank you” to others will grow your gratitude. Both saying “thank you” out loud and taking the time to write a thank you note will help you increase gratitude in your life. If you can’t thank someone personally, even pausing to thank them in your mind can foster gratitude. 
  • Keep a journal. Gratitude journaling doesn’t have to be time consuming or complicated to be effective. One study showed that people who made a simple daily list of things they were grateful for reported a significant increase in happiness and life satisfaction after just two weeks.‌
  • Start saying grace. Pausing to express your thanks before eating is a popular practice for cultivating gratitude. Grace is commonly said as a prayer of thanksgiving before a meal, but you don’t need to be religious to say grace. Just take a moment to thank the people you’re with and recognize the blessing of a nourishing meal.
  • Surround yourself with gratitude cues. Fostering gratitude might require some reminders. Surround yourself with pictures of people, pets or places that inspire your feelings of gratitude. Leave yourself sticky notes with reminders of what you’re thankful for and make it a habit to take a moment to give thanks whenever you see them.

A little gratitude leads to more gratitude 

When you try to focus your mind and thoughts on the things you’re grateful for, you’ll start to notice more things to be grateful for. Scientists have found that brain scans of people who foster gratitude show changes that make them more likely to continue their practice. This means that as you work to have more gratitude in your life, the positive feelings of thankfulness will begin to flow more easily and naturally. ‌

Fostering gratitude takes a little bit of time and intention, but your efforts will pay off. You’ll transform your mind and possibly even improve your physical and mental health by choosing to focus on gratitude. 

Source: WebMD. How to foster gratitude.

If you’d like to learn more about starting a gratitude practice or other tools for improving your emotional and physical health, the following resources can help.

Categories
Articles

Explore more

EXPLORE MORE

Does alcohol really help you relax?

Many of us assume that drinking helps us relax at the end of a long, hard day. But when more than half of Americans increased their alcohol consumption during COVID-19 lock-downs and 1 in 10 over the age of 12 have Alcohol Use Disorder,* it’s worth looking at whether drinking is doing what we think it does.

Print

Looking for more? Find other articles below

bottle of alcohol resting on a bed

Does drinking really “take the edge off”?

According to a recent study released by the RAND Corporation and supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), drinking has soared during the pandemic. For example, heavy drinking for women has increased by 41%. “The magnitude of these increases is striking,” Michael Pollard, lead author of the study and a sociologist at RAND, told ABC television. “People’s depression increases, anxiety increases, [and] alcohol use is often a way to cope with these feelings. But depression and anxiety are also the outcomes of drinking; it’s this feedback loop … that it’s trying to address.”

If you are truly drinking moderately, which the National Institutes of Health defines as one 5-ounce glass of wine or 12-ounce beer for women and two for men, and alcohol doesn’t have a noticeable effect on your overall mood or sleep, you are probably staying clear of alcohol’s anxiety-elevating effects. But if you are worried about your alcohol use, it’s worth looking at how it is affecting you.

Alcohol and the brain

Alcohol affects the brain in two phases. First it increases dopamine levels (the body’s “feel good” chemical). This gives you feelings of well-being, even elation. Second, it calms certain neurotransmitters, which slows down brain functioning. This slowing down is how alcohol acts as a depressant. Once dopamine levels go back to normal, you’re still left with a depressed system, which often leads to another drink to get the dopamine levels back up.

As occasional drinking becomes a daily habit, alcohol has less effect on the receptors that make us feel good. But by then, our brain has learned to crave alcohol when we’re stressed. This shift can increase anxiety, often for the entire day after drinking. And it can lead to wanting a drink the next evening to wind down, causing the entire cycle to start over again. Very often cutting out alcohol can lead to a significant decrease in your overall anxiety.

Alcohol and your sleep

While the sedative effect of alcohol initially might help us fall asleep, as little as one drink too close to bedtime can wreak havoc on both the quality and quantity of your sleep. Alcohol interferes with our sleep stages, especially REM (rapid-eye movement) sleep, the restorative part of our sleep cycle. When alcohol finally leaves your bloodstream, you’re often jolted awake as your nervous system, coming off several hours in a depressed state, tries to regain its balance by lurching into active mode.

Sleep is the ultimate self-care activity. It is the first line of defense against anxiety and depression. Midnight fretting, 3 a.m. wakeups, night sweats, morning headaches and brain fog are all signs that alcohol is impacting your sleep and bringing along the anxiety you are trying to avoid.

Do you have a problem?

We sometimes have an overly simplistic way of thinking about alcohol use — either you’re an alcoholic and your drinking is truly out of control, or there’s no problem at all. But that isn’t accurate. Most people who drink too much are not addicted and wouldn’t experience what we think of as withdrawal if they stopped. They don’t need treatment or intervention. In fact, it’s likely no one around them is worried about their drinking at all. But from a mental health perspective, alcohol is still affecting them negatively.

Alcohol is highly addictive. It causes sleep problems, depression, headaches, stomach issues, infertility and birth defects. Further, it dramatically increases your susceptibility to many types of cancer, is associated with reckless behavior and blackouts, and is responsible for more than 95,000 deaths in America — and 3,000,000 worldwide — each year. Alcohol as an aid to relaxation is a terrible idea. If your drinking is medicinal, it’s time to look for safer, more effective ways to cope.

Ready to rethink your alcohol use?

Here are some steps you can take:

icon - a full measuring cup

Get real about your drinking.

The next time you relax with alcohol, remember that a 12-ounce can of beer, a shot of spirits and a little over a half cup of wine counts as one drink. Keep track of how many drinks you have each day, and rate your overall anxiety, depression and sleep quality.

icon - a person's relaxed face

Find other ways to relax.

The ritual of ending the day by sitting down with a drink is hard to give up unless we have an enticing alternative. Try swapping in a non-alcoholic drink that you reserve for happy hour; it can often stand in effectively for alcohol. Reading a book, taking a bath, connecting with a loved one or even just going to bed early are all proven anxiety relievers.

icon - a calendar

Take a break.

There are countless free or low-cost programs online to offer support and guidance to anyone wanting to take an alcohol time-out. Not drinking at all, for at least a month, is the best way to see how alcohol is affecting your life, and to decide whether it’s worth it.

None of the above suggestions replace treatment or a 12-step program. If you experience strong resistance to any of the above steps, it’s worth getting curious about the role of alcohol in your life. While certain people never drink more than the suggested amount, most people who drink consistently will eventually need to re-evaluate the way they are drinking. There shouldn’t be shame or a stigma about wanting to slow down or stop drinking because needing to do so isn’t the exception; it’s the rule.

*National Center for Drug Abuse Statistics. Alcohol Abuse Statistics.

Source: Psychology Today. Does alcohol really help you relax?

For more information on alcohol misuse and support services that can help you or someone in your household find healthier ways to reduce stress, see the resources below.

 

Categories
Articles

Learn the basics

LEARN THE BASICS

Explore treatment options for alcohol concerns

People often think there are only two places to get help for alcohol concerns — Alcoholics Anonymous (AA) or residential rehab. But today, there are more choices than you might expect. Health care professionals now provide up-to-date treatments backed by science. Care is offered at different levels of intensity in a variety of settings.

Print

Looking for more? Find other articles below

therapist talking with patient

A two-part treatment approach

Typically, the first step is to see a primary care provider (PCP). After completing an alcohol use disorder assessment, they’ll discuss treatment options and make recommendations, which can include: 

  • Talk therapy. A licensed therapist can help people build coping strategies and skills to stop or reduce drinking. Treatment can include one-on-one, family or group sessions.
  • Medications. A primary care provider or a board-certified addiction doctor can prescribe non-addicting medications. These can help people stop drinking and avoid relapse.  

These two options can be used in combination and tailored to individual needs.

Four basic levels of care

There are four basic levels of care or intensity for alcohol treatment. These levels, as defined by the American Society of Addiction Medicine, include:

  1. Outpatient. Regular office visits for counseling, medication support or both. Some lower-intensity outpatient-care options, if appropriate, could include:
    • A high-quality, traditional outpatient program.
    • A care team you put together, including therapists and doctors with addiction specialties to team with your primary care provider. It’s a way to get higher quality, one-on-one care that maintains privacy.
    • Telehealth — phone or video sessions. These are phone or video sessions for talk therapy or medical care. They can be particularly useful in locations with few addiction health professionals.
    • eHealth options — online or mobile. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has developed a number of tools that help people overcome alcohol concerns. They include a computer-based cognitive-behavioral therapy program; digital self-help program; and a mobile tool to prevent relapse.
  2. Intensive outpatient or partial hospitalization. Coordinated outpatient care for complex needs.
  3. Residential. Low- or high-intensity programs in 24-hour treatment settings.
  4. Intensive inpatient. Medically directed 24-hour services; may manage withdrawal.

How do you know which level is right for someone? A complete assessment of a person’s alcohol problems and complications can help guide their care team’s recommendations.

Support groups for empathy and accountability.

In addition to professionally led treatment, many people benefit from mutual support groups. Groups can vary widely, so it’s important to try different ones to find a good fit. There are several good options, including:

  • Alcoholics Anonymous (AA) — the most common mutual help group, with meetings in most communities and online. Meetings involve participants sharing their personal histories with drinking and recovery and encourage progress along “12 steps” that have a strong spiritual component.
  • LifeRing — a secular (nonreligious) peer support network supporting abstinence from alcohol and other drugs.
  • Secular Organizations for Sobriety — an alternative to spiritual support groups, this is a network of local and online groups dedicated to helping people achieve and maintain sobriety.
  • SMART Recovery — a research-based support program that focuses on empowering members to build four sets of skills: motivation to abstain, coping with urges, problem solving and lifestyle balance.
  • Women for Sobriety — a self-help program designed by and for women, focusing on emotional and spiritual growth.

For more information on treatment options for alcohol misuse, check out this RFL video.

Regardless of where or how you seek treatment, look for approaches that are “evidence based.” This means the treatments are backed by large, well-designed studies.

Source: NIH NIAA. What types of alcohol treatment are available?

For more information on alcohol treatment services covered by your Costco medical plan, see the resources below and make an appointment with your primary care provider.

Categories
Articles

Take action

TAKE ACTION

Is stress keeping you awake at night?

Stress affects our emotional, physical and behavioral health. The right amount of stress can be a positive force that helps us do our best and stay alert and energetic. But too much can make us tense and anxious — and that can cause sleep problems.

Print

Looking for more? Find other articles below

woman almost asleep, sheep are not jumping over the fence in her dream

What are the signs of stress?

Sleep problems are a sign of stress. Other common signs include depression, tension, anxiety, work mistakes and poor concentration. You may also experience physical symptoms like headaches, upset stomach, fatigue, appetite loss, and chest, neck or back pain. If your stress goes on unchecked, your health and sense of well-being can suffer — especially if you’re not getting enough rest.

Learn to manage stress

Take a good look at your physical condition and your daily activities so you can identify your stressors. Do you have pain? Do you feel overwhelmed with life’s demands? Once you identify your stressors, you can take steps to reduce them. Consider these tips for reducing stress and getting a better night’s sleep:

heart icon

Seek social support.

Spending time with family and friends is an important buffer against stress. It can be helpful to share your problems with people who care for you.

thought bubble

Practice thought management.

You can learn to change thought patterns that produce stress. Thoughts to watch out for include those concerning how things should be and those that focus on negative generalizations. For example, “I’m a failure because I can’t afford to go on a long vacation this year.” Your Costco benefits, such as AbleTo, offer virtual therapy that can help you learn to change negative thought patterns into healthier ones.

dumbbell weight

Exercise.

Physical activity can help you blow off steam, which reduces stress. In addition, flexible, loose muscles are less likely to become tight and painful in response to stress. That’s because when you exercise, your body releases chemicals called endorphins that can reduce your perception of pain. Endorphins also trigger a positive feeling in the body. But it’s best to exercise at least two hours before bedtime so your body temperature returns to normal. If you have a medical condition or are over age 50, it’s best to check with your doctor before beginning an exercise regimen.

person relaxing in meditation

Learn to relax.

Practice yoga, meditation or deep breathing, which can all help you relax. Try taking a warm bath and turning off electronics to help you wind down before you go to bed.

apple icon

Eat a healthy diet.

Junk food and refined sugars low in nutritional value and high in calories can leave you feeling out of energy and sluggish. A healthy diet, low in sugar, caffeine and alcohol can enhance your well-being and reduce stress. So think about grabbing a salad for lunch, rather than a slice of pizza.

moon in night sky with "ZZZ"

Get enough sleep.

A good night’s sleep enables you to tackle the day’s stress more easily. When you’re tired, you’re less patient and more easily agitated, which can increase stress. Most adults need seven to nine hours of sleep each night. Practicing good sleep methods along with lowering your stress can help improve your quality of sleep.

delegate

Delegate responsibility.

Often, having too many responsibilities can lead to stress. Free up time and decrease stress by delegating responsibilities to others — whether that means having your kids do their own laundry, or asking for help when you need it.

These tips and suggestions can help many people sleep soundly through the night. However, if you have frequent sleep problems, talk to your doctor. They can check you for possible medical problems, such as an overactive thyroid or sleep disorders, or a psychiatric condition, such as an anxiety disorder, and recommend treatment.

You can also turn to Resources For Living® (RFL®)*. You’ll find self-care resources for sleep disorders, including tools for related health issues like anxiety, depression, stress, addiction, chronic pain, and overall well-being.

*Resources For Living is available to all employees and members of their household, including children up to age 26 living away from home.

Source: WebMD. Tips to reduce stress and sleep better. 

If you’d like to improve your sleep by learning ways to manage your stress better, the following resources can help.

Categories
Articles

Learn the basics

LEARN THE BASICS

It’s OK to see a therapist

Wondering if therapy is right for you? You may be struggling with a major life transition, a difficult family issue or a serious behavioral health challenge. Whatever the case, therapy offers tools and insights to help you make positive changes. In fact, about 75% of people who undergo therapy show some benefit from it. 1

To learn more about what happens in therapy and how it might benefit you, watch the helpful videos linked below.

Print

Looking for more? Find other articles below

video chat therapist on phone

What is mental health?

+

Show transcript

Misconceptions around getting help

+

Show transcript

Caring for your mental health

+

Show transcript

The road to feeling better

+

Show transcript

1American Psychiatric Association Understanding psychotherapy and how it works. 

Source: AbleTo. Mental health myths vs reality.

If you or a dependent has been thinking about therapy, the following resources can help. They’re confidential and available to you at no extra cost.