How Clinicians Assess Plantar Heel Pain Efficiently

Posted on by Joseph Gerard

Shot of confident young female doctor reviewing the patient's medical history on her digital tablet while standing in the consultation.Written by Harry Wolf,

Plantar heel pain… When clinicians evaluate this, they rely on structured assessment methods to identify symptom patterns, determine underlying causes, and guide effective treatment. 

By combining patient history, physical examination, functional testing, and selective imaging, practitioners can accurately differentiate plantar fasciopathy from other conditions – and develop targeted management strategies.

Clinical Interviews and Patient History

A thorough clinical interview is one of the most efficient ways in which clinicians begin evaluating a patient’s plantar pain. It is foundational to building a clear diagnostic pathway. 

This step allows clinicians to collect information that reveals:

  • Symptom characteristics.
  • Functional limitations.
  • Potential contributing factors. 

In settings that prioritize accuracy and efficiency, gathering patient history early on ensures that later assessments are targeted and relevant. Thus, the need for unnecessary testing or redundant procedures is reduced.

Asking Questions

Clinicians typically begin by having the patient describe the onset and progression of their heel pain. 

(As you may know: plantar fasciopathy commonly develops gradually.) 

Many patients report that their symptoms began after an increase in:

  • Standing time.
  • Walking distance.
  • Repetitive impact activities. 

Understanding whether the symptoms emerged suddenly or progressively helps clinicians distinguish between soft tissue irritation, structural injury, and conditions that may have systemic origins. 

And patients are often asked to describe specific behaviors of their symptoms throughout the day. 

The classic morning pain pattern associated with plantar fasciopathy is an important diagnostic clue. And identifying whether symptoms improve with initial movement offers additional clinical value.

Another key line of questioning focuses on occupational and lifestyle factors. 

Individuals who stand on hard surfaces for extended periods – such as food service workers or manufacturing employees – tend to experience increased mechanical stress on the plantar fascia. 

Similarly, athletes who abruptly change their training volume – or footwear – may develop symptoms that are related to overload. 

By clarifying such details, clinicians can determine whether daily load patterns are consistent with typical presentations of plantar heel pain.

Looking at Medical History

Clinicians also review the patient’s medical history – to assess whether underlying health conditions could contribute to symptom development or delayed tissue healing. 

Conditions such as diabetes, rheumatoid arthritis, thyroid dysfunction, or chronic obesity can influence how tissues respond to mechanical stress. 

Patients may also have a history of lower extremity injuries, gait alterations, or previous foot conditions that lead to compensatory movement patterns.

Noticing Red Flags

In addition to individual factors, clinicians look for red flags that require further evaluation. 

These include:

  • Progressive neurologic symptoms.
  • Night pain that is unrelated to activity.
  • Unexplained swelling.
  • Bilateral symptoms without clear mechanical triggers. 

Identifying such findings early on plays an important role in determining whether referral or additional testing is necessary.

The clinical interview gives clinicians a solid foundation to guide physical examination, functional testing, and imaging decisions.

Physical Examination and Palpation Findings

Physical examination… It is a critical step in diagnosing plantar heel pain, as it provides objective data that directly confirms or challenges the initial impressions formed during the interview. 

Efficient assessments typically begin with:

  • Palpation.
  • Range of motion testing.
  • Observation of basic functional movements. 

Each of these components helps clinicians identify whether symptoms align with plantar fasciopathy or another condition.

Palpation of the proximal plantar fascia at the medial calcaneal tubercle is one of the most widely recognized and reliable diagnostic indicators. Patients with plantar fasciopathy typically experience sharp, localized tenderness at this point. 

The study entitled “Medical imaging for plantar heel pain: a systematic review and meta-analysis,” published by the National Library of Medicine, describes this specific palpation finding as one of the most reproducible markers for diagnosing plantar heel pain. 

By confirming localized tenderness, it becomes easy to differentiate plantar fascia involvement from nerve entrapment, fat pad disorders, or bone-related conditions.

As well as focal tenderness, clinicians evaluate soft tissue texture. They note any thickening, swelling, or irregularities along the fascia. 

These tissue changes often indicate adaptive responses to repeated mechanical stress. 

And palpation along the arch and into the midfoot can reveal whether symptoms are isolated or part of a broader mechanical pattern.

Range of motion assessment complements palpation findings and helps clinicians determine whether mechanical restrictions contribute to the patient’s symptoms. 

Visual inspection of foot posture during standing may also reveal pes planus or pes cavus tendencies – both of which influence plantar fascia loading.

In some cases, clinicians also evaluate whether patients are using external devices to support the foot. 

This may include footwear modifications or the use of medical-grade Plantar Fasciitis orthotics, which not only cushion the heel but also correct the strain on the plantar fascia band.

Medical-grade insoles address the specific biomechanical issues that cause an individual’s plantar fasciitis.

Functional Tests and Mechanical Loading Response

Functional testing provides real-time insight into how the plantar fascia responds to mechanical stress – making these tests highly valuable in an efficient diagnostic process. 

Clinicians use functional movements to determine whether symptoms are consistent with plantar fasciopathy and to assess the overall lower extremity performance. 

Functional tests not only help confirm a diagnosis. They also guide treatment planning by revealing strength deficits, mobility limitations, or altered movement patterns.

The Windlass Test

You may be aware of the windlass test. It is one of the most important and commonly used functional assessments for plantar heel pain. 

By dorsiflexing the great toe and tensioning the plantar fascia, clinicians can provoke symptoms in individuals with plantar fasciopathy. 

A positive windlass test supports the diagnosis, especially when combined with the focal tenderness identified during palpation. 

The windlass test is particularly useful when symptom reproduction is immediate and localized.

Heel Squeeze Testing

Clinicians use the heel squeeze test to rule out calcaneal stress fractures.

This involves compressing the heel medially and laterally to assess for deep bone pain. 

Stress fractures, unlike plantar fasciopathy, typically produce a sharp, deep ache when this test is performed. 

A negative heel squeeze test supports a soft tissue origin of symptoms – whilst a positive test helps clinicians determine whether imaging may be necessary.

Activity-Based Provocation Tests

Activity-based tests include heel raises, single-leg balance, and step-down movements. Each of those tests challenges the plantar fascia differently. 

Clinicians observe how the patient performs these tasks – looking for abnormal weight shifting, pain triggers, or endurance deficits. These assessments help identify whether the plantar fascia can tolerate functional loading – or whether certain movements consistently reproduce pain.

Also, clinicians often assess whether repetitive loading worsens symptoms over time. For example, performing several consecutive heel raises can reveal fatigue or compensatory mechanics that do not appear during isolated movements. 

This process helps clinicians identify whether strengthening, flexibility, or movement retraining should be prioritized when creating a treatment plan.

Integrating Functional Testing Into Diagnostic Reasoning

Functional testing enables clinicians to compare the involved foot with the contralateral limb. Differences in balance, strength, or movement quality often highlight biomechanical contributors – that are not visible during static assessments. 

These insights help determine whether plantar fasciopathy is linked to broader kinetic chain dysfunctions, such as:

  • Weak hip stabilizers.
  • Limited leg flexibility. 

Functional tests, therefore, enhance both diagnostic accuracy and treatment efficiency.

Imaging and Evidence-Based Diagnostics

Although plantar fasciopathy is typically diagnosed through clinical examination, imaging plays an important role – when symptoms do not improve as expected or when the diagnosis remains uncertain, that is. 

Clinicians use imaging selectively to:

  • Confirm soft tissue changes.
  • Identify structural abnormalities.
  • Rule out alternative conditions.

Ultrasound is often the first imaging choice – due to its convenience, affordability, and ability to visualize soft tissue structures. 

Clinicians can measure plantar fascia thickness, identify hypoechoic regions, and assess the presence of perifascial fluid. 

According to a study published by the National Library of Medicine, ultrasound findings closely correlate with symptomatic presentations, making it a useful tool in confirming the diagnosis.

And radiographs can help clinicians rule out bone abnormalities. 

MRI is reserved for chronic, persistent, or complex cases that require detailed visualization of both soft tissue and bone. MRI can identify: partial tears, chronic degeneration, or bone marrow edema. 

So, these steps should be taken:

  • Ultrasound.
  • Radiographs.
  • MRI.

Even when imaging is used, efficient clinicians rely primarily on physical examination and patient interviews to drive diagnostic decisions.

Differential Diagnosis and Condition Classification

Differential diagnosis is essential for efficiently identifying plantar fasciopathy – among the many conditions that can cause heel pain. 

Because several disorders share overlapping symptoms, clinicians systematically compare findings from the interview, physical examination, and functional testing – to distinguish between them.

Neuropathic conditions, such as Baxter’s nerve entrapment, often produce burning sensations or radiating pain that is not typical of plantar fasciopathy. 

Clinicians test for nerve tension, sensory changes, and symptom patterns unrelated to mechanical load to identify these presentations.

Mechanical conditions (such as fat pad atrophy) create diffuse heel pain that worsens on hard surfaces, contrasting with the localized tenderness characteristic of plantar fasciopathy. 

Gait observation and palpation help differentiate these conditions effectively.

Inflammatory or systemic conditions may require laboratory testing when patients have issues like bilateral heel pain or prolonged morning stiffness – or symptoms that extend beyond typical mechanical patterns. Identifying these cases early on ensures appropriate referral.

Condition Classification

Clinicians often classify plantar heel pain into phases such as:

  • Acute.
  • Subacute.
  • Chronic. 

This classification helps guide treatment intensity and expectations for recovery. 

Acute symptoms may require load reduction and symptom management, while chronic symptoms typically benefit from progressive loading, movement retraining, or supportive strategies that address long-term biomechanical patterns.

Evidence-Supported Approaches

Research published by MDPI highlights this: clinicians using structured classification systems demonstrate greater efficiency and diagnostic confidence. 

By integrating classification into differential diagnosis, practitioners can streamline both evaluation and the planning of treatment.

The Bottom Line

Clinicians assess plantar heel pain efficiently by combining:

  • Thorough patient interviews.
  • Targeted palpation.
  • Functional testing.
  • Selective imaging. 

These strategies allow practitioners to differentiate plantar fasciopathy from other conditions, classify symptom stages, and guide evidence-based interventions. 

Author bio: Harry Wolf is a freelance writer. For almost a decade, he has written on topics ranging from healthcare to business leadership for multiple high-profile websites and online magazines.

References

  • Mayo Clinic Staff, Plantar fasciitis, Mayo Clinic, 2023.

https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846

  • Rodseth, Merinda, Bell, Jess, Jackson, Kim, Jaraczewska, Ewa, Ogunleye, Olajumoke, Saban, Bernice, Assessment of Plantar Heel Pain – A Literature Review, Physiopedia.

https://www.physio-pedia.com/Assessment_of_Plantar_Heel_Pain_-_A_Literature_Review

  • Unauthored, How should I assess a person with suspected plantar fasciitis?, National Institute for Health and Care Excellence, 2024.

https://cks.nice.org.uk/topics/plantar-fasciitis/diagnosis/assessment/

  • Nweke, Tonyclinton C., Comprehensive Review and Evidence-Based Treatment Framework for Optimizing Plantar Fasciitis Diagnosis and Management, National Library of Medicine, 2025.

https://pubmed.ncbi.nlm.nih.gov/40717873/

  • Drake, Chris, Whittaker, Glen A., Kaminski, Michelle R., Chen, John, Keenan, Anne-Maree, Rathleff, Michael S., Robinson, Philip, Landorf, Karl B., Medical imaging for plantar heel pain: a systematic review and meta-analysis, National Library of Medicine, 2022.

https://pubmed.ncbi.nlm.nih.gov/35065676/

  • Alnefaie, Abdulmajeed Muhaysin, Alzahrani, Hosam, Alshehri, Mansour Abdullah, Physiotherapy Management of Plantar Fasciitis: A National Cross-Sectional Survey in Saudi Arabia, MDPI, 2025.

https://www.mdpi.com/2077-0383/14/13/4584

  • Akhtar, Amir, Baxter’s Nerve Entrapment, My MSK Clinic.

https://mymskclinic.co.uk/baxters-nerve-entrapment/

 

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Christian Counseling: Christmas and the Theology of the Incarnation

Posted on by Mark Moran

Christ is born!  Glorify Him!

In this blog, we are going to see the critical and central importance of the Incarnation to Christian theology and human salvation found in Christmas.   The power of John’s monologue that leads to the famous words “And the Word became Flesh” are central to the faith and are powerful reminders of God’s love for humanity which He never intended to forsake due to the sin of Adam.  In fact, the Incarnation is the most singular act of love ever in history.  Instead of being an absent God from a distant throne, God chose to get into the mud with His creation and save it.

Please also review AIHCP’s Christian Counseling Certification.

What is the  Incarnation?

The Incarnation was necessary but it was also an act of love. Please also review AIHCP’s Christian Counseling Certification

While the Incarnation is the most central aspect of the Christian faith, it is a mystery that is hard to understand or even believe for those outside of the faith.  Whether religious within a different tradition, or secular, it seems almost impossible that a human being can be God.  For many, it screams the same ancient stories of Hercules, half god and half man, or as if gods with more human qualities procreate with women under the guise of regular person.  This crude analogy to the Incarnation of Jesus Christ does not compare or even capture the true meaning of the Incarnation.

Mary said yes at the Annunciation in Luke’s Gospel and with that yes, a miracle occurred. Mary, herself, became the new Ark of the Covenant, a covenant far greater than that of Moses and law, but a new covenant of salvation with Christ.   Mary’s willingness to say yes to God allowed an infinite being to enter into time.  The Holy Spirit miraculously permitted Mary to become a mother yet also retain her virginity by infusing into her womb, the Second Person of the Trinity and the complete personhood of the man, Jesus Christ.  She “knew” not any man but yet had conceived.  Upon her yes, an angel was sent to inform St Joseph,  her betrothed and the foster father of Jesus, that Mary had committed no sin and that but God had granted the world a great miracle and its Messiah. Joseph, like Mary, said yes.   Mary and Joseph both played key roles in the Incarnation and through their obedience and humility, Christ entered into the world.  Jesus would become the new Adam and his mother would become the new Eve.  Where Adam and Eve said no to God,  Jesus and Mary would say yes to God

But beyond the story of Christ’s birth in a stable and the coming of the shepherds and wise men, there is a deep theology which while unable to explain how the impossible can occur due to its mystery, still nonetheless explains what is to be believed and why.  The theology of the Incarnation first speaks about the reason behind the miracle.  There are two primary reasons for the purpose behind the Incarnation.  First, it was necessary.  The fall of Adam and Eve left humanity in the darkness of the world.  Adam entered into a new temporal reality that stripped him of his supernatural gifts of knowledge and control of the passions and instead granted him suffering, hard work and death.  Beyond these physical manifestations, his fall also left humanity without grace and marked with Original Sin.   A grave injustice and imbalance emerged which left humanity severed from God’s grace and parenthood.  Instead, the power of Satan overtook the world and humanity was locked away from grace and divine paternity.   The solution required a sacrifice of penance and reparation for the wrong.  It required a spotless and perfect priest to offer a spotless and perfect victim or sacrifice.  No human was perfect and no sacrifice could ever match the injustice done to God via Adam’s sin.   Hence out of necessity, God became flesh to not only be our priest but to also be our victim of sacrifice.  The second reason behind the Incarnation is theoretical but championed by many theologians, saints and mystics.  It is believed that God always planned to take upon human nature to better connect and love us, but to also elevate His creation of humanity.  It is speculated that this plan of elevated human nature to such status was one of the primary reasons Lucifer rejected God.  Out of pride, Lucifer resented that something so human could ever be made greater than his own angelic self.  Upon this he rebelled, was cast to Hell and forever determined to mock and destroy humanity.

Understanding the Incarnation

As a mystery of faith, the Incarnation cannot be completely explained, nor can rationale or science confirm it, but through philosophical reasoning, an understanding of the fall, and God’s infinite mercy, one can come to coherent system of thought within the narrative of the fall of Adam.  Within this narrative, the necessity of God/man is essential.  The Incarnation answers the challenge of the fall of humanity and gives humanity redemption.  The Incarnation, even without the passion of Christ, would have sufficed for humanity’s salvation.  One simple chill to the new born Christ, or even a cry of hunger to His mother would have been alone suffice to redeem humanity, but the price of sin, the evil side of humanity and the vengeance of Lucifer demanded more. And like Mary and Joseph, Jesus said yes to God.

And the Word Became Flesh

The Incarnation while mysterious is not hard to describe or illustrate.  In essence, the Second Person of the Blessed Trinity, the Word or Son, took upon a human nature.  In this way, God entered into time and the temporal realm as a person.  Due to many ancient heresies regarding the nature of Christ as both God and man, many theories and confusions arose.  Most heresies either combined Christ’s human nature and divine nature into a messy personhood that is truly neither (Monophysitism) or separated the natures to such an extent that Christ appeared as two persons (Nestorianism).  These and other heresies regarding Christ were condemned at early Church councils such as Ephesus or Chalcedon.

So, the Incarnation is not about fusing two natures into one nature, or separating two natures creating two persons, or even the body of Jesus being a shell for the Divine, or the body being a mysterious phantasm, but the Incarnation teaches, as Pope Leo I declared at Chalcedon, two complete natures, one person.

If dissecting this, it means Jesus is both God and man, perfectly complete.  It is not a 50/50 mix but a 100/100 fusion of two complete natures into one person.  At the moment of Christ’s conception in the womb of Mary, Jesus’ human nature was created and at that exact moment, the Word entered into the body of Christ.  There was never a moment that Jesus human nature was without the divine nature.  There was not a preliminary moment for Jesus to accept His divinity for it was always there within His very essence of creation.  Yes, the Divine nature was eternal and existed before time and the human nature was created in temporal time, but the moment the conception occurred, Jesus was both God and man perfectly.  Jesus had a body and yes, even His own soul.  Many Christians some time forget this amazing aspect of the Incarnation.  Jesus had two wills since He had two natures but the wills were perfectly aligned within one person and working in perfect harmony.  Sometimes in Scripture, Jesus says things that are very human, but also at times says things that are very divine.  We can see when Christ’s humanity shines bright and in other cases when His divinity shines bright throughout His life in the Gospels.  As a man, Jesus could suffer, albeit not due to sin, for He was made like us in everything but sin, but He still permitted Himself to be subject to the pains of the temporal world.  But as God, Jesus was able to perform miracles and manifest Himself to the Apostles at the Transfiguration.  So when we study scripture, we find many samples of emphasis on humanity but also many points that direct to His Divinity.  To the untrained eye, this can seem as contradictions, but it is merely the reality of Jesus being both completely God and man.

Conclusion

The Incarnation is a story of love.  The perfect gift of self.  God, through the Second Person, took upon a human nature of Jesus, retaining His divine and sharing in complete possession of the human.  It is because of this that Christ is both God and man.   This is why we worship Jesus Christ because within this singular person is both Jesus and the Second Person, perfectly united as one person.  This is indeed mysterious, but is also the faith!

Please also review AIHCP’s Christian Counseling Certification

Please also review AIHCP’s Christian Counseling Certification

Additional Resources

“What Is the Incarnation?” (2007) Desiring God.  Access here

Moran, M (2024). “Christian Counseling Education: The Incarnation: Divinity on Earth”.  Access here

“The Incarnation of Jesus Christ: Purpose and Meaning for Mankind” (2023). Christianity.com.  Access here

“Incarnation”. Catholic Answers.  Access here

 

 

Trauma and Informed Care and Imminent Danger in Counseling Video Blog

Posted on by Mark Moran

It is a grave and immense responsibility of counselors to protect their clients when imminent harm to themselves, others or abuse is reported.  Confidentiality has its limitations in these cases and a legal obligation to report becomes necessary.  This video looks at signs of imminent harm as well as how to help clients understand the need to submit to the safest decisions that may include temporary mental ward observation or reporting an abuser.

Please also review AIHCP’s Healthcare Certifications as well as AIHCP’s Trauma Informed Care Certification

Trauma Informed Care: Understanding Dissociation

Posted on by Mark Moran

The most common trait we think of when discussing PTSD is dissociation.  Whether through flashbacks, or disconnections from the present, dissociation primarily seen as a pathological left over from a traumatic event, most seen with combat veterans.  Within this imagery, one sees a firecracker or backfire from a car that sends a military veteran into a flashback of a past war scene.  While this is accurately captures PTSD, this is only one minor aspect of dissociation and only illustrates its pathological symptoms instead of its overall necessity within the protective and defense mechanisms of the human body against extrema trauma.  It is important to remember according to Contreras, that some dissociative behaviors are also part of the human experience and not necessarily pathological symptoms (2024, P, 181).   In this blog, we will shortly look at dissociation in a broader scope and see how it exists not only during the trauma, but after the trauma as well, and how it manifests in multiple different ways.

Dissociation while a natural mechanism for some during the actual trauma becomes pathological if it becomes chronic and persistent after the actual trauma event

Please also review AIHCP’s Healthcare certifications, especially AIHCP’s Trauma Informed Care and Spiritual Trauma Informed Care programs.

Peritraumatic Dissociation

During extreme stress or trauma, or life or death situations, the body’s autonomic nervous system responds through its sympathetic or parasympathetic branches.  As discussed in previous blogs, this can lead to fight, flight, freeze, fawn, or even fade.  Since dissociation deals with fade or immobility, it is part of the parasympathetic response during a traumatic event.  In its peritraumatic state, the survival mechanism is natural and looks to help the person disconnect, detach, or compartmentalize the event.  This is shutdown is is to spare the mind the horrible nature of the event and other emotional and mental damages, albeit, it also shuts the person’s physical abilities to continue resistance.  During this moment of detachment, the Prefrontal Cortex’s emotional processing is inhibited and the sympathetic activity is reduced.  In turn, the parasympathetic response increases and the activity of the cortico limbic brain creates algesics to skip the process of storing memories, or recalling memories, especially painful ones.  In addition, analgesics are produced to reduce pain and numb the body from the event (Contreras, 2024, p. 176-177).   This process can leave gaps in memory as well as other cognitive and emotional related issues.  The more traumatic event, the more traumatic the dissociation and due to this the  higher possibility to dissociate later (Contreras, 2024, p. 173).

What to remember is this natural defense and survival response is normal in its hope of protecting the mind and body.

Posttraumatic Dissociation

Dissociation becomes pathological when it continues to haunt the mind after the actual event.  The mind can be easily triggered due to similar scents, surroundings or signs that evoke the survival response.  For many, they are already existing in a constant survival strategy mode, keeping systems on red alert.  Within dissociation, individuals may experience psychological and functional alterations of memory and identity.  Others may sense physiological symptoms such as temperature loss in the limbs, or a lowered heart rate.  Others may sense a detachment from surroundings or disconnect from bodily sensations.  Others may experience less pathological experiences with temporary states of day dreaming or disengagement with life (Contreras, 2024, p. 174).   Various aspects are also affected by dissociation such as loss of time, disconnect from body, disconnect from identity of self, lack of motivation, amnesia and memory loss, or loss of capacity to recognize emotions and their affect, meaning and range (Contreras, 2024, p. 175).  All of these issues represent true significant issues for a person who has not returned to homostatis or baseline due to the traumatic event.  Since the body remains in a state of survival mode, mechanisms that are meant to be temporary instead are becoming permanent states of being for the individual.

Dissociation can become especially dangerous when in its extreme form it can cause individuals to become invert and thoughtless to their surroundings or what is happening.  When amnesia is present, it can disconnect a person from their true self which forces the person to create new schemas or behaviors that are extreme in nature (Contreras, 2024, p, 182).

Dissociation according to the DSM-5 can also be experienced as a DPDR disorder (Depersonalization-Derealization disorder), as a Dissociative Identity disorder (multiple personality) or a amnesia based disorder.  Due to these more extreme cases, it is critical to find help if these issues grow worst or persist.  With personalization, the person feels detached, or even as an outside observer of one’s mental processes.  With derealization where one experiences a type of unreality about one’s surroundings, as if dreamlike, distant or distorted (Contreras, 2024, p,. 319).

Finding Help

Therapists, especially those trained in trauma informed care, are especially equipped to help a person again find baseline or homostasis.  They can help the individual again deactivate the autonomous nervous system and turn off survival mechanisms that have hijacked the overall person’s life.  This involves not only learning to regulate emotions, but also instructing others in grounding techniques that can limit the dissociation.   In many cases, exposure therapy and reframing is necessary to help the person move beyond the traumatic event.  It involves helping the brain properly store the memory and process it.   In doing so, the brain can eventually reset without being alerted to non threats.

Please also review AIHCP’s blog on grounding techniques for those suffering from PTSD.  Click here

Conclusion

Please also review AIHCP’s healthcare certifications as well as its Trauma Informed Care program

Dissociation is a natural response of the parasympathetic nervous system that involves detachment during a traumatic event.  It shuts down many centers of the brain for memory by effecting encoding , storage and retrieval.   Instead the memory becomes emotional and tied to the amygdala.  Additionally, the hippocampus  has a difficult time differentiating the past memory and event with the present moment and associates everything as imminent.  This in turn leads to triggers and continued detachment from non existent threats.   Since the body remains in a state of red alert, dissociation as a survival mechanism instead becomes a survival strategy that persists until the person is finally able to resolve the past trauma.

Please also review AIHCP’s healthcare certifications as well as its Trauma Informed Care and Spiritual Trauma Informed Care programs.

Resource

Contreras, A (2024). “Traumatization and Its Aftermath: A Sympathetic Approach to Understanding and Treating Trauma Disorders”

Additional Resources

Tull, M. (2025). “What Is Dissociation?.  Very Well Mind.  Access here

“Dissociation”. Psychology Today.  Access here

“Dissociative Disorders”. Mayo Clinic.  Access here

Guy Evans, O. (2025). “What Is Dissociation? Types, Causes, Symptoms & Treatment”. Simply Psychology. Access here

Psychological Factors Influencing Patient Adherence to Contact Lens Care Regimens

Posted on by Joseph Gerard

Nurse Patient Educators also understand the individual needs of their patients

Written by Michael Austin,

Patient compliance remains a challenge in many areas of healthcare, including eye care. Even when patients understand the advice given and the possible risks, not everyone follows the steps needed to protect their eye health, especially when using contact lenses. Poor compliance with contact lens care can increase the risk of eye infections and inflammation.

Because of this, a behavioral or mental health approach can be helpful in explaining why some patients follow care guidelines while others do not. Understanding these differences can support better strategies to improve compliance and reduce complications.

Why Is Contact Lens Nonadherence So Common?

Nonadherence to contact lens care is rarely caused by a lack of intelligence or concern. Instead, it often stems from how patients perceive risk, routine, and personal relevance.

Many patients underestimate the consequences of poor lens hygiene because complications are not always immediate. When negative outcomes are delayed, motivation weakens. Others view lens care as an inconvenience that competes with daily responsibilities, leading to shortcuts that become habits over time.

Psychological distancing also plays a role. Patients may cognitively separate contact lens care from other health behaviors, seeing it as optional rather than preventive. This mindset increases the likelihood of inconsistent practices, especially during periods of stress or fatigue.

How Do Risk Perception and Optimism Bias Affect Care Behaviors?

Risk perception influences patient adherence to health advice, particularly regarding contact lens care. Humans tend to remain optimistic and believe that unfortunate incidents occur to someone else and not to them. 

Their past experiences also work towards this end. Those individuals who reuse solution or sleep while wearing contact lenses but experience no immediate negative consequences tend to consider it safe.

Healthcare providers can help by explaining risk in a way that is easy to understand and not just through numbers.  They can show how little mistakes add up over time and raise the risk, which lets patients rethink their assumptions.

What Role Does Habit Formation Play in Adherence?

A habit is a routine so thoroughly embedded in a person’s life that it can be performed with very little conscious thought. Routines can be great facilitators of adherence or, conversely, of nonadherence.

Patients can maintain consistency if they incorporate the care of their lenses into daily routines, like the evening ritual, while those without routines might forget or deliberately omit when tired or distracted.

Research on human behavior finds that when actions are straightforward, predictable, and directly associated with an existing behavior, habits can develop more readily. Nurses and educators can assist patients in following a treatment plan by helping patients recognize what specific stimuli will trigger them to follow proper lens hygiene practices.

How Do Motivation and Personal Identity Influence Compliance?

Motivation is rarely static. It fluctuates based on lifestyle changes, emotional state, and perceived value. Some patients are highly motivated during initial lens fitting but gradually disengage as novelty fades.

Personal identity also matters. Patients who see themselves as health-conscious or detail-oriented are more likely to follow care guidelines. Conversely, those who prioritize convenience or aesthetics may be more prone to cutting corners.

This is especially relevant for patients using specialty lenses, including colored contact lenses, where motivation may be tied more to appearance than health. In such cases, reinforcing the connection between proper care and long-term eye safety is critical to sustaining adherence.

How Does Cognitive Load Interfere With Contact Lens Care?

Cognitive load represents mental effort when dealing with a large number of tasks. Patients dealing with a heavy cognitive load resulting from work, family care-giving responsibilities, and psychological problems are likely to postpone disease prevention.

Looking after contact lenses requires several procedures: cleaning the lenses, storing them properly, and changing them periodically. People who have restricted cognitive resources may perform the procedures improperly or simplify the routine with deleterious consequences on safety.

Healthcare practitioners may help by indicating appropriate simple care strategies when possible and emphasizing the need for consistency over perfection. Simple instructions reduce the mental cost of thinking and make it easier for people to comply.

What Emotional Factors Impact Adherence Over Time?

Conditions such as anxiety, depression, and burnout can influence self-care practices. Patients with mental health issues would have difficulty with routines requiring constant focus or following things that entail waiting for rewards.

Fear can also function in a double manner. While some patients will actually follow treatment instructions in fear of complications, others will avoid all information to alleviate fear. This can cause them to tune out instructions for care.

Awareness of emotional barriers can help healthcare staff adjust their communication style accordingly. A patient support approach is better than fear messaging for most people.

How Can Healthcare Professionals Improve Patient Adherence?

Improving adherence requires more than repeating instructions. It involves understanding the patient’s mindset, lifestyle, and emotional context.

Effective strategies include:

  • Using open-ended questions to assess beliefs and concerns
  • Normalizing common challenges without validating unsafe behavior
  • Reinforcing positive habits rather than focusing only on mistakes
  • Providing written and verbal guidance in plain language
  • Encouraging follow-up conversations rather than one-time education

Nurses, in particular, play a vital role due to their frequent patient contact and trusted position. Brief, consistent reinforcement during routine interactions can significantly influence long-term behavior.

Why Is a Psychological Approach Essential in Contact Lens Education?

A purely technical approach assumes that information alone drives behavior. Decades of healthcare research show this is rarely true. Psychological factors shape how information is received, interpreted, and acted upon.

When contact lens education incorporates behavioral insight, it becomes more patient-centered and effective. Addressing motivation, habits, and emotional barriers helps transform instructions into sustainable practices.

This approach aligns with broader trends in healthcare that emphasize holistic care, patient engagement, and preventive strategies rooted in behavioral science.

Final Words

Adherence of patients to care regimens of contact lenses is affected by intricate dynamics of psychological, emotional, and behavioral issues. By understanding these issues, healthcare professionals can go beyond instruction-based education toward more effective, patient-centered support.

Through recognizing the dynamics behind the formation of habits, the perception of risk, or the role of emotional state in the process of taking care of oneself, nurses and clinicians would be able to guide patients more effectively towards good habits regarding contact lenses. In the end, using psychological insights in lens care education helps both eye health and the broader goals of preventive healthcare.

 

Author’s Bio

Michael Austin is a lifestyle blogger with a strong interest in fashion, personal style, and intentional living. He enjoys planning and organizing every aspect of life—from curating a functional wardrobe and making smart purchasing decisions to managing finances and long-term goals. This blend of style, practicality, and structure comes through in the informative articles he shares on his personal website, awebtoknow.com.

 

Please also review AIHCP’s Nurse Patient Education Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Living With Perimenopause: Practical Support for Changing Body and Emotions

Posted on by Joseph Gerard

Nurse, portrait or laptop with medical student books, research education studying or hospital learning university. Smile, happy or healthcare woman with technology in scholarship medicine internship.Written by Dr. Sci. Jelena Veličković,

Every year millions of women experience perimenopause as a major biological transition; however, this time is often misinterpreted or regarded with low importance by society and healthcare providers. The cyclical change in estrogen and progesterone levels experienced during this time influences almost all of the major systems in the body, such as temperature regulation, cognition, sleep, and mood changes, and some aspects of cardiovascular and lipid metabolism (Santoro, 2016). Perimenopause is even more unpredictable since body changes occur in varying levels of severity from one month to another. This is a natural biological event, but it is not necessarily an easy or insignificant one since it tends to influence daily living for many women. Taking women’s experiences seriously can make the difference between care that helps and care that dismisses what they are going through.

What is Perimenopause?

Perimenopause is the transitional phase leading up to menopause, experienced between the ages of 40 and 50. However, it can begin earlier or later for some women. During the phase, there is more variability in the levels of estrogen, progesterone, FSH, and LH. This is far more unpredictable than the pre-reproductive phases of estrogen or the phases of estrogen that occur after menopause (Talaulikar, 2022).

Menopause is diagnosed retrospectively after 12 months of amenorrhea, whereas perimenopause is a dynamic process that takes longer between four to ten years with more variability in the pattern of menstruation as well as hormone secretion patterns (Harlow et al., 2012). A Staging of Reproductive Aging Workshop (STAW +10) proposes markers for early or late perimenopause through variations of menstruation pattern length or endocrine features, allowing practitioners to classify women for stages of reproductive aging. This is all related to the physical discomfort that women may go through as their ovaries become less active with the onset of perimenopause. These endocrine changes affect thermoregulation, neurotransmitter activity, circadian rhythms, cardiovascular function, and lipid metabolism.

Physical Symptoms of Perimenopause

Even though every woman’s experience is different, some of the physical symptoms occur at such a high rate that they are clearly documented by research studies. This is what causes the differences in the transition of the perimenopausal woman.

1. Vasomotor Symptoms (Hot Flashes and Night Sweats)

They are frequently listed as the most common symptoms of perimenopause. Women can have them in various ways like getting sudden hot sensations, turning red in the face, experiencing heart palpitations, or having a feeling of warmth radiating over the body. Night sweats could also interfere with the woman’s sleep. This could then result in other issues such as fatigue, irritation, or mood swings, which would then impair one’s work performance since one could feel self-conscious in their work or social setting (Thurston, 2018).

2. Irregular Menstrual Cycles

Changes in the menstrual cycle can be an early sign of perimenopause. Some women experience shorter cycles, more menses, or periods of amenorrhea, whereas some women experience longer cycles or spotting. In later stages, breaks between periods grow, often 60 days or more without a bleed. That shift points to shifting estrogen levels from the ovaries, tied closely to what’s called STRAW+10 (Harlow et al., 2012).

3. Interruption of Restorative Sleep

Most women experience disruption to their natural sleeping patterns; during perimenopause, sleep disruptions occur between 50-60% of the time. It has been found that these sleep disturbances may exacerbate anxiety and contribute to increased levels of mood fluctuation. Contributing factors to these sleep disturbances include: hot flashes, night sweats, body rhythm changes, anxiety, and disturbed sleeping patterns (Kravitz & Joffe, 2021). The poor sleep quality associated with these factors increases irritability, difficulty with cognitive function, and stress reaction, and can create additional challenges for women who were already vulnerable to poor quality sleeping patterns before menopause occurred.

4. Musculoskeletal Pain

Muscle and joint issues, like tightness, soreness, or general aches, are often linked to perimenopause today. Studies found about 7 out of 10 women go through this (Lu et al., 2020). Newer findings point to what’s called a “menopause-related musculoskeletal pattern,” involving weaker muscles, thinner bones, plus greater chances of developing joint wear (Wright et al., 2024).

5. Urogenital and Sexual Changes

A drop in the levels of estrogen causes related signs and symptoms that affect the tissues of the vagina, vulva, bladder, or urethra. Some of the signs include dryness, irritation, painful sexual intercourse, or more frequent urination. These signs are related to low levels of estrogen in the area; collectively, they are referred to as the genitourinary syndrome of menopause (GSM). These signs affect sexual health, self-confidence, and daily functioning (The North American Menopause Society, 2020). Some of the signs may also be linked with other gynecologic conditions, such as uterine fibroids, painful or irregular bleeding or pressure in the pelvis.

These somatic complaints indicate real physiological phenomena, as opposed to psychological attribution, which further verifies the need for experience verification of women in such a transition.

Cognitive and Emotional Changes During Perimenopause

The hormonal changes in perimenopause affect memory, mood, and stress responses. These cognitive and emotional changes often come out of the blue and may fluctuate from month to month.

1. Cognitive Fog and Attention Difficulties

Women frequently face “brain fog” symptoms during the peri-menopause phase. These issues can include poor focus or inability to concentrate, difficulty organizing their ideas, and a feeling of having too many simultaneous thoughts; problems with effective communication, notable barrier to completing multiple tasks simultaneously, and inability to easily find or recall appropriate words when talking about something to a third party. Current research indicates that women’s cognitive difficulties during this stage of their lives are due to small disruptions in both attention and short-term memory rather than an actual cognitive disability of the brain (Greendale et al., 2009). Consequently, when women’s cognitive difficulties interfere with appropriate functioning in their daily activities or with the demands of their job, women may develop feelings of anxiety and doubt about their cognitive abilities.

2. Mood Swings

Estradiol influences neurotransmitters such as serotonin, dopamine, and norepinephrine which play a part in how we feel emotionally about ourselves. When estrogen levels fluctuate, mood may fluctuate, which can lead to increased feelings of agitation, depression and anxiousness or intensity of response to external pressure. Also, some women that had previously been able to cope with their emotions may experience rapid changes in their mood that do not coincide with their current situation (Han et al., 2023).

3. Anxiety and Emotional Reactivity

Alteration in the HPA (hypothalamic-pituitary-adrenal) axis may cause worsening of anxiety symptoms by increasing the recognition of agitation, anxiety and emotional reactivity. For example, an increase in these feelings may develop in women that had previously never experienced the feelings of anxiety prior to going through the menopause transition. The likelihood of developing these vulnerabilities can also be exacerbated by both poor sleep quality and the added stress of day-to-day living (Han et al., 2023).

4. Increased Vulnerability to Stress

Life’s hectic years sometimes line up with perimenopause. Many women balance jobs, kids’ needs, helping older relatives, or dealing with personal health stuff. Hormone shifts during this phase can amplify tension – making it tougher to cope, no matter how steady daily pressures stay. Knowing these reactions come from physical changes helps ease guilt. It opens space for gentler, kinder choices when tending to your well-being.

These mood and cognitive shifts are real and biologically based. They demonstrate the importance of support in all contexts – at home, at work, and in healthcare facilities.

How Perimenopause Affects Daily Life and Relationships

Women can face mood swings and exhaustion during perimenopause despite being responsible for work, family, and other obligations. With fluctuating symptoms, simple activities become hard to cope with. While a woman may have phases where she feels competent to deal with her responsibilities, she may experience phases of feeling emotionally or physically overwhelmed, which can influence her self-confidence. Poor sleep and sudden hot flashes can worsen her level of concentration and patience. A study among middle-aged women portrays a picture where women dealing with severe vasomotor symptoms or anxiety often experience greater difficulty with daily activities and social interactions as well as social encounters. At work, some women may become distant or less engaged in activities because she remains uncertain if others will see her as inconsistent in her roles. With her relationships, a woman with perimenopause symptoms can be perceived as impatient or distant emotionally rather than being exhausted because of hormones, which can become a common issue if misunderstood. Research suggests doctors and nurses can help with such relationships by making emotions sound more common, describing symptoms, or admitting reactions to stressful situations. Speaking freely without shame and developing methods to cope with stressful situations can make a huge impact in making coping with symptoms a less complicated situation without disturbing emotions and everyday life skills (Avis et al., 2009).

Barriers to Seeking Support

Even though many of women go through perimenopause signs, plenty wait before getting help. They often link those changes to pressure, getting older, or feeling like they’re not doing enough, instead of seeing them as part of shifting hormones, which means care might come late. Shame about growing older, fear doctors won’t take them seriously, and habits that tell women to tough it out can make things harder to talk about. If someone’s working full-time or looking after others, admitting struggle might feel risky, as if it shows they can’t handle their duties. These hurdles might leave women feeling alone during perimenopause, despite how widespread and medically acknowledged the signs are. More awareness, open conversations, and supportive healthcare can make women feel safe to seek help sooner.

How to Provide Support to Women During Perimenopause

Supporting someone through perimenopause means listening carefully, remaining patient, and exploring how physical changes may correlate with changes in emotional state, relationships or stress levels. Many women who are experiencing this phase of life may also be working and taking care of others or attempting to live up to their own expectations; the combination of these factors increases the likelihood of experiencing greater symptoms. The support provided can be of tremendous value when life becomes overwhelming.

1. Listen Without Minimizing

Women often say they’re brushed off when talking about perimenopause. Comments like “we all go through this” or “that’s just getting older” might downplay real struggles. But paying close attention, repeating what you hear, and treating their feelings as valid builds trust. When people feel heard, it lessens guilt and makes them more likely to share openly.

2. Encourage Symptom Tracking

Tracking symptoms can give a greater sense of control and clarity. Using a symptom diary or a mobile app enables the user to identify potential triggers for these symptoms and track any cyclical patterns associated with them and, consequently, help the user effectively communicate with their doctor about their concerns. The act of tracking symptoms also assists women in becoming more aware of their own bodies and help them collaboratively make decisions together with their healthcare providers.

3. Support Sleep Hygiene

Sleep disruption is one of the most challenging aspects of perimenopause, affecting emotional stability, concentration, and overall functioning. Supportive measures that can improve sleep quality include:

  • maintaining a consistent bedtime and wake time
  • practicing relaxation strategies before bed
  • minimizing caffeine and alcohol in the evening
  • reducing screen exposure before sleep
  • keeping the bedroom cool to offset night sweats
  • choosing breathable fabrics or menopause friendly bedding

Sticking to a regular schedule, cutting back on things that keep you up, or tweaking your bedroom setup often helps. Once rest gets better, lots of women notice sharper focus, feeling more even-keeled, and handling everyday challenges with less struggle.

4. Foster Healthy Lifestyle Habits

Lifestyle changes can ease symptoms and enhance overall well-being. Staying active helps control body temperature, lifts mood, also keeps muscles and joints strong. Practices like yoga or tai chi, along with meditation and slow breathing,  can reduce stress and support better emotional balance. Eating whole foods, drinking enough water, eating at steady times can also help balance energy levels and reduce physical discomfort. Even though daily habits won’t eliminate symptoms completely, studies show that they can bring noticeable improvements for many women (Innes et al., 2010; Nguyen et al., 2020; Khan et al., 2023).

5. Promote Shared Understanding in Relationships

Spouses, kids, or relatives might see mood shifts or low stamina as personal issues instead of signs tied to hormonal changes. Getting loved ones informed about perimenopause can reduce blame, improve communication, and create a more supportive home. Once they understand the hormonal cause they are more like to respond with patience and empathy instead of frustration.

6. Encourage Medical Evaluation When Needed

Even though perimenopause is a natural life stage, certain symptoms require medical evaluation:

  • heavy or prolonged bleeding
  • significant mood changes
  • persistent pain
  • functional impairment

To find out what else might be wrong, a medical professional may perform blood tests, such as checking thyroid, estradiol, FSH, LH, or metabolism.

When to Refer for Clinical Care or Specialized Support

Healthcare professionals should encourage referral when:

  • Symptoms seriously interfere with day-to-day functioning
  • Bleeding patterns point to endometrial pathology
  • Mood symptoms point to depression or anxiety
  • Cognitive changes are severe or progressive
  • Vasomotor symptoms disrupt sleep and quality of life

Evidence-based interventions include menopausal hormone therapy, cognitive-behavioral therapies for menopausal symptoms, non-hormonal medications, lifestyle strategies, and integrative health approaches (The North American Menopause Society, 2023).

Improving Quality of Life for Women Living with Perimenopause

Since hormone fluctuations vary from person to person perimenopause hits each woman differently. Daily routines, stress, and environment also influence how symptoms show up. Understanding what’s happening in the body helps, but noticing changes in focus, mood, or energy is just as important. Support from loved ones works best when it comes from listening rather than assumptions.

This phase is about more than hormones alone. It affects the body, emotions, and mental well-being, shaping daily life and relationships. When guidance is based on reliable information instead of myths, women can manage symptoms more confidently. Feeling heard, respected, and gently supported plays a key role in maintaining quality of life.

Author Bio

Dr. Sci. Jelena Veličković is a molecular biologist and geneticist specializing in medical and forensic genetics. With over ten years of experience in clinical diagnostics and academic research, she has authored peer-reviewed studies in prenatal genetics, thrombophilia, oncogenetics, and molecular biology. Her work spans international research centers and clinical laboratories, where she has advanced molecular diagnostic methods including PCR microbiology, liquid biopsy, and NGS analysis. She is committed to applying evidence-based genetic insights to enhance diagnostic accuracy and support clinical decision-making.

 

References:

Avis, N. E., Colvin, A., Bromberger, J. T., Hess, R., Matthews, K. A., Ory, M., & Schocken, M. (2009).
Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: The Study of Women’s Health Across the Nation. Menopause, 16(5), 860–869.

https://pmc.ncbi.nlm.nih.gov/articles/PMC2743857/

Greendale, G. A., Huang, M. H., Wight, R. G., Seeman, T., Luetters, C., Avis, N. E., & Karlamangla, A. S. (2009).
Effects of the menopause transition and hormone use on cognitive performance in midlife women. Neurology, 75(21), 1888–1896.

https://pubmed.ncbi.nlm.nih.gov/19470968/

Han, Y., Zhang, Y., Li, X., & Wang, L. (2023).
Neuroendocrine pathogenesis of perimenopausal depression. Frontiers in Psychiatry, 14, 1162501.

https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1162501/full

Harlow, S. D., Gass, M., Hall, J. E., Lobo, R. A., Maki, P., Rebar, R. W., … & the STRAW+10 Collaborative Group. (2012).
Executive summary of the Stages of Reproductive Aging Workshop +10: Addressing the unfinished agenda of staging reproductive aging. Menopause, 19(4), 387–395.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3340903/

Innes, K. E., Selfe, T. K., & Vishnu, A. (2010).
Mind–body therapies for menopausal symptoms: A systematic review. Maturitas, 66(2), 135–149.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3031101/

Khan, S. J., Kapoor, E., Faubion, S. S., & Kling, J. M. (2023).
Vasomotor symptoms during menopause: A practical guide on current treatments and future perspectives. International Journal of Women’s Health, 15, 273–287.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9938702/

Kravitz, H. M., & Joffe, H. (2011).
Sleep during the perimenopause: A SWAN story. Obstetrics and Gynecology Clinics of North America, 38(3), 567–578.

https://pmc.ncbi.nlm.nih.gov/articles/PMC3185248/

Lu, C., Liu, P., Zhou, Y., Meng, F., Qiao, T., Yang, X., Li, X., Xue, Q., Xu, H., Liu, Y., Han, Y., & Zhang, Y. (2020).
Musculoskeletal pain during the menopausal transition: A systematic review and meta-analysis. Neural Plasticity, 2020, Article 8842110.

https://pmc.ncbi.nlm.nih.gov/articles/PMC7710408/

Nguyen, T. M., Do, T. T. T., Tran, T. N., & Kim, J. H. (2020).
Exercise and quality of life in women with menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 17(19), 7049.

https://www.mdpi.com/1660-4601/17/19/7049

Santoro, N. (2016).
Perimenopause: From research to practice. Journal of Women’s Health, 25(4), 332–339.

https://pmc.ncbi.nlm.nih.gov/articles/PMC4834516/

Talaulikar, V. S. (2022).
Menopause transition: Physiology and symptoms. Best Practice & Research Clinical Obstetrics & Gynaecology, 81, 22–36.

https://pubmed.ncbi.nlm.nih.gov/35382992/

The North American Menopause Society. (2020).
The 2020 genitourinary syndrome of menopause position statement. Menopause, 27(9), 976–992.

https://pubmed.ncbi.nlm.nih.gov/32852449/

The North American Menopause Society. (2023).
The 2023 nonhormone therapy position statement of The North American Menopause Society. Menopause, 30(6), 573–590.

https://pubmed.ncbi.nlm.nih.gov/32852449/

Thurston, R. C., & Joffe, H. (2018).
Vasomotor symptoms and menopause: Findings from the Study of Women’s Health Across the Nation. Obstetrics and Gynecology Clinics of North America, 45(4), 535–552.

https://pubmed.ncbi.nlm.nih.gov/29390899/

Williams, R. E., Kalilani, L., DiBenedetti, D. B., Zhou, X., & Fehnel, S. E. (2009).
Health-related quality of life and menopausal transition: Observations from the WOMAN study. Maturitas, 62(2), 153–159.

https://pubmed.ncbi.nlm.nih.gov/19157732/

Additional References

Cleveland Clinic. Perimenopause Overview. Access here

Healthline. Perimenopause: Feeling Like “I’m Dying”? Access here

Ohio State University Wexner Medical Center. Why Perimenopause Affects Your Mood. Access here

American Society for Reproductive Medicine. Menopausal Transition: What Is It? Access here

 

 

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Trauma Informed Care: Emotional Abuse

Posted on by Mark Moran

Abuse has many faces.  It can be physical, it can be sexual and it also can be emotional.  Prolonged emotional abuse which is chronic overtime chips away at the person and places him or her into a state of constant survival.  Instead of stress responses acting as responses in the moment to survive, they become a constant state of existence.  This is one of the primary differences between PTSD and C-PTSD.  Under long periods of repeated duress due to emotional abuse or even neglect, the brain rewires itself to exist within a survival state.  With no acute emotional wound but a collection and series of events, emotional abuse or any type of abuse that is chronic or repeated, becomes difficult to discern what started ignition from survival response to survival state itself.   The delicate balance of allstasis or the ability to remain stable adjusts to constant change eventually reaches a state of allostatic load that eventually can crash in which the survival state becomes a new state that overtakes the person.

Emotional abuse is abuse. Please also review AIHCP’s Trauma Informed Care Program

Please also review AIHCP’s Trauma Informed Care Program as well as AIHCP’s numerous behavioral healthcare certifications

Neglect and Emotional Abuse

Emotional abuse is a trauma overtime that can lead to a survival state due to the repeated abuse or neglect.   Around 80 percent of all maltreatment of children can be reduced to emotional abuse and neglect.  While these things do not necessarily require physical or sexual abuse, they gradually wear the person down.  This is especially true of children with developing brains that can be hindered by chronic emotional abuse or neglect.

According to Contreras, neglect as a type of abuse categorized as omission (2024, p. 183).  With neglect and emotional abuse, the child or even person enters into a state of survival mode.  One is on red alert constantly for what may go wrong in a particular day due neglect or emotional abuse.  When those limits are met, just like any stress, the person is able to adjust or lose ability to cope and falls victim to the stressor, trauma or abuse.  These individuals will have emotional regulation issues, hyper or hypo arousal states, and react to the abuse in different ways according to these states.  Individuals under constant barrage can fall into fight, flight, fawn or fade as the daily barrage of abuse or neglect degrades their personhood, identity and mood.  In these cases to survive the prolonged neglect and abuse, the person appeases, becomes aggressive with others, looks to escape confrontations, look to please, or fade into thinking there is no true abuse (Contreras, 2014, p. 201-202).  From this, neglect and emotional abuse drains the person of self, identity  and self worth, replacing daily actions into survival responses adapted for prolonged exposure to the stressors or minor traumas of the day.  It is because of this that many who have gone through such abuse or neglect, develop C-PTSD.

Emotional Abuse and Neglect

Neglect to basic needs, both physical and mental are detrimental to children and their development into mentally stable adults.  Neglect and emotional abuse not only hurts the development of the brain but also can lead to physical ailments due to the constant state of survival.

Chronic emotional abuse according to Contreras is any words or non physical actions that hurt, belittle, weaken, manipulate or frightens a person.  In addition the abuse causes distortion and confusion that shakes the person’s very stability in life.  Many forms of mental abuse are carried on through neglect, but also intimidation, manipulation, objectification, gaslighting, yelling, and even obsessive jealousy (2024, p. 184).   Individuals are left with exhaustion, depression, low self esteem, and feel trapped.  In doing so they look for maladaptive ways to cope with trauma.  Many times, especially children, but also adults, can become stuck in a co-dependent relationship which are detrimental to all levels of their existence.  While the person is not in a life or death situation,  the person does develop a shattered sense of self.  This is accomplished through mind games, devaluation, and scheming that mentally undermines the person.  Contreras lists manipulation, gaslighting and objectification as key ways of controlling and harming the person (2024, p. 187-189).

Manipulation, gaslighting and objectifying another human being are all types of emotional abuse. Please review AIHCP’s behavioral health certification programs

Manipulation

Contreras defines manipulation as a type of subtle abuse to debilitate a person’s will and capabilities to obtain personal gain,  control, submission, obedience and pleasure from the abused (2024, p. 187).    Individuals who are constantly manipulated lose sense of self, and self esteem leading them to feel used, depressed and hopeless.  If they do not respond to the manipulation, many emotionally and neglected fear abandonment and rejection from the abuser.

Gaslighting

According to Contreras, gaslighting is an effective for abusers to control and manipulate their victim.  They do so by making the individual doubt his or her own reality making the person feel crazy or insecure (2024, p. 188).  It intentional to control the person and keep them within the abuser’s web of chaos.

Objectifying 

In many cases, those who are emotionally abused, as well as physical, are objectified as property.  The person loses autonomy of self.   Contreras lists a variety of ways objectification occurs.  Instrumentality refers to using the person as a tool to meet an end or satisfy one’s own goals.  Denial of autonomy refers to the inability for the person to act on his or her own without consent from the abuser. Ownership refers to a person’s literal autonomy belonging to the abuser to be used and sold as the abuser sees fit.   Denial of subjectivity dismisses the abused and his or her experiences or feelings as not worthy of attention or need.  Finally silencing refers to taking away the person’s voice (Contreras, 2024, p. 190-191).

Individuals who objectify other human beings in general lack any form of empathy, are ego-centric, and put their needs and goals over everyone.  They are usually tied to the personality disorder of narcissism (Contreras, 2024, p. 189).

Unfortunately, this leads to trauma bonding which according to Contreras, leads the abused to an attachment with the abuser that disempowers the individual into a perpetual state of defeat under the mirage of being loved (2024, p. 192).

Conclusion

Please also review AIHCP’s healthcare certification as well as its trauma informed care program

Severe neglect, as well as emotional abuse is a different wound than physical wounds.  They may not inflict immediate death or harm but they lead to a chronic breaking of the spirit and the person’s development.  It leads to a host of emotional and mental problems that destroy the mind and soul.  Due to its usual chronic state and repeated offenses, it wears the person down and can manifest in states of C–PTSD where the person enters into a constant survival state that breaks down not only the mind but the body.  It steals the joy of life and the dreams of others.

Please also review AIHCP’s Trauma Informed Care Certification as well as AIHCP’s Healthcare Certifications

 

Additional Blog

PTSD vs C-PTSD.  Click here

Resource

Contreras, A. (2024). Traumatization and Its Aftermath: A Systematic Approach to Understanding and Treating Trauma Disorders”

Additional Resources

Valdez, R. (2025). “Signs of Emotional Abuse”. VeryWellMind. Access here

Pietrangelo, A. & Raypole, C. (2025). “How to Recognize the Signs of Emotional Abuse”. Healthline. Access here

“Emotional Abuse”. Psychology Today.  Access here

“What Is Emotional Abuse”. National Domestic Violence Hotline.  Access here

 

 

 

Breaking Free: Proven Approaches to Treating Substance Abuse Disorders

Posted on by Mark Moran

 

I. Introduction

Substance abuse disorders pose a significant challenge to individuals and society at large, leading to detrimental impacts on physical health, mental well-being, and social relationships. The complexities of addiction necessitate a multifaceted approach to treatment that encompasses not only the cessation of substance use but also the comprehensive rehabilitation of the individual. Recent advancements in understanding the neurobiological underpinnings of addiction have paved the way for innovative treatment methodologies, including cognitive-behavioral therapy, medication-assisted treatment, and holistic healing practices. These evidence-based approaches have demonstrated effectiveness in promoting recovery and reducing the rates of relapse, yet they require careful customization to address the unique needs of each patient . As the landscape of addiction treatment continues to evolve, it is essential to explore proven strategies that facilitate lasting recovery, ultimately enabling individuals to break free from the chains of substance abuse and regain their lives (Nady el-Guebaly et al., 2020-11-03).

Breaking free from addiction and substance abuse disorders can be difficult alone.
Please also review AIHCP’s Substance Abuse Specialist Program.

 

A. Definition of substance abuse disorders

Substance abuse disorders are mental health conditions characterized by an individual’s compulsive use of drugs or alcohol despite facing significant adverse consequences. These disorders encompass a spectrum of behaviors, including physical dependency and psychological addiction, which disrupt personal, social, and occupational functioning. The definition extends to various substances, both legal and illegal, highlighting the complexities of addiction and its biopsychosocial implications. Furthermore, the interplay between substance abuse and other disorders, such as gambling addiction, underscores the importance of comprehensive assessment and treatment strategies. For instance, individuals with substance use disorders often minimize their usage or conceal other addictions, complicating their assessment and care (P Čargonja et al., 2023). In particular, the treatment of pregnant women with opioid use disorder necessitates careful medication management to balance benefits and risks for both the mother and neonate (Singh S, 2025). Recognizing these intricacies is crucial for effective intervention and support in the recovery process.

 

B. Importance of addressing substance abuse

Addressing substance abuse is paramount not only for individual health but also for the broader societal fabric. The multifaceted nature of substance use disorders (SUDs) intertwines psychological, social, and economic factors, necessitating comprehensive intervention strategies that encompass prevention, treatment, and policy reform. Effective treatment approaches must consider the unique variables influencing each individuals experience with addiction, reflecting the complex etiopathogenesis identified in current research. Moreover, the socio-economic costs of neglecting substance abuse are significant, affecting community resources and overall public health. As noted in the literature, the absence of established guidelines for SUD management indicates a critical need for developed policies focused on both prevention and effective therapeutic measures, particularly for vulnerable populations (Victor A Voicu et al., 2025). By implementing collaborative care approaches and evidence-based treatment, society can not only alleviate the burden of SUDs but also foster healthier communities, highlighting the urgency of addressing this pervasive issue (Stanford M et al., 2014).

 

C. Overview of treatment approaches

Treatment approaches for substance use disorders (SUDs) are inherently multifaceted, necessitating the integration of various methodologies to effectively address the complexity of addiction. These approaches typically encompass a combination of pharmacological interventions, behavioral therapies, and holistic practices aimed at fostering long-term recovery. For instance, medication-assisted treatment (MAT) has shown promise in reducing cravings and withdrawal symptoms, while cognitive-behavioral therapy (CBT) equips individuals with essential skills to manage triggers and develop coping strategies. Moreover, the importance of community support and engagement cannot be overstated; collaborative frameworks that involve multiple stakeholders can enhance the efficacy of treatment protocols. As noted in recent literature, the need for coherent guidelines and policies regarding SUD treatment is urgent, particularly for vulnerable populations, underscoring the demand for evidence-based practices in healthcare settings (Victor A Voicu et al., 2025) (Stanford M et al., 2014). Consequently, a comprehensive understanding of these approaches is vital for effective intervention strategies.

II. Understanding Substance Abuse Disorders

The complexity of substance abuse disorders necessitates a multifaceted understanding of their underlying causes and effects. These disorders are not merely issues of individual choice; they represent chronic diseases influenced by genetic, environmental, and social factors, complicating both prevention and treatment efforts (Ali MO, 2023). As the prevalence of substance use disorders continues to rise, particularly among diverse populations, the need for culturally competent interventions becomes increasingly critical. Multicultural counseling skills are essential for practitioners, as the nation’s demographic landscape evolves, with projected statistics indicating significant growth in minority populations by 2050 (Boyd L et al.). Addressing substance abuse disorders through a multicultural lens can enhance the effectiveness of treatment programs and foster recovery in clients. Thus, understanding the intricate relationships between substances, individuals, and their environments is pivotal for developing robust strategies aimed at breaking free from the cycle of addiction.

Understanding addiction and its effects. Please also review AIHCP’s Substance Abuse Specialist Certification

 

A. Causes and risk factors

Understanding the causes and risk factors associated with substance abuse disorders is crucial in developing effective treatment modalities. Various interrelated factors contribute to an individuals vulnerability, including genetic predispositions, environmental influences, and early exposure to drugs. For instance, research shows that individuals with a family history of substance abuse are more likely to develop similar disorders, underscoring the role of genetics in addiction ((Ali MO, 2023)). Additionally, environmental elements such as peer pressure, trauma, and socioeconomic status can exacerbate the risk of addiction, particularly among adolescents. Anxiety disorders, including Generalized Anxiety Disorder (GAD), further complicate this landscape, as they can lead to increased substance use as a form of self-medication ((Roy A et al., 2025)). Recognizing these multifactorial causes not only aids in the comprehension of substance use disorders but is essential for creating targeted interventions that address both psychological and situational factors.

 

B. Psychological and physical effects

The psychological and physical effects of substance abuse can be profound and multifaceted, often deteriorating both mental health and bodily well-being. Individuals who have experienced early life adversity (ELA) are particularly susceptible, as research indicates that such backgrounds significantly heighten vulnerability to both the pleasurable and adverse effects of psychoactive substances. Those with higher ELA scores tend to report more intense positive experiences but also face severe negative repercussions, including emotional disturbances and physical health issues (M Carlyle et al., 2025). Moreover, the specific case of zolpidem dependence reveals similarly detrimental outcomes, wherein individuals exhibited significant memory impairment and social deficits tied to escalating dosages (Leal G et al., 2024). These intertwined psychological and physical effects underscore the complexity of treating substance abuse disorders, emphasizing the necessity for personalized treatment approaches that address both the enticing highs and the debilitating lows associated with addiction.

 

C. The impact on families and communities

The impact of substance abuse disorders resonates deeply within families and communities, significantly altering their dynamics and overall health. Families often bear the brunt of emotional and financial strain, as relatives of individuals struggling with addiction may experience heightened stress levels and increased instances of domestic conflict. Furthermore, exposure to adverse childhood experiences (ACEs) due to parental substance abuse can perpetuate a cycle of trauma that affects subsequent generations, leading to various psychiatric disorders, including depression and substance abuse itself (T Mu Bñoz et al., 2025). Communities, in turn, face challenges such as increased crime rates, healthcare costs, and stigma surrounding addiction, which can hinder individuals from seeking help. However, initiatives funded by opioid crisis grants, such as those in Ohio, have demonstrated the potential for community-driven change. These endeavors have not only increased awareness and treatment accessibility but have also improved the collective understanding of substance use disorders, fostering a supportive environment for recovery (R T Sherba et al., 2023).

III. Evidence-Based Treatment Approaches

The integration of evidence-based treatment approaches is crucial for effectively addressing substance abuse disorders, as these strategies are grounded in rigorous research and clinical outcomes. One of the most significant findings relates to the role of genetic factors, particularly the dopamine transporter gene polymorphism (SLC6A3), which has shown a notable association with personality disorders that often co-occur with substance abuse disorders (Vogiatzoglou A et al., 2024). Furthermore, Cognitive Behavioral Therapy (CBT) stands out as a leading methodological framework in psychotherapy, extensively proven to be effective in managing psychological health conditions, including substance misuse disorders. By focusing on the interplay of thoughts, feelings, and behaviors, CBT provides a structured approach that empowers individuals to challenge and change detrimental patterns while promoting sustainable recovery (Irmak Çavuşoğlu, 2024). Together, these evidence-based approaches emphasize the importance of personalized treatment plans tailored to each patients unique profile, fostering a more significant potential for long-term healing and resilience.

Please also review AIHCP’s Substance Abuse Specialist Program

 

A. Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) has emerged as a pivotal approach in treating substance abuse disorders, demonstrating significant efficacy in enhancing abstinence self-efficacy among individuals grappling with addiction. Research indicates that CBT, when tailored to the specific needs of patients, can effectively facilitate behavioral changes that promote recovery. In a study comparing CBT based on Marlatts Model with other therapeutic interventions, findings revealed that participants in the CBT group experienced a marked increase in abstinence self-efficacy scores, advancing from a baseline of 44.60 to 61.85, underscoring its practicality in long-term addiction management (Davoudabadi Z et al., 2024). Furthermore, the psychological underpinnings of CBT address co-occurring issues, such as depression and body image concerns, which can exacerbate substance use disorders. By integrating CBT into treatment regimens, individuals can gain essential coping strategies, bridging the gap between mental health and recovery, ultimately leading to a more holistic approach to addiction treatment (Rad MK et al., 2024).

 

B. Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment (MAT) is a major advance for managing substance abuse disorders. It specifically helps people with opioid dependence. MAT mixes medicine with counseling and behavioral therapies. This creates a full treatment plan. It addresses the physical and mental sides of addiction. Research shows MAT improves recovery results. It reduces withdrawal symptoms and cravings, so patients stay sober. Substance use rates are high in regions like Nigeria and South Africa. Adding MAT to current treatment programs is important there. Statistics from the UNODC World Drug Report 2023 are alarming. They show an urgent need for effective treatments in these areas. We must also consider other mental health conditions. Body Dysmorphic Disorder has complex links with substance abuse. We need gender-specific and trauma-informed care plans (Olowoyo-Richards AT, 2025), (Metin Çınaroğlu, 2024).

 

C. Motivational Interviewing (MI)

Motivational Interviewing (MI) is a key technique for treating substance abuse disorders. It uses a client-centered approach to build internal motivation for change. This method encourages individuals to examine their mixed feelings about substance use. They gain a clear understanding of their personal goals and values. Research shows that MI strengthens commitment to change. It also works well with other therapies like cognitive behavioral therapy (CBT). Clients see improved results. Interventions for substance use among intimate partner violence (IPV) perpetrators report positive outcomes with MI. This shows its value in various contexts (Sousa M et al., 2024). MI also works for Internet use disorders (IUDs). This proves it applies to many forms of addiction (Pape M et al., 2023). MI is a central part of evidence-based strategies for ending the cycle of substance abuse.

 

IV. Holistic and Alternative Therapies

Holistic and alternative therapies gain attention as complementary treatments for substance abuse disorders. They look beyond simple symptom management to understand addiction fully. These methods highlight the link between mind, body, and spirit. They create a personal treatment setting that meets the specific needs of each patient. For example, programs often include meditation, yoga, and nutritional counseling. These methods improve recovery results by building self-awareness and resilience. Practitioners use this combined method to address the biological, psychological, social, and spiritual sides of addiction. This allows for a more detailed treatment plan. This strategy supports research on the value of addressing diverse needs with a complete model. It improves options for people with substance abuse disorders (MD JU-S et al., 2025), (Jorgensen D, 2015).

 

A. Mindfulness and meditation practices

Mindfulness and meditation are key parts of treating substance abuse disorders. This occurs mainly through Mindfulness-Based Relapse Prevention (MBRP). This method mixes standard cognitive-behavioral techniques with mindfulness meditation. It helps people build awareness and coping strategies during recovery. Research shows that mindfulness meditation improves the ability to handle negative emotions. It reduces stress and lowers cravings. These are big challenges for people recovering from addiction (Bowen S et al., 2011). MBRP builds a compassionate relationship with thoughts and feelings. This lets people respond to triggers differently. It lowers the chance of relapse (Witkiewitz K et al., 2005). These practices are becoming more common. Their use in therapy shows promising results. This highlights their value as a full tool for stopping substance dependence. More study of these methods could explain their success. It could show practical uses for treating addiction.

 

B. Art and music therapy

Art and music therapy are powerful tools against substance abuse disorders. They offer new ways to express and heal. These methods let individuals explore complex emotions linked to addiction. This aids personal insight and emotional control. Art therapy encourages participants to visualize and externalize feelings. This leads to deep personal changes and self-awareness. Music therapy improves social, cognitive, and behavioral functions. It helps individuals manage anxiety and trauma from substance use (N/A). Structured music activities improve communication and social skills. They build connections needed for recovery (McChesney A et al., 2013). People engage with these outlets and develop healthier coping habits. This supports their path toward sobriety and growth.

 

C. Exercise and nutrition as recovery tools

Adding exercise and nutrition to recovery programs changes the treatment of substance abuse disorders. Physical activity improves mood and reduces stress. These are critical factors in recovery. Regular exercise releases endorphins. This promotes feelings of well-being. It helps fix the emotional instability often linked to addiction. Nutrition matters for recovery too. A balanced diet supports physical health and brain function. This creates a strong base for sobriety. Strategies like lifestyle medicine show the value of changeable habits like diet and activity. These factors are necessary. They prevent and treat substance abuse and mental health issues (Farrokhi M et al., 2024). Using these elements fits with treatments that consider the entire person. They address the connection between mind and body. Non-drug methods for alcohol use disorder prove this (Valida B et al., 2023).

 

V. Conclusion

Treating substance abuse disorders requires many different approaches. A complete plan is necessary for effective intervention and recovery. We must prioritize research and development as recent studies suggest. This leads to specific treatment programs for groups like children and adolescents. These programs also focus on long-term management in the community (Kim H et al., 2024). Policy changes have worked well. Medicaid IMD exclusion waivers improved access to integrated care. This helps patients with both mental health and substance use issues. Results differ based on who owns the facility. This proves the need for specific methods to make treatment available to all (Ge Y et al., 2024). Everyone involved must work together. Ongoing research and policy reform are required to fight substance abuse disorders.

Please also review AIHCP’s Substance Abuse Specialist Program
Please also review AIHCP’s Substance Abuse Specialist Program

 

A. Summary of effective treatment strategies

Treatment strategies for substance abuse disorders need a complete approach. This method must address the many different sides of addiction. These strategies rely on accepting the link between cultural beliefs and treatment success. This is true in African settings. There, wrong ideas about witchcraft can block recovery efforts. (Matheba CM, 2025) shows that these deep beliefs require teamwork. Professional social workers, traditional healers, and religious leaders must work together. They can create culturally aware plans. We must also address dual diagnosis. This happens when mental health disorders occur alongside substance abuse. Treating both promotes good results, especially among young people. The data in (Udemezue K katas et al., 2024) show that combined treatment models work best. These mix psychiatric care with behavioral therapies. They prove more effective than separate approaches. We must understand and address these many factors. This step helps build effective treatment plans. Then, people battling substance abuse disorders can reach lasting recovery.

 

B. The importance of personalized treatment plans

Personalized treatment plans are vital for substance abuse treatment. Providers design these plans to meet the unique needs of each individual. They recognize that substance use disorders appear differently in different groups. These approaches review personal histories, co-occurring mental health conditions, and socio-economic factors. This method increases engagement and improves treatment results. Research shows that tailored interventions make long-term recovery more likely. They address the root causes of substance use rather than focusing just on the addictive behavior. Clients also provide feedback during the treatment process. This creates a shared environment. It helps people take charge of their recovery and strengthens their commitment (Sassaman W, 2025-03-21). Personalized treatment plans are a major step in treating substance abuse disorders. They emphasize a complete view of the healing process.

 

C. Future directions in substance abuse treatment research

Substance abuse treatment changes constantly. Future research will explore new, combined approaches to improve recovery results. Experts will likely focus on personalized treatment plans that consider genetic, psychological, and social factors. This shift recognizes how these elements mix in individual addiction experiences. New technology will also help. Telehealth, mobile apps, and artificial intelligence can make care easier to find. These tools reduce barriers like location and stigma. Scientists will also study brain treatments. Specific drugs and brain stimulation might help current therapies work better (Press A, 2013-05-20). Future studies should look at the full picture. This includes mind-body connections and community support. Research can then find lasting treatments for substance abuse disorders.

Additional AIHCP Blog “How to become a Substance Abuse Counselor”  Click here

Additional Resources

Tyler, M. (2018). “An Overview of Addiction”. Healthline.  Access here

Felman, A. “What are the treatments for addiction?”. Medical News Today.  Access here

“Treatment of Substance Use Disorders”. (2024). CDC.  Access here

“Addiction and the Brain”. Psychology Today.  Access here

Trauma Informed Care and Re-Victimization Video Blog

Posted on by Mark Moran

Trauma survivors and victims of past abuse are more easily preyed upon by abusers.  It is important to identify past victims and help grow in healing to repel future attacks from predators. This video takes a closer look at this process and how to help victims remain safe

Please also review AIHCP’s Trauma Informed Care Program as well as its healthcare certification programs

 

From Occupational Hazards to Smart Strategies: Weight Loss for Healthcare Professionals

Posted on by Joseph Gerard

Weight Loss and Herbs can work if used properly and under guidance. Please also review AIHCPs' Holistic Integrative Specialist Program

Written by Lucy Wyndham,

Many may assume that healthcare professionals lead healthier lives than most, though this isn’t typically the truth. Over half of registered nurses were noted to be “overweight or obese,” at 34.1% and 23.4% respectively, according to survey results highlighted in a 2018 article published by the Journal of Nursing Management titled ‘Nurses and Health-Promoting Self-Care: Do We Practice What We Preach?’ The article further points out that a significant number of RNs were reportedly sedentary at 80.1%, further underlining the fact that working in a healthcare profession doesn’t necessarily align with leading a healthy lifestyle. For healthcare professionals that aim to lose weight, there are a variety of healthy choices and changes that can make a long-term difference. From the unique ways that the job can affect physical wellness to the beneficial strategies that can help, healthcare professionals can make small yet mighty changes that lead to a healthier weight.

 

The overlooked impact of working in healthcare

In the United States, careers in the healthcare industry can leave many under the impression that employees abide by the standards that they hold their patients to. However, a 2017 article from Safety + Health Magazine showcases the findings of a study from the University of Texas School of Public Health, which, while it excluded physicians, unveiled that a significant number of those that work in hospitals are “overweight or obese.” Findings also include the fact that many workers were sedentary, with 65% reporting experiencing “zero days of vigorous physical activity.” A 2012 ABC News article presents even more evidence of the concern, highlighting research from the University of Maryland School of Nursing where similar findings were discovered by researchers. The study in question, which surveyed female nurses, found that 55% happened to be obese, underlining the fact that the matter has been a longstanding concern. The article further states that the findings stem from causes such as improper sleep and stress due to the job and its nature, which can undoubtedly take their toll over time.

 

Unique occupational hazards can further lead healthcare professionals to overlook their own health:

  • Long work hours or irregularity in the work schedule. This can throw off a healthy sleep schedule, especially for those who work a shift work schedule. This can subsequently lead to a disruption in a healthcare worker’s circadian rhythm.
  • Unhealthy dietary choices, which may be made out of convenience while on the job.
  • A lack of dedicated exercise routine. For some, this may be a result of long hours at work, which can lead to an unhealthy work-life balance.

Additional context can be found in the lifestyles that many in the healthcare industry lead. An article from the American Nurse Journal notes that several aspects of nurses’ lifestyles are often “far from ideal,” particularly in key areas like diet, physical activity, and sleep habits. All of these elements are crucial to a healthy and effective weight loss plan. Diet and exercise, for instance, have long been touted as major factors to successful weight loss. An article from the American Heart Association confirms this, stating that of those who have “successfully maintained weight loss,” 98% had changed the way they eat. It’s further noted that 94% introduced more physical activity, a statistic that only backs up the importance of a lifestyle that is healthier overall.

 

Starting small through daily changes

Rather than focusing on a major end goal that will take time to reach, setting smaller, more realistic goals can help kick off a weight loss journey in a way that feels more achievable. One of the best ways for healthcare workers to work towards a weight loss goal is through the seamless integration of small lifestyle changes in order to work towards weight loss goals in a healthy way. Positive and balanced dietary changes can be the perfect way to start working towards realistic wellness goals as a healthcare professional, and can help avoid unsafe and dangerous weight loss techniques like starvation diets. While there are a plethora of healthy choices out there, healthcare professionals may opt to first switch out old unhealthy habits for those that promote healthier dietary choices throughout the day, like:

  • Exchanging greasy fast food options for balanced meal prep choices. While fast food can make for a quick lunch between shifts at the hospital, setting aside a day off to meal prep can pay off in the long run with a nutritious and convenient lunch that is ready to eat. This can be particularly beneficial for those that have a busy or demanding schedule throughout the week with minimal downtime.
  • Packing yogurt, fresh fruits, or vegetables for a snack while on the job, instead of heading to the vending machine for a candy bar or bag of chips. In an AIHCP article discussing common weight loss difficulties, Dominick Flarey writes that when dressed up with “natural spices and condiments” boring choices can become more appealing. Apart from salt, this may include a bit of garlic powder or red pepper flakes, for a kick of flavor, while peanut butter or yogurt dip can dress up fruit to match personal preferences.
  • If your morning coffee contains an ungodly amount of sugar and artificially flavored syrups, exploring healthier options can be a small way to make a change before the workday officially begins. Honey is just one choice for those in search of a natural sweetener.

Eating well-balanced meals and choosing healthier snacks are great ways to work towards a weight loss goal, though it’s crucial to remember that diet is only part of the foundation for successful weight loss. Along with a solid sleep routine, the integration of exercise can help achieve and maintain an optimal weight even after shedding the desired pounds. For many in healthcare, the thought of hitting the gym at the end of a long shift at the hospital can sound impossible, though it’s not a necessity. In fact, there are a plethora of ways that healthcare workers can make small yet impactful changes to their daily routines without a dedicated gym routine. For example:

  • Walking the dog before work can be a great way to start the day with a light activity.
  • Opting for the stairs at the workplace, rather than relying on the elevator each time.
  • Choosing to bike or walk to work, if possible.
  • Making a goal to get active after a shift at the hospital. Even if it’s not every day, the choice to go for a walk or run after work can be an ideal way to burn off steam and stay active.

 

Mental health and motivation remain essential 

Professionals who often find themselves overextended at work can easily fall victim to excessive stress, depression, and other mental health concerns, all of which can result in the neglect of any personal physical health goals. Burnout is just one significant issue in the healthcare field, which can affect both the body and the mind. A 2023 article from the American Nurses Association or ANA cites a nationwide study, which revealed that 55%, or over half of those who work in health care “feel burned out.” Due to the fact that mental health correlates with physical wellness, it’s crucial to care for both the body and the mind. However, this can often feel unattainable when the goal is to achieve the perfect work-life balance, nevermind one that caters to weight loss.

Exercise and a healthier diet can often be considered self-care and while these small lifestyle changes can work more seamlessly into a busy work schedule, maintaining mental wellbeing must extend beyond the workday. In addition to making time for dedicated self-care tasks like relaxation and hobbies, discovering motivation for weight loss goals can often coincide with actions that can benefit mental health. This may include taking the time to reflect and acknowledge progress and milestones, or switching up workouts to try something new or more exciting. In some cases, discussing options with a healthcare provider can help explore paths like weight loss injections. Depending on personal needs and goals, this could present a newfound avenue in certain circumstances, such as for those who have faced challenges with weight loss even after making lifestyle adjustments.

 Seeking social support is a fantastic way to help spark motivation on a weight loss journey while prioritizing mental health, whether it be with friends, coworkers, or family members. This can be an ideal way to stay active, especially for those who may have trouble sticking to a workout routine or meeting personal goals. An article from the Mayo Clinic on weight loss points out that while one can technically lose weight without exercise, it is more of a challenge. “Regular physical activity helps burn off extra calories,” the article states, going on to note that exercise itself can be a mood lifter. When getting active with others, healthcare professionals can find additional benefits — such as being held accountable to show up for friends or loved ones. Biking to work together, weekend hikes, or evening walks are all great ways to stay active, and can often become more enjoyable with company.

Despite the nature of the industry, healthcare professionals face a variety of challenges that often prevent optimal health and wellness. For those that wish to lose weight in a healthy and effective way, prioritizing diet, exercise, and sleep in conjunction with smart strategies can help achieve goals in a way that aligns with a busy work schedule.

 

Author bio

Lucy Wyndham is a freelance writer who enjoys contributing to a range of publications, both in print and online. She spent almost a decade working in the care sector with vulnerable people before taking a step back to start a family and now focuses on her first love of writing.

 

 

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification