Advanced Spine and Neurosurgical Care is Closer Than Ever

For those who suffer from debilitating back pain, relief is often long in coming. Acute back pain can make it virtually impossible to move. When this pain persists and becomes chronic, it can prevent people from going about their normal lives for days, weeks, months, or even years.

Treatments are as varied as the causes and types of chronic back pain, ranging from rest to chiropractic care to acupuncture, and many sufferers will try more than one before considering surgery. CareWell Health Medical Center is able to provide a broad spectrum of care, up to and including advanced spinal and neurosurgical procedures. Our expert team of board-certified doctors, surgeons, anesthesiologists, and nurses brings state-of-the-art surgical options to those who have not found relief through non-surgical methods.

Why Do Our Backs Hurt?

The human spine is a complex and delicate structure, and it is susceptible to damage from many sources. The most common cause: injury. All those warnings we got as kids about bad posture and slouching on a couch? They were absolutely right, because habitually sitting and standing improperly sets us up for back pain. Likewise, lifting too much weight, lifting even a little weight incorrectly, twisting, or falling can cause a strain or sprain to the muscles and ligaments of the back. These injuries often cause “acute” pain – the kind that can lay you up for a while but which usually resolves on its own with rest and over-the-counter pain medication. The pain is often treated with ice when it first occurs, and later with heating pads or warm compresses to help loosen up the area.

If this pain persists for more than a few weeks, however, it may be a sign of a more serious condition. Long-lasting pain is known as “chronic” pain, and it can be rooted in a number of medical conditions.

Impingement of the vertebral discs – which lie between the bones in the spine, keeping them separated and able to rotate smoothly – is one of the most common issues. This can arise due to degenerative disc disease, which occurs when the discs break down over time and let the vertebrae rub together. Herniated discs (also known as bulged, slipped, or ruptured discs) are another typical cause of severe pain, and often occur during the early stages of degeneration or from excessive strain or injury. This can cause extremely painful pressure on spinal nerves. Herniated discs can often respond to physical therapy and pain medication, as can spinal stenosis – another typical cause of debilitating back pain. This occurs when the space around the spinal cord narrows, again putting pressure on nerves.

The Surgical Option Comes Home

When conservative treatment options fail to provide relief, surgery may be the best option. However, until last year, there were very few options in the northern New Jersey area for spinal surgery. CareWell Health Medical Center changed that, bringing experienced, leading surgeons into a world-class facility right in Essex County. Expertise, specialized knowledge, and the latest technology are all crucial components because spinal surgery is very complex. Patients must often be operated on while lying face-down, and some need to be rotated during surgery – for instance, when both the neck and lower back require attention. The hospital’s team of board-certified anesthesiologists plays a critical role in ensuring that patients remain comfortable and safe throughout their procedure.

Patients who have undergone spinal surgery at CareWell Health Medical Center report being very satisfied with their care before, during, and after surgery. Creating a world-class spine and neurosurgery offering required a major commitment, but it has been well worth the effort to bring real hope to those who need it.

We hope that you never experience the suffering that back pain can cause, but if you or someone you know needs help, CareWell Health Medical Center is prepared with everything from pain management, to physical therapy, to advanced neurosurgery. Here, our patients are never just a number. They are treated like family, receiving personalized care from dedicated professionals.

#BeTreatedLikeFamily – Call CareWell Health at 973-672-8400 to learn more.

February is American Heart Month. It’s a time where we turn our focus to the leading cause of death for Americans: heart disease.

“Heart disease” is a term that refers to a number of different heart conditions, but in the United States the most common one is coronary artery disease, which can lead to heart attack.

The good news is, coronary artery disease can often be controlled through lifestyle changes and medicine.

At CareWell Health, we’re all about making sure you’re treated like family – and that includes giving you the information and knowledge on how to show your heart some love so you can live healthier.

Heath Factors that Increase Your Risk for Heart Disease

• High blood pressure. When the pressure of the blood gets too high as it’s pumped through your arteries and blood vessels, it can damage your heart and other major organs. Unfortunately high blood pressure usually has no symptoms, so it’s important to measure your blood pressure to stay on top of it.
• High cholesterol. Cholesterol is a waxy substance made by your liver, and found in certain foods (you can find a list of high-cholesterol foods here). Excess cholesterol can build up on the walls of our arteries, which narrows them, decreasing the flow of blood to the rest of your body.
• Diabetes. People with diabetes don’t create enough insulin, causing sugar to build up in the bloodstream. As a result, the risk of death from heart disease is higher for adults with diabetes.
• Obesity. Obesity—or excess body fat—is linked to a range of health problems, including heart disease. Reducing your weight to a healthy level is one very good way to reduce the threat of heart disease.

How to Reduce Your Risk for Heart Disease

• Exercise. Physical activity is one of the most important ways to help reduce the risk of heart disease. Adults should aim for at least 150 minutes (2 ½ hours) of moderate-intensity aerobic physical activity, or 75 minutes of high-intensity physical activity each week. One great and easy way to stay active: walking. Walking at a brisk pace every day for 20-30 minutes each day can give your body the exercise you need to reduce the risk of heart disease. (Always speak to your doctor before beginning any exercise program.)
• Stop tobacco use. It’s widely known that tobacco use is linked to a range of adverse health conditions, including heart disease. How? Smoking can make blood “sticky” and more likely to form clots. This can block blood flow to the heart and brain. In addition, smoking can damage the cells that line the blood vessels, and increase the buildup of plaque in the arteries, causing them to narrow and thicken.
• Diet changes. A diet high in saturated fats (you can see a list of examples here) can lead to heart disease. Too much salt in the diet is another factor—it can raise the blood pressure, so try to avoid too much of it. Some foods high in saturated fat include:
  • Beef
  • Lamb
  • Pork
  • Lard
  • Cream
  • Cheese
  • Ice Cream
  • Butter
  • Some baked and fried foods

We realize this list includes many of the foods people would love to eat every day, but it’s important to only eat them in moderation. Consuming too much food that’s high in saturated fat can put your health at risk.

Getting Started with Heart-Healthy Foods

In addition to cutting back on saturated fats and salt (sodium), it’s important to add more heart-healthy foods to your diet, such as:

• Fiber. Vegetables, fruits, beans, and whole grains are high in fiber, which are a wonderful way to enhance your diet and eat more nutritiously.
• Vegetables. The produce aisle in your supermarket is home to many of the healthiest foods on Earth. Make sure to eat fresh vegetables like carrots, cabbage, and celery. Leafy greens for salads, such as Romaine lettuce, spinach, and kale are also incredibly healthy and good for your heart. If you’re eating canned vegetables, look for ones that are low in salt (sodium). Draining and rinsing canned vegetables can also help reduce sodium content by as much as 23%. Better yet, plain frozen vegetables are just as easy and affordable, but far less salted.
• Dairy. Look for fat-free or low-fat (1%) milk. Soy milk or other plant-based milks with added calcium, vitamin A, and vitamin D is also a heart-healthy option. When getting yogurt or cheese, consider fat-free or low-fat varieties as well.
• Whole grains. Products labeled as “100% whole grain” indicate heart healthiness. You can find whole-grain breads, bagels, English muffins, and tortillas at just about any grocery store. In addition, look for whole grains like brown or wild rice, quinoa, or oats. Whole grain pasta and couscous are also healthy choices for your heart.
• Proteins. Lean meats are far more heart-healthy than fatty meat. Here are some heart-smart choices to consider:
  • Seafood like fish and shellfish
  • Chicken or turkey breast without skin, or lean ground chicken or turkey labeled at least 93% lean.
  • Lean meats like pork shoulder, beef sirloin, or lean ground beef (labeled 93% lean)
  • Beans, peas, and lentils—for example, black beans and garbanzo beans (also known as chickpeas) are healthy.
  • Eggs, unsalted nuts, seeds, peanut and almond butter, and tofu are also heart-healthy foods.

Symptoms to Watch Out For

Though it’s different for every person, there are common symptoms that indicate you may be close to—or actually having—a heart attack. Those symptoms can include:

• Chest pain or pressure/tightness. This may be the most common symptom. It could feel like pressure or tightness in your chest. It’s also described as a squeezing or aching feeling, frequently accompanied by pain.
• Pain in the arm or shoulder. This discomfort can spread from the chest to the arm or shoulder, as well as the back, neck, jaw, or even teeth.
• Cold sweat
• Fatigue. If you suddenly feel very tired out of nowhere, that could be a symptom.
• Heartburn or indigestion.
• Sudden dizziness. This is often described as feeling lightheaded.
• Nausea
• Shortness of breath.

Don’t take a chance when it comes to your heart. If you’re experiencing any of the symptoms described above and feel like you may be on the verge of having a heart attack, visit CareWell Health’s Emergency Department.

Be heart smart: schedule a primary care appointment at CareWell Health by calling our Care Center at 973-266-8416.

If you’ve recently found yourself feeling down seemingly out of nowhere, you’re not alone. Mid-winter can be a challenging time for many people. The short, dark days and colder weather can all contribute to feelings of sadness and despair.

For a lot of people, these feelings may be symptoms of Seasonal Affective Disorder (SAD). SAD is a type of depression that is related to the changing seasons. It typically starts in the fall and continues through the winter months. Symptoms of SAD may include:

• feelings of hopelessness and sadness
• lack of energy
• difficulty concentrating
• changes in appetite and sleep patterns

In addition to SAD, the mid-winter months can also be a time of increased stress and anxiety – even for people who may not normally experience mental health problems throughout the rest of the year. Here are a few reasons why:

• Dreary Weather
  Cold temperatures, short days, and gloomy weather can all contribute to a sense of despair. On top of that, these conditions can lead to a feeling of being “stuck inside” –  which can compound that negative feeling. (This can be extra difficult for anyone working from home.)
• The Holiday Season Is Over
  Many people find joy and a sense of community from spending time with loved ones during the holiday season. But once the holidays are over, we may experience a sense of loneliness and disconnection. Plus, the excitement and even hecticness of the season is gone – and can lead to a sense of emptiness. The post-holiday slump can really be tough to shake.
• Financial Stress
  Not only is the magic of the holiday season gone, but the reality of bills and credit card payments starts catching up with us in January. The added expenses of gifts, travel, and parties can put a strain on budgets, leading to additional feelings of stress and anxiety.
• Blue Monday
  The third Monday in January, known as “Blue Monday,” is often considered the most depressing day of the year. This date makes a lot of sense: the combination of post-holiday blues, being “stuck inside,” and having to pay for holiday bills can take its toll on anyone.

What To Do About Feeling Blue

Enough about all the reasons we may find ourselves feeling down at this time of year… Let’s talk about what we can do to combat the mid-winter blues!

CareWell Health offers a wide range of behavioral health services to help our community cope with the challenges of winter and beyond. Our team of world-class healthcare experts are here to help you start feeling sunny again through traditional and cutting-edge treatments, including:

• Therapy, counseling, medication monitoring are available for all levels of depression
• SPRAVATO®
  This fast-acting nasal spray medication is taken in conjunction with an oral antidepressant that’s designed to work quickly to reduce the symptoms of depression. Learn more HERE.
• Pharmacogenomics (Genetic Testing)
  This new technology identifies how genes affect an individual’s reaction to a medication, helping healthcare providers determine which treatment will be the safest and most effective for each patient.

It’s important to understand why we are feeling down – and that, with the right support and resources, it is possible to get through it and find joy and happiness in the year ahead. If you or someone you know is struggling with the mid-winter blues, call our Care Center at 973-266-8416 to learn more about how we can help.

CareWell Health: Be Treated Like Family.

It’s the time of year when many of us make resolutions to live healthier. Some of us set goals around physical health: going to the gym, eating better, etc… These are all great resolutions – but it’s also important to focus on our mental health in the new year.

So how do you do that? Just thinking about ways to improve mental health can be overwhelming — especially if you’re already experiencing a mental health challenge like depression or anxiety. The good news is that small changes can have a big impact. 

Here are a few ideas to help kickstart your mentally healthier 2023! You don’t need to do them all. In fact, people are more successful when they try making just one small change at a time. 

1. Establish a routine.

Having a consistent schedule can help you feel more grounded and in control of your life. It also helps you build in time to work on self-care. Your schedule doesn’t have to be super strict or down to the minute, but having some kind of routine will help you stay on track.

2. Get some exercise every day

Physical activity is proven to help improve mental health, and can even decrease symptoms of depression and anxiety. Exercise releases endorphins that make us feel happier and less stressed. You don’t have to work out for hours every day or push yourself to the limit. Just get moving, even if it’s only 15 minutes a day! 

3. Eat well and drink enough water

Eating well can help us feel better, have more energy, and decrease stress levels. That doesn’t mean you have to totally change your diet overnight. Start by making a conscious effort to choose nutritious foods whenever that is an option.  And don’t forget the water! To get proper hydration, try to drink at least 8 glasses of water each day – you can even set a reminder on your phone to remind you to sip some H20.  

4. Limit your screen time

Did you know spending too much time on digital devices can lead to poor sleep habits as well as increased stress levels? Cutting down screen time can be particularly challenging, with how much we rely on our phones and computers. Think about the apps that distract you most often: are they absolutely necessary? If not, delete them. You may be surprised at how much more time you have – to spend doing off-screen activities instead.

5. Start a gratitude journal

Keep track of all the positive things in your life. It doesn’t have to be anything fancy, just write down 3 to 5 things that made you happy that day or week. This simple act helps us look for the good in each day, putting us in a better frame of mind. It also helps to read them back when things get tough – to remind us that there is always good in our lives.

6. Find a way to relax that works for you

Relaxing and recharging can help us take control of our stress levels. There’s no right way to relax. Just find whatever works with you – and make sure it’s something you can stick with. Meditation, going for a walk, listening to music, and starting a creative hobby are all good options to try. Have fun experimenting with different activities until you find something that sticks.

7. Make room for happiness in your life

It may not be realistic to cut out all the negative things and people in your life. Start by choosing to remove one negative influence that you can live without. You may be surprised at how much better you will start to feel when you are surrounded by positive, happy, and fun people and things. (Even just physically removing clutter from your space can help decrease your stress levels.)

8. Give yourself permission to prioritize your mental wellbeing, and heal

You are the most important person in your life! We understand that it can be hard to prioritize yourself, especially if you’re used to always putting others first. The truth is, your mental health affects everything else in your life – including your ability to be there for others. So it’s important to take your mental wellbeing just as seriously as your physical health. 

9. Ask for support

If you’re feeling overwhelmed, don’t be afraid to reach out to friends and family members. Talking about what’s going on can help you feel less alone and more connected to people who care about you, and also help you feel more accountable to follow through with your mental health journey.

10. Get help

CareWell Health’s Behavioral Health services are here to help those struggling with mental health issues including depression, mood disorders, anxiety disorders, chronic suicidal ideation, co-occurring disorders (i.e. psychiatric and substance abuse/addiction disorders), psychotic disorders (i.e. schizophrenia), emotional distress/adjustment, anger management, and more.

Through the use of innovative treatments, therapies, and technologies like SPRAVATO® (a remarkably quick and effective treatment for those struggling with treatment-resistant depression) and genetic testing (which takes the guesswork out of prescription medication), our dedicated team aims to get you better, faster. 

Call our Care Center at 973-266-8416 to take the first step toward a mentally healthier 2023. 

CareWell Health: Be Treated Like Family.

CareWell Health Medical Center is pleased to announce we have been named a “Top Three Hospital” in New Jersey, as determined by the NJBIZ 2022 Reader Rankings! This honor was given by readers of NJBIZ, one of the Garden State’s most popular business journals. These readers voted for the best hospitals across New Jersey, and CareWell Health came out in the top three – a testament to the world-class care we provide right here in Essex County.

“To be recognized by the community as one of the very best medical centers in New Jersey is humbling,” says CareWell Health’s CEO Paige Dworak. “We want to thank NJBIZ and everyone who voted for us, and we promise to continue to live up to the high standards we have set for ourselves.”

CareWell Health Medical Center is Essex County’s only independent, acute care hospital. Known for providing high-quality, compassionate medical care, CareWell Health has been a cornerstone of healthcare in the community for nearly 120 years. Recent investments have allowed the addition of new cutting-edge equipment and the expansion to include even more healthcare services.

Committed to impacting the community in a positive way, CareWell Health unveiled Essex County’s first and only dedicated inpatient medical detox unit earlier this year. The updated Emergency Department has some of the shortest wait times in the state – and a new area devoted to pediatric patients. This “Top Three Hospital” is also a designated Primary Stroke Center.

The “Top Three Hospital” ranking comes on the heels of another significant honor: U.S. News & World Report recently named CareWell Health one of the country’s “High Performing Hospitals” for its advanced performance in treating Chronic Obstructive Pulmonary Disease (COPD).

“We understand that people often come to hospitals during a vulnerable moment in their lives, and we are dedicated to providing excellent medical care delivered with kindness,” says Dworak. “Our community knows that when they come to CareWell Health, they will be treated like family.”

To learn more about CareWell Health and the many exceptional healthcare services available at this Top Three Hospital, or to make an appointment, call 973-672-8400.

CareWell Health: Be Treated Like Family.

Did you know that depression is one of the most common mental health disorders among adults in the U.S.? According to the National Institute of Mental Health, about 21 million people have reported having at least one major depressive episode. And yet many cases of depression go unreported. That means many people don’t get the care they need.

October is Depression Awareness Month. And to help address this incredibly important issue, CareWell Health is taking extra steps to educate our family of patients on the signs of depression – and how to get the help that can lead them to recovery.

To help our community gain a better understanding of depression, this post shares some insights into what depression is. It describes symptoms of depression to watch for. And it discusses some available treatments for depression – including a new option called SPRAVATO®, the first FDA-approved nasal spray for adults with hard-to-treat depression. The more we know, the more we can help each other – and ourselves – get through difficult times.

What is Depression?

Depression is a mood disorder that affects how a person feels or thinks and interferes with their ability to handle day-to-day activities such as sleeping, eating and working. Depression can also negatively impact their personal relationships.

There are different types of depression, including:

• Major depression, when symptoms are regular for more than 2 weeks and interfere with a person’s daily life
• Seasonal affective disorder (SAD), when symptoms begin with the changes of the season, typically starting in the fall and winter when there is less daylight and disappearing in the spring and summer
• Perinatal depression, when symptoms occur during pregnancy or after giving birth
• Persistent depressive disorder, when a person has less intense feelings of depression, but they last over a much longer period of time (years)
• Depression with psychosis, when a person with depression also experiences things such as delusions (disturbing false beliefs) or hallucinations (seeing or hearing things that are not there)

Symptoms of Depression

Symptoms of depression can vary from person to person. If you have been experiencing some of the following symptoms almost every day for at least 2 weeks, you may be suffering from depression and should seek help.

Depression symptoms can include:

• Feeling sad or anxious
• Feeling helpless, hopeless or negative
• Loss of energy
• Having a hard time making decisions or staying focused
• Changes in appetite, such as overeating or not eating enough
• Feeling irritable or easily frustrated
• Loss of enjoyment in activities that you used to look forward to
• Thoughts of suicide or death

If you are experiencing symptoms of depression, please schedule an appointment with CareWell Health’s Behavioral Health Services at 973-266-8440, or call the CareWell Health Psychiatric Emergency Crisis Hotline at 973-266-4478.

Getting Treatment

Depression can be treated with oral antidepressant medications and psychotherapy (talk-therapy), or a combination of the two. There is no shame in getting treatment for depression.

According to The World Health Organization, depression affects an estimated 280 million people worldwide, impacting their relationships, quality of life, and earning potential. Much like taking care of other parts of your body, your mind deserves the same medical treatment as the rest of you.

A New Treatment Option

Sometimes, a person suffering from depression does not respond to typical treatment even after being prescribed different medications, leading to treatment-resistant depression. People who suffer from major depressive disorder with acute suicide ideation (suicidal thoughts) may also not respond to typical treatments for depression. If you are being treated for depression and it is not working or if you suffer from major depressive disorder, there is hope. CareWell Health’s Behavioral Health unit now offers SPRAVATO®, the first FDA-approved nasal spray for adults with treatment resistant depression and major depressive disorder.

How Does SPRAVATO® Work?

SPRAVATO® is a prescription medication nasal spray that you take along with your oral medication under the direction of your doctor. It typically acts quickly (within hours) to relieve symptoms of depression. Learn more about SPRAVATO® treatment by calling 973-414-3448.

We’re Here to Help

If you or someone you know may be depressed, please don’t wait to reach out for help. Our Adult Outpatient Behavioral Health Services Program is here for you – and we offer both in-person and telehealth options.

CareWell Health’s compassionate behavioral health team includes a world-class team of psychiatrists, advanced practice psychiatric nurses, licensed psychotherapists, registered nurses, and clinical case managers who are dedicated to finding the right treatment for our family of patients.

Contact our Adult Outpatient Behavioral Health Services at 973-414-6827 or 973-221-8481 or schedule your appointment today.

Congestive heart failure (also just called “heart failure”) is the #1 cause of hospitalization for people 65 and older. But it can start at a much younger age. And it is affecting more people than ever: 6.2 million Americans per year, and growing.  

What Is Congestive Heart Failure? 

Congestive heart failure is when the heart doesn’t pump blood as well as it should. That means oxygen-rich blood doesn’t move through the body the right way, and puts extra stress on the heart.

Heart failure affects more than just the heart – it can actually “congest” the body, which is why it is also called congestive heart failure. When the heart muscle can’t pump blood correctly, the blood often backs up and fluid can build up in the lungs, leading to shortness of breath. The kidneys are also affected, leading to water retention and fluid build-up in the arms, legs, and other organs.  

Congestive heart failure is a chronic condition that can take years to develop. It usually can’t be cured – but with the right medical care it can often be controlled. That’s why it’s so important to know what signs to look for – and to see a doctor when you see the signs. 

Symptoms of Congestive Heart Failure

Heart failure symptoms can sometimes be tricky to spot, especially in the early stages – but missing those symptoms can be very dangerous. 

The most common symptoms of congestive heart failure include: 

• Shortness of breath 
• Feeling tired (fatigue) & leg weakness  
• Reduced movement / exercise ability
• Weight gain
• Swelling in ankles, legs, and abdomen
• Increased need to urinate at night
• Rapid or irregular heartbeats
• Dry, hacking cough
• Bloated or hard stomach, reduced appetite, upset stomach 

People suffering with heart failure may have some or all of these symptoms – and the symptoms may be mild at times or even come and go. But the heart failure is not gone. That’s why it’s so important to see your doctor as soon as you experience any symptoms or if your symptoms get worse.  

Unfortunately, heart failure gets worse as time goes on, leading to more severe outcomes such as heart attacks. If you are experiencing chest pains, fainting, or skin that looks blue, call 911 immediately. 

Risk Factors for Congestive Heart Failure

Basically, any condition that damages the heart can lead to heart failure. And there are many medical conditions and lifestyle choices that can contribute to this risk.

Some of the most common contributing risk factors for heart failure include:

• Coronary artery disease – narrowed arteries can limit the supply of oxygen-rich blood, weakening the heart muscle
• Heart attack – a form of coronary artery disease
• Heart valve disease – a valve that doesn’t work right can be hard on the heart
• High blood pressure – the heart has to work harder when blood pressure is high
• Irregular heartbeats – abnormal rhythms can weaken the heart muscle
• Congenital heart disease — some people are born with heart problems
• Diabetes – increases risk of high blood pressure and coronary art disease
• Some medications – always be sure doctors know all the medications you are taking
• Tobacco, alcohol, and recreational drug use – be honest with doctors about lifestyle choices

Treatment of Congestive Heart Failure 

Congestive heart failure is usually not curable and gets worse over time. It can also be life-threatening. However, many people can live longer with better quality of life through proper medical attention and self care.

• Medical treatment can often help keep symptoms under control and may even help patients live longer. For some people, that may mean medication and monitoring. For others with severe symptoms, a heart transplant or ventricular assist device (VAD) may be required. Seeking and sticking with medical care is critical for this serious condition.

• Making healthier lifestyle changes can also help improve quality of life for those with congestive heart failure. Quitting smoking, losing weight, exercising, reducing sodium, and managing stress are all positive steps in the fight against heart failure. (Always have your doctor approve any major lifestyle changes.)

Can Congestive Heart Failure Be Prevented?

While some heart failure is genetic and cannot be prevented, leading a healthy lifestyle is the best way to reduce most potential causes. This can help prevent and control conditions that can cause congestive heart failure in the first place – conditions like coronary artery disease, high blood pressure, diabetes, and obesity.

Eat right. Exercise. Manage stress. Don’t smoke. Maintain a healthy weight. Have annual physical check-ups. And if you notice any warning signs of congestive heart failure, contact your doctor right away – don’t wait.

CareWell Health’s Care Center is here to assist you with all your needs: 973-266-8416

CareWell Health has cardiology services to provide the care you deserve in preventing, diagnosing, and treating congestive heart failure – including outpatient services like stress tests, electrocardiograms (EKGs), and echocardiography.

If you or a loved one are suffering from these or any other medical symptoms, don’t wait: call 973-266-8416 to make an appointment, or visit our Emergency Department for immediate attention.

As the temperature rises, so do the risks for people with diabetes. Here are some strategies to help you stay safe in the summer sun.

Need help? Call CareWell Medical Center at 973-266-8416 to make an appointment with a primary care practitioner.

Summer is already getting off to a hot start. We’ve seen temperatures reach well into the 80s multiple times, and the season is just underway. Here at CareWell Health, we want our entire community to have a safe, enjoyable summer. But for people with diabetes, high temperatures, increased humidity, and even your summer vacation, can present new risks. Here is a quick guide to help people with diabetes beat the heat this summer.

Stick to the shade – According to the Centers for Disease Control and Prevention, the heat index can be as much as 15° F hotter in the direct sun vs. the shade. On really hot days where the temperature reaches 80° or above, try to avoid the sun as much as you can by sticking to the shade. And plan to stay inside during the late afternoon when summertime temperatures tend to be at their hottest.

Always stay hydrated – Even if you’re not thirsty, it’s important to drink plenty of water. Quite often in the summer, feeling thirsty means you’re already experiencing dehydration. For people with diabetes, not enough water can cause higher blood sugars, which leads to an increased need to urinate, which in turn causes more dehydration. While we’re on the topic of fluids…

Avoid caffeine and alcoholic beverages – We want you to have fun, but we also want you to stay safe. That means avoiding too much coffee, beer, wine, or liquor when temperatures are high. Drinks with alcohol and caffeine, even sports drinks like Gatorade, can lead to water loss and spike your blood sugar levels. Water is always the healthiest option. If you want something more flavorful, try water with some fruit—squeeze a bit of lemon, lime, orange, or strawberry—for a refreshing and healthy treat.

Do not leave your insulin and other diabetes medicines in hot cars – Most insulin can withstand temperatures as hot as 95° F. But anything higher than that can cause your medication to break down. That’s why it’s so important to never leave your insulin, or other diabetes medicines in a hot car. Temperatures inside a car on a summer day can quickly exceed 125 ° F. If traveling by car on hot days, bring a cooler with you, to keep the temperature down. However, do not place insulin directly on ice or a cold gel pack.

Have a backup plan in case power goes out – Hurricane season begins June 1, quite often bringing severe, deadly storms. New Jersey has a history of getting hit hard by major storms, when power can be out for days or even weeks. To quote the Centers for Disease Control, “People with diabetes face extra challenges if a strong storm knocks out the power of they have to seek shelter away from home. Plan how you’ll handle medicine that needs refrigeration, such as insulin” Which leads us directly to:

Create a Diabetes Care Kit – If a major storm is predicted to hit our area of northern New Jersey, make sure you plan ahead in case the power goes out. Keep a Diabetes Care Kit in a waterproof bag or container in case you lose power or need to evacuate the region. According to the Centers for Disease Control, it should contain:

• Insulin and syringes for every injection
• Current dosages and times when you take the medicines
• Blood sugar glucose meter
• Extra batteries for your blood sugar meter and insulin pump
• Lancets and lancing devices
• Insulin pump supplies, including extra pump sets and insertion devices
• Glucagon kits
• Ketone strips
• Alcohol wipes
• Glucose tablets or 15 grams of quick carbs such as juice, honey, or hard candy
• Oral diabetes medicine
• The make, model, and serial number of your insulin pump or continuous glucose monitor

Protect your feet – Finally, people with diabetes need to take extra precautions for their feet in the summertime. Avoid walking on hot sand or pavement. Don’t go barefoot—even on the beach. Broken glass or seashells can pierce the skin of your feet and get infected. Make sure to inspect your feet every day and if you get any cuts or abrasions, quickly treat an injury as soon as possible to avoid infections.

Get in touch with CareWell

With specialized staff on-hand and unbeatable compassionate care, we’re your best source for diabetes management. Call us at 973-266-8416 to schedule a primary care or preventative appointment.

Your health is too important to ignore. CareWell Medical Center can help: 973-419-5640 to make an appointment with a primary care practitioner. 

Gentlemen, when was the last time you got a checkup? If you’re in your 50s, have you gotten a prostate exam? Do you maintain a healthy diet? Exercise regularly? If the answer is no to any of these questions, sadly you’re not alone. But here at CareWell Health, we’re working hard to change that.

June is Men’s Health Month , a time to “heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys.”

According to the Centers for Disease Control and Prevention, men in the United States:

• die on average 5 years earlier than women
• are more prone to heart disease than women, with 450,000 deaths each year
• are more prone to cancer, with more than 700,000 diagnoses each year—and 300,000 deaths.

Harvard Health Publishing, part of Harvard Medical School, found that many of these issues can be prevented by adopting healthier habits. “Many of the major health risks that men face can be prevented with a healthy lifestyle: regular exercise, a healthy diet, not smoking, stress reduction, and alcohol consumption in the moderate range (no more than 2 drinks a day) if at all. Regular checkups and screening tests can spot disease early, when it is easiest to treat.”

That means it doesn’t take much to cut down your risk factors and live healthier!  A few simple, consistent adjustments to your lifestyle can make a huge difference to your quality of life.

3 Things You Can Do for Better Health Right Now:

1. Sleep More
If you skimp on sleep, you’re cheating yourself. Not getting enough sleep can lower your sex drive, hurt your immune system, contribute to gain weight, and even put you at greater risk for certain cancers and diabetes. Experts recommend getting at least 7-8 hours of sleep every night. It’s actually one of the easiest ways to live healthier.

2. Move It
Heart disease is the #1 cause of death among men. According to the Center for Disease Control, not getting enough physical activity can lead to heart disease—even for people who are otherwise healthy. A lack of exercise can also lead to obesity, high blood pressure, high blood cholesterol, and type 2 diabetes.

The good news is, even a modest amount of physical activity can help stave off heart disease. The American Heart Association recommends adults get 150 minutes (2-½ hours) of heart-pumping physical activity per week. That’s under 22 minutes per day! It can be biking, jogging, aerobic exercise…anything that causes you to break a sweat. We recommend doing something you enjoy—because you’ll be more likely to keep doing it.

3. Don’t Skip Your Doctor Visits
The Cleveland Clinic  found that only 3 out of 5 American men, aged 18-70, get their physical examination every year. Over 40% of men only visit the doctor if they think they have a serious medical condition, and more than half of men said their health “wasn’t something they talk about”. The thing is, annual checkups are one of the best ways to help you stay as healthy as possible — by detecting issues earlier and putting plans in place to address them.

In addition to annual checkups, there are other doctor visits you’ll want to add to your calendar. Here are some guidelines for what you should have checked out—and when:

• Diabetes (45 years old+ and/or body mass index over 25): The American Diabetes Association recommends those 45+ and/or with a BMI above 25 being screened for diabetes. Type 2 diabetes and prediabetes symptoms can creep up without noticing much change. That’s why it’s important to get tested.

• Colon Cancer (45 years old, or 10 years prior to the age an immediate relative was diagnosed): The American Cancer Society has lowered the age for beginning colorectal screenings from 50 to 45, because colon cancer cases are on the rise among middle-aged and younger patients. If your immediate relative had colon cancer, however, screenings should start when you are 10 years younger than they were at the time of diagnosis. So if your father was diagnosed with colon cancer at age 64, you should schedule your examination at age 54. (Of course, if you have symptoms earlier than that, see your doctor immediately.) The traditional screening method is the colonoscopy, but newer take-home tests may be available. Talk to your doctor for more information.

   

• Prostate Cancer (around 50 years old, but ask your doctor): Prostate examinations are generally recommended to start around age 50, but every person is different. Talk to your doctor so they can guide you on the best time to start prostate screenings, based on your overall health and any family diagnosis of prostate cancer (it can run in the family).

   

• Depression or other Emotional Health Issues (any time you are experiencing symptoms): Too many men go without treatment for mental health issues such as depression, anxiety, or other psychological or emotional health issues. For your own health and those of your loved ones, please reach out for help anytime you are experiencing symptoms. CareWell Health offers a wide array of behavioral health services, available both in-person and via telehealth. If you’re struggling with your mental and/or emotional health, contact us today. We can help.  

To make an appointment with a primary care practitioner at Contact CareWell Health Medical Center, call 973-266-8416. We’re here for you during Men’s Health Month and every month!

You’ve made it through the dreary, colder months; now spring is finally here. You can look forward to blooming flowers, plenty of sunshine—a runny nose, and congestion?

If you’re like 50 million Americans, you’re most likely suffering from seasonal allergies, also known as hay fever, which can make you feel miserable. But before you close the blinds and stay indoors, give these helpful tips a try to keep seasonal allergies at bay.

Overview: Seasonal Allergies

Seasonal allergies are one of the most common chronic diseases. If you begin experiencing the sniffles this spring. You’re having an allergic reaction—the same type of reaction that occurs when someone with a nut allergy ingests a peanut. Allergic reactions occur when the body’s immune system perceives a foreign substance as a threat and overacts to it.

Seasonal allergies usually start around March and last through May. This is because plants release tiny pollen grains to begin the fertilization process, expelling small, dry pollen grains in the air that the wind carries to neighboring plants. Unfortunately, these pollen grains can make their way into your eyes, nose, and lungs, triggering allergy symptoms.

There are three main types of pollen allergy: tree pollen allergy, grass pollen allergy, and weed pollen allergy, but tree pollen is the most common trigger of “hay fever” or seasonal allergies.

What Are the Symptoms of a Pollen Allergy?

People with pollen allergies experience worsened symptoms on windy days when the pollen count is high. Symptoms include:

• Runny nose (also known as rhinorrhea – this is typically a clear, thin nasal discharge)
• Stuffy nose (due to blockage or nasal congestion – one of the most common and troublesome symptoms)
• Sneezing
• Itchy nose, eyes, ears, and mouth
• Red and watery eyes
• Swelling around the eyes

How to get rid of seasonal allergies

Unfortunately, there’s no one-size-fits-all approach to curing seasonal allergies. Those suffering from allergy symptoms can try these simple strategies to reduce their exposure to start to feel better.

1. Reduce Exposure to Allergens

Reducing your exposure stands as the first line of defense against spring allergy symptoms. Here’s a list of ways you can minimize your exposure to help alleviate symptoms (allergens):

• Regularly check the local weather, pollen forecasts, and local pollen levels to prepare
• Stay indoors on dry, windy days or on days when the pollen count is high. Usually, the best time to venture outside is after a rain shower.
• Avoid exercising or outdoor activities in the early mornings or evenings when the pollen is the highest.
• Change your clothes, shower, and wash your hair to rinse off pollen after spending time outdoors.
• Keep doors and windows closed.
• Take shoes off before entering your home and wipe down pets.
• Delegate lawn maintenance, exterior home repairs, and gardening chores that can stir up allergies

2. Keep indoor air clean

No single product can eliminate all allergens from your home, but here are some suggestions to help:

• Purify the air you breathe with a portable high-efficiency particulate air (HEPA) filter
• Use high-efficiency filters and follow regular maintenance schedules.
• Ensure indoor air stays dry with a dehumidifier.

3. Rinse your sinuses, then rinse and repeat.

Rinsing nasal passages with a saline solution (nasal irrigation) is a practical and affordable way to relieve nasal congestion. This alternative remedy works by flushing out any mucus, pollen, or other allergens to clear away any congestion. You can get a squeeze bottle, spray, or a neti pot—this small apparatus looks like a teapot with a spout designed for nasal rinsing without a prescription at your local pharmacy.

4. Try an over-the-counter treatment

If allergy symptoms persist, you may want to consider trying one of these over-the-counter treatments:

• Antihistamines like Benadryl block histamines that the body releases should an allergic reaction occur and can relieve sneezing and itching in the nose and eyes.
• Decongestants usually come in the form of a nasal spray or drop. Decongestants can instantly clear up nasal congestion by shrinking the lining of the nasal passages so you can breathe better.
• Nasal corticosteroids such as Flonase are the most effective over-the-counter medications available for treating allergic rhinitis. These nasal sprays are steroids that reduce inflammation in the nose and block allergic reactions. This medication needs time to build up in your system, so it’s best to take it several weeks before the tree pollen season starts.
• Leukotriene receptor antagonists block the action of critical chemical messengers other than histamine involved in allergic reactions.
• Cromolyn sodium is a nasal spray that blocks the release of histamine and leukotrienes. Although this medicine comes with few side effects, you’ll have to plan on taking it four times a day.

CareWell Health Medical Center Is Here For You.

You don’t have to spend beautiful spring days indoors due to seasonal allergies. We understand that managing seasonal allergies can be challenging. If you’re still suffering from sneezing, congestion, or other allergy symptoms, CareWell Health Medical Center can help! Our caring physicians in our family health center can work with you to find an appropriate treatment best suited to fit your needs. Get relief from seasonal allergies and Schedule your appointment today.

1 in 8 women will be diagnosed with breast cancer in their lifetime.

March is Women’s History Month. This month, our caring medical in our women’s health department wants to do our part to educate and raise awareness on one of the biggest threats to women’s health—Breast cancer.

Breast cancer is caused when malignant cells form in the tissues of the breast. According to the National Breast Cancer Foundation, an estimated 43,600 women will die in the U.S this year. Read on to learn about the 5 breast cancers myths you need to know about.

Myth: Finding a lump in your breast means you have breast cancer

Know The Facts.

While only a small percentage of breast lumps turn out to be cancer, women (and men, too) should give themselves a breast self-exam once a month. The best time for women to perform their breast self-exam is 7-10 days after their menstrual period.

Speak to your doctor if you notice the following changes or start experiencing symptoms:

• Changes in breast tissue, such as changes in size, feeling a palpable lump, dimpling, or puckering of the breast
• Inversion of the nipple or if the nipple turned inward into the breast
• Skin changes such as redness or scaliness of the breast skin or nipple and areola area
• Discharge of secretions from the nipple.
• A lump or thickening in or near the breast or in the underarm area
• Darkening of the areola area

It is essential to contact your clinical health team to schedule a clinical breast exam. Although studies show that 8 out of 10 lumps are benign, a doctor will need to evaluate further and may need to order a breast imaging study to determine if the lump or changes are a cause for concern.

Myth: Your Menstrual and reproductive history have no impact on risk.

Know The Facts.

A woman’s menstrual cycle and reproductive history can contribute to breast cancer development. The following risk factors include:

• Beginning a menstrual cycle before age 12
• Never giving birth
• Being 30 years or old when first giving birth
• Starting menopause after age 55, with research showing that the number of menstrual cycles a woman in a lifetime influences risk

Women who have more than one of these factors will have a higher than those who only have one of these risk factors. 40% of diagnosed breast cancers are detected by women who feel a lump during a routine breast self-examination, which helps with early detection.

Myth: Breast cancer doesn’t affect men

Know The Facts.

According to The National Breast Cancer Foundation, men get breast cancer, too, although rare. An estimated 2,650 men will be diagnosed with breast cancer in the U.S. Approximately 530 will die this year alone.

Myth: Making healthy lifestyle choices won’t lower my risk

Know The Facts.

Although you can’t entirely eliminate your risk of breast cancer—you can drastically lower your odds through healthy choices such as proper nutrition and physical activity. Eating a high-fiber, low-fat diet (30 grams or less) loaded with fruits and colorful vegetables can help reduce the risk of developing breast cancer. Alternatively, a high-fat diet raises the risk of increasing estrogen production, fueling tumor growth.

Studies show that getting 3 hours of physical activity per week can help lower a woman’s risk of breast cancer. Try getting in daily exercise by doing yoga, power walking, or picking up a fun sport.

Myth: Smoking won’t raise my risk for breast cancer

Know The Facts.

Smoking negatively impacts your health and causes heart disease, diabetes, chronic obstructive pulmonary disease, and cancer, including breast cancer. According to the most recent research, both first and second-hand smoke increase your risk of developing breast cancer. If you are a smoker, take the necessary steps to quit to protect your health. For more support, contact us to hear about our smoking cessation program.

Contact Women’s Health Care Department For Preventative Services

Every 2 minutes, a woman is diagnosed with breast cancer in the United States. However, education and screening that help with early detection make it possible to lower our risk. Our Women’s Health Department offers a wide range of preventive services, including mammogram screenings, clinical examinations, and more. At CareWell Health Medical Center, we’re here 24/7 to serve and better protect the women’s health in our community. Keep your breast health in check and schedule an appointment for one of our preventative services today!

“Learn more about Breast Cancer Awareness.” https://www.nationalbreastcancer.org/

Heart disease and stroke cause 1 in 3 deaths among women each year.

February is AMERICAN HEART MONTH.

Our medical team at CareWell Health Medical Center wants to help spread awareness about cardiovascular disease. To protect heart health, we’re providing education and preventative services to protect the women in our community and lower their risk of developing heart disease.

Go RED for Women Movement

In 2004, The American Heart Association launched the Go Red for Women movement to raise awareness to fight against woman’s most significant health threat — heart disease.

Today, Go Red for Women continues advocating for women’s health, funding research that saves lives, and educating women in the United States and across the world as they continue living out their commitment to breaking down unique barriers women face to achieve good health.

Go Red.

G-GET YOUR NUMBERS.

Regularly check your blood pressure and cholesterol at your doctor’s visits.

O-OWN YOUR LIFESTYLE

Live a healthy lifestyle that requires you to stop smoking, lose weight, exercise, and eat plenty of nutrition.
You have the power to change the things in your control.

R-REALIZE YOUR RISK

Understand your risk and know the chances that heart disease can happen to you.

E-EDUCATE YOUR FAMILY

Make healthy food choices for you and your family.
Get active with your kids and teach them the importance of good nutrition.

D-DON’T BE SILENT

Tell every woman you know that heart disease is our No. 1 killer.

Types of Heart Disease

Heart failure or congestive heart failure

Heart failure means the heart continues to work but that it’s not pumping blood as well as it should or failing to get enough oxygen.

Arrhythmia or an abnormal rhythm of the heart

Arrhythmia or abnormal heart rhythm is when your heart beats too fast, too slow, or irregularly. How your heart beats can affect the functioning of your heart and whether or whether it can pump enough blood to meet the body’s needs.

Heart valve problems

Heart valve problems can cause the heart not to open enough to allow for proper blood flow. Sometimes the heart valves don’t close, and blood leaks through, or the valve leaflets bulge or prolapse into the upper chamber, causing blood to flow backward through them.

Warning Signs and Symptoms

If you have any of these signs, call 9-1-1 and get to a hospital right away:

Common Myths

MYTH: Heart disease doesn’t affect young women.

Fact: Heart disease affects women of all different ages. Many younger women fail to realize that lifestyle factors such as stress, a sedentary lifestyle, and poor diet contribute to developing cardiovascular disease. According to The American Heart Association, among females 20 years and older, nearly 45% live with cardiovascular disease. Not only that, women on the pill who also smoke raise their heart disease risk by 20 percent.

According to the American Heart Association, “10% to 20% of women will have a health issue during pregnancy, and high blood pressure, preeclampsia, and gestational diabetes during pregnancy greatly increase a women’s risk for developing cardiovascular disease later in life.”

Cardiovascular disease is the No. 1 killer of new moms and accounts for over one-third of maternal deaths, with black women having some of the highest maternal mortality rates.

MYTH: Heart attack symptoms are the same in men and women.

Fact: The most common heart attack symptom for both men and women is chest pain. However, women may experience less obvious warning signs, including fainting, indigestion, extreme fatigue, nausea, and pain or pressure in the lower chest or upper abdomen.

MYTH: I don’t have any symptoms.

Fact: 64 percent of women who suddenly die of coronary heart disease will have no symptoms.
A silent heart attack or a silent Ischemia is a heart attack with minimal or unrecognized symptoms. It occurs like any other heart attack— blood flow is temporarily blocked in the coronary arteries by a build-up of plaque. Often, women misdiagnose warning signs, blaming their symptoms on the flu or strained chest muscle or other conditions, when they’re suffering from a silent heart attack and fail to get the help.

Facts on Cardiovascular Disease In Women

• Cardiovascular disease is the No. 1 killer of women, causing 1 in 3 deaths each year
• Heart disease and stroke can affect a woman at any age, making it vital for all women to understand their personal risk factors and family history
• Black women have some of the highest maternal mortality rates.
• 51.9% of high blood pressure deaths, otherwise known as hypertension or the “silent killer,” are in women, and out of all women, 57.6% of Black females have hypertension — more than any other race or ethnicity.
• Although an estimated 4.1 million female stroke survivors living today, approximately 57.5% of total stroke deaths are in women
• 90 percent of women have one or more risk factors for developing heart disease.
• Since 1984, more women than men have died each year from heart disease and the gap between men and women’s survival continues to widen.
• The frequency of gestational diabetes hit 6% in 2016, up 0.4% from four years earlier.
• Cardiovascular deaths are the most common cause of maternal deaths – at 26.5%.
• High blood pressure that develops during pregnancy was associated with a 67% higher risk of later cardiovascular disease.
• Preeclampsia was associated with a 75% higher risk of later death from cardiovascular disease.

Prevention of Heart Disease

Studies show that healthy choices have resulted in 330 fewer women dying from heart disease per day. Women can reduce their risk by avoiding smoking, staying active, eating a healthy diet. Other ways women can lower their chances of developing cardiovascular disease include:

• Manage your blood sugar
• Get your blood pressure under control
• Lower your cholesterol
• Know your family history
• Lose or manage your weight
• Eat a plant-based diet
• Limit red meat consumption

Ideal Numbers For Better Heart Health:

At your next doctor’s visit, you can keep your health in check with these numbers:

Blood Pressure: 120/80 mm Hg
Body Mass Index: Body Mass Index (BMI) 25 kg / m²
Fasting Blood Sugar: 100 mg / dL

Contact CareWell Health Medical Center For Our Preventative Services

Every 80 seconds, a woman loses her life to Heart Disease. However, education and prevention can prevent 80 percent of cardiac events. Our Department of Cardiology at CareWell Health Medical Center offers a wide range of outpatient services, including Routine walk-in EKGs, echocardiography (Echo), stress test, and more. Our caring team of Board Certified medical professionals is here for you, 8 hours a day, seven days a week. Keep your heart healthy and schedule an appointment for one of our preventative services today!

“Learn about Heart Disease in Women.” Www.goredforwomen.org, https://www.goredforwomen.org/en/about-heart-disease-in-women.

Colder weather doesn’t just cause a drop in temperature— but it can significantly alter mood as well.

As days grow shorter and darker, it’s common for many of us to experience lower moods or bouts of sadness that start in the late fall and last through the winter season. However, if you’re experiencing cyclic depression that fluctuates with seasonal weather patterns and lasts 4 to 5 months out of the year, you may be dealing with Seasonal Affective Disorder (SAD).

You might feel inclined to brush it off as nothing more than the winter blues and attempt to wait it out until sunnier days appear. If you’re experiencing depressive symptoms, it’s important to seek help. CareWell Health Medical Center is here to help you manage your Seasonal Affective Disorder. Our caring team is providing educational resources so you can stay on top of your mental health in addition to behavioral health services to get you through the winter season and start feeling better.

What is Seasonal Affective Disorder (SAD)?

Seasonal affective disorder (SAD) or seasonal depression is a mood disorder that occurs cyclicly, beginning during the winter months. Shorter days paired with diminishing sunlight disrupt our normal circadian rhythm, directly impacting our mood and increasing depressive symptoms. During colder months, potent mood-regulating hormones such as melatonin and serotonin get lowered, which contributes to emotional dysregulation and sleep disturbances.
Although seasonal changes can bring on fluctuations in mood, this condition is more severe than dealing with the holiday blues lasting around 40% of the year.

Risk factors

Seasonal Affective Disorder occurs more frequently in women than men. Younger populations are more commonly diagnosed compared to older adults.

Certain risk factors may increase your risk of Seasonal Affective Disorder, including:

• Family history. SAD is more common in people with relatives diagnosed with mental illnesses, such as major depression or schizophrenia.
• Have major depression or bipolar disorder. Symptoms of depression may worsen during seasonal changes if you’ve already been diagnosed with one of these conditions.
• Living away from the equator. SAD affects people living farther north of the equator, in places like Alaska or New England, where it’s more common to experience long periods of diminished sunlight and shorter days during winter months.
• Vitamin D deficiency. Vitamin D is produced in the skin when exposed to sunlight and helps boost serotonin activity. Inadequate sunlight and spending more time indoors lead to lower levels and can result in Vitamin D deficiency.

What Causes SAD?

The specific cause of Seasonal Affective Disorder remains unknown. Some factors that may come into play include:

• Your Biological clock (circadian rhythm). The reduced level of sunlight in fall and winter may cause winter-onset SAD. Decreased sunlight may disrupt your body’s internal clock leading to feelings of depression.
• Serotonin levels. Reduced sunlight may cause a dip in Serotonin— a powerful brain chemical (neurotransmitter) affecting mood, and may play a part in developing SAD.
• Melatonin levels. Seasonal change can disrupt the melatonin levels, a hormone that regulates our natural sleep-wake cycle and sleep patterns in addition to mood.

Signs & Symptoms

Symptoms of Seasonal Affective Disorder begin in the late fall and early winter. The most common symptom is a recurring bout of sadness that varies in both duration and intensity that usually disappears when warmer, sunnier days arrive. Although rare, people can also experience depressive symptoms during the spring or summer.
The most common symptom of seasonal Affective disorder is a recurring bout of sadness that varies in duration and intensity. Environmental factors, such as elevated stress or financial woes, might worsen these symptoms.
Speak to one of our behavioral health specialists if you start experiencing the following symptoms:

• Insomnia or trouble falling and staying asleep
• Depressed or irritable mood
• Difficulty focusing
• Feelings of worthlessness or guilt
• Feeling burned-out or exhausted
• Increased levels of anxiety
• Apathy, or finding it hard to feel pleasure in activities you previously enjoyed doing.

Specific symptoms for summer-pattern SAD may include:

• Trouble sleeping (insomnia)
• Poor appetite, leading to weight loss
• Restlessness and agitation
• Anxiety
• Episodes of violent behavior

Treatment

Psychotherapy

Cognitive-behavioral therapy is a form of talk therapy where people with Seasonal Affective Disorder work with a therapist or mental health provider and develops healthy coping strategies to help take back control of their lives. Psychotherapy can almost be as effective as medication. However, it’s common to treat SAD using a combination of cognitive-behavioral therapy and antidepressant medication.

Medications

For some people with SAD, environmental changes might not be enough, especially if you’ve been experiencing moderate to severe symptoms. Wellbutrin XL, Aplenzin, and several other extended-release antidepressants may work to prevent or further reduce depressive episodes in people with a history of SAD. You may want to consider speaking with your doctor to see if starting an antidepressant treatment is right for you.

5 Tips To Help Fight Seasonal Affective Disorder

1. Stress Management

Whether practicing meditation or some daily yoga, mindfulness and relaxation techniques can help you unwind and breathe more deeply. Unmanaged stress can further compound depression, potentially leading to unhealthy coping mechanisms, including overindulging in alcohol, eating, or other unhealthy behaviors.

2. Get Active

Although heading out to log a couple of miles in the cold doesn’t sound all too exciting, studies show that regular exercise provides significant benefits to preventing and reducing symptoms of depression.
So while it’s tempting to lay on the couch after a stressful day, pushing yourself to move a little—even for just 10 minutes, can positively affect mood. If you’re beginning, try creating small milestones to stay motivated while setting out to find your equilibrium.

3. Socialize

Experiencing bouts of sadness can make it harder to socialize, and people with SAD may find themselves wanting to isolate themselves and rejecting social invites to hang out with friends or family. Making an effort to spend time with loved ones gives us support, a shoulder to cry on, and makes us feel connected.

4. Proper Sleep

Although insomnia and depression go hand in hand, research shows that getting proper sleep is vital to maintaining mental health. Sleep deprivation dramatically affects mood, leaving you feeling irritable, short-tempered, and exhausted. Poor sleep not only makes it harder to cope with stress, but according to a review of 21 different studies, it leads to a two-fold risk of developing depression.

5. Avoid Overeating

Sometimes overindulging provides us comfort in times when facing stress or negative emotions. Instead of relying on unhealthy copy mechanisms that will likely compound issues, focus on getting good nutrition, and filling up on fruits and veggies. Evidence shows that fueling your body with the proper food can help fight against depressive symptoms.

Talk with a Behavioral Health Specialist, 24/7

We understand how lonely depression can be. If you’re dealing with sadness, feelings of anxiety, or other painful emotions, you are not alone. Whether it’s Seasonal Affective Disorder or something else, the caring staff at CareWell Health Medical Center is here to support you during this difficult time, providing the community of Essex County comprehensive behavioral health services, open 24/7.

If you’re interested in hearing more about our inpatient and outpatient services, or if you’re just looking for someone to talk to, give us a call at 973-266-8440, or fill out a form.