WANT TO WORK FROM HOME? THERE MAY BE SOME PITFALLS ACCORDING TO AN NYC NEUROPSYCHIATRIST

Dr. Sanam Hafeez,  NYC neuropsychologist,  points out some essential things to consider before choosing to work from home.

Studies, surveys, and census information show that about 8 million Americans work from home at least part of the week.  This amount is considerably higher today than it was back in the early 2000s. This section of the workforce is expected to grow in the coming years as online resources continue catering to this setup. The improvement of internet connectivity, collaborative applications, and software, as well as the proliferation of studies showing increases in employee productivity when working from home, have contributed to the general change of mind on this work/lifestyle choice.

But is working from home for everybody? What characteristics make for a more successful remote employee? What are some of the drawbacks for individuals working at home?

Dr. Sanam Hafeez is a Neuropsychologist in NYC with a Faculty Appointment at Columbia University. She points out that “as online tools and telecommuting become more commonplace, more conversations need to be had about what characteristics and job responsibilities a team member needs to have in order to carry out their duties successfully while working from home.”

Dr. Hafeez explains that not all personalities are the same and that employees need to be assessed in order to “determine where they would, not only feel happiest but also be more productive.”

Here Is What You Should Take Into Account If You Are Thinking Of Working Remotely:

• Isolation

Everyone who has ever had to wake up to go to work on a Monday with little sleep, low energy or a personal issue gnawing at their mind, has felt the annoyance of having to go to the office and attend a Monday meeting. This does not mean, however, that working from home is ideal for you, explains Dr. Sanam Hafeez.  “Nearly everyone will experience that feeling of wanting to stay home instead of heading into work. For the majority of people going to work adds meaning and stimulation to their day. Introverts may have an easier time acclimating to the lack of human interaction in a work-from-home situation, but for extroverts, the lack of camaraderie and the isolation they may feel at home may be an essential deterrent that leads them to opt for an on-site position,” says Dr. Hafeez. In a 2-year Standford University study on productivity and remote work, more than half of the study group felt too isolated at home and indicated their change of heart when it came to working from home 100 percent of the time.

• Little Separation of Home and Work

Home is where the heart is. For many of us, opening the door to our house or apartment after a long day brings a feeling of calmness from the constant stimuli of the workday. “For people who consistently work at home there might be issues separating work from play, rest and family,” says Dr. Hafeez. For an organized person who can confine their work to an established workstation within the home, this might be less of an issue but for those of us who study in bed, or like to work on the dinner table or couch this presents a challenge. “Sleep Hygiene is one of the areas where this also comes to play because our bed should be for sleep and sex.  If you are scattering papers across the place you sleep and spending hours upon hours working in bed, there is no signaled change to the brain that the bed is for sleep.  Making it difficult later on to wind down,” explains Dr. Hafeez.

• Distractions

A cardinal rule for determining whether to work at home or in the office should always be, know thyself. “This means you are being honest with yourself as to your abilities to navigate and ignore temptations and distractions on your own without the structure of an office and team environment,” says Dr. Hafeez. People who are self-disciplined tend to do well working from home because their personality is conducive to holding themselves accountable. But if you know that in the absence of a manager or co-workers you would fall victim to distractions like the TV, food, or other to-do items, then choosing to stay in office may be an important self-reflective decision you need to make for you and your career.

• The Dependance of Family on Your Time

One problem with working at home if you have a lot of dependents or people that count on you is the perception to those around you that you are not busy. “This means that if you are at home and something comes up, even if not urgent, you may be asked to deal with it,” warns Dr. Hafeez. This is something to consider and a conversation to be had with those you care about. People who are people-pleasers may have a difficult time adhering to their work in a moment when someone they care about needs a favor. If you still decide to work from home “consider having systems in place to deal with needs that come up. Such systems might include pharmacy delivery services, food delivery and medical transport for older adults. This may help in navigating some issues,” suggests Dr. Hafeez.

• A Decrease In Company Rapport

For those of us with an invested interest in growing within a company and investing in our career, working from home may not be the best choice in lieu of an office option. While many companies are growing off of a collaborative and entrepreneurial spirit of remote work, companies that have headquartered spaces need people present. “Presence breeds familiarity and familiarity drives rapport,” affirms Dr. Hafeez. If a big client crisis happens, the first to know are those in the office, and if you are at home, working remotely, you might lose out on the opportunity to give your input. While people w    

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HOW TO SURVIVE AND THRIVE DURING THE SUMMER AS A SINGLE PERSON

Summer can be one of the toughest times to be single.  There’s nothing worse than looking at Instagram or Facebook and seeing your married/couple friends off on vacation in the South of France or spending the weekend at a BBQ in the Hamptons while you stare longingly at your dog in your cramped apartment wishing your fire escape could morph into the Caribbean Sea or a gondola in Venice. If you haven’t met Mr. or Ms. Right by Memorial Day Weekend how can you salvage your summer? Dr. Sanam Hafeez is an NYC Neuropsychologist who also happens to be a single mom of two boys. This is no trivial matter. Loneliness can literally be a killer! It can lead to depression, substance abuse, suicidal thoughts, and other destructive behaviors. Here she shares some ideas to socialize without a significant other during the dog days of summer. 

Take A Daycation

There is something called www.resortpass.com. While this is not yet available in every city, it does allow people to book day passes at luxury hotels and use their beach, pool, spa, and amenity facilities in some cases for as little as $25.00 per day!  Hotels such as Kimpton, W, Westin, Hyatt, Ritz Carlton, St. Regis and many others offer this. Not only does soaking up Vitamin D makes us feel good, who knows, your lounge mate could turn into an evening date!

Try a Meet Up

Meetup is about connecting people with something in common. From activities you love and hobbies you want to try, to ways you identify yourself and who you want to be, a Meetup group is a community. A community of people who come together because they care about the same thing. Mountain climbers, first-time parents, aspiring kite surfers, chefs, coders… you name it, there’s a good chance there’s a Meetup group for it.  You can join online or through the app and find a Meet Up group that fits your exact interest.

Don’t Let Being Single Ground You or De-Rail Your Travel

Let’s face it, unless you are an extraordinarily confident and independent person, it can be unsettling to travel solo to a foreign country and eat meals alone and wander around with nobody to converse with. This need not be the case! There are many travel groups that build their business around single travelers who are more mature than Club Med. Once such company is https://www.singlestravelintl.com. Their vacations run the gamut from weekends, cruises, adventure travel, and international travel. And they are just one of many companies who do this.

For the Single Person in Recovery From Drugs or Alcohol

Very often, “Singles Vacations” can mean party time and this can be challenging for those in recovery.  There are hundreds of thousands of people who fall into this category, and that’s why sober vacations exist. https://sobervacations.com is one company that has been around since 1987, however numerous others exist.

Summer Camp for Adults

If you were lucky enough to go to summer camp as a kid, doesn’t that bring back great memories of camp fires and roasting smores? You can recreate that experience in a co-ed environment! Adult summer camps are a “thing” and they are popping up all over the country. www.campbonfire.com is an example where the activities are so varied and sundry from rock climbing, pool parties, Thai massage, kickball, survival skills, or doing nothing at all!

Volunteer

What do you like? Pets? Art? Kids? Try any place where they can be found, like a shelter, museum or hospital. It really gives you a boost to give unconditionally.

Find an Extra Job Doing Something You Really Enjoy

Only do so if it won’t add unwanted stress to your life.  Look up freelance opportunities in your area doing what you're skilled at. The extra income will make you feel better and give you more cash to spoil yourself.

Swap Your Home/Apt With a Friend Temporarily

It beats the cost of a hotel and can certainly get you out of a rut and in front of new people! Perhaps, you’re a woman living in New York and are not feeling it with the men in the big apple. Maybe you have a friend in LA  you can swap homes with to see how you vibe with the pace and the people on the west coast. It gives you a chance to feel things out without making a long-term commitment.

“The bottom line,” says Dr. Hafeez, “is that with some well thought out planning, you need not be single and lonely during the summer months. You can fill your time with people, sun, fun, adventures, new cultures, and in the process of doing so, you just might find “the one.”

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DON'T LET YOUR FEAR OF FLYING GROUND YOU THIS SUMMER

More Americans will travel the skies this summer than ever before, an aviation trade group said in a recent study. Airlines for America said it expects nearly 260 million travelers will fly U.S. airlines this summer. Even with those statistics, as many as 25% of all Americans suffer some nervousness about flying and remain grounded due to fear. The most extreme suffers have a condition called Aviaphobia, where the mere thought of air travel causes them to shudder. How can people break this cycle and see the skies as “friendly?” We turned to NYC Neuropsychologist Dr. Sanam Hafeez, who discusses what people can do to prepare themselves to fly as well as during flight to prevent anxiety/panic.

How to Ease Your Fears Before Your Book a Ticket

Develop some knowledge of flying - Read a book called, “Ask the Pilot: Everything You Need to Know about Air Travel.” By Patrick Smith. People are afraid when they don’t’ understand what is happening to the plane and why. What do certain noises mean? Why does the wings flap in flight? Can turbulence cause the plane to crash?  What's wind shear - and can it really rip the wings off a plane? How does a plane get off the ground? Why does the plane sometimes bump, jig, and turn at a high angle during climb out? Flying is statistically the safest form of transportation. It is far more mysterious to most than driving a car. By educating yourself through a consumer-friendly book written by a pilot, this will help to ease your fear and take some of your power back.

Cognitive Behavioral Therapy - This is a form of therapy, also known as (CBT) If you change your thoughts, you can change your response and behavior. Addressing general anxiety can reduce the intensity during triggering moments, like being on a plane. The therapist may suggest exposure therapy, where your first assignment is to drive to the airport and walk into the terminal. The second assignment might be to take the shortest flight possible from your home with a trusted friend or loved one. The third time might involve a longer flight alone until the fear is de-escalated and flying begins to feel “normal.” This type of “practice” is known as exposure therapy.

Attend a Fear of Flying Clinic - There are online courses such as  http://www.fearofflyinghelp.com/lessons-intro.html There are also more tactile in-person groups such as www.fofc.com  Fear of Flying Clinic has provided intensive therapy to familiarize anxious travelers with the airborne experience. Founded in 1976 and based at San Francisco International Airport, Fear of Flying Clinic includes 24 hours of instruction spread over two weekends. It involves a licensed behavioral therapist to teach coping mechanisms, as well as lectures from airline pilots, flight attendants, mechanics, and air traffic controllers. Participants also familiarize themselves with the cockpit, control tower, and maintenance facility.

Hypnotherapy - Like any phobia, a fear of flying is rooted in your subconscious. You may have had a traumatic experience, watched a plane crash or saw a movie that disturbed you.  Whatever the cause, your mind is trying to protect you. It thinks that flying is dangerous. Thus, fear is created to warn you away from flying. To conquer your fear, you must address it. Hypnosis finds out what triggers that fear in your subconscious. Over time, a hypnotist helps to reprogram the mind so that you are no longer afraid. Your mind relearns positive truths about flying. As a result, you can escape from your long-held fear.

Monitor Your Media Intake

This may seem like a no-brainer, but it’s worth mentioning: Avoid airplane disaster movies, news coverage of plane crashes, or other scary media images. Remember that the vast majority of flights arrive safely, but only the problem flights make the news. Don’t let that skew your impressions of flying. 

How to Avoid Anxiety and Panic When Are Airborne

Talk to the Senior Flight Attendant Before you Board - Ask to board early by telling the gate attendant that you suffer from fear of flying and wish to talk to the flight attendant in the pre-boarding phase. They are accustomed to dealing with nervous fliers. Explain your fears to him/her. Perhaps it is take off that concerns you the most, or maybe it turbulence or landing. Tell them your seat number and ask if they could come and check on you during the inflight times that are most concerning to you. If you are traveling alone and your seatmate seems friendly, perhaps you could ask them to engage you in conversation during take-off to keep your mind off things during this phase of the flight. Strangers can be surprisingly nice inflight.

Bring an Inflight “Tool Kit” Distraction is key to staying out of fear/panic. In your carry- on, pack crossword puzzles, coloring books, download books or movies that are “light.” Do not watch or read anything that includes topics of murder, terrorists, plane crashes, fires, death, or anything that can trigger fear. Anything you are reading or listening to, or watching should conjure pleasant thoughts.

Brain games are great because they keep your mind occupied, and that is the goal. The last thing you want is to be clutching your seat handles waiting for every little air pocket.  While you are at it, skip the inflight coffee or Diet Coke. The last thing you need is caffeine to make you jittery.

Progressive Muscle Relaxation- In progressive muscle relaxation, you tense a group of muscles as you breathe in, and you relax them as you breathe out. You work on your muscle groups in a specific order. When your body is physically relaxed, you cannot feel anxious. Practicing progressive muscle relaxation for a few weeks will help you get better at this skill, and in time, you will be able to use this method to relieve stress. You can use an audio recording to help you focus on each muscle group, or you can learn the order of muscle groups and do the exercises from memory. Choose a place where you won't be interrupted and where you can lie down on your back and stretch out comfortably, such as a carpeted floor. Breathe in, and tense the first muscle group (hard but not to the point of pain or cramping) for 4 to 10 seconds. 

Benzodiazepines- If your fear is really intense and you have discussed this with your psychiatrist, they might feel it appropriate to prescribe you a low dose of a benzodiazepines such as Klonopin or Ativan which work very quickly to calm intense anxiety or panic. These medications are habit forming, so it is best to use them only in extreme situations of panic when you are faced with a phobic situation. Remember not to mix them with alcohol. Sometimes just knowing they are there as a "rescue" can make the phobic person feel better.

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LET'S CHECK IN ON OUR MENTAL HEALTH WITH DR. HAFEEZ

May is known as Mental Health Awareness month. We took some time to delve into how one define's mental health and what are some of the symptoms that someone may have. Dr. Sanam Hafeez shares what this involves.

ATHLEISURE MAG: When people use the term, Mental Health what does that mean?

DR. SANAM HAFEEZ: The dictionary defines it as: “A person’s condition with regard to their psychological and emotional well-being.” To give it broader strokes, the term mental health is akin to mental fitness. It means, how “stable” is a person in their head? Do they have what would be considered normal reactions to everyday disappoints or situations? Can they manage anger? Can they make and maintain relationships? Do they engage in self destructive behavior? Are they violent? Do they abuse drugs or alcohol? Do they have post-traumatic stress or obsessive compulsive disorder? Do they have eating disorders?

AM: What is the importance of Mental Health Awareness month in May?

DR. SH: There is less of a stigma attached to forms of mental illness than there used to be. Even Princes Harry and William have taken this up as one of their philanthropic causes. There is a saying within mental health, and that is: “Your secrets keep you sick.” The more that celebrities such as Demi Lovato admit to battling some form of mental illness, the more everyday people have the strength to come forward and seek help. We have empathy (as we should) for people stricken with Cancer, Aids, Parkinson’s , etc. we must have the same understanding for people who carry the burden of depression, anxiety, addiction or other forms of mental illness. People do not need to suffer in silence, as many of these conditions can be treated with medication and therapy.

AM: In the last few years, there seems to be a focus on providing education and acknowledging the fact that taking care of ourselves within this space is just as important as a number of other things we do from day to day – why do you think that right now that this is something that we’re hearing a lot more about in the media, social media, personalities etc?

DR. SH: We live in a world where there is more openness and honesty than that of our parent’s generation. Our parents were taught not to “air their dirty laundry in public.” For all of the negatives that have been said about social media, and some are true, it has brought about forums that provide support for people. For example, one can find multiple support groups on Facebook for alcoholics in recovery, overeaters, compulsive gamblers, anxiety, anorexics, etc. Sometimes it takes just one influencer or celebrity to be the brave one and lead the way, and then more follow. For example, Dan Harris was a Good Morning America Anchor when he had a panic attack live on air. It terrified him, but he spoke candidly about it and went on to write a book “10% Happier: How I Tamed The Voice in My Head, Reduced Stress Without Losing My Edge, And Found Self-Help That Actually Works.” Elizabeth Vargas, is a longtime anchor on ABC and host of 20/20. She had a well publicized battle with alcohol and has sat down for many interviews to discuss it. Most recently, TV host Wendy Williams admitted to a relapse with Cocaine and to staying in a sober living facility. Notable figures like these have made conversations about mental illness or addiction more acceptable and commonplace. They have brought it out of the closet and shown that anyone can be susceptible regardless of race, education, or social status.

AM: What are signs that one might be suffering from mental health whether we’re thinking about ourselves or someone we know?

DR. SH:

• Loss of interest in things/people that that once enjoyed

• Lack of self care

• Sleeping too much or too little

• Major decrease or increase in appetite

• Isolating

• Mood Swings

• Giving away prized possessions

• Difficulty perceiving reality (delusions or hallucinations, in which a person experiences and senses things that don't exist in objective reality)

• Inability to perceive changes in one’s own feelings, behavior or personality (”lack of insight” or anosognosia)

• Abuse of substances like alcohol or drugs

• Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing aches and pains)

• Thinking about suicide

PHOTOS COURTESY | Fabian Moller

AM: Many people think that within the topic of mental health that this is focused on those suffering from Bipolar, Schizophrenia or depression; however, what other conditions may follow under this area?

DR. SH: People can simply be situationally depressed. Situational depression means that a person is typically an even-keeled person who now finds themselves in a very distressing situation such as the loss of a child, parent or spouse. Perhaps their home has been foreclosed or they have been diagnosed with a serious form of cancer. These are all very mentally challenging situations and the person facing them will likely need help from a mental health professional to learn skills to cope and have a sympathetic unbiased ear to listen.

AM: What risks are involved when we don’t check in with how we are doing when it comes to mental health awareness?

DR. SH: Small problems can turn into big issues whether it is marriage, substance abuse, eating disorders, anger issues, depression, etc. You know yourself better than anyone else. If something feels “off” and your habits change your social life changes, your motivation is lacking, take a step back and asses what is going on. Never be ashamed to reach out for help. There is no such thing as doing it “too soon.”

AM: In living a life that is in constant motion, what are things that we can do whether it falls into self-care or seeking professional help etc. that should be placed into our routine to ensure that we have good mental health?

DR. SH:

• Do your best not to overschedule yourself

• Learn to say no to people or commitments that will overwhelm you

• Make time for physical exercise

• Eat a a balanced diet and make the most of the food you eat to nourish you and fuel your body

• Decide who and what are the priorities in your life. Eliminate extraneous people and places.

• Get rid of toxic people

• If your job is making you miserable and you can quit for financial reasons, do your best to seek a new position while you are still employed

• If you are in a verbally or physically abusive relationship get out of it

AM: Are there websites/apps that you feel are beneficial as a better way to establish proper mental health?

DR. SH: Calm focuses on the four key areas of meditation, breathing, sleep, and relaxation, with the aim of bringing joy, clarity, and peace to your daily life.

Headspace uses mindfulness and meditation to help you perform at your best each day. The app's mission is to provide you with the essential tools to achieve a happier, healthier life.

Moodnotes is a thought journal and mood diary. The app can be used to capture your feelings and improve your thinking habits through the implementation of CBT and positive psychology.

Moodpath is your pocket-sized mental health companion. Whether you are facing a rough patch or have concerns about your mental health, the app's goal is to support you through the difficult times and guide you out the other side.

AM: If there is anything that we should keep in mind when it comes to an area that we need to keep in mind regarding mental health.

DR. SH: Social media can be your best friend or your worst enemy depending on how you use it. If you are using it to join networking groups, support groups, or grow your business that’s constructive. If you are stalking an ex, or obsessing over how your selfies look and re-touching them for hours, that is not constructive. If you are spending your time comparing your life to others you know this can lead to depression. Remember, social media is a very edited and curated version of people’s lives and it is the rare person who shows their life warts and all. So get off your phone and live your best life!

IG @DrSanamHafeez

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ARE YOU STRESSED OUT?? WHY STRESS IS A BEAUTY BUSTER

Stress - We all have it but some of us deal with it better tan others. If you look at any recent United States President from their first day in office until their last, you will see that all aged appreciably in only four years. Why? Because carrying the weight of the world on their shoulders took its toll on their appearance. Even if you're just an everyday lady boss or Mom trying to make her way in the world, stress can cause you to age before your time. Here's how and why according to New York Neuropsychologist Dr. Sanam Hafeez.

Dr. Hafeez says that, "Aside from the unattractive scowl that stress brings to the face, it creates direct physiological changes. Stress is defines as the reaction of the body to a stressor or stimulus that causes stress. Stress can be acute, which affects the body in the short term, or chronic, affecting te body in the long term. Synonyms for stress include anxiety, nervousness, apprehensiveness, impatience, fear and restlessness."

Dr. Hafeez explains that, "Stress that is not controlled most certainly affects the body's physical characteristics or beauty. It affects skin, hair, fingernails, digestion and sleep patterns. Stress-induced conditions include hair loss, heart disease, obesity, obsessive-compulsive disorder, sexual dysfunction, tooth and gum disease and ulcers or indigestion."

Some Common Symptoms of Stress Induced Beauty Busters

Under-Eye Bags: Tomorrow's to-do list can weigh on your mind, keeping you from getting enough beauty sleep. This can cause fluid to pool below your lower eyelid area, and what you end up with is a puffy mess in the a.m. Stomach sleepers, bad news: You can expect the puffiness of your under-eye bags to be even worse because of gravity.

Flushed Face: "When you're stressed, you breather in short, shallow breaths and can even find yourself holding your breath for periods of time, which can lead to flushing and redness," says Dr. Hafeez.

Hair Loss: Stress can trigger alopecia areata, which causes patches of baldness anywhere on the body, including on your head. Stress can also trigger a tick where you pick at head hairs out of bad habit. This condition is called trichotillomania. Usually, this hair can grow back, but it doesn't even have to fall out in the first place. Pay close attention to your own habitural responses to daily stress, to avoid sparseness.

Gray Hair: Hair can also age prematurely due to stress, If you are genetically predisposed to have premature gray hair, stress will further decrease your production of melanin, easily increasing the number of gray or white hairs. By increasing your consumption of biotin, protein, and vitamin E you can reduce these negative effects to keep your hair strong and youthful.

Pimples: Stress alters your hormones. It increases cortisol production, which in turn increases the oil production in your skin. All of this leads to greater odds of clogged pores. Stress can also multiply the number of acne-causing bacteria in the body, which might require a high-dose antibiotic prescription from your dermatologist.

Mini Menopause: Dr. Hafeez says this isn't proven, but some believe increased levels of stress hormone cortisol can cause a dip in estrogen that's similar to the decrease during menopause. Less estrogen means less collagen production which can leave your skin dull and dry.

Wrinkles: Anxiety, crying, feeling down and a lack of sleep can cause deeper lines around the eyes, forehead, eye area and mouth.

Dark Circles: Stress can break the fragile capillaries under your eyes, leaving you with under-eye rings and a tired appearance.

Lines on the Fingernails: The appearance of vertical lines on your fingernails is fairly common and is related to both the natural aging process and nutritional deficiencies. But when they extend from the cuticle to the tip of the nail, it's a clear sign that your stress is having an effect on the body.

Stress and Weight Gain: Most of us become overeaters when we're feeling a lot of pressure. This happens thanks to your fight-or-flight response, a.k.a. survival mode -- once your body reaches a certain stress level, it does what it feels it needs to. In most cases, that means overeat. Why? Because your body thinks you've used calories to deal with your stress, even though you haven't, says Dr. Hafeez. She adds, "As a result, it thinks you need to replenish those calories, even though you don't. Levels of the stress hormone, cortisol, rise during tension-filled times. This can turn your overeating into a habit. Because increased levels of the hormone also help cause higher insulin levels, your blood sugar drops and you crave sugary, fatty foods.

How Can We Mitigate Stress?

Countless books and articles have been written about dealing with stress. Dr. Hafeez explains that, "The first step is recognition. To help deal with your stress, write down a list of what you are most worried about before any event, or what chronically causes worry in your life. Identifying your stressors is the first step in managing them. If you are chronically late or find that it is hard to get organized, figure out what you do that makes you late or disorganized. Write it down and acknowledge it. Then you can come up with a plan to preemptively tackle what may drive you and your loved ones into a stresed-out situation. Another trick in dealing with stress is plain old reasoning and the realization that you cannot control everything. Sometimes we trap ourselves into worrying about things that we have no control over, and recognition of that fact can reduce stress immeasurably.