Is There A Best Time Of Day For Therapy? Here’s What Therapists Say

There are a few crucial items to figure out when starting therapy – like finding a therapist who you trust, picking the best treatment modality, and figuring out a way to fit a session into your schedule.

When it comes to the latter, the time you choose may be more influential than you think. Is it a bad idea to do it during your lunch break? Should you try to have your session at the start of the week? Is there even such a thing as an ideal therapy schedule?

The best time of the day to have a therapy session depends on a variety of factors, and it varies based on the individual,” said Kristen Casey, a clinical psychologist and insomnia specialist. “Every person has a different schedule, lifestyle and ways of coping with the emotional hangover from a therapy session.”

In other words, there isn’t a “one-size-fits-all” answer, and it may take some trial and error to find the time that works for you. With that in mind, here are some factors that you’ll want to consider when it comes to determining the best time of day to schedule your next therapy session.

Think about what you’re going to talk about

It’s pretty difficult to say with certainty what topics are going to arise during a session, but if you have an idea of the subject matter that you plan on talking about, then that can be helpful in determining what time to schedule your next appointment.

“If you are working on intensive trauma that leaves you drained after each session, it might not be the best to do a session right in the middle of the work day,” said Kristen Gingrich, licensed clinical social worker and certified drug and alcohol counsellor. “However, if the only time you can find is in the middle of the day between different tasks, it’s important to make sure that you schedule time to help regulate yourself to make sure that it is not going to impact your day.”

Consider what processing looks like for you

If you’ve had a therapy session during lunch at work and then had to hop on a meeting in the next hour, then you might have realized that you need more time to process your appointment since your mind is still actively churning thoughts. In those scenarios, you’ll want to try to schedule your therapy session for a time where you’ll have some time afterward to recollect yourself.

“Try to schedule a bit of a buffer before and after to make the most of your session and give yourself space to process what you’ve just worked on,” said Dr. Nina Vasan, the chief medical officer at Real, a mental health platform. “Otherwise it can feel jarring to jump back into work or daily life.”

It can be helpful to develop a post-therapy ritual if your schedule allows it to come down from heightened emotions. This can be as simple as taking a nap, going on a quick walk, reading your favorite book, mindfully drinking a cup of tea, or anything that helps ground you back into your daily routine.

When scheduling your sessions, think about when you'll have some downtime to process what you discussed with your therapist.

Anchiy via Getty Images

When scheduling your sessions, think about when you’ll have some downtime to process what you discussed with your therapist.

Think about when you’re most productive

After a long day at work, the last thing you might want to do is have another hour-long conversation. Even though it’s a voluntary activity, it can still be overwhelming for some people. If that sounds familiar, then the best time for a therapy session may not be at the end of the day.

However, if you’re a morning person, then a session before work may be more beneficial. “For example, maybe you’re distracted in the morning by the commitments you have for your day. In that case, an evening appointment could be better,” Vasan said. “For others, by the evening, energy is zapped which means meeting earlier in the day is more productive.”

Think about it: If you’re paying for a session, you want to make sure it’s at a time where it’s going to have your complete attention so you can focus entirely on your healing journey.

Discuss a good schedule with your therapist

Unfortunately, it isn’t always possible to schedule a therapy appointment at the time of the day that works “best for you.”

Since many therapists have full case loads, it can be a challenge to cater to everyone’s needs, said Kelly McKenna, a licensed clinical social worker and anxiety therapist. That’s not to say your therapist won’t work with you to find a time that is most beneficial, but due to the nature of the job and the schedule, sometimes it isn’t always possible.

In this instance, for example, you may want to find a therapist who works on a routine weekly schedule (ie. you see them at the same day and time every week). Not every therapist operates like this, so you may just have to succumb to one of the open slots they have left, but each case is different, so a conversation is definitely necessary to figure out a cadence that works for everyone.

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If Flying Is Giving You More Anxiety Than Ever, Here’s How To Cope

During college, I grew a tumour that meant I hung out quite frequently in MRI machines. Though I’d never had a problem before, I found myself newly and severely claustrophobic – laying in a tiny tunnel for hours, arms raised overhead, will do that.

What I never saw coming was that phobia transferring to other small spaces, namely, airplanes. I’d developed severe anxiety around flying, stemming from that claustrophobia. Once the flight attendants closed the doors, and I was stuck there for a few hours, I was history. Since then, I’ve been on a mission to overcome flight anxiety because who wants to hang out in the Midwest their whole life?

It turns out I’m far from alone — up to 40% of Americans (and one in 10 Brits) have some sort of flying anxiety, from fearing a plane crash to worries about close contact with others. Or, like me, they don’t want to be stuck. Still, others dread navigating the airport, worrying their valuables might be lost or that they could encounter an issue with security doubting their intentions. Flying anxiety has become such an issue that some airlines like British Airways even offer courses, such as their Flying with Confidence one-day class, to get you back in the air.

There’s likely even more of a spike in flight anxiety thanks to the pandemic, according to Susan Zinn, a psychotherapist and author of “The Epiphanies Project.”

“That is why there’s been an uptick in airplane phobias, fear of flying, and feeling out of control, or road or flight rage — people all of a sudden get triggered that bring them back to a time in our recent past where they felt so out of control,” Zinn said.

Here’s what experts say we can do to reduce our anxieties about airplanes.

Expose yourself to the aspects of flying (preferably with a mental health professional)

For Johnny Jet, a worldwide traveler and expert who has been to over 70 countries, his traveling fears started with a doctor’s comment. He was headed on a 27-hour flight when his asthma doctor commented that he “might have a problem breathing on a plane because the cabin is pressurised.”

This led to a full-blown panic attack at a New York airport ahead of the flight, which he called “one of the worst days of his life,” and prompted an almost four-year-long fear of flying.

Exposure to planes and airports ended up being, ironically, part of the solution. “Speak to the flight crew, take a course, read books, go to the airport and do practice runs,” he suggested.

This type of activity ― known as exposure therapy ― can help your brain adapt to the situation over time and take some of the fear and uncertainty away from flying. It’s best to try this with a therapist who is trained in doing this.

Zinn added that medication might also be necessary for some people in tandem with preparation. She’s worked with clients who have spent several months practicing for a flight before the real trip.

Get strategic about your seat selection

Right after 9/11, Zinn had to jump on a plane out of New York for a business trip. She was terrified as their flight was escorted by air marshals openly carrying weapons. She was one of many who would develop a new fear of flying, which caused nausea and panic attacks.

One strategy that helped her was carefully picking a seat that made her feel comfortable. “I always still to this day will sit on the outside aisle [seat] to make sure I can always get up, versus kind of being stuck on the inside, which made me feel better,” she said.

Quick access to the bathroom, where you can splash cold water on your face to “shock your system” when you feel panic is another tool that helps, Zinn explained. If financially possible, upgrading to first class for more room or choosing an exit row for more legroom might also help, Jet added.

Experts recommend choosing a seat that brings you the most comfort if you're worried about getting on a plane.

izusek via Getty Images

Experts recommend choosing a seat that brings you the most comfort if you’re worried about getting on a plane.

Find a deep breathing method that works for you

It may be an annoying suggestion to hear, but breathing exercises are often given as a recommendation for anxiety because they work. Zinn said she often suggests her patients practice intentional breathing exercises, like five-finger breathing, where you take deep inhales and exhales as you trace the outline of your hand.

Doing this can help calm the panic that arises before it turns into a full panic attack, Zinn said.

Pack some sour candy in your carry on

Zinn also suggested eating some sour candy, such as a WarHead, to force your brain back into reality. The candy’s tartness can help you better focus on the moment rather than the fear or “what if?” during flying. It’s another way to practice mindfulness.

Learn the “why” behind air bumps

Adam Banks, a retired pilot based in New York, said the turbulence is one of the most concerning parts of flying for anxious passengers. Understanding what it is might help you see it as more normal and less of a sign of impending doom.

Turbulence is just shifting winds. If you fly into a puffy cloud, the airplane is going to get a bump,” he said. “Airplanes are designed to handle these bumps. If you’re sitting over the wing, you can see the wings flex as they absorb turbulence. Turbulence might feel like the airplane is moving around thousands of feet, the reality is the airplane is probably only being jostled a few feet.”

Ground yourself in facts

Zinn said that dealing with both physical anxiety and our mind’s perception of danger plays a role in calming down, so statistics might help. For example, the annual risk of dying in a plane crash is only one in 11 million. You are much more likely to die from sunstroke, a bee sting, consuming a hot substance or even being attacked by a dog.

For me, flying in a tiny space will probably always be a struggle. But armed with some tools and tricks, flying is doable again, and I’m no longer doomed to the Midwest for life.

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‘Better Off Hibernating’: What It’s Really Like To Live With Seasonal Depression

While many of us may catch a case of the winter blues as the days get shorter, an estimated 10 million adults in the US and 2 million in the UK live with seasonal affective disorder.

This mental health condition, also known as seasonal depression, lasts around four to five months on average. “The appropriately named SAD, or seasonal affective disorder, is considered a type of depression characterised by its seasonal nature,” Jeff Temple, a professor at University of Texas Medical Branch and a licensed psychologist, tells HuffPost.

Unsurprisingly, people living farther north with less sunlight and earlier sunsets are more likely to experience SAD, likely due to the lack of sunlight and much shorter days. However, that doesn’t mean people in warmer, sunnier climates aren’t affected. While seasonal depression is much more common during the winter months, some people may experience seasonal depression during summer or during the colder season because of the fewer daylight hours. Women experience it more frequently than men.

A common misconception is that SAD is less serious than major depressive disorder because it doesn’t last all year round. However, people with this mental health condition explained to HuffPost that the symptoms of SAD are very real, and can even be debilitating.

Here’s what they want you to know:

People with seasonal depression may struggle to do daily activities

Like those with major depressive disorder, people with SAD may experience a lack of motivation and a loss of interest in day-to-day activities.

“I have had SAD for about 12 years, but I didn’t recognize the pattern or be diagnosed until about five years ago,” Claire, an optometrist, tells HuffPost. (Claire, along with some others in this story, asked to keep her last name private so she could freely talk about her mental health condition.) “I am typically an early riser and consider myself a productive person. However, when SAD hits, I struggle to do even the smallest daily chores like doing the dishes or making dinner.”

Similarly, Rebecca, a grad student, says that she has a “difficult time keeping up with [her] self-care and workout routine during the winter months,” and finds it nearly impossible to “function at full capacity.”

People with SAD may also feel more isolated during the darker months

Moreover, staying socially and emotionally connected to loved ones can require much more effort when coping with seasonal depression.

“The most prominent SAD symptoms I experience are loneliness and apathy. I tend to become quite numb in the winter months, and feel emotionally separated from the people around me,” says Vera, a freelance illustrator. “During regular depressive episodes, I may be able to ‘mask’ for most basic social interactions, whereas in winter seasons it’s not even an option. I’m too wiped out to even show up or pretend.”

Seasonal depression can interrupt normal sleep cycles and lead to extreme fatigue

SAD and sleep disturbances go hand in hand. Chloé Perrin, a bartender, has found that her symptoms of seasonal depression often manifest as constant exhaustion, leading to hypersomnia. Simply put, hypersomnia is characterised by recurring episodes of sleepiness during the day, difficulty waking up in the morning, and feeling tired despite oversleeping.

“My family used to joke that every winter I’d hibernate, whereas my sleep is otherwise normal-to-low the rest of the year and during other episodes,” she says.

Bella Sutter, a dancer with seasonal depression, explains that “getting out of bed feels impossible and my mornings normally start late.”

“I feel as if I would be better off hibernating through the winter because seasonal depression makes me feel like I’m half asleep anyway,” she adds.

SAD can cause mood changes, sleep disruptions and more.

Krzysztof Krysiak / EyeEm via Getty Images

SAD can cause mood changes, sleep disruptions and more.

People with seasonal depression may experience changes related to appetite and eating habits

Not only does seasonal depression impact sleep, but this mental health condition can have a negative impact on a person’s eating habits. Researchers have found a marked correlation between SAD and higher rates of disordered eating, including behaviours such as binging, purging and restricting food intake.

For Anna Samanamú, a high school paraprofessional and graphic designer, symptoms of SAD began when she was a teenager. “My appetite becomes affected [with SAD], and I would prefer to sleep rather than eat,” she says. “Unfortunately, that led me to have issues such as anaemia and Vitamin D deficiency.”

Seasonal depression may worsen symptoms of other mental health conditions

According to Temple, “seasonal affective disorder has a bi-directional relationship with other mood disorders like depression and bipolar disorder — meaning that people with one form are much more likely to develop or worsen the other.” Notably, SAD affects up to 20% of people with major depressive disorder, and 25% of people with bipolar disorder.

Rhiannon Bellia, who works in social services, has found that seasonal depression tends to exacerbate symptoms of other mental health conditions.

“My OCD gets a lot worse in the winter, it’s harder for me to focus and gauge time with my ADHD. With having autism, it’s also a bit harder for me to regulate sensory overwhelm,” Bellia says.

There are treatments for SAD

Temple explains that if symptoms such as losing interest in activities or feeling sad last “longer than a couple of weeks or [start] to interfere with your work, family, or relationships, then that’s a good sign that you may need some extra help.”

Fortunately, light therapy and cognitive behavioural therapy are proven to be effective treatments for people with SAD. The most beneficial at-home light therapy boxes provide light at 10,000 lux.

SAD is not simply feeling a little gloomy when the sun goes down; it is a serious mental health condition that can greatly impact every aspect of someone’s life.

“Please be kind to everyone who struggles with seasonal depression,” Samanamú says. “We are not lazy — sometimes there is just a disconnect from our minds and bodies. Many of us just need to take a little bit of time to become whole once again.”

Help and support:

  • Mind, open Monday to Friday, 9am-6pm on 0300 123 3393.
  • Samaritans offers a listening service which is open 24 hours a day, on 116 123 (UK and ROI – this number is FREE to call and will not appear on your phone bill).
  • CALM (the Campaign Against Living Miserably) offer a helpline open 5pm-midnight, 365 days a year, on 0800 58 58 58, and a webchat service.
  • The Mix is a free support service for people under 25. Call 0808 808 4994 or email help@themix.org.uk
  • Rethink Mental Illness offers practical help through its advice line which can be reached on 0808 801 0525 (Monday to Friday 10am-4pm). More info can be found on rethink.org.
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Collins Directory Names Word Of The Year For 2022 And It Is Certainly A Mood

Collins Dictionary has named “permacrisis” as its word of the year after a period which has seen people live through war, inflation, climate change and political instability.

The word, defined as “an extended period of instability and insecurity”, is one of the several terms on the 2022 list which has seen increasing usage due to the ongoing crises in the UK and across the world.

The dictionary said it chose the word as it “sums up quite succinctly just how truly awful 2022 has been for so many people”.

Six words on Collins’ list of 10 words of the year are new to CollinsDictionary.com, including “permacrisis”, despite being first noted in academic contexts from the 1970s.

Another word on the list which has contributed to the feeling of “permacrisis” is “partygate”, referring to the scandal over social gatherings held in defiance of public health restrictions and which contributed to an extended period of political instability.

“Kyiv” has also been added after the city became a symbol of Ukraine’s stand against Russian aggression as well as “warm bank”, which describes a heated building such as a library or place of worship where people who cannot afford to heat their own homes may go.

The personal impact of the ongoing crises has also influenced the list with the addition of “quiet quitting” – the act of doing one’s basic duties at work and no more, either by way of protest or to improve work/life balance, as well as “vibe shift” which relates to a “significant change in the prevailing atmosphere or culture”.

The historic moment of the Queen’s death in September has also been marked as “Carolean” is added to the lexicon, signifying the end of the second Elizabethan era and the beginning of the reign of King Charles.

“Lawfare”, which is the strategic use of law to intimidate or hinder an opponent, is also included as well as the more unusual term “splooting” relating to animals stretching themselves out in order to cool down – a phenomenon seen frequently during this summer’s intense heat.

Rounding off the list is “sportswashing”, a word for how organisations or countries use sports promotion to enhance reputations or distract from controversial activities or policies, which has seen increased use in the year of the upcoming Fifa World Cup in Qatar.

Alex Beecroft, managing director of Collins Learning, said: “Language can be a mirror to what is going on in society and the wider world and this year has thrown up challenge after challenge.

“It is understandable that people may feel, after living through upheaval caused by Brexit, the pandemic, severe weather, the war in Ukraine, political instability, the energy squeeze and the cost-of-living crisis, that we are living in an ongoing state of uncertainty and worry; “permacrisis” sums up quite succinctly just how truly awful 2022 has been for many people.

“Our list this year reflects the state of the world right now – not much good news, although, with the determination of the Ukrainian people reflected by the inclusion of “Kyiv”, and the dawn of the new “Carolean” age in the UK, there are rays of hope.”

The lexicographers at Collins Dictionary monitor their 18-billion-word database and a range of media sources, including social media, to create the annual list of new and notable words that reflect our ever-evolving language and the preoccupations of those who use it.

Last year’s word of the year was “NFT” (short for non-fungible token) – which entered the mainstream after millions were spent on the most sought-after images and videos.

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Pregnant And Worrying Loads? Clinical Psychologists Want You To Know This

When you’re pregnant, levels of worry can ramp up to never-before-seen levels.

Much of those nine months can be spent worrying obsessively about miscarriage, whether you’re eating or doing the right things to keep your baby healthy, whether your baby is moving enough, and the impending birth.

It’s a lot. So it’s perhaps no surprise then that one in 10 women will struggle with pregnancy anxiety, which can begin to rule their lives.

It’s the subject of Break Free From Maternal Anxiety, a new book penned by three NHS clinical psychologists: Dr Fiona Challacombe, Dr Catherine Green and Dr Victoria Bream.

The trio use cognitive behaviour therapy (CBT) techniques to explore how women can cope with persistent and distressing worries about pregnancy and becoming a mother. Here are some of the things we learned from it.

1. Pretty much every mum-to-be will feel anxious at some point during their pregnancy

If you’re pregnant and feeling anxious, know you’re not alone.

From worries about whether your baby is moving enough to how you’ll cope with the birth (and all of the uncertainty that surrounds that), pretty much every mum-to-be on the planet will experience anxious thoughts at some point.

“They aren’t pleasant or comfortable and they certainly aren’t spoken about enough,” write the authors, “but they are a near universal part of pregnancy and parenthood.”

In fact, research has shown that 100% of new mothers experience intrusive, unwanted thoughts about something bad happening to their newborn in the first weeks after birth.

If you have the odd worry here and there, you probably don’t need to read a book on pregnancy anxiety. But if worries seem to crop up daily and they’re stopping you from doing things, read on.

2. ‘Problematic worry’ is something to watch out for

There’s a difference between the odd anxious thought and problematic worry, where you get stuck in repeated loops of negative anxious thinking that feel hard to stop, control or turn away from.

It’s one of the most common problems in pregnancy and postnatally, according to the book, with about 8% of women experiencing it.

The authors share the story of one mum, Hestia, who was 32 weeks pregnant and constantly worrying about every decision she made about her baby. Some worries she had included: ‘What if I haven’t included everything on my birth plan?’ and ‘What if lose my job when I am on maternity leave?’.

While some people might have these kinds of thoughts and move on, she would find it difficult to move her attention to other things and would become irritable, unable to concentrate on work or reading books and then she became reluctant to leave her house.

When anxiety starts to impact your day-to-day life, it’s time to seek help. As Dr Fiona Challacombe explains: “The perinatal period is a time of big changes, emotionally, physically and socially, so it’s often assumed that anxiety is a normal part of this.

“However, when anxiety persists and is having an impact on your daily life and functioning then it is likely to be an anxiety problem.”

3. Tackling worry isn’t about what you worry about, but the way you think about it.

One of the things the book is keen to convey is that rather than trying to tackle the worry itself, you need to focus on solutions which tackle the way that worry works.

A strategy the authors advise is to ask yourself whether the worry you are having is actually important – ie. will anyone else care about this tomorrow? Or will you care it about it on your deathbed?

If it isn’t important – and you firmly believe that – they recommend trying to continue with what you are doing, and if your worries come back, to treat them as white noise in the background.

If it is an important worry, then they recommend defining what the problem is that underlies the worry – and then generating as many solutions as possible for that problem.

4. Setting a ‘worry-free zone’ or planning a time to worry could help

Another way to tackle worry is to set a worry zone, say the authors. This is basically where you make a conscious decision to put your worries to one side for a set time in the day.

One idea they suggest is that whenever you have a snack, you can “try to focus away from worry and enjoy every second of your crisps or chocolate”.

It’s a well-used technique in CBT for worry problems, they add, and as you get more practice, you can try to increase the worry-free zones and take control.

It sounds weird but the clinical psychologists also suggest planning a time when you will worry, and deliberately postponing worrying until that specific time.

“This is a useful strategy to free yourself from the relentless worrying, by setting a particular time when you can come back to worries you have noted in the day,” they say.

There are tonnes of strategies like this in the book, as well as advice on coping with intrusive thoughts and phobias.

Dr Fiona Challacombe says: “CBT is a very effective treatment for persistent anxiety and our own research trials show that it can be effective for maternal anxiety in various forms.

“We have seen many parents use the techniques described in the book to get control of and overcome their anxiety, with benefits to them and their families.”

Break Free from Maternal Anxiety: A Self-Help Guide for Pregnancy, Birth and the First Postnatal Year will be published October 27 by Cambridge University Press (£12.99).

Help and support:

  • Mind, open Monday to Friday, 9am-6pm on 0300 123 3393.
  • Samaritans offers a listening service which is open 24 hours a day, on 116 123 (UK and ROI – this number is FREE to call and will not appear on your phone bill).
  • CALM (the Campaign Against Living Miserably) offer a helpline open 5pm-midnight, 365 days a year, on 0800 58 58 58, and a webchat service.
  • The Mix is a free support service for people under 25. Call 0808 808 4994 or email help@themix.org.uk
  • Rethink Mental Illness offers practical help through its advice line which can be reached on 0808 801 0525 (Monday to Friday 10am-4pm). More info can be found on rethink.org.
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Menopause Has 62 Different Symptoms. How Many Can You Name?

Once you get to a certain age as a woman, you will know that menopause is around the corner.

And with that, comes the symptoms. Hot flushes are all but synonymous with the menopause, even though not all women experience them. And you’ll probably think there are a handful more, too. Well, you’re wrong.

Doctors report there are actually 62 different symptoms of menopause that women present with. That’s despite the biggest study yet into menopause awareness finding most women associate it with just five symptoms.

Hygiene and health company Essity surveyed 5,000 women pre-menopause, in peri, or post menopause – and found even women who are at the end of their journey remain relatively clueless about what they have been through

While 40% of women going through or having gone through the menopause have visited their GP to get help with symptoms, two thirds of women didn’t know menopause decreases sex drive and a whopping 74% didn’t realise it could be linked with weight gain.

Meanwhile, only 1% of women surveyed were aware it can cause changes in their vagina and how often they pee.

Menopause specialist Dr Naomi Potter reveals that tinnitus, UTIs, weaker bones and a change in body odour also feature in the list of menopause symptoms.

And worryingly, there’s a lack of knowledge of when it all kicks in, she says.

“Women believe they can’t experience symptoms in their forties because they’re not old enough, or their symptoms aren’t menopausal – when in fact if they’re over 45, it’s likely they are,” Potter says.

A spokesperson for Essity said: “[These] findings tell us that it’s a heavily misunderstood subject and the taboo surrounding it means women aren’t accessing the information and advice that could really help them.”

So what are the 62 symptoms of menopause?

  1. Palpitations

  2. Chest pain

  3. Breast tenderness

  4. Itchy skin

  5. Dry Skin

  6. Rosacea

  7. Acne

  8. Thin skin

  9. Collagen loss

  10. Crying

  11. Brain Fog

  12. Memory Loss

  13. Poor concentration

  14. Word finding difficulty

  15. Anxiety

  16. Low mood

  17. Worsening PMS

  18. Anger/ Rage /

  19. Irritability

  20. Headache

  21. Migraines

  22. Joint Pain

  23. Joint stiffness

  24. Vaginal Dryness

  25. Vaginal discharge

  26. Vulval itch

  27. Perineal itch

  28. Vulval/ vaginal electric shocks

  29. Increase in thrush

  30. Increase in BV

  31. Poor libido

  32. High libido

  33. Weight gain

  34. Scalp Hair loss

  35. Unwanted Hair growth

  36. Urinary Infections

  37. Urinary incontinence

  38. Urinary urgency

  39. Nocturia (getting up at night)

  40. Sexual Dysfunction

  41. Chest Tighness

  42. Constipation

  43. Gastric reflux

  44. Fatigue

  45. Night Sweats

  46. Hot flushes

  47. Cold flushes

  48. Period increased frequency

  49. Periods decreased frequency

  50. Heavier periods

  51. Muscle Loss

  52. Tinnitus

  53. Dry eyes

  54. Watery eyes

  55. Burning mouth

  56. Gum disease

  57. Foot pain

  58. Frozen shoulder

  59. Insomnia

  60. Histamine sensitivity

  61. New allergy

  62. Body odour change

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We’ve Had Monkeypox. This Is What We Need People To Know

Jake* was having an ordinary family meal with his partner and 15-year-old son when he came down with a fever. For four days he felt exhaustion and had no appetite at all, and after a few days he developed brain fog. Twenty-four hours later, an anal lesion appeared.

It was essentially an open wound for five days which was emitting a clear mucus and then blood,” Jake tells HuffPost UK.

“It was almost impossible to sit down and moving was very painful. Opening my bowels was pure agony and my body was making me do that eight or nine times a day. Each time was a bloodbath.”

It was late July when the World Health Organisation (WHO) declared monkeypox a world health emergency.

The US Centers for Disease Control and Prevention (CDC) has estimated there are more than 25,000 cases worldwidepredominately in Europe, though more than 7,000 in the US, and more emerging in South America, South East Asia, the Western Pacific and the Eastern Mediterranean.

The virus was first reported in humans in 1970 in the Democratic Republic of Congo, having been identified in monkeys in a Danish laboratory in 1958 (thus the name). However, prior to 2021, there had only been seven UK cases.

As of August 4, there are more than 2,700 confirmed monkeypox cases in the UK, according to government figures, most in England and “a significant majority” of those – as many as 75% – in London.

Its prior rarity means knowledge of transmission among health experts is still patchy while we await more research – a period of stasis that echoes the early stages of Covid-19.

But this week, groups from across the political spectrum in Westminster joined forces, signing a letter to health secretary Steve Barclay calling for action on a disease that’s “causing real fear and anxiety” within queer communities.

FG Trade via Getty Images

While it’s possible for anyone, including children, to catch monkeypox, 98% of current cases are in men who identify as gay or bisexual, or men who have sex with men. This was confirmed by Dr Tedros Adhanom Ghebreyesus, director general of WHO, and he advised men to reduce their number of sexual partners while health authorities tackle the outbreak.

For decades, queer men have been subjected to unfair stigma around sexual promiscuity, particularly during the AIDS pandemic, and the lack of knowledge around the rise of monkeypox has obvious parallels with AIDS for those that remember the height of that crisis.

“We need to calmly and responsibly acknowledge that this current monkeypox outbreak is predominantly affecting gay and bisexual men.”

– Greg Owen, PrEP lead at Terrence Higgins Trust

So campaigners says it’s crucial that messaging about monkeypox transmission and vaccination is handled sensitively to avoid spreading further stigma against the LGBTQ+ community.

“We need to calmly and responsibly acknowledge that this current monkeypox outbreak is predominantly affecting gay and bisexual men,” says Greg Owen, PrEP lead at the Terrence Higgins Trust.

“We need to acknowledge that it’s also mainly being spread through the skin to skin contact, which is occurring during sex. There is nothing wrong with stating that. It is very problematic if we don’t.”

Dr Mark Lawton, a sexual health and HIV consultant in Liverpool and chair of the British Association of Sexual Health and HIV (BASHH), adds the following caution: “We believe, in addition to direct skin to skin to contact, monkeypox can be transmitted through contact with contaminated clothing and bedding and by respiratory droplets in close proximity.”

Harun Tulunay, a 35-year-old training coordinator who works with HIV/AIDS charity Positively UK, contracted a serious case of monkeypox in June.

“I was feeling like someone was ripping my flesh out of my bones,” says Tulunay of his experience. The Londoner doesn’t believe he developed monkeypox having sex, but through bodily touch, simply by lying next to a partner.

During his stint in hospital, the pain was so severe that doctors gave him opioids in an attempt to control the discomfort.

Harun Tulunay in hospital with monkeypox.

Harun Tulunay

Harun Tulunay in hospital with monkeypox.

“I wasn’t able to swallow, it was that bad,” he tells HuffPost UK. “The pain was worse than kidney stone pain. When they gave me antibiotics I was crying and kicking my bed and the doctors were holding me.”

While most monkeypox cases are much milder, there can be mental health implications for those who catch the virus.

Jake had been in close contact with his 80-year-old father in the period before his symptoms began and that, after getting a diagnosis, having to tell his family they might be at risk too gave him extra stress.

“Mentally it was very difficult,” says the professional services manager, who is bisexual, in his forties, and based in London.

“It meant my father knowing I’m in an open relationship which was stressful to share. My 80-year-old father has up until now just about managed to deal with my bisexuality by addressing it as little as possible. Now he is being contacted with offers for a vaccine as he may have been exposed.”

Jake's hand with signs of monkeypox (left) and his arm scabbing over (right).

Twitter/@MonkeyPoxJake

Jake’s hand with signs of monkeypox (left) and his arm scabbing over (right).

The Department of Health & Social Care (DHSC) says it is working “rapidly” to vaccinate those at risk.

Vaccinations began in July, using Imvanex – a vaccine designed for smallpox – and NHS England has confirmed that 14,000 people have already received a jab, although priority is being given to those at higher risk of contracting it.

“It’s important to emphasise that vaccination will not give instant protection against infection or disease, and can take several weeks,” the WHO director-general said on July 27. “That means those vaccinated should continue to take measures to protect themselves, by avoiding close contact, including sex, with others who have or are at risk of having monkeypox.”

The US virus declared the virus a public health emergency on Thursday. For those confirmed to have monkeypox, the US CDC is recommending a two-to-four-week isolation period.

Now campaigners are calling for similar focus in the UK. Greg Owen is among many spokespeople for queer organisations putting pressure on the government to do more to control the spread of the virus and speed up vaccine roll-out.

“We want to see a national lead appointed to hold all of those in the fragmented system to account in terms of tackling the monkeypox outbreak with the ultimate goal of preventing it from becoming endemic in the UK,” he tells HuffPost UK. Owen believes we “urgently” need to double the amount of vaccines with “an injection of cash, quickly” put into sexual health services.

The open letter signed by Conservatives, Labour, Liberal Democrat, Green and Scottish National Party representatives, as well as charities. echoed this: “We are united as LGBT+ groups from across political parties in asking that the government treat the monkeypox outbreak as a public health emergency.”

Alongside the Terrence Higgins Trust and BASSH, the British HIV Association, PrEPster and the National AIDS Trust are also rallying for government action, including £51m funding from the Department of Health and Social Care.

The call is repeated by Dr Lawton: “Crucial to this is immediate mobilisation of resources by the government to ensure sexual health clinics, who are bearing the brunt of this, are funded to deal with the additional workload and sufficient vaccine is made available for all those that need it,” he tells HuffPost UK.

The Terrence Higgins Trust has also expressed concern that access to other vital healthcare support is being stretched due to health workers being overworked and having to focus on an influx of monkeypox patients.

Some [sexual health services are] seeing a 90% reduction in access to the HIV prevention pill PrEP and long-acting reversible contraception,” the charity writes on its website.

Anna Bizon via Getty Images

Similarly to the early days of Covid-19, monkeypox is affecting people that are otherwise fit and healthy.

“I have no underlying health conditions,” says James,* who is 36, and asked to stay anonymous. “I work out six times a week and my fitness and health is my top priority. So for this to floor me the way it did, it was really scary. I also found the isolation really difficult, three weeks from the first sign and symptom is really tough!”

Meanwhile, John Thomas only experienced mild symptoms, but believes one of the major challenges is convincing men who have non-severe cases to isolate for the benefit of others.

“I think mild cases go under reported compared to the horror stories,” he tells HuffPost UK. “If you don’t know you have monkeypox, or if you can get away without people knowing you have it, you’re free to spread the virus to others.”

He adds: “If I hadn’t been looking for symptoms I would have almost certainly gone to a club night on the Friday [around the time of his transmission], and probably on the Saturday night as well.I think enough isn’t known about transmission yet, or if it is, the messaging is confusing.”

Thomas is right to have thought twice about going clubbing, says Dr Lawton, who says it is possible that monkeypox could spread in an intense nightclub environment where people are wearing little clothing.

“This is certainly a potential source of infection,” he says. “It is predominantly transmitted through skin to skin contact, but this does not need to be sexual.”

While we wait for more research, campaigners like Owen are trying to stay pragmatic.

While expressing “huge concerns,” including fears around vaccine equity, he tells HuffPost UK: “I tend not to ‘worry’ – worrying can be really debilitating.”

* Some names have been changed and surnames changed to offer anonymity.

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Why Watching England’s Lionesses Is Good For Your Mental Health

You’re reading Move, the nudge we need to get active, however makes us happiest and healthiest.

Every football fan will tell you the joy of watching your favourite time play, but a new study goes one step further, detailing how it can even boost your mental health.

And with England’s Lionesses set to face Sweden in the Euro 2022 semi-final, it’s yet another reason to get behind the team, who’ve had a record-breaking run so far.

One in two of all sports fans said watching a match helps them socialise more with friends and family, according to the study conducted by charitable social enterprise, Better. Over a third (35%) said it makes them feel part of a community and 33% said it inspires them to be more active.

The researchers asked 2,000 sports fans across the country questions about their daily exercise regimes, their participation in sports, their sport-viewing habits, their fruit and vegetable intake and their alcohol consumption.

They wanted to determine which sports fans are enjoying engaging in a sport and which ones prefer the comfort of their sofas when watching their favourite athletes compete.

The mighty Lionesses will face Sweden in the Euros semi-final.

Visionhaus via Visionhaus/Getty Images

The mighty Lionesses will face Sweden in the Euros semi-final.

“Sport and exercise is brilliant for physical, mental and cognitive health. If it was a pill it would make billions!” said Dr Josephine Perry, a sports psychologist who spoke to Better.

“As well as the physical benefits, the exercise we get through sport gives us structure, purpose, energy and motivation.”

Dr Perry explained that sport also positively alters the way we process and respond to our emotions, reducing “how much we overthink” helping to build up “an emotional resilience to stress”.

“These help reduce symptoms of depression and anxiety, make us behave differently, boosts our self-esteem and means we reduce any feelings of loneliness by becoming more social,” she added.

The research also found that football fans were the most active across all sports, with 34% getting over 60 minutes of exercise every day. Footie fans were also found to be the least likely to drink more alcohol while watching sport (45%).

Josh Cheetham, a 30-year-old avid Leeds United fan, was not surprised by the research.
“In 2018 I was suffering from depression, I was in a really dark place after a tragic life event, and I didn’t see how I was going to get better. Then I went to a football match, witnessed one of the best matches I’ve ever seen, and I was feeling better as soon as the final whistle blew,” he said.

“When I watch my team at away matches, I am usually on my own, but I don’t see it that way. We all support the same team, we are all one big community and family, you can start talking to anyone around you and immediately feel like you know them and strike up a friendship that lasts for years.”

So, if you haven’t tuned into the Euros yet, what are you waiting for?

England were always a favourite going into this tournament. But whatever the outcome, you’ll get a boost from supporting them.

Move celebrates exercise in all its forms, with accessible features encouraging you to add movement into your day – because it’s not just good for the body, but the mind, too. We get it: workouts can be a bit of a slog, but there are ways you can move more without dreading it. Whether you love hikes, bike rides, YouTube workouts or hula hoop routines, exercise should be something to enjoy.

HuffPost UK / Rebecca Zisser

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‘Everyone Has A Family Abortion Story, Whether They Know It Or Not’

On January 22, 1973, the US Supreme Court affirmed in a 7-2 decision the legality of women’s right to have an abortion under the 14th Amendment.

Today, about one in four pregnancy-capable people in the US have had an abortion, and the risk of complications from an in-clinic procedure is extremely low. But before it was guaranteed as a constitutional right, seeking an abortion was a harrowing, potentially life-threatening endeavour.

While some women saved up the cash and sometimes travelled hundreds of miles to find qualified medical providers willing to risk their livelihood by operating on patients, others settled for providers lacking the qualifications and skills to perform induced abortions. And even more desperate people attempted their own abortions.

The outcome of these back-alley procedures or at-home coat-hanger abortions was often devastating, leading to maternal death or lifelong injury. (Complications from unsafe abortions include infection, incomplete abortions, haemorrhaging, uterine perforation and damage to the genital tract or internal organs, according to the World Health Organisation.)

Because these stories were so traumatic – and because the stigma surrounding abortion was even greater in those pre-Roe v. Wade years – many women remained silent about their experiences.

Now, as the US Supreme Court seems poised to overturn the Roe v. Wade decision, it’s worth revisiting their stories to understand what abortion was like in the decades before it was legalised.

HuffPost US recently spoke to eight people who shared experiences of relatives – great-grandmas, grandmas, mothers and aunts – who sought abortions in pre-Roe v. Wade America. Many were already mothers, struggling to conceptualise raising one more child in poverty or, in some cases, with an abusive spouse.

In one story that differs from the rest, a reader shares how her great-grandma, the wife of a well-to-do dentist, was able to obtain a safe abortion in a doctor’s office with little fuss; the story illustrates how white, middle-class and upper-class women have always had an easier time accessing safer abortion options. (As many have noted, women of colour will be disproportionately affected if Roe v. Wade is overturned.)

Below, read all eight stories, which have been edited lightly for clarity, style and length.

“My maternal grandparents married in 1934. By the time my mother was born, it was clear my grandpa was a monster. Violent and cruel, he beat my grandma with a metal lunchbox. When mom was just a few months old, he threw her against a wall. My grandmother fled.

She discovered she was pregnant again. To induce an abortion, she drank a bottle of Lysol. You can Google ‘Lysol abortion’ and see ads from that time that suggested a woman could use Lysol to ‘correct your mistake.’ The ads are quite chilling, their meaning vague and without instructions.

It took my grandma 29 hours to die in her parent’s home; they were helpless to end the agony. Living in a logging village in winter, there was no hospital or way to travel to the city.

My mother always felt responsible for her mother’s so-called ‘suicide,’ as children do. Doing genealogy research, I uncovered the full story when my mother was in her late 60s, but her life was already written and the truth brought no comfort. I sometimes think I should never have done the research. There are four generations impacted by this one attempted abortion. We can never really know how lives would be different if she had lived. But I do know my mother’s life was forged by that event, she was an orphan, hidden from her father, never knowing why she’d been abandoned.” – Chuck M., 62, from Washington state

“My mother was a 16-year-old in 1970 when she became pregnant as a result of sexual assault. She was living with my grandparents in Southern California, and abortion was not legal at that time. My grandparents were not in a position to get over the border into Mexico to have the procedure done, and they didn’t have access to a safe place to have the procedure done, either. Rather than risking my mother in a back-alley abortion, my grandmother assisted my mother in inducing a miscarriage. My grandmother had my mother sit in steaming hot baths for hours. My mother ingested medications that were considered dangerous to a fetus. They did everything short of physically harming my mother, though my mother did tell me that she was so desperate to end the pregnancy that she considered throwing herself off a high platform or down the stairs.

They managed to successfully induce a miscarriage, and my mother was taken to the local hospital to deal with the effects of the miscarriage and for a dilation and curettage. That worked, but her young body and mental health were not OK. Though my grandmother’s and mother’s intentions were to do something safer than a back-alley abortion, my mother was still at risk of potential harm from the various medications she took. And the foetus would also have been at risk for birth defects and other issues if the medications had not succeeded in a successful miscarriage. It was still dangerous.

My mother told me once that Roe was the single most important law that passed in her lifetime. That she was relieved that other women and people with a uterus would not have to suffer the same circumstances she did. If she were alive today, she would be absolutely shattered.” – Sara from New York

“My aunt Judith was just 17 in 1964 when she became pregnant after being raped on a study date at a so-called friend’s house. She was horrified to find out she was pregnant; she was on her way to college in the fall, and a baby wasn’t in her plans yet. Her doctor suggested a girls home out of town where she could stay until the baby was born and then give it up for adoption; it was her only choice since abortion was illegal.

Judith had tried all the old wives’ tales, jumping backward a dozen times at dusk and even drinking a tea that made her deathly ill just to lose the pregnancy naturally, but nothing worked. A friend of hers, Arbie, who was two years older, had been in Judith’s shoes and had taken care of her ‘dilemma’ herself.

In that summer of 1964, Judith chose to use a metal coat hanger, thinking it would be over quickly and no one would ever know. Her end result was far more than she had ever anticipated, with excessive bleeding and infection that led to a partial hysterectomy and the inability to ever carry a child. She spent nearly a month in the hospital. Her mother found out and never looked at her the same, although she did keep [Judith’s abortion attempt] from Judith’s father, knowing he would have kicked her out and pulled her college tuition. The family was hush-hush about everything, given the era everything took place.

Judith went on to graduate college top of her class to become the first female doctor of psychology in the family. From the outside looking in, her life was perfect: the house, her own office, nice car, all the material things one could ever hope to have, but she had developed a serious drinking problem and her life behind closed doors was, as she once said, ‘exactly what you’d think hell on earth would be.’

I was born in ’72, her only niece at the time, and she doted over me constantly every chance she had. I never suspected anything was ever wrong, although I did always wonder why Auntie Judy had such sad eyes; it wasn’t until puberty hit for me that she warned me of the dangers of having ‘that time’ and told me her story. She explained there were no real options in ’64 but said that because of Roe v. Wade in ’73, I would have more options than she had ever had.

Her desire to be able to carry a child, to be the mother she had always dreamed of, haunted her every waking hour and her dreams, and she was never able to get away from it. In 1984, just a week shy of her 37th birthday, my Auntie Judy hung herself in her attic; the pain and anguish had finally won the battle. Her note was a short novel, telling her story. I was only 12 and was told I wasn’t old enough to read it or understand it, but I didn’t listen. I sneaked and read it, and now I can remember every word, and her pain, longing and anger still haunt me to this very day.” – AJ, 50, from Louisiana

Jared Milrad/Canva

“Like most kids raised by a single mother, I’ve always thought of my mom, Jan, as courageous, resilient and strong. Growing up, she commuted nearly two hours each day ― every day ― to work a low-paying job as a secretary so that my brother and I could have a better future. Despite all that she went through, my mom never gave up and ensured that my brother and I could get the best education and have more opportunities than she did.

But it wasn’t until I was in my 20s that I realised how truly incredible my mom is. One day, my mom shared that she was around my age when she had two abortions. This was 1968-69, when abortion was still illegal in the U.S. and my mom was 26 or 27 years old.

My mom told me that she had her first abortion during this time while dating a much older man. The pregnancy was very unexpected, and because my mom was struggling to make ends meet and didn’t have much support at all, she made the wrenching decision to abort the pregnancy. Because abortion was illegal in the States, the man found a doctor for her in Puerto Rico and agreed to pay for the procedure, so my mom went with my grandma to have it done. They traveled to San Juan and then traveled a bit outside of the city. My mom expected the procedure to be done with anaesthesia, but – horrifyingly – it wasn’t.

‘The abortion was done by a butcher and my mother heard me screaming,’ my mom recalled. ‘I didn’t know that they weren’t going to give me anaesthesia. It lasted for only 20 or 30 minutes, but it seemed like a lifetime. When we got back to the hotel in San Juan, I was in such pain. Then, when I was back in New York City in A&P Grocery a few days later, I noticed that I was bleeding ― haemorrhaging.’

My grandma immediately called a gynaecologist and arranged to have my mom treated in the ER at Lenox Hill Hospital, where they didn’t tell the doctors that the bleeding was caused by an abortion out of fear because the procedure was still illegal. My mom was lucky to survive.” – Jared Milrad, 38

“Today, the majority of women who seek a legal abortion are already mothers. Let me share a pre-Roe horror story about my Italian, Catholic grandmother Mary, whom I never had the blessing to know.

Apparently, on her deathbed in 1943, Mary asked her sister-in-law Florence, who was childless, to take care of her only daughter, but the shameful secret had to be kept. My mom was forbidden to ask questions about her mother or her death. She learned the truth when she was in her 50s from me after years of research.

I was in my 20s when I first began to put together the pieces of a story that just didn’t make sense: a 34-year-old mother of three young children who is hemorrhaging but refuses to go to the hospital. Even the death certificate corroborates the secret. Cause of death: carcinoma of the cervix. But cervical cancer does not generally cause women to bleed to death.

Then, one day in the mid-’70s, we were talking about the Roe decision, and Florence, the woman I knew as my grandmother, let it slip that she had to lend $250 (an enormity in 1943) to one of her brothers because someone needed an abortion. I was stunned; I finally connected the dots. In a typically large Italian Catholic family, Florence had many sisters but only two brothers. One of them, it turns out, was my biological grandfather.

Grandma Mary already had three children she loved: two boys and the middle child, my mom Nancy. With an unemployed husband, a fourth child would plunge the family into poverty.

So the decision was not made lightly, but something went horribly wrong. Mary was just 34 years old and was more afraid of the law (and the judgment of the Catholic church) than she was of dying and leaving her children motherless.” – Lori Bores from New York

“Great-Grandma Selma Rosenthal (born 1878) was a career woman. Graduating from college in 1901, she was homely and smart, two things that did not make her particularly attractive to suitors of the era. Knowing this, she focused on having a successful career. She was by all accounts very funny, with a wonderful voice and an active circle of friends. She had no expectation that marriage or family were in the cards for her, and she had made peace with that idea.

That all changed when she met Sidney Rauh, a dentist from Cincinnati from a well-off family. It was the 1910s, and she was well into her 30s. Sidney was equally unattractive and clever, and a confirmed bachelor. He had no interest in marrying a girl for her looks but wanted to find someone he could love for her mind. When they met, it was love at first sight, and given their advanced ages, they decided to marry as soon as possible.

Selma quickly became pregnant, only to miscarry the first Christmas they spent together as a married couple. Two daughters quickly followed in 1916 and 1919, but Selma was terribly sick with her second pregnancy and she barely survived childbirth. Her doctor told her, in no uncertain terms, that if she was to get pregnant again and attempt to see it to term, she would die. She promised she would be careful.

A few years later, when she realised she was pregnant, she went to her doctor. The doctor advised her that she had to have an abortion. Sometime later, the doctor performed an abortion in his office, no fuss, no muss. But Selma was a well-off wife of a successful dentist with status in the community. It never occurred to her that what she was doing was illegal or in any way wrong. It was a decision between her, her doctor, and Sidney, and she did what was best for her family and health.

Selma died in 1948 at the age of 62 of a heart attack, having spent time not just with her daughters, but also with her granddaughters, who were five and three at the time of her death.

Great-Grandma was a suffragette and strived for women’s rights. Women’s rights and bodily autonomy were key issues in my family, but I suspect the story would not have been noteworthy had it not been for the fact that abortion became the issue it was later on. My mother and grandmother shared with me how hard things like birth control had been to get in their era, and my mother shared with me the fact that she got a (legal) abortion for family planning reasons. For us, it was just part of normal conversation.” – Kate, 50, from New York

Stephanie Voltolin/Canva

“I was born in the 1960s and grew up in a very conservative Catholic family. Nonetheless, my traditional housewife mother was ardently pro-choice. She even took one of my friends to get an abortion in the 1980s because my friend couldn’t tell her family she was pregnant.

Shortly after my paternal grandmother died, when I was a college freshman, my mother frankly told me during a conversation about choice, ‘Your grandmother had a back-alley abortion and almost bled to death.’

My grandmother found herself – in the early 1940s before birth control or abortion were legal – pregnant and divorced from her second husband, who turned out to be horribly abusive. She decided to leave before he began abusing her three children from her first marriage. Like most women of her day, she had no college education or career to support herself and her children. And, like most women who get abortions, she could barely support the children she had. She ended up having to go live with her parents, who were Italian immigrants.

Faced with being twice divorced and pregnant, my grandmother sought an abortion. Because they were illegal, she had to trust a back-alley ‘doctor,’ who punctured her uterus in the process. She left the procedure, collapsed in the street from the blood loss, and had to be taken to the hospital. An emergency hysterectomy saved her life.

She was an amazing mother and grandmother, and although she died almost 40 years ago, I still become emotional when I think about what a loss I would have suffered had she died from that botched abortion.

The rest of the family never knew. I am telling her story now in the same way that we disclosed our sexual trauma during the Me Too movement to educate others. Legal and safe abortion is critical to women’s reproductive rights as American citizens, and we cannot allow them to expire.” – Stephanie Voltolin

“My great-grandmother died from a botched, illegal abortion in the mid-1930s in Chicago, leaving my grandmother (2 years old) and her sister (4 years old) without a mother. When my great-grandfather remarried, his new wife already had kids of her own and didn’t want to take care of two more. My grandmother and her sister were thrown out of the house and bounced around to different aunts and uncles.

For much of my grandmother’s life, she was told that her mother died of a pregnancy complication due to an ectopic pregnancy. Later, when my grandma was a teenager, her aunt told her the truth: that her mother had died from a botched, illegal abortion.

My grandmother shared her story with me in 2012 when I was 25. We were having an early lunch. I remember she asked me if I wanted a glass of wine, which was odd for her in the middle of the day. We were talking about something else entirely and she said, ‘my mother died of a botched, illegal abortion,’ almost out of the blue, and her story just unfurled from there.

I honestly didn’t think too much about what my grandmother shared. I didn’t think her story was shocking or novel, maybe because abortion had been legal in all 50 states for my whole life. I assumed everyone else in our family knew, so I didn’t think to say anything.

A couple years later, I was catching up with my parents and one of them said, ‘Did you know Great-Grandma Sally died from a botched illegal abortion?’ That’s when I realised my grandma was nervous when she shared her mother’s cause of death with me. She was holding on to this family history and likely carrying with her the shame and stigma or the ‘don’t talk about it’ attitude of her family. It was an ‘aha’ moment for me – a real understanding that likely everyone has a family abortion story, whether they know it or not.

Now our family has a deep understanding that when abortion is legal, abortion is safe. And we know in the decades before Roe v. Wade was decided, people like my great-grandmother were desperate to receive the care they needed.” – Amy Handler, 35, from Oregon

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What Doctors Want You To Know About Abortion Right Now

Since 1973, Roe v. Wade has protected the right of all Americans to access safe and legal abortions. But a leaked document published by Politico on Monday shows that the federal protections conferred by Roe may be struck down by the US Supreme Court this summer.

If Roe falls, the legality of abortion will be determined by each state. And though a handful of states are passing legislation that will protect the right to get an abortion, many others — 26 to be exact — are expected to quickly ban or restrict abortions.

If this happens, millions of people in the US will no longer be able to access safe abortion care within their communities. They’ll have to wait longer and travel farther to access help. The impact on people’s mental and physical health – along with their finances, families and livelihoods – will be astronomical.

Despite the misinformation that swirls around the internet (and beyond), abortions are extremely safe procedures. They’re also incredible common – about one in four women will have an abortion by the time they are 45 – and, in many cases, they are life-saving.

“It is a common procedure, it is very safe, and I can’t emphasise that enough. This draft ruling is egregious, it is a basically a war against women,” Dr. Melissa Simon, a Northwestern Medicine OB/GYN, tells HuffPost.

Here’s what people get wrong about abortion

One of the most common misconceptions about abortions is that the procedure is dangerous or detrimental to one’s health.

A report from 2018 examined the safety of various methods of abortion – medication, aspiration, dilation and evacuation, and induction – and concluded that abortions are safe and effective and that complications from all types of abortions are rare.

It’s the barriers and restrictions that legislators sign to prevent patients from easily and swiftly accessing abortion that jeopardise their health. It’s well known that delaying abortion care increases the risk of complications.

Some US states require doctors to tell their patients that there’s a link between breast cancer and abortion – despite the fact that many high-quality studies have put this question to rest, according to Dr. Jennifer Kerns, an associate professor in the department of obstetrics, gynaecology and reproductive sciences at the University of California, San Francisco.

Others fear that abortions cause infertility, but research hasn’t found a link between abortions and the ability to conceive in the future. There’s also no evidence that abortions increase the risk of complications (ie. preterm birth or low birth weight delivery) in the event of a future pregnancy.

Another long-running mistruth is that abortions increase the risk of developing mental health issues. “There is a huge body of work demonstrating that abortion in and of itself does not cause mental health problems,” Kerns says, noting that people often feel relief after getting an abortion.

What we do know is that unwanted pregnancies can cause significant maternal depression and parenting stress. And those mental health issues don’t clear up with time; they are often long-lasting, afflicting the women who carried the unwanted pregnancies to term well into their 30s, 40s and 50s.

“Even in the setting of using contraception and safe-sex practices, having the option of an abortion is critical to the life and both physical and mental health of the woman.”

– Melissa Simon

Many people falsely believe pregnancy is easy to avoid, but it’s not that straightforward. Kerns sees many people, from all walks of life and phases of reproductive health, seeking an abortion. Contraception – though invaluable – is not foolproof. Birth control is not 100% effective; it can fail and lead to a pregnancy.

“Even in the setting of using contraception and safe-sex practices, having the option of an abortion is critical to the life and both physical and mental health of the woman,” Simon says.

Many anti-abortion bills have been labelled “heartbeat bills because they ban abortions at the first sign of foetal cardiac activity. This nomenclature is wildly misleading – while primordial electrical activity can be detected around six weeks of pregnancy, this does not mean a foetus has a functioning heart. The heart, valves and vessels do not form until 16-18 weeks of pregnancy.

“Just having cardiac activity does not mean the foetus, if born at that moment, would be able to survive,” Simon says.

Restricting abortion impacts people’s health and livelihoods

Evidence shows that being denied an abortion has a devastating impact on one’s physical health, mental health and overall well-being.

The Turnaway Study, conducted by scientists at the University of California, San Francisco, found that women who carry an unwanted pregnancy to term have a four times greater chance of being below the US federal poverty level.

They’re also more likely to experience serious health complications, such as eclampsia and death, and to develop mental health issues, including anxiety, depression and suicidal ideation. They’re more likely to stick with an abusive partner; their life goals tend to take a back seat, and their families’ livelihoods suffer. Many go on to experience chronic pain.

“The health and welfare of the citizens of this country suffer – we see increased illness, we see increased poverty and we see increased death,” Kerns says.

“The health and welfare of the citizens of this country suffer — we see increased illness, we see increased poverty and we see increased death.”

– Jennifer Kerns

Restricting the right to an abortion does not mean the need for an abortion disappears. A recent study predicted that banning abortion will lead to a 21% increase in pregnancy-related deaths; that jumps to 33% among Black women.

Maternal mortality rates are at an all-time high. The US already has the highest maternal death rate among developed nations — and that crisis would only get worse without access to safe abortion.

“There are some women who get pregnant who could die if they continue with the pregnancy, and, therefore, an abortion is a life-saving procedure in those circumstances,” says Simon, adding that those circumstances are not rare. Abortions, in many cases, can save the life of the mother.

Here’s what the fall of Roe could mean for health care

Kerns said the leaked document demonstrates that the court is no longer a neutral group. “It really lays bare how out of touch their rulings are with people’s lives,” Kerns said.

Much of the language used in abortion restrictions and bans – like “abortionists” – really deeply divides people and shames those who get an abortion or provide an abortion.

Simon says the potential fall of Roe reflects a crisis in women’s health care, specifically when it comes to maternal health. The end of Roe would mark a war against women and people who can get pregnant, who, for the record, comprise over 50% of the US population, she adds.

Simon is exceedingly concerned about what will happen to the growing maternal death rate if Roe falls and safe abortion care becomes harder and harder to access.

“That is what I am very worried about in this country – that we are going to go even more in the wrong direction than we already are with respect to caring for over half of our population: women,” Simon says.

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