Several years ago my wife and I were concerned that students who had significant reading disabilities might show undetected but high levels of stress. We were worried that no one seemed to have done any research on the impact of a reading disability on emotional well-being, specifically stress. We identified a cohort of fourth graders who had a serious reading disability and we measured their stress levels using a ’self-report’ system, that is, a pencil and paper survey. We were delighted to find that at least in this sample of boys in this particular school that while the boys were significant underachievers in reading, their stress levels were normal and no stress relief program was necessary.

Many people ask me to measure their levels of stress to provide stress relief. There is no difficulty in measuring levels of stress. The simplest way is to report your level of stress, depression and anxiety to a psychologist. Self-report is the usual method for explaining your levels of stress. If you are self aware, you can be very accurate in describing your symptoms, feelings and behavior.

If you did want a relatively objective measure of your stress you could ask a medical professional to do a urine analysis. Blood analysis is also another way of measuring the cortisol in your system. There seems to be substantial evidence that cortisol levels increase with psychological stress. There is little doubt that as your stress levels rise, there are increases in physiological responses too. These include elevated heart rate, blood pressure, flushing, skin changes and so on. For many people there are also headaches and even migraines and associated aura.

There are many online testing program to help you work out your levels of stress. Of course, you don’t know if these tests are reliable. I rely on a structured interview and a self report scale to measure elevated stress. By repeated measures over a period of months I can get a feeling for how stress levels increase with my patients. As I provide stress relief therapy, I need evidence that we are reducing stress.

When some people are stressed, they report that they can’t sleep, have wild mood swings, feel physically ill, upset, worried and distracted. If you looked carefully at their emotional and physical reactions you can see they fit into four different patterns. These are physiological and physical responses, cognitive or thinking changes, interpersonal variations, and emotional responses.

You need to know how stressed you are. If you have some idea of your stress levels, you can respond better to stress relief programs. I always says that stress is a silent killer and that is the enemy in terms of our feelings of security and emotional comfort. No one needs the emotional challenges of high stress, burnout, and constant feelings of being stressed out. There is very little of value to an individual who experiences high levels of stress. For a stress relief program to be effective, the patient needs to be able to know and understand their stress levels. I have 15 strategies for stress relief. For me, the stress relief challenge is to set the best strategy to the individual patient. I do not want my patients to have miserable, stressed lives.

When we are stressed, our relationships suffer. The danger of relationship breakdowns is that we lose the capacity to seek social support from our loved ones, one of the most effective stress relief interventions. Talking with others and sharing feelings is great for stress relief. Social support equals free therapy. Sharing worries and concerns reduces the stress. Some people are so worried that social support does not provide stress relief. One good example is mortgage stress and impending foreclosures. Professional help is essential in these cases.

There is a lot written about stress but I hope that my particular view about stress relief and stress management is helpful. I really want to be able to help people manage their stress. If you can engage in effective stress relief programs, even if you run them yourself, you will have a happier and more successful life.

The whole idea behind nicotine replacement therapy is that it gives your body a small amount of nicotine to help curb the cravings. This small amount helps to keep the withdrawals to a minimum. Keep in mind though that nicotine replacement therapy will cause you to go through withdrawals twice. First when you quit smoking then when you stop the therapy. You do not need to see a doctor to get this form of therapy.

Many people can find this very difficult, especially the second time around as that old familiar edgy feeling comes back and you basically have to go through a milder form of withdrawals for the next three days. People aren’t really prepared for that second wave of withdrawal and often have a hard time letting go of the nicotine replacement therapy. Those that can, have made a very important step to becoming smoke free and changing their lifestyle.

There are several types of nicotine replacement therapy; the most common option used is the patch. Normally you start with a higher dose and gradually work your way down over a 6 to 12 week timeframe. One of the things that should be noted, is the amount of nicotine delivered over the 24 hours is often too much for the body to handle and side effects are very common.

Nausea and cold sweats is a common side effect of the patch. This can be an indication that the dose is to high for your system and you can try a lower dose the next day. It might be a good idea to look into another form of nicotine replacement therapy. Many people have had great success with the patch, but since the human body’s chemistry varies from person to person not everyones body is able to adapt to the patch.

Now there are several forms of nicotine replacement therapy, and things have come a long way from simply just being a patch. There’s nicotine gum, that I must say has improved in flavor immensely, long gone is that pepper taste it is left lingering in your mouth. Today comes in several fruit flavors that you can actually chew without feeling like you’re going to throw up. You set your own dosing schedule, which is based on your own withdrawal symptoms.

Another form of nicotine replacement therapy is the lozenge, which is available in an assortment of flavors. These tablets will dissolve slowly in your mouth sending a low dose of nicotine to your body. The tablets usually work for 2 to 4 hours, but you can adjust your dosage schedule depending on your need. It’s possible that you will have some type of secondary withdrawal as you slowly sever your ties to the lozenge. Being smoke free is worth it in the end.

Another method of nicotine replacement therapy is the nicotine inhaler. It is a good method for anyone who needs to have something in their hand, a common problem among smokers. The inhaler sends a low dose of nicotine to your system which helps deter the cravings. I do not have first hand experience with the inhaler, but I have heard from several people who have been successful with it.

Most nicotine replacement therapy options are available over the counter, helping you avoid any added expense that seeing a doctor would create. You will also benefit from the online support that many of the products provide, along with several forums in which you can receive support from your peers that are also trying to stop smoking.

As mentioned before, some of the side effects of nicotine replacement therapy can range from: a slight headache, insomnia, to more severe symptoms such as nausea, diarrhea or constipation. Some of the side effects tend to be temporary, if they are too much you may want to think about changing your dose or about looking into other smoking cessation options, such as non- nicotine based medication.

Greasy hair can appear stringy and fail to keep its lightness and volume within a few hours of shampooing. Greasy hair can seem lifeless, dull oily and lank. It can also appear heavy and flat, refusing to stay clean and fresh. Is this describing your hair? Ever ask yourself “why is my hair greasy?” Others may judge people with greasy hair as having poor hygiene and that they do not wash their hair very often, even if the sufferer washes it every day.

The grease in hair grease is oil and is called Sebum. Sebum is produced by the sebaceous glands which lie immediately under the skin in you scalp and each hair has a sebaceous gland. Greasy hair is in fact healthy hair, and the oil protects each hair strand from dryness and split ends. Sebum lubricates hair skin and provides a protective barrier to prevent drying. This oil is your own built-in moisturizer.

Greasy hair is excess of sebum in the hair and comes as a result of an over production of sebum (oil) from over active sebaceous glands, stimulated by hormones called androgens. Androgens are male hormones that are present in both men and women, but are higher in men. Androgens do two things: First, they enlarge the sebaceous glands in the skin. Second, they cause these glands to increase oil production.

Because hormones play a role in the production of sebum, one of the causes of greasy hair is fluctuating hormone levels. Greasy hair is most commonly found in teenagers going through puberty, in women because of their monthly cycle or pregnancy, and older women going through the menopause. Stress is also known to affect hormone levels and can therefore be a contributory factor towards greasy hair. People with fine hair often find that they suffer from excessive greasiness, as they have more hair and follicles meaning there are more glands on the scalp, each producing sebum.

There are many external causes of greasy hair. Over washing your hair can cause increase sebum production as frequent washing can strip the hair and scalp of all oils causing the sebaceous glands to excrete more to combat this. A build-up of grease can occur due to washing your hair too often. Scrubbing your hair and scalp vigorously while washing you hair can stimulate hair grease. Touching your hair can also increase the glands to over-stimulate, as can vigorous brushing which can carry the oil throughout your hair. Environmental factors such as everyday pollutants can cause hair to look greasy, as can the over use of hair styling products as the products build-up at the roots.

There can also be a number of internal causes of greasy hair. I have already mentioned fluctuating hormone levels; however one of the leading causes when it comes to causes of greasy hair is your diet. Diets in the Western world are typically much greasier, higher in fat and sugar, processed and contain additives, the high fat content increasing levels of oil in the skin, potentially causing greasy hair. A diet that is low in vitamin B can also be a cause of greasy hair, along with the hormones often found in the meat of Western diets which can add to unbalanced hormones.

The best way of avoiding, preventing, treating and getting rid of greasy hair is to treat it from the outside and the inside. On the outside: steer clear of brushing your hair too frequently, and too vigorously. Avoid using a moisturizing shampoo as this can leave some oil in the hair. An extra cleansing or clarifying shampoo that has a mild-ph is the best shampoo to use for greasy hair. When shampooing, massage you hair and scalp lightly and do not scrub your hair and scalp.

When shampooing, leave the shampoo in your hair for approximately 5 minutes for a better clean. Rinse and shampoo again if necessary. It’s up to you as to how often you should wash your hair. Once or twice a week is the ideal but to find your own balance of washing and oil production start with washing once a day, reducing how often you wash as you find that balance. If you are going to condition your hair, use a conditioner designed especially for greasy hair, and apply the conditioner not to the roots but to the mid and ends of your hair. If you use a hair dryer to style your hair, heat will stimulate oil production, so don’t let it get too hot.

On the inside: with your diet, Reduce the number of foods you eat that contain white flour such as pasta, pastries and bread. Increase the amount of green and leafy vegetables in your diet, along with seeds, nuts, whole grains, salads, fresh fish and vegetables. Avoid sugar and foods containing sugar e.g. soft drinks, biscuits and cakes. Reduce the amount of fat in your diet, avoiding fried, greasy and fatty foods. Consider supplementing vitamin B in your diet. Reduce and eliminate as much stress as you can from your day to day life.