Depression is a problem that affects millions of Americans each year, and many more people are not aware that they may be suffering from it. Fatigue, loss of interest in usual activities, malaise, problems eating and sleeping - these all characterize forms of depression.

Here’s some tips on how to fight depression:

1. Recognize that depression may be what you’re experiencing, and decide to deal with it instead of avoiding it; stay open to feedback from friends or loved ones about what they’re seeing from you.

2. Seek out the help of a trained professional. Talk with your doctor, or seek out a psychiatrist or mental health nurse practitioner who can talk with you about a possible antidepressant medication. You may also benefit from talk therapy, or counseling, to deal with the underlying issues associated with your depression.

3. Get active: engage in moderate physical exercise daily to reduce depressed feelings. This can be difficult when you feel fatigued or disinterested, but it helps.

4. Get Vitamin D/get outdoors: vitamin D helps fight depression.

5. Take Omega-3 fatty acids, either in liquid, capsule or food form (cold water fish). Talk with a physician or a nutritionist about what’s right for you.

6. Get support from friends, family, people close to you.

7. Journal your feelings regularly to see what may be the source of your depression, if there are events or people that trigger your depression.

8. Ask yourself if there are things happening in your life that need attention, or if you are not getting any major needs met in your life at the time. Sometimes, situational depression can be a result of events that stoke depression.

There is help from depression, and some of these tips may assist your recovery. Seek our support from those closest to you, and ask for help from professionals who care.

(reprinted from January’s edition of “Mentality” for men)

Being the social beings that they are, women are generally more predisposed than men to seek out the support of their close friends when there are problems or challenges. Women are better at seeking out friends, and knowing how to support themselves by doing it.

On the other hand, men are not wired this way. Guys in our culture tend to have more superficial relationships, based on common interests, hobbies, work and sport. Men do have “guys’ night”, but usually entails some male bonding activity through watching sports or playing poker. Men bond with activities outside of their emotions, and our culture has never been supportive of men relating to other men in any other way, especially emotionally.  Look at the abundance of “bromance” movies in the last couple of years, such as “I Love You, Man.” Culture, or more specifically, Hollywood, usually needs a comedic vehicle in which to introduce the idea of men connecting on an emotional level. It’s just too “weird” or “uncomfortable” without the humor. It’s kind of sad, because a lot of guys have nowhere else to turn for support.

On a practical level, many men do state that they want more male friendships. They often don’t know how to go about getting them, or aren’t willing to put the work in to maintain friendships. Again, this is where women do it better than guys. They can not only seek out social support from friends, and learn how to meet their needs in this way, but have the ability to maintain friendships and invest the time and energy than it takes to keep them going.

The older a guy gets, the harder it is to “teach a dog new tricks.” It just becomes “too hard” for a lot of guys to risk seeking out new friendships, and spending the time and energy that it takes to preserve them. Sometimes it’s just a little scary to reach out.

We say to ourselves that we want more friendships, but sometimes we aren’t willing to put the work in that relationships take. Friendships are similar to intimate relationships or marriages in that way: they’re good when you put the work, time and investment into them, and atrophy when there’s no investment. Even if you just “synch” with someone, you still got to put the work in to maintain friendships.

Fear is one way that we get stuck from advancing towards generating an up keeping friendships. Sometimes, fear prevents us from taking the risk of seeking out new male friendships or reigniting old ones. Laziness is also a common roadblock towards developing friendships. We don’t want to put the work in, or “have other things to do,” which is another way to say that we are prioritizing certain things in our lives over developing more room for personal friendships. It’s just one choice over the next choice.

Friendships don’t just come to us; they take a lot of work, energy investment, and mutual willingness. it’s the same as keeping a marriage healthy, and it’s a way of helping keep yourself healthy by learning to meet your needs as a man. Guys need the support just like women do, and friendships are a great way to get that support when they’re mutually satisfying.

If we’re honest with ourselves, sometimes the very act of making New Year’s resolutions cause the very stress they’re trying to reduce. Trying to commit to a workout schedule, or any other schedule, sometimes sets us up for failure when we burn through the initial motivating stage and land into the same stuck place we started from.

Learning how to lower the stress in our lives - and not add to it with unsuccessful New Year’s resolutions - is the goal for more successful stress management.

Taking goals step by step, and successful planning, are keys to minimizing resolutions-based stress. Being realistic about your goals (practicing what’s feasible) will help succesful achievement of your New Year’s goals. Knowing that maybe a fine six-pack might look great, but how attainable is that, considering the real day-today stressors you deal with in you life?

Great planning goes a long way in goal setting stress management. Knowing what resources you’ll need is key: time, money, support, psychic investment, etc. Being prepared for the steep hike helps when you’ve got all the gear you’ll need when the inevitable speed bumps (or road blocks) appear, including waning motivation levels.

Scheduling is another key to stress-free New Year’s resolution planning. Knowing exactly when, and how often, you’ll be advancing towards your goals is critical. Mapping out the time blocks on the calendar you use most, whether that’s your phone or physical calendar on your fridge, is helpful to knowing how to best use your time to achieve your new goals.

Finally, practice patience and compassion with yourself. Watch your aggravating self-critic trying to undermine your efforts and shoot you down. Remember: the path is also the goal. Most goals are successfully learned and practiced over the course of time, so try to see yourself advancing through the process, not specifically towards goal attainment. It’s the path that’s important to remember, and it’s less likely you’ll quit along the road if you can focus there a little more.

Why do men in pain hold it in up until the last minute, and then seek out help when the damage has been done? Are men naturally predisposed to pain aversion? What would happen if men were to more proactively seek out mental health counseling or therapy before an otherwise manageable problem ended up destroying them?

Men are beings not socialized to seek out resources and social support the way women do. Women can seek out the comfort and support of friends and family, whereas men tend to hide and obscure their pain in private. A lot of this has to do with the stigmatization of what it means to be a man in our culture. Men are taught, from an early age on, that “real men don’t cry”, and to stuff our emotions and shift into mastery or accomplishment mode to overcome adversity and get things done in the world.

The effect is that problems fester and grow, like mushrooms growing in the dark and dampness of a dead tree. Without light, these problems will get larger, be they marriage problems, work-related issues or general mental health issues.

Depression has many causes, but it gets exacerbated by this effect. Depression can be treated by medications and/or therapy or counseling, but many men succumb to “suffering in silence” and don’t seek it out until facets of their life start to crack at the foundations. They choose to seek pain alleviation when things are bad, and possibly irreparable.

Seeking out a professional counselor for help, and stepping out of denial and stigmatization, are huge tasks for men to do. Often, it’s the bulk of the work just getting there to want help. Seeking out that help proactively is critical in learning the skills needed to learn to help oneself, so that life can get easier, relationships better, and quality of life can be improved.

(Press Release)

13 DAYS OF A MERRY CHRISTMAS…RELATIONSHIP!

Men’s Counselor Jason Fierstein Gives 13 Tips to Help Relationships Survive the Holidays

November 30, 2009- Phoenix, AZ – With the holiday season in full swing, emotions, tempers and tantrums can flare. Jason Fierstein, owner and founder of Phoenix Men’s Counseling, has created 13 humorous but practical tips to help all relationships survive this sometimes tumultuous season.

Tip #1 – Avoid Heat Seeking Land Mines! - Every couple should have a strategy between each other on how to troubleshoot potential road hazards; the father that always criticizes, the perfectionist mother-in-law . Anticipate behavior so you and partner know not be REACTIVE. Remember, alcohol and sugar combined can help set off those land mines.

Tip #2 – Pigskin Planning – Communicate with your partner ahead of time how each social scenario is going to play out. For example, first there will be dinner, then everyone gets up from the table and watches football, then there is an intense discussion of what movie to go see…etc. Let your partner know what to expect so that he/she can anticipate what is going to happen.

Tip #3 – Be A Yes Man – Be a “Yes” man especially if you and your partner are hosting festivities in your home. Be aware that this will be a stressful time for your spouse, girlfriend or partner. Get into customer service mode… you can’t lose with “how can I be of help.”

Tip #4 – Don’t Let Credit Cards Pull Your Sleigh – Have the holiday budget talk with your partner. Sit down and come up with a gift giving strategy. Figure out how much you are going to spend per each person and discuss and agree on the budget before shopping.

Tip #5 – The Holidays Can Gobble You Up – there are so many ways that they holidays can erode good will, just trying to find a parking space in a busy mall, can raise ire and frustration. Allow yourself plenty of time to accomplish the tasks at hand and be mindful of keeping realistic expectations.

Tip #6 – Prevent an FUI – Family Under the Influence – The word libation is a word close to liberation and verbal liberation can cause a lot of family strife. You may get yourself in a verbal situation that can become triggers for old family issues. Make a pact with yourself and your spouse or partner to an alcoholic drink maximum (before drinking begins) and vow to not let others who are drinking push your triggers.

Tip #7 – Does This Dress Make Me Look Fat? – Men need to be sensitive to the fact that a woman’s physical appearance and perceptions are highlighted during the holidays. Be complimentary and sincere…and don’t even think about mentioning any holiday weight gain!

Tip #8 – In Case of An Emergency Break the Glass – have an exit strategy with your partner. A key word, phrase or tug of an ear to let the other know that you are at your family, office or holiday party limit and it is time to go.

Tip #9 – Stay in DMZ (the Demilitarized Zone) – Agree to stay on neutral ground whether with family or co-workers. Don’t ask questions or bring up topics that are going to invite pain or conflict. Remember alcohol exacerbates every situation and often not in a good way.

Tip #10 – Call A Delay of Game – If conflict begins, give yourself five minutes to re-center. Don’t buy into the conflict.

Tip #11 – Saddle Up Your Parenting – if you have children don’t let the kids manipulate you or your spouse or partner.

Tip #12 – Check the Pressure Cooker – check-in with your spouse or partner to make sure the pressure of the holidays isn’t negatively affecting them. Do a status check for depression, loneliness, or despair. Offer help, love and support to offset these attributes.

Tip #13 – Embody Your Inner Jimmy Stewart – “It’s A Wonderful Life” – have an attitude of gratitude, ENJOY family and friends, practice random acts of kindness and remember to CELEBRATE the holiday season.

Jason Fierstein is owner and founder of Phoenix Men’s Counseling which focuses on men’s mental health and relationship and marriage issues. Phoenix Men’s Counseling is located at 668 N. 44^th Street, Suite 300 in Phoenix. For more information, visit www.phoenixmenscounseling.com or call 602-309-0568.

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Trying to block out or push back chronic negative thinking about our jobs usually means one thing: we’re not listening to ourselves. Although it’s tough to talk about “do what you love” in the worst economy since forever, it’s another thing to live under a blanket of justifications and reasons to stay inactive and hating our jobs.

Like emotions, which need airing, pushing away that what makes us light up professionally will always be lurking if you choose to not attend to it. As we push our emotions away, they come right back to haunt us, usually with much greater power. Emotions don’t like to be pushed away. Neither does one’s true vocational inspirations. We can push them away, sweep them under the rug, and put up with things as status quo. Our grandfathers and ancestry did this, often toiling away in industrial settings for hours on end.

Symptomatically, we create a world of stress and conflict within our own bodies, our families and our relationships - not just with ourselves, but with those we love most. Our wives and girlfriends know we’re unhappy, but they’re not sure why. They want to help, but feel helpless to change, as do we. We grudgingly paint on our morning smile, and show up to work like a good trooper, masking the discontent we really experience inside. We’re angry, depressed and hiding from ourselves and the world. Is this sensical?

If you’re unhappy in your current work or job, what keeps you there? Again, acknowledging current financial realities, what would happen if the economy were o.k., and you were o.k.? Would you look for a change then? Would you take a step off the plank and seek greater fulfillment and happiness for your worklife then?

It’s a fine line between the current economic realities and using those realities to justify our fear and lack of movement in the world and in our lives. The line is so fine that it takes close introspection to discern one from the other, and only you can do that.

Divorce tends to be emotionally gut-wrenching for the people who go through it (not to mention those around them). But most couples don’t realize that divorce can also be among the most ruinous financial moves anyone can make.

Sure, you could bet big and lose on a single stock or money manager. Or your small business could go bankrupt, taking your life savings with it. But divorce and the costs that often come with it — from legal bills to the sudden need for an additional residence — affect far more people.

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