Hot Flashes? Can’t take Hormones? Here’s some help with the Heat!

Hot flashes occur in over 85% of women during the years around menopause.  For many women, hormone therapy may not be an option for turning down the heat from night sweats and hot flashes.  After release of the Women’s Health Initiative (WHI) in July 2002, many women abruptly stopped their hormone therapy (HT) while others questioned their  safety.    Initial results from WHI showed an increase in breast cancer, heart attack, and stroke.  With a decade of hindsight we now better know the true risks and benefits of HT.  Even with this new evidence showing a major benefit in women starting hormone therapy near the time of menopause (within 10 years), there may still be many women who may not be able to take estrogen.   What are some of their options? 

Hot flashes, also known as hot flushes are very commonThese are commonly known “vasomotor symptoms” in the research and are categorized by severity and frequency:

  •  Mild: a feeling of warmth in the face, neck and chest.
  •  Moderate: feeling of warmth with sweating
  •  Severe: feeling of warmth, with sweating and loss of concentration

 

 

What are the options available for women who cannot take HT?

After reviewing numerous studies, I have compiled a list of non-hormonal prescription  and non-prescription medications which have been shown to decrease hot flashes.   Interestingly, many of these clinical trials were done in women with a history of breast cancer, receiving tamoxifen.  Furthermore, many of these trials had a very high placebo rate, i.e. those women not receiving the study medication   (placebo pill) showed  a high rate of benefit compared to those receiving the actual study medication.  This is known as the “placebo effect”.  In these studies, the placebo response rate ranged from 18-40%.

 

 

Non-hormonal/ Prescription Medications                                         

1)      SSRI’s/SSNRI’s : Best results occurred with Venlafaxine ( Effexor)  with 63% reduction in hot flashes in patients receiving 75 mg dose, vs. 45% in those receiving lower dose ( 37.5 mg) compared to 20% reduction in placebo group.  The next best was Paroxetine (Paxil), followed by Fluoxetine (Prozac).

2)      Gabapentin ( Neurontin); 45% decrease in hot flashes vs. 29% placebo, at dose of 300 mg three times a day.

3)      Clonidine ( Catapres): very few studies with only short term use, up to 12 weeks, reduces hot flashes by 15-20%., with dose of 0.1 mg/day.

4)      Belladonna/ergotamine tartrate/Phenobarbital combination ( Bellergal): decreased hot flashes by 75 % vs. 68% in placebo, dose of one tablet three times a day.

   Black Kohash plant

Non-hormonal /Non-prescription Options

1)      Black Kohash: This is the most studied and popular herb for treatment of hot flashes.   Results of studies show inconsistent results and dosages varied.  American College of Ob/Gyn ( ACOG) states that black kohash may be helpful in the short-term ( less than six months) treatment of women with vasomotor symptoms.

 

2)      Soy isoflavones: Studies showed inconsistent results. Some showed significant reduction in women with moderate to severe hot flashes.    ACOG recommends that soy and isoflavones  be used in the short-term , less than 2 years and that they should be used with caution in women with an estrogen-dependent cancer,  given the possible interaction with estrogen (39).

 

3)      Red Clover, Ginseng, Evening Primrose oil, Wild Yam: In clinical trials, no significant difference in hot flash reduction compared to placebo.  I have included these because many patients  frequently do use these remedies and do find some relief, although for only a short period of time

Take Home Tips:

1)      Hot flashes occur very frequently in women around the time of menopause and can significantly affect a woman’s quality of life.

2)      A thorough medical history should be taken to rule out other causes for hot flashes, such as thyroid disease.

3)      Evaluation of current medications and conditions should be considered with you and your health care provider to determine the best option for you, be it hormonal, or non-hormonal. 

4)      There are prescription medications available as well as herbal remedies.

5)      Consult with your health care provider before initiating any treatment.

Then you too, can be lying in the green grass…calm, cool and collected!

 

Lighting the way…

Dr. Diana

 

Citations:

  1. 1.      Roussouw, JE. Et al.  (2002) Writing Group for the Women’s Health Initiative Investigators.  Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women’s Health Initiative randomized control trial.  JAMA; 288: 321-33.

 

  1. 2.      Carroll, DG. (2006). Nonhormonal Therapies for Hot Flashes in Menopause. Am Fam Physician, Feb 1; 73 (3): 457-464.

 

 

 

Fifty Shades: From Baby Boom to Rope Shortage?

Fifty Shades : From Baby Boom to Rope Shortage?

Could this erotic trilogy be causing a virtual baby boom?   Not to mention an apparent shortage of certain rope in the United States?   The first of these queries was recently posed to me by an interviewer for Parent Magazine.  It piqued my interest into the possibility that this steamy, erotic novel is awakening women’s desire from water coolers to book club groups, and boardrooms to bedrooms.

 

Are Baby Boomers having more sex because of Fifty Shades of Grey? …

Yes,  according to Babycenter.com, a large online community of moms and expectant moms, over 150 women have posted that their pregnancies were directed related to sex inspired activity by the best selling trilogy.  The Huffington Post adds that an increasing number of women are reporting more spontaneity and frequency of sexual encounters (1).  Depending on whether contraception is being used, more pregnancies may be occurring due to the increased…More enthusiasm and creativity is entering the bedroom, not only leading to more conceptions, but also a boom in the sales of sex toys.  According to Lisa Lawless, Ph.D, creator of Holistic Wisdom website, “Women and men are benefiting from these books as it is allowing them to consider sexual creativity and exploration in ways that they perhaps had not considered.”(2)

 

Are Men interested in Fifty Shades? — Fifty Shades Too Boring?

According to a recent survey in the Village Voice, Fifty Shades of Grey: Do Dudes Even Care About E.L. James’ Steamy Trilogy?, the resounding answer was “no”. (3) One response from a 34 year-old business owner, summed it up.  “My wife is reading it right now.  I have no idea how it’s affecting our sex life.  I don’t know if it’s impacted it at all.  Maybe you should ask her.” Yet other sites have claimed that men are reaping the sexual benefits of their partner’s increased sexual desire, while not specifically reading the book themselves.

For those men who might not be so inclined to download it on their Kindle or i-pad, a special, shortened version  is available. Tom Paolangeli is the author of “A Guy’s Secret Guide to Fifty Shades of Grey”, a cliff note version of the original book by E.L.James written from a man’s perspective.   He advises, “Trust me – you do not want to read the book. It was written by a woman, for women. Most guys will find it dull, stupid, tiresome and waaaay too long. The ratio of tedious inner female monologue to sex scenes is about fifty shades of boring to one.”  But he also that by reading a few sections of the book, “…your odds of having hot sex with your sweetie will go up exponentially…” (4)

What does Dr. Oz think?

Recently, Dr. Oz offered his opinion regarding the impact of the E.L. James’ blockbuster trilogy.  “She has gotten people talking about sex in a way that no one else could get them to talk about it…. What it is about is people having an honest conversation about what sex should be like, what makes it feel better, what are the timing issues, how do we make it an important issue in our life rather than an afterthought.”

Well, Dr. Oz, I thought that was what my book, Healthy Sex Drive, Healthy You: What Your Libido Reveals About Your Life, was supposed to do!  Perhaps my book took on a too clinical and practical approach rather than a bondage and submission angle.  Maybe then my book would be on the New York best seller list, too.   Brings back vague memories of how I should have bought Starbuck’s stock back in the early 1990’s.

When will this “Fifty Shades” bonanza end? 

Not anytime soon.   Apparently, a movie series is in the making with the cast being set as we speak.  In addition, E L. James has chosen a company in the United Kingdom, Caroline Mickler Ltd, as the global licensing agent for merchandise based on her racy books with a line of Fifty-Shades’ based lingerie/sleepwear, apparel, fragrances, beauty products, bedding , etc.”.(5)    Sales of sex toys are sky-rocketing, including the sale of rope.

According to the New York Post, New York hardware stores have seen a run on sales of rope, and other bondage gear, bought by female fans of Fifty Shades (6).  Watch out for the soon-to-be shortage of  hand-cuffs and riding crops!!

Share your views on the book.   

Feel free to use an alias or your initials with your post.  It’s a tender topic and I respect your views and candor.

Has it impacted your sex life?  If so, in what way?

Has the frequency of sex increased for you and your partner?

Has your partner read it?

Citations:

1)   www.huffingtonpost.com/2012/07/26/fifty-shades-of-grey-names_n_1707842.html

2)   www.holisticwisdom.com/fifty-shades-james-sex-toys-bondage.htm.

3)   www.villagevoice.com/runninscared/2012/07/fifty_shades_of_gre_men_react.php

4)   www.amazon.com/Secret-Guide-Fifty-Shades-ebook/dp/8008080RDFRU

5)   www.theadvocate.com/utility/homepagestories/2675013-129/men-are-fans-too-of

6)  www.nypost.com/p/news/local/ny_gals_learning_the_ropes_at_fifty_sVWWKeksj9WKUto2ITg/KK

 


The Ultimate “Letting Go” – Clinging to a Rock in the Rapids

The Ultimate “Letting Go”: Clinging onto a Rock in the

Middle of the Rapids!

Yes, clinging onto a rock in the middle of the raging rapids along the Lower Fork of the Salmon River.  This is the exact spot where I found myself during a recent river rafting adventure in Idaho.  The trip was called, Reflections on the River, led by an amazing mindfulness and meditation instructor.  I imagined the journey to be filled with peaceful days – flowing down the river, lazily and carelessly.   But this wasn’t exactly what happened on this particular day…

My nails clawed onto the rock, attempting to gain a better grip which proved difficult because of the slippery green grass covering its sides.  I gasped for air and filled my lungs with deep breaths.

What was I doing propped against a rock in the middle of a raging rapid?

Wasn’t I supposed to be on vacation?!

Only a few minutes earlier, we had been “securely” nestled in our tandem kayak.

I was seated in front and the leader of our group, an adept rower and canoe expert, was in the back.  That morning, we had kayaked quite well together and I had started to feel more confident with my kayaking skills.  This abruptly changed when we came upon this particular set of rapids!

One thing that I’ve learned about rapids – you better “take” them the right way.  We didn’t exactly “take” them the right way as we headed straight down.  Within seconds, we were drawn down by the raging current then catapulted onto a steep rock face.  A ninety-degree angle with the water is never a position a kayak should be in!

The kayak flipped –  propelling the two of us into the raging water.   Paddles went flying.  Kayak went sailing down the river.  The force of the current pulled me down and I couldn’t determine which way was up.  I gasped for air and swallowed large gulps of water.   Then, amazingly, I found myself propped up against a rock.    I saw my kayaking partner going down the river, taking the rapid on the left side holding onto the kayak as it was being swept down.

 

 

What do I do now?   I first needed some deep breaths to realize what the hell just happened.  Did I really just get thrown off the kayak?  Was I really clinging onto to this rock in the middle of a raging Class 3-4 rapid?

Surprisingly, I was not filled with fear.  Yes, I was afraid, but fear did not overwhelm me.   I did realize that this wasn’t the best situation to find myself in – literally up a river…with no paddle or kayak!!

What were my options?   Luckily, my survival instincts kicked in and two options came to me.  Option #1: to be rescued by another boat.  Option #2: to let go and face the rapids by myself sans paddle or kayak.   At first, the possibility that another boat might “save” me, seemed plausible.  Yet after a few minutes surveying the water’s course, the probability of a paddle boat stopping in the midst of the rapid and snatching me up,  soon vanished.

Option #2.  Let Go!   I felt the surge of water against the side and back of my body.  I watched how the river’s powerful force carefully carved passages between the boulders studded in its path.  Downstream lay much calmer water, but not for some distance.

What about the rocks?  Would I hit one?

I looked around at the shore.  There was Lindsay, my “celestial” member of the group.  We had kayaked together the day before and developed a bond while navigating the rapids.   She had stopped with her kayak downstream on the left side of the river’s shore.    I spotted her there and my heart immediately filled with warmth and sense of connection.   She looked at me, smiled, and calmly signaled me with a “two thumbs up” sign.

Yes, this was my sign – I had to let go.  I had to let go of the rock. 

I took a few more deep breaths, knowing that there was about 150 feet of raging rapids to go down.    I was at the river’s mercy.  If this was my time, I needed to have faith and trust.  That morning, during our meditation, our leader said, “The river is our mother and we are her garden…”

 Well, “Mother River”, I said, “what do you have in store for me?”

One more deep breath before letting my fingers loosen from their death grip on the rock.   Then I was released –  into the powerful rapids, heading straight down with my feet in front of me and buttocks tucked under.   (Note:  This is what you’re supposed to do, should you ever find yourself in this situation!)   The strong current took me under and flailed me high over the waves.  I felt my body crashing down and then rising up against the powerful crests of water.  Wave after wave came with amazing force pulling me under and then shooting me to the top.  I couldn’t get any air.  I just kept telling myself that there was an endpoint – calmer water lay ahead.

It seemed to be an eternity before I could finally see my paddle group up ahead.   I had made it through!  I swam furiously towards the safety of the paddle boat.  I could tell by their facial expressions that they had feared the worst-  not seeing any signs of me for quite some time.   The rafting guide hoisted me up by the straps of my life vest into the paddle boat.  I felt an immediate sense of relief when my feet landed on the sturdy rubber surface.    I took deep breaths of wonderful air and gazed at their smiling faces.

 A metaphor for life….This amazing experience can be seen as a metaphor for life.  How many times have we felt the need to cling onto something and not let go?  Our “rocks” may take many forms – relationships, jobs, thought patterns, belief systems, etc?   We hold onto this false sense of security – believing that this “rock” will provide us permanent solace and safety.  In actuality, we all know that we need to let go and have the courage to face life’s challenges… no matter what situation is presented to us!

A wonderful passage by the late Irish poet, John O’Donohue, presents it beautifully:

“In our day to day lives, we often show courage without realizing it.  However, it is only when we are afraid that courage becomes a question.  Courage is amazing because it can tap into the heart of fear, taking that frightening energy and turning it towards initiative, creativity, action and hope.  When courage comes alive, imprisoning walls becomes frontiers of new possibility, difficulty becomes invitation and the heart comes into a new rhythm of trust and sureness.  There are great sources of courage inside every human heart; yet courage needs to be awakened in us….Courage is a spark that can become the flames of hope, lighting new and exciting pathways in what seemed  to be dead, dark landscapes.”

Lessons learned.

I am grateful to the river for many invaluable lessons.  This experience re-awakened the courage in me to face life’s challenges straight on and cherish each day as a true “gift”.   One major lesson was that I had survived this near death experience!  From this, came the  need to fulfill my mission in life – to be a leader in women’s health and  empower women ( and men!) to lead the most fulfilling lives possible.  To not hold back, but go for our dreams!

Life is not a dress rehearsal – it is here, right now, right in front of us.  We only have the present.  No need to waste energy on the past or worry about the future.  We may not have absolute control over what happens to us, such as being flipped from a kayak in the midst of a raging rapid,  but we can control how we choose to react to life’s challenges.

Over the past 2 weeks, I’ve pondered over the “rocks” in my life.   What things was I clinging onto?  What was I resisting and not letting go of?

Hopefully by reading this you will be inspired to look at the “rocks” lying in your river of life —and choose to ultimately let go!

Questions for reflection:

  • What things are you holding onto?
  • What do you need to let go of?
  • Do you have courage and faith in your river’s path?

Please share any of your thoughts or experiences of “letting go”.

 

Lighting the way…

Dr. Diana

Dr. Diana

Where is YOUR “Red Room”?

Where is your “red room”?

If you could fantasize about having a hot, sexy encounter anywhere in the world, where would it be?

My last blog highlighted the nation’s infatuation with the female erotic novel, Fifty Shades of Grey. In this romantic novel, the virginal female protagonist, Anastasia Grey, engages in sexual encounters with the gorgeous, multifaceted male hero, Christian Grey. In his house, Christian and Anastasia explore the boundaries of their sexual relationship in a small, ….. coined, “ the red room”.

And while we might fantasize about having a “red room” built into our own homes, where else would you dream about fueling the fires of desire?

Can you guess what the #1 place was for women? For men?

An intriguing study, recently done by the Durex Corporation, posed this exact question to 1,000 American adults, ages 18 and older, between March 16- March 23, 2012. Interestingly, the Durex Corporation manufactures condoms and conducts multiple titillating trials on sexual health every year. In this particular study, called the InSync Study, the top tryst sites to “get it on” were surveyed.

What was the number one place for women? The Eifel Tower! Yes, the highest percentage of women interviewed, 33 percent, fantasized about a sexual rendezvous at this romantic icon nestled in the heart of Paris.

For men? Amazingly, the White House! Thirty-one percent of the men polled chose the site associated with extreme power — and where some of our past presidents have even engaged in romantic interludes.

How can we explain these results? Interestingly, quite easily. Women, in general, love romance. Just imagine hearing the sweet sound of French music playing in the background, the smell of….in the air, the slight breeze brushing across your cheeks, the taste of his gentle kiss as you both gaze upon the river Seine. Wow, even I was being carried away with that one!!

For men, sexual fantasy is more about power. The White House is the ultimate symbol of authority, respect and command of our nation.

Why do we fantasize about having sex in mysterious places? Because too many of our sex lives are in a “rut” and need some major resuscitation! In fact, half of Americans interviewed in this same study were dissatisfied with their bedroom escapades. Of respondents interviewed, 37% admitted that their intimate time ends far too quickly. On the flip side, 14% revealed that sex lasts longer than they would like.

Some good news…

Even before Fifty Shades of Grey hit the shelves and heated women’s sexual desires across the country, Americans were already becoming more adventurous in the bedroom. According to another study by Durex, called the Durex Global Sexual Wellbeing Survey , which interviewed over 29,000 adults, aged 18 and older, between Sept 6 and October 3, 2011, American couples are actually trying new things to spice it up and get more “in sync” in the bedroom. These included using new types of lubricants (53%), adult toys and aids (39%), and rings (11%).

Can’t fly to Paris or Washington, D.C.? Or build your own red room?

Well, here are some places to heat things up in your home.

Top 5 places to have sex – around the house!
1. In the shower. Lathering each other with body wash can get you both incredibly squeaky clean as well as get you feeling sensuous.
2. In the bath tub. If the shower sounds a bit too acrobatic, run a bubble bath, soak in the wonderful…. And give each other a foot massage. Then feel free to massage other places.
3. In the kitchen. Remember the scene from “The Mailman Always Rings Twice”? Maybe while cooking up a delicious meal with your honey, sipping a glass of wine, slowly stirring the garlic simmering in the olive oil… you get the drift!
4. In the backyard. Just make sure that there are some trees or other shrubs to obstruct your neighbor’s view!
5. In the laundry room… think spin cycle.

Citations:
1) InSync Study, Durex Corporation, http://www.prnewswire.com/news-releases/durex-survey-reveals-what-americans-really-want-in-the-bedroom-149464045.html
2) Durex Global Sexual Wellbeing Survey: http://www.durex.com/en-ca/sexualwellbeingsurvey.

Talking S-E-X With Your Doctor

When the last time your doctor asked you about sex?

Well, if you’ve been seen at my office, it was probably at your very last visit!

It is estimated that approximately 43% of women in the United States today are experiencing some form of sexual problem, with lack of sexual desire as the leading issue. Yet, in exam rooms across our nation, physicians are not bringing up the topic of sex with their patients.

According to a new University of Chicago survey of more than 1,000 obstetricians and gynecologists in the United States, less than half of the physicians asked their patients about any sexual problems or dysfunction (1). Only two-thirds asked how sexually active their patients are and less than one-third asked their patients about sexual satisfaction. Results of the study were published in Journal of Sexual Medicine with specific results highlighting only 63% routinely asked patients about their sexual activities, with 40% asking about sexual problems, 28.5% asked about sexual satisfaction and approximately 14% asked about pleasure with sexual activity ( 1 in 10 never asked this question at all).

The study’s senior author and associate professor at the University of Chicago Pritzker School of Medicine, Dr. Stacy Lindau, states “sexuality is a key component of a woman’s physical and
psychological health. Simply asking a patient if she’s sexually active does not tell us whether she has good sexual function or changes in her sexual function that could indicate an underlying problem.”

Which physicians are most likely to bring us sexual issues?

Female physicians were more likely than male physicians to discuss sexual activity as well as sexual orientation and identity with female patients. Physicians practicing solely gynecology and not providing obstetrical services were also more likely to screen for sexual dysfunction. Physicians aged 60 years and older were found to be the least likely to discuss a patient’s sexual orientation or identity compared to their younger colleagues ( 11% vs 28% of those aged 46-59 vs. 32% aged 45 or younger.)

According to researchers, about 25 percent of the doctors said they have expressed disapproval of patients’ sexual practices; these were primarily doctors who were foreign medical graduates or ones
who considered religion the most important part of their lives. Those who indicated a Roman Catholic religious affiliation were significantly less likely than others in the survey to ask patients about sexual activities.

Why don’t patients bring up the topic?

“Patients are often reluctant to bring up sexual difficulties because of fear the physician will be embarrassed or will dismiss their concerns,” lead study author Dr. Lindau said. “Doctors should be taking the lead.”

What if your doctor isn’t taking the lead and bringing up sex?

5 Tips for Talking Sex with Your Doctor

1. Acknowledge your discomfort. Start the conversation with being honest about your uneasiness with this topic.

2. Approach it from the health perspective. Sexual issues can signal a larger health problem, such as thyroid disorders, depression, hormonal changes or issues with medications.

3. Write down your questions before your visit. By preparing ahead of time, you won’t forget what you want to ask or feel flustered during the exam.

4. Don’t be rushed. If you’re asking your physician about sexual issues as he/she is leaving the exam room, there won’t be enough time to discuss your concerns. Make a separate
appointment if you need to allow adequate time for this conversation.

5. Find the right doctor. This might be the most challenging of all of these tips. Ideally, you want a physician whom you can confide in, feel comfortable asking questions of, and feel “listened to”. Also, this physician should have the appropriate knowledge regarding sexual issues to help you. A physician who dismisses your concerns or makes you feel ashamed is not the health partner you desire.

You deserve the best quality health care and doctor available – don’t settle for anything less!

Citations:

1. Journal of Sexual Medicine. “What we don’t talk about when we don’t talk about sex”. DOI:10.1111/j. 1743-6109.2012.02702.x
Janelle Sobecki, MA, et al, March 22, 2012.

Gratitude: A Hidden Key To Better Health

It’s no secret that stress causes us to become sick – leading to heart disease, diabetes and depression, among many others. In fact, up to 90% of all doctor visits are due to stress related conditions.

What if I told you there is something you could do today, right now, to lessen your level of stress? And it wouldn’t break the bank doing it!

A few weeks ago, I shared the intriguing research and Satisfaction of Life Scale of Edward Diener, Ph.D, a.k.a, “Dr. Happiness”. I proposed the concept of a “gratitude” journal, writing what you are grateful for in your life.

Why keep a gratitude journal?

Because gratitude, it turns out, helps us better manage stress and life’s challenges and leads to sounder sleep, less anxiety, higher long-term satisfaction with life and kinder behaviors toward others, including our romantic partners (1). Now, wouldn’t that put a smile on your, as well as your partner’s, face?

According to Dr. Robert Emmons, psychology professor at the University of California , Davis, “ Gratitude research is beginning to suggest that feelings of thankfulness have tremendous positive value in helping people cope with daily problems, especially stress.” (2) In fact, showing gratitude and having a positive outlook can boost your immune system. Dr. Lisa Aspinwall, a psychology professor at the University of Utah, compared the immune systems of healthy, first-year law students under stress and found that, by midterm, students characterized as optimistic ( based on survey responses) maintained higher numbers of blood cells that protect the immune system, compared with their more pessimistic classmates. Optimism can also have a positive health impact on people with compromised health, such as patients confronting AIDS (3). By showing gratitude and optimism, higher levels of white blood cells (CD4) cells and slower disease progression was seen in these patients.

Cultivating an “Attitude of Gratitude”

Here are 6 Tips from Dr. Emmons for getting the most from your gratitude journal (4).

1. Don’t just go through the motions. Journaling is most effective if you first make a definite conscious decision to become happier and more grateful. “Motivation to become happier plays a role in the efficacy of journaling, “says Emmons.

2. Go for depth rather than breadth. Elaborating in vivid detail about a particular event for which you are grateful for carries much greater benefit than a superficial list of many things.

3. Get personal. Focus on people to whom you are sincerely grateful, rather than material things.

4. Try subtraction, not just addition. Reflect on what your life would be like without certain blessings, rather than just tallying up all of the good things.
5. Savor surprises. Record events that were unexpected or surprising, as these tend to elicit stronger feelings of gratitude.

6. Write in moderation- Don’t over-do it. According to certain studies, writing once a week for six weeks reported boosts in happiness compared to those people who wrote more frequently, three times a week(5). I believe this is very individual – find the amount of journaling that is right for you.

In addition, Dr Emmons recommends that you “relish and savor” these gifts of gratitude. “In other words, we tell them not to hurry through this exercise as if it were just another item on your to-do list. This way, gratitude journaling is really different from merely listing a bunch of pleasant things in one’s life.”

So what are you waiting for? Order your own gratitude journal today and start reaping all of the benefits. Recognize the meaning of events occurring around you, create a deeper connection with your partner and sense of purpose in your life!

Click on this link right now and start your attitude of gratitude!

Citations:
1. http://www.nytimes.com/2011/11/22/science/a-serving-of-gratitude-rings-healthy-dividends
2. http://women.webmd.com/features/gratitute-health-boost
3. Ironson, G., Hayward, H. 2008. Do Positive Psychological Factors Predict Disease Progression in HIV-1? A Review of the Evidence. Psychosomatic Medicine, 70 (5): 546-554.
4. http://greatergood.berkeley.edu/article/item/tips_for_keeping_a_gratitude_journal/
5. Lyubomirsky, S. et al. 2005. Pursuing Happiness: The architecture of sustainable change. Review of General Psychology, 9: 111-131.