Author Info for Lise Van Susteren, MD Coming Soon

Stacey Colino

STACEY COLINO is an award-winning writer specializing in health and psychology. Her work appears in U.S. News & World Report, Prevention, Family Circle, Parade, and Parents. She lives in Chevy Chase, MD.

Photo © Judy Licht

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A Doctor’s Simple Tips on How to Get Better Sleep

Thanks to groundbreaking research, we have recently learned that every cell has its own timekeeper that can be thought of as a local clock. Deep within the brain, in the hypothalamus, lies a master clock that regulates all the local clocks, making sure that each one is set to the same time. This complex, coordinated process is in sync with the alternating cycles of day and night and with all the degrees of changing light that occur in a 24-hour period as Earth rotates on its axis. Called the “circadian rhythm”—from the Latin words circa, which means “going around,” and diem, meaning “day”—this internal process regulates the human body’s sleep-wake cycle, among many other functions. 

The master clock (think of it as circadian rhythm central) sends hormonal and nerve signals throughout the body, synchronizing the cells’ clocks to the day-night, light-dark cycle of life. On a continuous basis, the master clock can determine what time it is based on messages from photoreceptor cells in the retina that register light conditions outside and report these to the brain via specialized pathways. 

Meanwhile, the cellular clocks keep local time, making sure that various activities locally are timed right and are appropriately coordinated with other cells and organs. This is why, for example, key enzymes are produced at certain times, blood pressure and body temperature are controlled, hormones are secreted, the gut microbiome is populated with the right balance of bacteria, and gut motility is appropriate for the hour. 

Living in harmony with the way we have evolved brings physiological and emotional balance, creating a good fit between our bodies and minds, between what we’re doing and how we’re designed to function. Honoring our body’s natural rhythms helps stabilize our mood, become more resistant to stress, feel less physical pain, and generally feel and function better physically and mentally. It’s an essential step in cooling and calming emotional inflammation. 

The following are some ways you can adjust your habits so that they support your body’s inherent rhythms: 

  • Put yourself on a sleep schedule. Establish a regular sleep-wake schedule so that you go to bed at approximately the same time each night and wake up at the same time each morning. It’s fine to vary your bedtime by an hour or two occasionally, but don’t sleep in more than an extra hour on the weekends (unless you’re sick); otherwise, you will end up disrupting your sleep pattern for the next night. 
  • Identify your slumber sweet spot. Most adults need seven to nine hours of sleep per night to feel and function at their best. Once you figure out how much you need, determine what time you need to get up in the morning and work backward to set an appropriate bedtime; or, you can identify what time of night you typically feel sleepy and then set a wake-up time accordingly. 
  • Brighten your mornings. When you get up in the morning, expose yourself to bright, natural light to stimulate alertness, enhance your mood, and help calibrate your circadian rhythms. Take a brisk walk outside or have breakfast in a sunny spot. If you struggle to reset your internal clock to the “awake” setting in the morning, consider buying a commercial light box that emits 10,000 lux, which mimics a bright, sunny day. Sitting in front of such a light box for 30 minutes in the morning, perhaps while you have breakfast or read the newspaper or newsfeeds, has been found to stimulate alertness and improve mood. Alternatively, you could opt for a desk-lamp-style light box for your desk at work. 
  • Adjust your indoor lighting. Fascinating research has found that office workers who are exposed to greater amounts of light in the morning fall asleep more quickly at night. They also have better sleep quality and better moods, including less depression and stress, than those who are exposed to low light in the morning. 
  • Darken your evenings. There is another good reason to make sure that your bedroom (or wherever you sleep) is dark: When people are exposed to light during the night, their total daily melatonin production is suppressed dramatically, by as much as 50 percent. In other words, that nighttime light exposure throws the body’s 24-hour hormone production schedule off-kilter. It’s also wise to install a dimmer switch on the overhead light in the bathroom—or use a dim night-light—so that bright vanity lights don’t stimulate your senses and alertness while you’re taking care of bathroom business before hitting the sack or if you get up during the night.

Ultimately, honoring your body’s natural rhythms requires taking back control of your nights and days. It’s about putting time on your side and making conscious choices about the way you want to live so that you can restore your internal equilibrium, physiologically and psychologically. 

Yes, changing your behavior requires giving up the patterns you chose, consciously or not, in the past, and making the switch does take some effort and resolve. But if you make it a priority to stop upsetting your body’s internal rhythms and start living in sync with your body’s inherent needs, the payoffs will be well worth the effort. Your mood is likely to end up on a more even keel, and your energy will increase. Your physical health will probably improve and your emotional equilibrium will, too. Think of it this way: By respecting your body’s rhythms and doing whatever you can to maintain their regularity, you’ll be resetting your internal emotional thermostat, which will improve the way you react to and deal with the stresses and strains that are unavoidable in our modern world.

This is an excerpt from Emotional Inflammation: Discover Your Triggers and Reclaim Your Equilibrium During Anxious Times by Lise Van Susteren, MD, and Stacey Colino.

A Music Playlist for Better Sleep

To help you achieve the best night of rest, we recommend falling asleep to this relaxing music playlist, Music for Better Sleep, available through Sounds True on Spotify.


Lise Van Susteren, MD, previously served as a clinical professor of psychiatry at Georgetown University. She is a go-to commentator about anxiety and trauma for television (including CNN, Good Morning America, NBC, VOA, and Fox News), radio (NPR, Minnesota Public Radio, and others), print media (including the Washington Post, the Wall Street Journal, Newsweek, the Huffington Post, and CQ Magazine), and online outlets (such as Live Science, U.S. News & World Report, Global Health NOW, and many others).

As a thought leader and activist, Dr. Van Susteren addresses issues related to trauma and emotional inflammation through her roles at the Earth Day Network and Physicians for Social Responsibility. She is considered an expert in the psychological effects of climate change.

Stacey Colino is an award-winning writer specializing in health and psychology. In addition to her work as a book collaborator, she is a regular contributor to U.S. News & World Report and AARP.org. Her work has appeared in the Washington Post Health section, Newsweek, Parade, Cosmopolitan, Real Simple, Health, Prevention, Woman’s Day, Harper’s Bazaar, Parents, and Good Housekeeping, among other magazines and newspapers.

Buy your copy of Emotional Inflammation at your favorite bookseller!

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Internal Family Systems therapy (or IFS) is transforming the field of psychology, captivating interest among professionals and laypeople alike in the relatively few years since Dr. Richard C. Schwartz first introduced his revolutionary model. Bestselling author Gabby Bernstein proclaims herself to be among the growing number of people whose lives have been improved in seemingly miraculous ways through IFS. In this podcast, Tami Simon speaks with Schwartz and Bernstein about the unique ways in which IFS can heal and deepen our intimate relationships. 

Give a listen to this empowering discussion of “Courageous Love,” exploring: breaking the “mono-mind” paradigm; uncovering the core Self; coming into full integration and aligning with the truth of who you are; being Self-led in relationships; a four-step method for engaging compassion, curiosity, connection, and choice; asking yourself, “What do I need right now?”; IFS as a devotional practice; becoming “the primary caretaker of our exiles”; the burden of worthlessness; the intensity of our protector parts; IFS for conflict resolution and the practice of speaking about our parts instead of from our parts; calling a time-out to return to calm and presence; the cumulative nature of the energy of the Self; why we need to dialogue with our parts before we try to discuss them with others; the vulnerability of courageous love; the magic of clarity; and more.

Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com.

Turning to my Filipino Roots to Tend to Womb Loss

October is a meaningful month for me as it honors two important parts of my identity. It is Filipino American History Month, a time to acknowledge and honor the presence and contributions of Filipino Americans. Although my parents immigrated to the United States from the Philippines in 1980, records show that Filipinos were present here as early as 1587, landing in present-day Morro Bay, California as part of a Spanish galleon. In an interesting moment of alignment, I am writing this to you from Morro Bay, feeling the palpable power of the land and seeing the sacred 600-foot-tall Morro Rock–known as Lisamu’ in the Chumash language and Lesa’mo’ by the Salinan people–standing proudly just outside the window of our Airstream trailer. October is also Pregnancy and Infant Loss Awareness Month, a time to increase awareness about and honor those of us who have endured such loss- what I often refer to as womb loss.

This October is particularly meaningful with my book, To Tend and To Hold: Honoring Our Bodies, Our Needs, and Our Grief Through Pregnancy and Infant Loss, officially launching on October 22. In it I share how my identities as a Filipina American and bereaved mother intertwine, and how valuable it can be for survivors of womb loss to turn to their cultural traditions for support as they grieve and as their postpartum bodies return to a non-pregnant state. How I came across this online essay and found solace in the language of my ancestors who use terms to describe miscarriage as “someone from whom something was taken away” rather than placing blame with the prefix mis- which means wrongly or badly. I did not carry my pregnancies wrongly or badly. Loss was something that my body experienced.

The following is an excerpt from To Tend and To Hold that I hold dear as it shares a traditional Filipino dish I grew up eating and that I share now as a postpartum doula to offer comfort and nourishment to those who are postpartum, both with living children and after loss. I hope it may offer you comfort as well, no matter if your experience of womb loss was recent, in the past weeks, months or even many years ago. My heart is with you and please know that you are not alone as you grieve and as you heal- at your own pace and in your own way.

~

I recently cooked this recipe for champorado, a Filipino rice porridge, for my beloved friend Katrina on a very tender anniversary, the due date of one of her children and the death date of another. Her child, Zeo Thomas, would have been born that day had he not died in the womb at five months gestation. It was within the same year of his death that her second child, Solis Vida, died in the womb in the first trimester. In truth, Katrina had been bleeding for over a week to release her second pregnancy, but as she bled through Zeo’s due date, she felt an intuitive pull to honor this same date as Solis’s death date. I thought of my friend as I made my way slowly through the grocery store. Though it was crowded and busy, I felt cocooned in my thoughts and intentions for her—how I wanted to help her feel seen and held during this difficult time—and I found myself gathering each of the ingredients in a mindful way that felt like the beginning of a bigger ritual. Knowing I was going to cook for her to honor her, her babies, her grief, and also her longings added a layer of reverence to what would otherwise be a standard grocery run. Later as I cooked the porridge in her home, I channeled my love and condolences into each step. And when I finally brought the warm bowl of champorado to her and saw her reaction, it was my turn to feel honored. Honored  to be there with her. Honored to tend to her. And with a dish we both knew from our childhoods. She dubbed it “postpartum champorado,” and so it shall be known.

Warm and soft, rice porridge is one of the best postpartum foods as it is easy to eat, warming to the body, and gentle on the digestive system. Its very nature is to offer comfort. In my opinion, champorado, a Filipino chocolate rice porridge I grew up savoring, is one of the most heartwarming dishes, with the cacao tending as much to the emotional heart as to the physical body. It can be offered any time of day for both a filling meal and a gentle reminder that there is still sweetness in life even amidst grief.

In this nourishing version, cacao powder is used in place of cocoa so that we may benefit from all that this superfood has to offer, including iron to help rebuild red blood cells, flavonoids to improve blood flow, and magnesium to ease anxiety and depression. In addition to being nutrient-rich, cacao is also known to lift the mood. If the thought of preparing food feels beyond your current capacity at this moment, consider sharing this recipe with a partner, postpartum doula, or other support person and asking them to cook it for you. Additionally, if you are currently pregnant, please consult your health-care provider before consuming cacao as it contains caffeine.

Champorado: Filipino chocolate rice porridge

  • 1 cup sweet rice (also called glutinous or sticky rice) or sushi rice
  • 5 cups water
  • 1/4 cup cacao powder
  • 1/2 cup brown sugar
  • 1 tablespoon unflavored protein powder (optional)
  • Condensed coconut milk for topping
  • Cacao nibs (optional)

Rinse the sweet rice several times until the water runs clear when drained.

Combine rice and water in a pot over medium-high heat. Bring to a boil, then reduce heat to medium and continue to cook until the rice is soft and the porridge thickens (about 20 minutes), stirring often to keep from sticking to the bottom of the pot.

Add cacao powder, brown sugar, and unflavored protein powder. Stir to combine, then remove from heat.

Drizzle condensed coconut milk (or other milk of choice) and top with cacao nibs. Serve hot.

To Tend and to Hold

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Eileen S. Rosete

Learning the Art of Thriving Online

Amelia Knott is an art psychotherapist who specializes in the mental health impacts of hustle culture and social media. In the video below (3:22 minutes), she shares her inspiration behind her written and illustrated workbook, The Art of Thriving Online: Creative Exercises to Help You Stay Grounded and Feel Joy in the World of Social Media and invites you in on the journey of reimagining a healthier relationship with the digital world.

You can also read the video transcript below:

It’s been half my life—literally half the years of my life—lifting my chin for pictures, anticipating the critical gaze of a digital audience, offering my presence half-heartedly to the world around me to to draft a clever caption, choose a flattering filter, and watch as my phone tells me if this time my work will be rewarded with worthiness.

Too many nights avoiding myself, letting the blue-light-lullaby of my screen become a substitute for true soothing. It’s been half my life; holding up the mirror of comparison to everyone’s best days and hottest takes, highlight reels curated with effortless nonchalance, and now the mirror of comparison to a perfected self made in the algorithm’s image. It’s been half my life of fractured attention, commodified vulnerability, fury, and fear taking turns with despondence.

What if my real life stopped being my body or the land, and became the non-place I devote my hours to?

And it’s been half my life wandering daily into the galleries of artists’ and thinkers’ most beautiful ideas. Half my life keeping far-away loved ones close.

It’s true that the Internet gave me my career, my marriage. It made visible the threads of similarity across a quickly dividing globe. It showed me life-saving examples of people who survived what I needed to survive and it broke my heart open at the things no one should have to.

I like to misquote Carl Jung when he said something almost like “a paradox is our most valuable spiritual tool.” I’m not interested in finding the elusive, singular hack that will make screen time less alluring forever. I’m not interested in a lifetime of cycling through eras of detox and excess. Vacillating between the high of a new regimen and the crash of shame when social media works once again, exactly as it was designed.

I’m a therapist. I know that hacks can be tools, or bandaids. A self-help, step-by-step, sales pitch plan can feel like salvation, but it’s not the medicine of being in an evolving conversation with yourself. I am more interested in making art. I’m more interested in learning to tolerate the tension between social media’s danger and its magic. I’m more interested in learning to like myself, unsolved.

And when I’m learning the same lesson, again, the hard way, I know that my allies in finding safe passage through the digital age are art and writing. Creativity is how we imagine a different future.

So I wrote us this book. It’s a place to start that conversation with yourself about what is really happening between you and your screen; who profits from the ways it harms you, and how to protect the parts of it that are genuinely good, because parts of it are.

So if you are ready to join me—an art psychotherapist who both loves the life her phone enables and desperately needs to put it down—we’ll make some art. We’ll sit in the stunning and maddening paradox, and we’ll find creative ways to author our own definitions of real wellbeing when we choose to be on social media.

And together we’ll find the art of thriving online.

The Art of Thriving Online: A Workbook

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Amelia Knott

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