Southeast Kentucky Behavioral Health, LLC
Everyday Ways to Improve Aphasia

What is Aphasia?

Aphasia is a condition that makes it hard for people to speak, understand words, read, or write. It usually happens after a stroke or brain injury. Some people with aphasia have trouble finding the right words, while others may not understand what is being said to them. Even though aphasia can be frustrating, there are many ways to improve communication every day.

1. Practice Speaking Every Day

Using words as much as possible can help the brain heal and improve speech. Studies show that people who practice speaking often get better over time (Brady et al., 2016). Here are some simple ways to practice:

  • Read Out Loud: Reading books, newspapers, or even food labels can help with word recall.
  • Describe Objects: Look at things around you and try to name them. For example, if you see a chair, say “chair” out loud.
  • Sing Songs: Singing can help with speech. Many people with aphasia find it easier to sing than to talk (Racette, Bard, & Peretz, 2006).

2. Use Other Ways to Communicate

Speaking is not the only way to communicate. If words are hard to find, try using:

  • Gestures: Pointing, nodding, or using hand signs can help express thoughts.
  • Writing or Drawing: Writing words or drawing pictures can help show what you mean.
  • Apps or Picture Boards: Some people use pictures or apps on a tablet or phone to communicate (Kearns et al., 2019).

3. Take Your Time and Stay Calm

It’s important to stay relaxed when trying to talk. Rushing can make it harder to find the right words. Here are some helpful tips:

  • Pause and Breathe: If words don’t come right away, take a deep breath and try again.
  • Use Short Sentences: Speaking in short phrases can make talking easier.
  • Ask for Help: If a word is hard to remember, ask someone to help by giving hints.

4. Play Word Games and Puzzles

Games that involve words can help improve language skills. Some good options include:

  • Word Matching Games: Matching words with pictures can help with memory.
  • Crossword Puzzles: Easy crossword puzzles can help with word recall.
  • Talking with Friends and Family: Simple conversations every day help build confidence and speech skills.

5. Get Support from Others

Having support makes a big difference. Talking with family, friends, or a support group can help with communication. Studies show that people with aphasia who have support improve more than those who feel isolated (Elman & Bernstein-Ellis, 1999).

6. Work with a Speech Therapist

A speech-language pathologist (SLP) can help create a plan to improve communication. They use special exercises to help with speaking, understanding, and writing.

Conclusion

Aphasia can be challenging, but daily practice and support can help. By reading out loud, using gestures, playing word games, and staying patient, people with aphasia can improve their communication skills over time. Small steps each day can lead to big improvements!

References

Brady, M. C., Kelly, H., Godwin, J., Enderby, P., & Campbell, P. (2016). Speech and language therapy for aphasia following stroke. Cochrane Database of Systematic Reviews, (6).

Elman, R. J., & Bernstein-Ellis, E. (1999). The efficacy of group communication treatment in adults with chronic aphasia. Journal of Speech, Language, and Hearing Research, 42(2), 411-419.

Kearns, K. P., Lee, J. B., & Meigh, K. M. (2019). Communication strategies for adults with aphasia. American Journal of Speech-Language Pathology, 28(3), 1136-1148.

Racette, A., Bard, C., & Peretz, I. (2006). Making non-fluent aphasics speak: Sing along! Brain, 129(10), 2571-2584.

Breaking Free: Effective Strategies to Cut Down Screen Time on Phones and Tablets

In today’s digital age, smartphones and tablets have become indispensable tools for communication, work, entertainment, and learning. However, with their constant presence, it’s easy to lose track of time and fall into unhealthy usage patterns. Excessive screen time has been linked to a variety of health issues, including eye strain, poor posture, disrupted sleep patterns, and even mental health problems like anxiety and depression (Firth et al., 2019). Fortunately, there are several strategies to help limit screen time and promote a healthier balance between digital and offline activities.

1. Set Time Limits on Apps

Most smartphones and tablets now offer built-in tools to help users monitor and control their screen time. Both Android and iOS devices have settings where you can set daily time limits for individual apps (Google, 2022). For example, Apple’s “Screen Time” feature allows users to set app limits, and Android users can use “Digital Wellbeing” for similar controls. These features provide reminders when you approach or exceed your preset time limits, helping you stay aware of your usage habits.

Setting limits not only helps you reduce unnecessary app use but also encourages you to be more intentional about how you spend your time. Studies have shown that structured restrictions can effectively help people cut down on screen time and reduce distractions (Lepp et al., 2014).

2. Turn Off Notifications

Constant notifications from apps, social media platforms, and messaging services can significantly increase your screen time. These interruptions prompt you to check your phone repeatedly throughout the day, often leading to extended periods of time spent on devices. A 2016 study found that people check their smartphones on average 150 times a day, largely driven by notifications (Svetlana et al., 2016).

To limit distractions, consider turning off non-essential notifications or using “Do Not Disturb” modes during certain times of the day, such as during work or before bed. This simple step helps reduce the urge to check your phone constantly.

3. Establish Screen-Free Zones

Creating screen-free zones in your home or workspace is another effective strategy to limit phone and tablet use. Designating certain areas, such as the dining room, bedroom, or living room, as “no-phone zones” can help reduce mindless scrolling and promote more face-to-face interactions. Additionally, making your bedroom a screen-free area can help improve sleep quality by preventing blue light exposure before bedtime (Harvard Health Publishing, 2020).

These zones can be particularly helpful in fostering healthier habits by encouraging more in-person communication and mindfulness.

4. Use Digital Detoxes or Screen-Free Days

Another highly effective method is to commit to periodic digital detoxes or screen-free days. This could mean turning off your phone for a set period, such as during weekends or evenings, or even dedicating a full day once a month to disconnecting from all digital devices. Studies have shown that digital detoxes can improve mental health and reduce feelings of stress and anxiety (Przybylski & Weinstein, 2017).

While the idea of a complete digital detox may feel daunting at first, many individuals find that taking breaks from their phones or tablets allows them to reconnect with their surroundings, hobbies, and personal relationships, ultimately leading to improved well-being.

5. Engage in Offline Activities

One of the most effective ways to reduce phone usage is by engaging in offline activities that are enjoyable and fulfilling. Exercise, reading, cooking, or pursuing hobbies like painting or gardening can be great alternatives to spending time on screens. Research suggests that outdoor activities and physical exercise are particularly beneficial for reducing screen time and boosting overall mental and physical health (Biddle & Asare, 2011).

By prioritizing these activities, you naturally reduce the temptation to spend excessive time on your devices.

6. Track Your Screen Time Regularly

Another valuable strategy is tracking your screen time regularly. By reviewing how much time you spend on your phone or tablet each day, you become more aware of your usage patterns. Both iOS and Android devices have built-in tracking features that provide insights into your daily and weekly screen time usage (Google, 2022). You can break it down further by showing which apps you spend the most time on, helping you identify areas where you could make improvements.

Tracking your usage can serve as a reminder to stay conscious of your screen time and make small adjustments, such as reducing the time spent on social media or checking email.

7. Practice Mindfulness and Digital Wellbeing

Finally, adopting mindfulness practices can help you become more aware of your screen usage. Mindfulness involves being fully present in the moment and paying attention to your thoughts, emotions, and surroundings. When it comes to screen time, mindfulness can help you recognize when you’re using your phone or tablet out of habit or boredom rather than necessity.

Apps like “Forest” or “Focus@Will” promote mindfulness by encouraging you to stay off your phone and focus on the task at hand. These apps can help improve concentration and productivity, making it easier to manage time on digital devices (Nielsen et al., 2019).

Reducing time spent on phones and tablets is essential for maintaining both mental and physical health. By implementing strategies such as setting time limits, turning off notifications, creating screen-free zones, engaging in offline activities, and practicing mindfulness, individuals can regain control over their screen time and foster healthier habits. The key to success lies in being intentional with technology use and recognizing when digital interactions start to negatively impact well-being.

This article has been written by John S. Collier, MSW, LCSW-S. Mr. Collier has over 25 years experience in the social work field. He currently serves and the executive Director and outpatient provider through Southeast Kentucky Behavioral Health, LLC based out of London Kentucky. John may be reached by phone (606) 657-0532 or by email at [email protected].

References

Biddle, S. J. H., & Asare, M. (2011). Physical activity and mental health in children and adolescents: A review of reviews. British Journal of Sports Medicine, 45(11), 883-890. https://doi.org/10.1136/bjsports-2011-090185

Firth, J., et al. (2019). The effects of online social networking on mental health: A systematic review. Cyberpsychology, Behavior, and Social Networking, 22(1), 17-25. https://doi.org/10.1089/cyber.2018.0177

Google. (2022). Digital wellbeing. https://wellbeing.google

Harvard Health Publishing. (2020). Blue light and sleep. Harvard Medical School. https://www.health.harvard.edu

Lepp, A., et al. (2014). The relationship between cell phone use and academic performance. Computers in Human Behavior, 31, 87-92. https://doi.org/10.1016/j.chb.2013.10.050

Nielsen, M. F., et al. (2019). Exploring digital mindfulness: A scoping review of digital interventions promoting mindfulness. Journal of Medical Internet Research, 21(3), e11993. https://doi.org/10.2196/11993

Przybylski, A. K., & Weinstein, N. (2017). Can you connect with me now? How the presence of mobile communication technology influences face-to-face conversation quality. Journal of Social and Personal Relationships, 34(6), 741-758. https://doi.org/10.1177/0265407516637612

Svetlana, G., et al. (2016). Mobile phone dependency and the development of social media addiction. Journal of Behavioral Addictions, 5(4), 706-715. https://doi.org/10.1556/2006.5.2016.084

How to Not Take Yourself So Seriously: A Guide to Lightening Up

In a fast-paced, achievement-driven world, it’s easy to get caught up in taking life—and ourselves—too seriously. Whether it’s at work, in relationships, or during personal challenges, an overly serious attitude can lead to stress, anxiety, and even hinder personal growth. Learning how to lighten up, laugh at yourself, and maintain perspective can lead to a healthier, more fulfilling life.

Why Do We Take Ourselves So Seriously?

Several psychological and social factors contribute to the tendency to take ourselves too seriously. These include perfectionism, societal expectations, fear of judgment, and a desire to control outcomes. Psychologist Albert Ellis, known for his Rational Emotive Behavior Therapy (REBT), emphasized that people often create unnecessary stress by setting rigid expectations for themselves and others, leading to feelings of frustration and disappointment (Ellis, 1997).

Cultural pressure also plays a role. In societies where productivity, success, and personal achievement are highly valued, the stakes can feel incredibly high. Individuals often feel the need to maintain a “perfect” image, fearing that any sign of failure or imperfection will be judged harshly by others.

Benefits of Not Taking Yourself Too Seriously

Letting go of self-seriousness offers numerous psychological and emotional benefits. According to research published in the journal *Personality and Individual Differences*, individuals who exhibit higher levels of self-compassion and humor tend to have lower levels of anxiety and depression, and are better able to cope with challenges (Stieger, Wellinger, & Roberts, 2019).

By allowing yourself to laugh at your mistakes and imperfections, you gain resilience. Instead of seeing failures as personal shortcomings, you can view them as opportunities for growth. Humor, in particular, serves as a powerful coping mechanism in difficult situations, reducing stress and enhancing well-being.

Practical Strategies to Stop Taking Yourself Too Seriously

Here are some evidence-based strategies to help you lighten up:

  • 1. Practice Self-Compassion: Kristin Neff, a leading researcher on self-compassion, emphasizes the importance of treating yourself with the same kindness and understanding that you would offer a friend. Instead of berating yourself for mistakes or perceived failures, remind yourself that everyone makes mistakes and that imperfection is part of being human (Neff, 2011).
  • 2. Develop a Growth Mindset: Psychologist Carol Dweck’s work on mindset shows that individuals who adopt a “growth mindset” (believing that abilities and intelligence can be developed through effort) are more likely to embrace challenges and view failures as learning experiences. This approach fosters resilience and reduces the pressure to appear flawless (Dweck, 2006).
  • 3. Laugh at Yourself: Humor is a powerful tool for diffusing stress and putting things into perspective. Laughter can help you step outside of a situation, view it objectively, and reduce its emotional impact. Embracing humor also helps break down social barriers, making you more relatable and less self-conscious (Martin, 2007).
  • 4. Challenge Perfectionistic Thinking:    Perfectionism is a major driver of self-seriousness. Cognitive-behavioral therapy (CBT) techniques can help individuals recognize and challenge perfectionistic thinking patterns. Instead of striving for unrealistic standards, set achievable goals and learn to accept good-enough outcomes (Flett & Hewitt, 2014).
  • 5. Focus on the Bigger Picture: A common reason people take themselves too seriously is getting lost in the minutiae of daily life. Step back and ask yourself: Will this matter in a year? In five years? This practice of reframing helps you gain perspective and reduces the immediate intensity of situations.
  • 6. Surround Yourself with Positive, Humorous People: The people you surround yourself with have a big impact on your attitude. If you spend time with people who can laugh at themselves and take life in stride, their lighthearted approach is likely to rub off on you. Social support is a key factor in maintaining mental and emotional well-being (Cohen & Wills, 1985).
  • 7. Mindfulness and Meditation: Mindfulness practices help cultivate awareness of the present moment without judgment. This helps reduce over-identification with negative thoughts and fosters a more relaxed approach to life’s challenges. Studies show that mindfulness can significantly lower stress and improve overall mental health (Kabat-Zinn, 1990).
  • The Role of Humor in Letting Go: Humor has long been recognized as a powerful psychological tool. Sigmund Freud believed that humor allowed the conscious mind to release tension and cope with stress. Modern research supports this idea, suggesting that humor promotes psychological flexibility, which is the ability to adapt to different situations with ease (Kashdan & Rottenberg, 2010). Humor also creates social bonds. When you’re able to laugh at your own quirks and mishaps, it shows humility and relatability, making it easier for others to connect with you. This not only improves your relationships but also boosts your own sense of well-being.

Not taking yourself too seriously is a skill that can be developed over time. By practicing self-compassion, adopting a growth mindset, using humor, and focusing on the bigger picture, you can reduce stress and cultivate a more joyful, resilient approach to life. Embrace imperfection, laugh at your mistakes, and remember that life is too short to be taken too seriously.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work. He currently serves as the executive director and outpatient behavioral health psychotherapist through Southeast Kentucky Behavioral Health, LLC based out of London Kentucky. He may be reached by phone at 606-657-0532 extension 101 or by email at [email protected].

References

  • Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. *Psychological Bulletin*, 98(2), 310-357.
  • Dweck, C. S. (2006). *Mindset: The new psychology of success*. Random House.
  • Ellis, A. (1997). *How to Control Your Anxiety Before It Controls You*. Citadel Press.
  • Flett, G. L., & Hewitt, P. L. (2014). *Perfectionism in Personality and Psychopathology: A Vulnerability Perspective*. American Psychological Association.
  • Kabat-Zinn, J. (1990). *Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness*. Delacorte Press.
  • Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. *Clinical Psychology Review*, 30(7), 865-878.
  • Martin, R. A. (2007). *The Psychology of Humor: An Integrative Approach*. Academic Press.
  • Neff, K. (2011). *Self-Compassion: The Proven Power of Being Kind to Yourself*. HarperCollins.
  • Stieger, S., Wellinger, S., & Roberts, B. W. (2019). Humor as a stress coping strategy. *Personality and Individual Differences*, 147, 35-40.
How to Stop Worrying: Effective Strategies and Insights

Worrying is a common human experience, but when it becomes excessive, it can negatively impact mental and physical health. Research indicates that chronic worrying is linked to anxiety, stress-related illnesses, and diminished quality of life (Borkovec et al., 1998). Fortunately, there are evidence-based strategies to manage and reduce worry effectively.

Understanding Worry

Worry involves repetitive thoughts about potential future events, often focusing on negative outcomes (American Psychological Association, 2020). While occasional worrying can help with problem-solving and preparation, excessive worry often leads to feelings of helplessness and distress.

Strategies to Stop Worrying

1. Practice Mindfulness

Mindfulness, the practice of focusing on the present moment without judgment, is a powerful tool to combat worry. Studies have shown that mindfulness-based interventions reduce anxiety and promote emotional regulation (Hofmann et al., 2010). Techniques like deep breathing, meditation, or yoga can help individuals break free from the cycle of worry.

2. Challenge Negative Thoughts

Cognitive-behavioral therapy (CBT) emphasizes identifying and challenging irrational or exaggerated worries. Writing down worries and questioning their validity can help reframe thoughts into more realistic perspectives (Beck, 2011). Ask yourself:

  • Is this thought based on facts or assumptions?
  • What is the worst that could happen, and how likely is it?

3. Set a Worry Time

Dedicate a specific time each day to address worries. This technique, often called “scheduled worry time,” can reduce the tendency to ruminate throughout the day (Leahy, 2005). During this time, write down your concerns and brainstorm potential solutions.

4. Focus on Problem-Solving

Instead of dwelling on “what ifs,” shift your energy toward actionable steps to resolve the issue. Research suggests that problem-solving therapy can reduce anxiety and improve coping mechanisms (D’Zurilla & Nezu, 2010).

5. Engage in Physical Activity

Exercise is a natural stress reliever and mood booster. Aerobic activities, such as walking, running, or swimming, have been shown to decrease anxiety and improve overall well-being (Herring et al., 2010).

6. Limit Exposure to Triggers

Reducing time spent on activities that exacerbate worry, such as excessive news consumption or social media use, can help maintain emotional balance. Set boundaries around these activities to minimize unnecessary stress.

7. Cultivate Gratitude

Focusing on positive aspects of life can counteract worry. Keeping a gratitude journal or listing three things you are grateful for each day can shift your focus away from concerns and toward positivity (Emmons & McCullough, 2003).

8. Seek Professional Help

If worrying becomes overwhelming and interferes with daily functioning, seeking support from a mental health professional is essential. Therapists can provide tailored strategies to manage anxiety and address underlying causes of chronic worry.

The Role of Social Support

Connecting with others can also reduce feelings of worry and isolation. A supportive network of friends, family, or support groups can offer reassurance and practical advice.

While worrying is a natural response to uncertainty, excessive worry can harm mental and physical health. By practicing mindfulness, challenging negative thoughts, and focusing on actionable solutions, individuals can regain control over their thoughts and reduce the impact of worry on their lives. Incorporating these strategies into daily life can foster resilience and promote overall well-being.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field. He currently serves as the executive director and outpatient behavioral therapist for Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at by phone at 606-657-0532 Extension 101 or by email at [email protected].


References

  • American Psychological Association. (2020). Understanding anxiety and worry. Retrieved from https://www.apa.org
  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal processes. Cognitive Therapy and Research, 22(6), 561-576.
  • D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. Springer.
  • Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.
  • Herring, M. P., O’Connor, P. J., & Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms: A meta-analysis. Psychosomatic Medicine, 72(6), 465-474.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
  • Leahy, R. L. (2005). The worry cure: Seven steps to stop worry from stopping you. Harmony.