Austin MD Mar/Apr 2016 by Austin MD Magazine

MAR/APR 2016

MOBILE-DEVICE DELIVERED HEALTHCARE

You really are what you eat FOOD’S EFFECTS ON MENTAL HEALTH

THE STIGMA OF MENTAL ILLNESS SILENCE IS NOT THE ANSWER

QUICK STEPS TO SPRING CLEAN YOUR BODY

PUTTING YOUR ANXIETY TO REST – FOR GOOD

CAN YOUR PET MAKE YOU HEALTHIER?  THE NEW

DELL MEDICAL SCHOOL’S GROUNDBREAKING STEPS TOWARDS MENTAL HEALTH

MENTAL HEALTH ISSUE A U S T I N MD M A G A Z I N E . C O M

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CONTENTS MA RC H /A P RI L 2 016

AUSTIN M DM AGAZINE M A RC H / A PR IL 2016

PUBLISHER

Angela Strickland EDITOR

Nicole Carbon ART DIRECTOR

Elisa Giordano

ACCOUNT EXECUTIVE

Davina Bruno

WEB DESIGNER

Brandon Tipton

PHOTOGRAPHER

Steve Dement Rebecca Green

CONTRIBUTING EDITORS

Jake Harding Malena Manning Samantha Schak

Overcoming the stigma associated with mental illness

16 How your pet can contribute to your overall wellbeing 22 The new Dell Medical School’s focus on psychiatric residency brings groundbreaking mental health initiatives 26 A doctor’s look at how food affects not only the scale, but your mind as well

Michael S. Bishop Dr. Phyllis Books Nicole Carbon Kathleen Casey Megan Di Martino Omar Dyess Isabella Van Gunten Sam Jackson Kyle Jerome Brad Kennington Afshan Khan Dr. Shirat Ling Bob Pena Edgar E. Prettyman Xavier Ramirez Rhiannon Ringo Monica Saavedra Dr. Alina Sholar Ram R. Vasudevan Justin Ward

26 Cover photo: avemario

DEPARTMENTS 06 14 32 36 40 42 46 54

EVENTS MENTAL HEALTH LOCAL LIFESTYLE HEALTH TECHNOLOGY SPORTS BEAUTY DINING

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www.AustinMDmagazine.com

For adver tising and/or editorial information, please call Angela Strickland at 512-506-1248 or email angela@AustinMDmagazine com.

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CONTRIBUTING WRITERS

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WITH OUR MENTAL HEALTH ISSUE WE, AT AUSTIN MD, HOPE TO STIMULATE CONVERSATION AND LESSEN THE STIGMA AROUND MENTAL ILLNESS. Did you know that nearly 60 percent of adults diagnosed with a mental illness don’t receive treatment? If you or someone you know is suffering, we urge you to look for treatment and have provided instrumental resources in this issue. We would like to thank those who supported and contributed to making this year’s Date a Doc our most successful event yet! Almost $16,000 was raised for Any Baby Can. SXSW is almost here and Austin MD is excited to be at MedTech and meet some great people making innovations in the industry. This issue has a wealth of helpful information from how to avoid spring allergies to how the family pet can help lessen your depression. We hope you enjoy reading this issue as much as we enjoyed putting it together. Thank you, Austin!

PUBLISHER /CEO

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EVENTS

DATE A DOC PHOTOGRAPHY BY STEVE DEMENT

On February 5, 2016, Austin MD hosted our third annual Date a Doc Charity Auction, with 10 bachelors and bachelorettes on the auction block and over 400 attendees, it was the biggest Date a Doc yet. We raised almost $16,000 for the nightâ&#x20AC;&#x2122;s beneficiary, Any Baby Can, an organization that helps Central Texas kids suffering from health issues and their families. There were some great date packages and lucky winners along with treats, drinks, entertainment, and dancing.

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EVENTS

ANY BABY CAN PHOTOGRAPHY BY REBECCA GREEN

Any Baby Can hosted the 19th Annual Rockin’ Round Up on Saturday, March 5 at The Bob Bullock Texas State History Museum. With more than 400 people in attendance, the event raised funds to help the organization continue to help nearly 7,000 children and families in Austin each year.

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1 in 4 adults

experience mental illness in a given year Approximately

20%

MIKHAIL GRACHIKOV/BIGSTOCK.COM, SOURCE: HTTP://WWW2.NAMI.ORG/FACTSHEETS/MENTALILLNESS_FACTSHEET.PDF

of youth ages 13 to 18 experience severe mental disorders in a given year

1 in 17

live with a serious mental illness such as schizophrenia, major depression or bipolar disorder

Approximately

6.7% of American

adults−about 14.8 million people−live with major depression

Approximately

18.1% of American adults−about 42 million people−live with anxiety disorders

Approximately 26% of homeless adults staying in shelters live with serious mental illness 70% of youth in juvenile justice systems have at least one mental health condition Approximately 60% of adults 12, and almost one-half of youth ages 8 to 15 with a mental illness received no mental health services in the previous year

Serious mental illness costs America $193.2 billion in lost earnings per year Individuals living with serious mental illness face an increased risk of having chronic medical conditions. Suicide is the 10th leading cause of death in the U.S A U S T I N MD M A G A Z I N E . C O M

COVER STORY

OVERCOMING THE STIGMA OF

Keeping silent is not the answer to treat this common condition

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MENTAL

ILLNESS By: Afshan Khan, MD and Michael S. Bishop, Ph.D., LMFT-S, LPC-S

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they should be all things to all people: a good mother, great wife, and a caring friend. Besides cultural pressures, the media does not make it easier when violence is portrayed as an element of mental illness when describing people with mental illness. Although this cannot be reiterated frequently enough, most people with mental illness are no more likely to commit violent crimes than a person who has not been diagnosed with mental illness. Since mental illness is a medical and psychological issue, then these misconceptions from culture and the media must be changed through awareness and understanding. Unfortunately, Susan did follow through with her plans and attempted an overdose of over-the-counter pills. As one can imagine, her vomiting and dizziness led her to a local hospital where caring professionals encouraged her to speak about her sadness without embarrassment or shame. Prevention and early intervention helps address the stigma when teaching students emotional intelligence and resilience. Since parenting is an acquired skill, perhaps learning about it through a school curriculum may be helpful. Also, more men-

According to the National Alliance on Mental Illness, approximately 50 percent of all lifetime cases of mental illness begin by age 14.

tal health resources, and support in schools, makes it more approachable for children and families to seek help. Assessment and treatment can be available through access to a mental health therapist or a psychiatrist. Many insurance policies pay for, or reimburse, mental healthcare and there are programs that offer affordable counseling on a sliding scale. While there are myths regarding the use or overuse of psychiatric medication that contribute to a stigma, the advent of patient centered treatment plans encourage consumers to ask questions and address their concerns about medication or

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tigma – a mark of disgrace associated with a particular circumstance, quality, or person, e.g., ”the stigma of mental illness.” Susan was a 16-year-old high schooler. Through her middle school years, she aspired to be a physician and was set on the right path to reach her goal. Suddenly, life dramatically changed when her father lost his job and her mother was injured in a car accident. Susan fell into depression and anxiety and began cutting on herself, the only way she knew to cope. Too ashamed to talk to anyone, she took it to another level and made plans to end her misery. What influenced Susan was that she believed she could not talk to anyone. What is it about our culture that discourages children and adults from talking to someone about their circumstances of mental illnesses? Prominent people, such as First Lady Michelle Obama and the Duchess of Cambridge, advocate and emphasize the need for more access to mental healthcare and treatment for mental illness. Still, there seems to be a lack of understanding about the stigma surrounding mental illness. A lack of understanding and awareness is even more frightening when one reviews the statistics. These statistics reveal that people who struggle with some form of mental illness more than likely live near or are inside our social circles. In addition, these statistics indicate that anyone will predictably know some person who is challenged with mental illness. As daunting as they may seem, we should understand that the numbers above can be impacted in a positive way by healthcare professionals, parents, and those who influence public policy. However, in our community and culture, there is often a judgment of “weakness” about a person who experiences some form of mental illness. For example, our culture influences men that they should not expose any weakness, rather men should be strong. In addition, our culture influences women that

the numbers • One out of five children experience a mental disorder in a given year. • Suicide is the second leading cause of death among adolescents ages 12-17. • According to the National Alliance on Mental Illness, approximately 50 percent of all lifetime cases of mental illness begin by age 14. • The average delay between onset of symptoms and receiving treatment is eight to ten years. • In Travis County, approximately 430,000 children, under the age of 18, have, or are at risk of having, a mental health disorder. • According to the Texas Behavioral Risk Factor Surveillance System, 22 percent of Travis County adults report poor mental health (higher than the national average). This suggests that the share of Travis County residents reporting poor mental health appears to have increased in recent years, exceeding rates for the five-county metro area and Texas as a whole. • In the most recent study of Travis County published in 2013, 7 percent of adults ages 65 and over reported poor mental health compared to 32 percent of 18-29 year olds, 23 percent of 30-44 year olds, and 17 percent of 44-64 year olds. • Texas ranks 49th in the nation for the amount it spends per person for mental healthcare.

Afshan Khan, MD Dr. Khan has expertise in diagnosing and treating depression, mood problems, anxiety, ADD/ ADHD,autism spectrum disorders, and behavioral issues associated with cognitive and developmental delays and other psychiatric illnesses. In addition to skills prescribing psychiatric medication, Dr. Khan is well versed in psychotherapy techniques and incorporates them into her interactions with her patients. She currently works as a Service Director for the Child and Adolescent inpatient unit at Austin Oaks Hospital. Dr. Afshan Khan is certified by the American Board of Psychiatry and Neurology (ABPN) in Psychiatry with a subspecialty in Child and Adolescent Psychiatry. Michael S. Bishop, Ph.D., LMFT-S, LPC-S, PA Dr. Michael S. Bishop has practiced marriage and family therapy in the Austin area for over twenty-five years. Dr. Bishop works with children through senior adults while seeing couples, families, and individuals. His years of experience have provided him familiarity and skill at working with couples in transition, distress, conflict, and infidelity. In addition, he works with couples and families in which one member encounters depressive symptoms. He is a Clinical Fellow with the American Association for Marriage and Family Therapy and a State Board Approved Supervisor. Dr. Bishop teaches at St. Edward’s University and is an Adjunct Clinical Affiliate with the UT School of Nursing.

talk therapy. Consumers have influence and should always clarify their concerns when seeking help or an evaluation. Keep in mind, when cardiologists recommend physical rehabilitation after heart problems, often the general perspective is to follow the recommendation without question; yet when psychiatric care, a day treatment, or talk therapy is recommended, those recommendations are often ignored. When a loved one appears to have symptoms of some form of mental illness, reach out to them and suggest they seek the care of a qualified professional. Push against the stigma and suggest they get help. By the way, Susan received further help and now is an advocate for mental illness in her local school and community to help kids with similar struggles seek and receive the help they need. A U S T I N MD M A G A Z I N E . C O M

MENTAL HEALTH

WHERE TO FIND QUALITY BEHAVIORAL HEALTH SERVICES IN AUSTIN Austin Lakes Hospital provides the community an accessible level of quality care BY JUSTIN WARD, M.H.A.

 Inpatient Acute Stabilization: inpatient acute hospitalization offers crisis intervention, medication management, and an individualized treatment plan to ensure a healthy recovery.  Dual Diagnosis Program: the Dual Diagnosis Program treats individuals with alcohol and/or drug related problems. This shortterm program assists in stabilizing symptoms and delivers education and skills to assist in changing behaviors.

Inpatient services offered at Austin Lakes Hospital include  Psychiatric Intensive Care Unit (PICU): the PICU level of treatment is a setting for patients that require the highest level of nursing care and crisis intervention.

Outpatient services offered at Austin Lakes Hospital include  Partial Hospitalization Program (PHP): This program includes group therapy, recreational therapy, and medication management. Transportation is available within a 30-mile radius.  Intensive Outpatient Program (IOP): This program offers multiple therapy-specific programs with a skill building approach. • Dialectical Behavior Therapy • Cognitive Behavioral Therapy • Trauma-focused Therapy • Dual-Diagnosis Therapy Choosing the right form of treatment and support that works for each patient is an important step in the recovery process. Treatment options for mental health conditions vary from person to person. Even people with the same diagnosis will have different experiences, needs, goals, and objectives for treatment. There is no “one size fits all” treatment for behavioral health issues. Together with the help of a treatment team at Austin Lakes Hospital, a comprehensive and integrated recovery plan is developed. This may include counseling, medications, support groups, education programs, and other strategies that work best for the patient, leading to a healthy recovery and wellness.

For more information visit, www.austinlakeshospital.com

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ccess to quality healthcare services in a community does more than provide healthcare services. This statement is especially true when it comes to behavioral health services. Quality behavioral health services can have a positive impact on the overall health of a community. It is common for people to feel hesitant about seeking behavioral health services due to an associated social stigma. It can sometimes be challenging to even locate a behavioral health provider that accepts a specific form of insurance or that doesn’t have an exceptionally long wait list – which is not only a common problem in Austin, but also nationwide. It is extremely important for people to address any potential behavioral health concerns quickly before they are faced with a crisis situation. At Austin Lakes Hospital, we offer a convenient, structured process that will address any potential behavioral health issues. Austin Lakes Hospital offers free behavioral health assessments 24 hours a day. The assessment is designed to identify the most appropriate level of care that meets the specific needs for each client. Austin Lakes offers an extensive array of behavioral health services to ensure that we can meet the needs of every potential client.

 Senior Adult Program: the Senior Program includes diagnostics, stabilization, and treatment of complex senior adult issues for patients age 55 and up.

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MENTAL HEALTH

Patients and pets make a winning combination BY: SAM JACKSON

aking animals like us enough to not rip out our throats while we sleep and keeping them by our side has always been a part of human history, and now we've become entwined with our pets so much they can help keep us happy. Science seems to think so, since bushels of studies have been flying out of the academic maw, detailing various positive effects of pet ownership on health, from better sleeping to higher self esteem. Because of such reports, organizations here in Austin and across the country have started perking up their ears and starting initiatives to try and get people with mental issues and hospital patients some furry company to ease the journey through their treatments. Jennie Chen works closely in one of those endeavors by training therapy dogs and bringing them where they're needed, like hospitals, assisted living centers, and incongruously, the Texas Book Festival. Her first therapy dog, a Greater Swiss Mountain named Mouse, was a stellar example of their capabilities and positive effects, especially since he had top marks in water rescue, herding, and weight pulling in his background as a show dog. Because of him, she has begun training even more dogs in the wake of his passing. An ICU worker at Brackenridge Hospital, one of Mouse's most frequent ports of call said of him, "stressful, busy days would stop for a moment and we would all take a deep breath and smile while patting his giant head. Many patients and family who were experiencing terrible situations would also find a moment of peace and love from this special dog. Visits from Mouse gave all the staff a much needed mental break giving us a chance to lighten the load, and for that moment, take away our responsibilities and just let us relax." Training is pretty simple to pull this off. "They have to have basic obedience, but they also have to be really tolerant of other things and people. [At some] parts of the test they will have people yell at your dog, walk funny, be aggressive, or pet the dog in an angry manner, and the dog has to show they enjoy it," says Chen. As useful as therapy dogs have proven to be, with something as time and money consuming as training and raising them, one would imagine there are businesses dedicated to training therapy dogs, or at least a bit of financial support or profit for the trainers. Unfortunately, the reality is a lot more sobering."We actually cannot be paid for the work that we do," says Chen."Otherwise we're not covered under the insurance that we get through our association club." According to Chen, therapy dog trainers tend to be a scattered

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DOG DAYS GETTING BRIGHTER

group of individuals working on their own dime when they can get out from under their day jobs, though there are larger organizations of therapy dogs like Divine Canines in Austin. Of course, not every pet needs training to provide comfort, but they will need medical care and assistance, something some people, especially the elder citizens of Austin, are not able to provide. That's where Dr. Chad Harris comes in. He's already been providing top-notch service to the pets of Austin as one of the city's master veterinarians, with a rare ability to treat exotic pets like birds, aquatic animals, and reptiles. More recently, he's found time to help out some of their owners as well. A brainchild of the Texas Veterinary Medical Association and Meals On Wheels, the Pets Assisting the Lives of Seniors (PALS) program gives necessary treatment and care to the pets of senior citizens already using the Meals on Wheels service at no cost. Dr. Harris sits on the board of the program, and his workplace, North Austin Animal Hospital, is one of several pet hospitals taking part. "A lot of these [pet owners] are elderly, all of them have a difficult time caring for themselves, and a lot of them may not have a whole lot of friends and family to get them through what you and I would consider as a normal day," Harris explains. "Sometimes the animals are the only thing they have. That sense of companionship, of having somebody there to love you unconditionally, really enhances our clients' lives." Though he does urge caution, since some mental issues may put pets in jeopardy, he feels that "you can by far see a change in the people's demeanor and their happiness." It's a comforting thought to know that such humanity can be found in the hearts of animals.

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MENTAL HEALTH

DOG A MAN’S

BEST FRIEND

How canine companionship serves as a profound form of treatment

BY: ISABELLA VAN GUNTEN

he benefits of a canine companionship for mental, spiritual, and emotional health span far and wide. A dog is rightfully known as man’s best friend due to the profound loyalty and devotion a canine will give to a human counterpart whom tends to his care. As much as a dog can help a human, a human can help a dog. We have all heard the story of the abused and neglected shelter dog who becomes adopted by a family who loves him. In time, the dog makes a complete turn around, both physically and behaviorally. The family will grow to almost forget the dog they once had upon adoption, who was so malnourished his ribs were showing, tail always between his legs, and a not so permanent, frightened look in his eyes. As quickly as a dog comes to lose trust in humans due to the maltreatment of one human, it can be restored due to the delicate love and care of another. Dogs are sensitive, but resilient creatures. A strong example of the profound impact dogs makes on humans is the therapy dog used in the care of combat veterans who suffer from debilitating PTSD (Post Traumatic Stress Disorder) after returning from war. A whopping 1,320 percent of combat vets develop PTSD, and data suggests that only 50 percent of those access care. Only 40 percent of them experience significant improvements in their symptoms. However, there are many veterans who have provided anecdotal reports stating that therapy dogs have helped in their recovery from PTSD, when they found no relief from other forms of treatment. I once knew a psychologist who would take her dog to work with her because she claimed the dog calmed her patients and helped them to open up about the issues that were bombarding their lives. There are also dog veterans

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who come home from war with PTSD. The military has been working on training to prepare their canine soldiers to better handle the situations that arise in war, in an attempt to avoid the result of mental struggles, such as PTSD. Mental illnesses in dogs (and humans) include depression and manic depression, which is characterized by strong mood changes, anxiety, extreme fear and/or aggression, obsessive compulsive disorder (OCD), and PTSD. They're caused by an imbalance in the brain chemistry. There are also mental issues that are a direct result of poor early socialization and/ or neglect, inconsistent or unrealistic expectations, improper care or handling, and /or a negative reaction from humans to what, in the dog’s eye, is perfectly good behavior. These mental problems are usually associated with strong behavioral issues like nervousness, fear, and/or aggression. These problems can be resolved with the right kind of attention and care, which is where a dog trainer could earn their merit, or someone else who has experience in the proper way to tend to a dog. On that topic, who are happy career people? Happy career people are veterinarians and their assistants, groomers, dog trainers, dog walkers, pet sitters, kennel techs, shelter volunteers, and other people who have the opportunity to work with dogs. If we’re having a bad day, there is always that little, or big, fuzzy, fur ball to bring a smile to our faces! I don't think it's hard to establish what could be bringing joy into our lives. However, if you're wondering who loves who more, it may surprise you that a dog secretes the same hormone in their brains when they see their caretaker as a human does when in love. It is a chemical known as oxytocin. I suppose this is why a dog is known as man’s best friend. It is an unbreakable bond. A bond which can battle some of the mental illnesses from which they both suffer. Remember the next time you take your dog on a walk how much peace he brings into your life and also remind yourself how much you're probably helping him too. For more information visit, www.furpetcare.com

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“A DOG IS THE ONLY THING ON EARTH THAT LOVES YOU MORE THAN YOU LOVE YOURSELF.” – JOSH BILLINGS

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MENTAL HEALTH

CLOUD 9 IS OFFERING A DIFFERENT APPROACH TO RECEIVING CARE

How this innovative company is using technology to access mental health care

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worldwide according to the World Health Organization. This sector of healthcare has been severely neglected financially and is the farthest behind technologically, with most providers still relying on pen and paper processes. With increased need for care and existing providers in short supply, quality caregivers are a vital resource who must now adopt efficiency creating solutions to expand their ability to provide care. One local Austin business, Cloud 9, is addressing this serious challenge. Their team, like most everyone else, has felt the pain and tragedy of untreated mental illness among their friends, families, and communities. They deeply care about making mental healthcare approachable, affordable, and available to all and believe the best path to mentally healthy populations begins with delivering

innovative, technological solutions to the care providers and organizations. Cloud 9’s communication software helps hospitals and other healthcare enterprises, as well as individual counselors, provide mental health services to more patients via easy-touse mobile applications. Their unique feature set centers around patient engagement. The primary features of the app help patients:  “Assess” through digital, gamified clinical screenings  “Talk” via live, tele-mental health video counseling sessions, scheduled in advanced or immediately if there is a crisis  “Track” their ongoing emotional and mental states via self-reporting, and

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f you’ve found a good therapist who can see you this month, consider yourself lucky. We’re in the midst of a mental health professional shortage. There are approximately 550,000 licensed psychiatrists and psychologists serving 8 million Americans in treatment. However, new federal regulations now require mental health insurance be available to 62 million Americans who were not offered that coverage before. With one in five of us experiencing a diagnosable mental illness each year, this means that 12 million new patients may be seeking care now. Furthermore, half of U.S. counties have no mental health professionals, leaving most all of those suffering residents with no regional access to care. Untreated mental illness has grown to become the leading cause of disability

biometric responses via app integrations and wearable sensor data

THE BENEFITS TO THE HEALTHCARE ENTERPRISES AND THEIR INDIVIDUAL PROVIDERS INCLUDE: • increased access to patients • communications integration with other systems, including EHRs • coordination of mental care with other specializations • data, trends, and analytics • lowered costs • new revenue streams • improved patient outcomes

FOR AN INDUSTRY THAT STILL DOES A LOT OF ITS WORK ON PAPER, ADOPTING DIGITAL CHANGE CAN BE DIFFICULT. BUT CONSIDER THIS: • Statistics vary, but all agree that the majority of Americans have smartphones. • Mobile utilization has outpaced desktop globally and healthcare users are no exception. • The average cell phone user checks their phone 150 times a day. • Millennials (those born in the late 70s to the early 2000s) are far more digitally connected than prior generations. They spend an equal or greater amount of time socializing on their smartphones than they do in person, and feel more comfortable doing so. • The explosion of self-tracking via wearable sensors like Fitbit and Apple Watch (AKA quantified self) is based on a long established human curiosity to measure, learn, and improve. Instead of tracking with pencil and paper we now just have better technologies driven by smartphone integrations that take the movement mainstream. • Real-time, patient generated digital data can create greater self awareness for patients and deliver tremendous insight for counselors who regularly ask the question, “how have you been since our last session?”. This allows caregivers to provide more accurate care and early intervention if needed between sessions. The time has come to drastically improve mental healthcare for existing patients and unserved populations. Organizations and providers desperately need to leverage technological efficiencies, patients expect greater convenience, and society needs to keep mental illness off the streets and out of our jails and hospital emergency rooms. Digital technology is transforming mental health services by allowing services to be delivered more efficiently and effectively. Patients want the convenience of easy scheduling, to skip the commute to the therapist’s office, and have their session on their own couch, to be more involved with their treatment by self-tracking behaviors, and to have the option of on-demand therapy during a crisis, which will keep them out of emergency rooms. Mental health is entering a great revitalization, and we can all benefit from a world with happier, healthier minds. For more information visit, www.Cloud9Psych.com

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MENTAL HEALTH

THE FIRST STEP BACK Psychiatric Care In Austin Soon To Get A New Focus At Dell Medical School

he issues with mental health care in Texas have been well documented for years and continue to pile up like dead characters in Game of Thrones. Less apparent is what anybody’s going to do about it. But as the Dell Medical School at the University of Texas at Austin, a psychiatry residency program is giving the next generations of doctors some tools to work on the problem. Handing out those tools will soon be Dr. Stephen Strakowski, the first chair of psychiatry at the school. He comes with a background that includes education at Notre Dame, Vanderbilt, and Harvard’s School of Medicine, as well as a long history with the University of Cincinnati as both a professor of psychiatry, biomedical engineering, and behavioral neuroscience and a senior vice president/ chief strategy officer of their academic health department. Now he has to become the inaugural chair of a new program in a state long notorious for its lax standards of mental health care, but it seems he’s well prepared for the job. According to the good doctor, the problems weighing down this care come from two places.“The first is the ongoing stigma directed toward people with psychiatric conditions (and their care providers) that somehow these conditions are starkly different from other medical diseases,” he said in a Q&A posted on the Dell Medical School website. “In fact, there are accumulating data that demonstrate the brain- and genetic-basis of mental disorders, and that associated behavioral problems simply reflect those underlying

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abnormalities – not particularly different from a speech problem after a stroke.” “The second issue,” he went on, “is that the demand for mental health services dramatically overwhelms what is available in virtually every community. Mental illnesses affect 1 of every 5 or so people. The rate of depression alone exceeds all cancers combined, and heroin addiction has become an epidemic across the U.S. In most cases, mental health services have developed ‘organically,’ leaving them piecemeal and poorly integrated. It’s hard to develop an truly effective system of mental health care that’s integrated with other forms of care – governments and insurance companies worry about costs, leading to carve-outs and treatment limitations that are misguided attempts to manage this problem. But the costs of not treating psychiatric illnesses far outstrip the costs of a better system, resulting in our current situation.” “We need to redesign mental health care delivery in the United States to rely on a better integration among mental health disciplines, better reliance on evidence-based care, less hospitalization and stronger ambulatory integrated programs. To be successful, this work will need to create strong collaborations between government and private agencies, community groups and independent practitioners to create a different treatment landscape.” The school’s first class of fifty medical students will start this summer in a four-year program (these students will go on to become graduate medical students, also known as medical residents,

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BY: SAM JACKSON

such as those who currently work in Dell Med’s existing psychiatry residency programs). The classes will stay that small at least until the school gets accredited, which is not expected to happen until 2020. “We will create a strong group of leaders and investigators to form a departmental division of mental health care innovation – this group will find new ways to manage the overwhelming demand for psychiatric and substance abuse care. We also will establish core clinical/translational research programs in areas such as mood disorders, schizophrenia, and addictions,” he remarked. Sounds all fine and good for the school, but what about the neighboring Brackenridge Hospital? They have a number of mental health initiatives, including the most recent, the Psychiatric Emergency Department, specifically designed to treat local psychiatric needs, but are they seeing any sort of help from the school or its students? Jonathan MacClements, Associate Dean for Graduated Medical Education said yes in an e-mail statement: “We have 3 mental health programs:

THE COSTS OF NOT TREATING PSYCHIATRIC ILLNESSES FAR OUTSTRIP THE COSTS OF A BETTER SYSTEM, RESULTING IN OUR CURRENT SITUATION. psychiatry, child and adolescent psychiatry, and a psychosomatic medicine fellowship. University Medical Center Brackenridge (UMCB) also opened up a psychiatry medicine emergency room where our residents participate in patient care.” Dell’s work and teachings will also eventually extend to the rest of Austin, and eventually, the school hopes, state-wide. “Although we obviously are committed first to improving mental health care delivery in Central Texas and Austin specifically, I believe we will have been unsuccessful if we don’t find solutions that can be translated to other communities

and scaled up to state and nation-wide levels. Austin’s reputation for being a leader in innovation, and its acceptance of psychiatric hospitals located in the very heart of the city, speak to an enlightened community that understands mental illnesses strike evenly across all ethnic, racial, cultural and socioeconomic boundaries; it is everyone’s concern.” Obviously, nothing that happens this summer is going to make much of a dent in the current situation. But at least the Dell Medical School will be putting boots on the ground to make some gains in the fight.

For more information visit, www.dellmedschool.utexas.edu

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MENTAL HEALTH

THE SILENT

STRUGGLE

Brad Kennington addresses males, body image, and masculinity BY: BRAD KENNINGTON, LMFT, LPC

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“perfect” male body should look like. The answers were as consistent as they were troubling – big shoulders, big chests, and flat stomachs. Research bears this out, as well. A number of studies examining body image issues in males have found the following:  College age guys, both gay and straight, are experiencing greater levels of body dissatisfaction;  Males associate their physical attractiveness with increased muscle definition and are concerned about body shape (primarily waist up) and increasing their muscle mass;  Over-exercising among men is associated with obsessive feelings of inadequacy, unattractiveness, and failure;  Regardless of body satisfaction level, after viewing slides of a male model, men experienced an increase in body dissatisfaction;  Regardless of body satisfaction level, after viewing slides of themselves, men reported increases in body dissatisfaction and mood disturbance (e.g., depression, anger, anxiety);  The drive to be more muscular in young men has been associated with low self- esteem, neuroticism, and perfectionism. There is nothing wrong with working out and staying fit. However, it is important to know the difference between healthy versus compulsive exercise, especially when you consider that

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ody image issues. At first glance, one might think of an adolescent girl or adult woman anxiously trying to pursue the unrealistic expectations our culture places on them to obtain the so-called thin “ideal” body. After all, only females struggle with body issues, right? This is seldom the case. Men are now under the same assault to achieve the unachievable – the so-called “perfect” masculine body. Chiseled chests, bulging biceps and sixpack abs — the ultimate sign of fitness for many men can be seen in advertisements for exercise products, cologne, underwear, and almost anything else which male sexuality can sell. And boys are not escaping the pressures, either. Have you noticed how bulked up action figures are today? When I was growing up, the Luke Skywalker and G.I. Joe toy figures were a lot smaller. Evidently, Luke and Joe have been doing some serious steroids. Whether it’s in the advertisements or children’s toys, the message is clear – masculinity equals muscularity. Not long ago I talked with a group of middle school-age boys about the pressures to look a certain way. I asked them what they think the

compulsive and excessive exercising is a common gateway to an eating disorder for many males. Some warning signs include:  Neglecting school, work, family, or friends to spend more time at the gym;  Feeling upset or guilty if a workout is missed;  Exercising even though you are ill or injured;  Exercising as a “payoff ” for eating (e.g., exercising in order to eat dessert);  Worrying about weight gain on non-workout days;  Excessive body checking and weighing yourself;

Providing integrated behavioral health care in partnership with CommUnityCare at 22 clinics across Travis County for over a decade. Integral Care improves the lives of people experiencing mental illness, substance use disorder and/or intellectual and developmental disabilities.

 Going beyond what is required for a particular sport training. If you or a guy in your life can identify with some of these, it doesn’t necessarily mean you/they have a full blown problem. It does mean you should be aware and work to keep things in check. If you do suspect a problem with someone you know, gently approach him with compassion and concern. It could be he is struggling in a painful silence about not measuring up, not being enough. Breaking this silence, although scary, could be the very thing he most needs.

IntegralCare.org

Brad Kennington, LMFT, LPC Therapist & Author Brad Kennington & Associates Brad Kennington, LMFT, LPC is a therapist and consultant in private practice in West Austin. Brad provides therapy to adults and adolescents and focuses on relationship issues, anxiety, and eating disorders. Because of his expertise, Brad has been interviewed by Huff Post Live and satellite radio and has been quoted by Reuters, the Wall Street Journal and Huffington Post. Brad also consults with organizations that have experienced a traumatic event. In addition to his practice, Brad is a faculty member and clinical supervisor at the Austin Family Institute. He is a board member of the National Association for Males with Eating Disorders and a Clinical Fellow of the American Association for Marriage and Family Therapy. To contact Brad, you can reach him at 512.329.5595 or at info@bradkennington.com.

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MENTAL HEALTH meetings are just a few of the symptoms these people exhibit. Eating the wrong foods or the wrong combinations of foods can also show up as poor concentration, inability to focus, or even depression. When people are eating the Standard American Diet (SAD) as a way of life, ill health and low energy are often the results. These people often end up on medication. There is a time and place for medication, but personally I think we should save medications for life-threatening situations and look for other solutions to everyday problem.

IS DIRECTLY RELATED TO OUR BRAINS BY: DR. PHYLLIS BOOKS

You are what you eat? Really? What does that have to do with my health anyway? While vacationing in Hawaii for 12 days, my friend and I discovered the local version of sushi, available at the nearby locally-owned grocery store. After nine days in a row of eating sushi and seaweed, I happened to get a whiff of my friend. A bit overwhelmed by the strong smell of fish coming off of him, I commented, “I guess that old saying, ‘you are what you eat’ is true. You smell like fish!” His quick reply was, “you smell like seaweed.” How many times have you heard that saying, “You are what you eat?” As a healthcare practitioner, doubly board certified in nutrition, I have studied the effects of food and diet on mental and physical

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health for almost three decades. Until my nose got the visceral message that day in Hawaii, I didn’t realize just how true that statement was. “Ah ah choo “ is a common sound in the reception room of my office. People of all ages with allergies are sitting there waiting for help without drugs or shots. My patients often show up with multiple food and airborne allergies, and these allergies affect them sometimes in multiple and profound ways. (I hear your question, and the answer is, “yes, there are ways of reducing allergy symptoms without shots.”) Nervousness, sweaty palms, racing thoughts, obsessive and compulsive behaviors, depression, mood swings, foggy brain, sleeplessness, and an inability to focus and concentrate in school or in business

What can you do? Many of our “modern” foods contain unnatural amounts of inflammatory agents, such as sugar and wheat. Here are some quick tips to help yourself stay healthy and happy: Learn to read labels. If sugar is one of the first ingredients in packaged or canned food, you’re asking for trouble. Sugar is added (under many different names, I might add), to many foods, such as hot dogs, that aren’t even sweet. Avoid gluten whenever possible. Today’s wheat has 30 percent more gluten than wheat in the days of the bible. Our bodies aren’t equipped to digest this mutated form of wheat. Even though you may not be overtly reacting to wheat and gluten, cutting down on this version of carbohydrates is good for everyone.

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WHAT WE FEED OUR BODIES

Twenty-three percent of children over the age of 13 and woman in this country are on antidepressant medications. In other words, almost one fourth of Americans are depressed. Look around you…do you see it in your friends, co-workers, family members? That’s a scary statistic and we need to pay attention! This decreased energy and low morale affects productivity in business. It affects the ability to problem solve and be pro-active. It affects family dynamics. It is an epidemic in our country, folks!

Reduce dairy. For many people, milk, ice cream, cheese, and yogurt cause congestion in sinuses, skin rashes, etc. You can find many non-dairy versions of milk (e.g. almond milk, coconut milk, hemp milk) in the grocery store or even at Starbucks. You can also find many non-dairy versions of ice cream in almost every grocery store nowadays. You don’t need to deprive yourself of the wonderful mouth texture of cheese if you learn to love the similar texture of avocado and guacamole. Substitute good fats for bad fats. Healthy fats, such as avocado, coconut, and many nut butters are both delicious and nutritious. Bacon is even becoming a health food (the nitrite-free version). How fun is that? Consider yourself a science experiment. Get out the graph paper or your excel spreadsheet. 1) Make a list of foods you might add for one month. 2) Make a list of the food you might delete. 3) Make a list of behaviors and moods you can monitor. 4) Give yourself rewards at the end of each week or the month. (Many adults have confessed to me they still would do most anything for a gold star on their chart). Give yourself something fun or meaningful as a reward for making it through the month, even if you don’t have a perfect score. Your health is in our own hands, it’s our responsibility. A healthy body and a healthy mind is a wonderful way to live. May all happiness and health by yours! Bon appetit!

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Dr. Books is an author, educator, doctor and new thought leader. She is the founder of Books Neural Therapy™, a well-documented, systematic approach to dissolving dyslexia, ADHD, head traumas, and many chronic health issues. Her book, Reversing Dyslexia: Improving Learning and Behavior Without Drugs was released in 2013 by Square One Publishing.Another book about her work, House of Miracles, was written by Bernice Dotz. Also in 2013, Dr. Books released the world’s first online treatment class for parents, The Dyslexia Reversal System. In 2014, she added online and live classes of BNT ™ for professionals. Her formal education includes an undergraduate degree in education and English from Michigan State University, a master’s degree in interpersonal communications from the University of North Texas and a doctor of chiropractic from Parker University. She has taught and lectured in the U.S., Europe and Australia. Her alma mater granted her the Outstanding International Alumni Award for her many contributions. For more information visit, www.drphyllisbooks.com

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MENTAL HEALTH

PROFILE

WHY INTEGRATED CARE IS IMPORTANT

ne in five adults experience a mental health issue in any given year, yet only 44 percent get the treatment they need. This is due in part to limited access to care. Innovative treatment options and expanded knowledge of mental illness are key in addressing this challenge. When it comes to health, we must consider the whole person, head to toe. Creating environments where people have access to both behavioral and physical healthcare is key to facilitating healthier, more productive lives. It also provides a setting where people experiencing a mental health issue are more likely to seek the support they need. Why? Access to care increases because multiple services are available in one location. This helps reduce the barrier created by stigma surrounding mental illness. People may be more open to talking about their condition in a clinical setting where they feel welcome to discuss all health issues. There’s no need to seek additional mental healthcare in a separate location because it’s readily available.

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BY KATHLEEN CASEY, PHD

Primary and behavioral healthcare providers are becoming open to new care approaches as they recognize the interconnectedness of mind and body. One approach is integrated care, a best practice where behavioral and primary healthcare are delivered in the same clinical setting. Practitioners within integrated healthcare systems truly understand the relationship between the body and mind and that addressing both is essential to improving health outcomes. In these settings, primary care providers, like physicians and physician assistants, work in a team with behavioral health clinicians to create a care plan based on the patient’s unique and holistic health needs. Imagine you are one of the up to 24 percent of women who experience depression during pregnancy. Mothers-to-be have a lot of questions – what to eat, what vitamins to take, how to combat morning sickness, to name a few. They naturally turn to their primary doctor for these answers. But what if they start feeling depressed? Is it really depression or just a normal hormonal reaction to pregnancy? If it is

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A mind body approach to mental health

depression, to whom do they turn? Their primary doctor may not have the expertise to address a co-occurring mental health issue. Or imagine you are one of over 29 million Americans with diabetes. Studies show that people with diabetes have a greater risk of depression than people without diabetes. What if your primary doctor feels unequipped to support your behavioral health needs? Someone who is depressed is likely to struggle with following diabetes care plans, suffering longer as a result. In these situations, an integrated health care team could meet both behavioral and physical needs in a comprehensive way. In an integrated care model, the patient also learns about therapeutic options, medication management, and community resources that helps the individual cope with life stressors and changes in mood. This is the goal of integrated care â&#x20AC;&#x201C; a person-centered system of healthcare that incorporates mental health and primary care to improve outcomes.

INTEGRATED HEALTH IN SCHOOLS Integrated health services also support kids in school. Studies show that an integrated healthcare approach delivered to children during school time reduces absenteeism and disruptive behavior and improves grades. Three central Texas independent school districts, Pflugerville, Manor, and Del Valle, have implemented integrated healthcare programs on select campuses. These programs are available to students at no cost and offer opportunities for students and families to connect to both primary and behavioral healthcare services. Providing services on campus allows students to connect to the support they need, helps them stay engaged in academic programs, and reduces stress on parents. Licensed behavioral health providers assess, diagnose, and provide ongoing therapy to students who need it while providing resources and support for their whole families.

About the Author Kathleen Casey, PhD, is the Director of Adult Behavioral Health Services at Austin Travis County Integral Care. She oversees integrated behavioral health care services across 22 clinics in Travis County that serve people with moderate to serious mental illness. For more information visit, www.integralcare.org

Where fitness and nutrition come together.

The Shops at Riverplace 10601 Ranch Road 2222, Suite P Austin, TX 78730 Phone: 512.906-2263 www.urfitwellnesscenter.com A U S T I N MD M A G A Z I N E . C O M

MENTAL HEALTH

exas Star Recovery provides a full continuum of care for adults struggling with co-occurring substance abuse and psychiatric issues. From complicated medical detox to evening, intensive outpatient programs, Texas Star meets the needs of the patient at any stage in their recovery. The South Austin location features a small program of only 28 total beds, with living areas and ample outdoor space. The smaller program allows for individually focused treatment that addresses medical complications, as well as co-occurring disorders. Under the leadership of our psychiatrists and addictionologists, the physician and treatment team meet each morning to discuss patient progress and current

PROFILE

TEXAS STAR RECOVERY A comprehensive treatment center for all stages of recovery BY EDGAR E. PRETTYMAN, PSY.D. For more information visit, www.texasstarrecovery.com

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needs.Â Texas Star provides 24-hour nursing care; customized treatment plans; gender specific groups; cognitive behavioral therapy; process groups as well as many other evidence based interventions. The physicians and staff at Texas Star are well connected in the mental health and recovery community in Central Texas. Patients associate with support groups and sponsors, while still in treatment, to assist in recovery post discharge. Outpatient services at Texas Star include a partial hospitalization program, intensive outpatient program, alumni groups, and family education opportunities. Since 2006, the treatment team at Texas Star Recovery has helped thousands of people begin full and productive lives in recovery. Referrals are accepted by phone 24 hours a day, seven days a week.

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SINCE 2006, THE TREATMENT TEAM AT TEXAS STAR RECOVERY HAS HELPED THOUSANDS OF PEOPLE BEGIN FULL AND PRODUCTIVE LIVES IN RECOVERY.

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Local Lifestyle

WHY A

SECURITY SYSTEM MATTERS

Dyezz Surveillance provides the reasons why a security system is a smart investment BY BOB PENA

 If you are considering buying a security alarm surveillance system, make sure that you speak with an experienced and knowledgeable sales individual. In doing so, you will be better able to determine your home, office, or business surveillance and security needs, what features you should consider buying, and what it will cost you.  You should not have to tolerate high-pressure sales representatives. Rather, they should be able to provide you with a simple explanation of how a security system works, its purpose, and cost.  Security and surveillance systems allow you to look at your home, office, or business from a remote location, while at work, on vacation, out running errands, etc.  A typical home/business security automation system usually includes a control panel, door/window sensors, internal/external motion sensors, wired/wireless security cameras, a siren/alarm, and very importantly, yard signs, and door and window stickers. This little feature has proven to deter many potential home/business

MOST INTRUDERS WILL RUN AWAY THE SECOND THEY HEAR AN ALARM IN A HOME OR OFFICE. break-ins. Upon seeing the signs, the majority of burglars bypass that home/business and find one that doesn’t have them. Also remember, most intruders will run away the second they hear an alarm in a home or office.  These systems allow you to not only view your home/business, but also secure your home, office, or business from a remote location by using your smartphone, tablet, etc.  They can also turn on motion detectors, put a delay on the alarm to let you walk into your home or office, and disarm the system without the alarm sounding.  Finally, and also importantly, the resale value of a home may increase if there is a security system installed. You may also be able to lower your home insurance coverage costs by installing a home security system. Call your home insurance company to find out.

For more information visit, www.dyezz.com

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iven the continuing unfortunate, and potentially dangerous, occurrences of stores, offices, homes, etc., being broken into, Dyezz Surveillance and Security provides you with some basic and valuable information regarding the purchase of a home, office, or business security and surveillance alarm system:

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Local Lifestyle

WHY ISN’T THAT HOUSE ON THE MLS? What you need to know about pocket listings

Buyers are driving through their desired neighborhood looking at properties that they found online. When they spot a for sale sign in front of a beautiful home, they call and ask why the realtor didn’t include that property in their list. The buyer’s agent looks through the MLS, but this home is nowhere to be found. So the buyer’s agent calls the listing broker. The broker informs you that the property was never in the MLS, and it’s already under contract. There’s been a lot of buzz about pocket listings, but what exactly are they and how do they affect buyers and their

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realtors? Pocket listings are properties for which a broker has a listing agreement, but the home is not on the MLS. Generally, this happens because the seller instructs the listing broker not to put it on the MLS. As a result, other MLS participants don’t have knowledge of, or access to, the listing to show their clients.

WHY WOULD A SELLER WANT TO KEEP THE PROPERTY OFF THE MLS? Some sellers may want time to get the home ready by making repairs and improvements and request that the listing broker delay putting it on the MLS. Other reasons include privacy concerns and limiting the amount or type of prospective

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BY OMAR DYESS

THE LIMITED EXPOSURE MAY LOWER THE NUMBER OF PROSPECTIVE BUYERS, WHICH DECREASES COMPETITION FOR THE PROPERTY AND, POSSIBLY, THE SALES PRICE. buyers that enter the seller’s property. Some sellers may not see the need to market the property on the MLS, especially with the limited inventory and multiple-offer situations in our current market. However, this approach may be harmful to the seller. The limited exposure may lower the number of prospective buyers, which decreases competition for the property and, possibly, the sales price.

WHAT ARE THE ARGUMENTS AGAINST POCKET LISTINGS? Some opponents of pocket listings think that the decision to keep the property off the MLS may stem from the listing broker rather than the seller. Why would a listing broker opt to keep a property off the MLS if it means he won’t be able to market it to other MLS participants? A listing broker might belong to a private or exclusive listing network, which may only allow brokers within that network to access those properties. Another reason may be because the listing broker wants to work both sides of the transaction to keep the entire commission. Nevertheless, the decision to put a property on the MLS should be the seller’s. Otherwise, a listing broker may be at risk of breaching fiduciary duties and violating the Code of Ethics and fair-housing laws. Antitrust issues may also arise with the private or exclusive networks of brokers. With regard to a broker’s fiduciary duties, TREC rules require brokers to represent the interests of the client and not place the broker’s personal interests above the client’s. Similarly, Article 1 of the Code of Ethics requires REALTORS® to pledge themselves to protect and promote the interests of their client. In addition, Article 3 requires REALTORS® to cooperate with other brokers except when cooperation is not in the client’s best interest. Standard of Practice 3-10 further provides that the duty to cooperate relates to the obligation to share information on listed property and to make property available to other brokers for showing to a prospective purchaser when it is in the best interests of sellers. Hence, Texas REALTORS® should know their duties and obligations established under Texas law and the Code of Ethics when dealing with pocket listings to ensure that they are acting in the best interests of the seller.

WHAT DOES NAR SAY ABOUT POCKET LISTINGS? The National Association of Realtor’s Handbook on Multiple Listing Policy doesn’t mention the term pocket listing. However, certain rules still apply, including the following model rules that NAR requires MLSs to adopt: Model Rule 1 provides that listings shall be delivered to the MLS within a certain time frame after signatures are obtained from the seller. That would seem to prohibit pocket listings. However, the rules provide an exemption. Model Rule 1.3, appropriately titled “Exempt Listings,” states that if the seller refuses to allow the listing to be disseminated by the MLS, the participant may take the listing and file it with the MLS, but the listing will not be disseminated to the participants. Model Rule 1.3 requires a certification signed by the seller as evidence of the seller’s refusal. The certification should also include a statement indicating that the benefits of the MLS have been explained to the seller. Model Rule 2.5 requires MLS participants to report status changes, including final closing of sales and sales prices, to the MLS within a certain time frame after they have occurred.

WHAT ABOUT COMING SOON SIGNS? A coming soon rider on a sign is exactly what it sounds like. The property is not yet available but will be soon. Often, a seller may ask his listing broker to delay putting the property on the MLS to make repairs or to get the property ready to show. The seller may also know of interested buyers who he wants to market the property to prior to submitting it to the MLS. These are some of the valid reasons to postpone a home’s exposure on the MLS. Like pocket listings, the decision to postpone putting a property on the MLS should be the seller’s. Otherwise, a decision by the listing broker may raise red fags similar to the concerns stated previously. When a coming soon sign is placed on a property after a listing broker and seller have entered into a listing agreement, the same MLS rules stated previously apply. However, your MLS may have adopted more specific rules on “coming soon” properties. Also keep in mind that TREC advertising rules and Article 12 of the Code of Ethics may pertain to coming soon signs. If the sign is deceptive or misleading to a consumer, or if it does not present a “true picture” as required by the Code, the sign could subject you to disciplinary action by TREC or an ethics hearing panel. Information courtesy of Texas Realtor®.

For more information, visit www.DyessResidential.com.

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HEALTH

HOW TO ENJOY SPRING DESPITE

BY RHIANNON RINGO, PHYSICIAN ASSISTANT

ALLERGIES

SPRING CAN BE A VERY BUSY TIME of year at the allergist’s office as many Central Texans begin experiencing the first symptoms of seasonal allergies, also known as “hay fever.” Symptoms include sneezing, a stuffy or runny nose, and itchy, watery eyes. To help make the most of your spring and enjoy this time of year, follow these simple tips: BE PROACTIVE Consider taking allergy medications before symptoms start. If you know March or April is going to be a bad time of year for you, consider starting your allergy medications a few weeks ahead of time. Knowing what you are allergic to also helps with planning. Seeing an allergist for testing prior to your difficult season is a good idea. CLOTHES, PETS, AND ALLERGIES Make sure to change clothes and remove shoes when you come in from the outdoors. Pollen and other allergens can remain on your clothing and you do not want to introduce them into your home. Showering to rinse pollens from your hair and skin is also helpful. Also, make sure to regularly get rid of anything that could

be harboring dust mites, bugs, or mold, such as old newspapers, magazines, or soda cans. Washing your sheets in hot water weekly can also help reduce dust mite exposure. Do not let your pets inside the bedroom. Many of our pets go outside and when they come indoors, they bring the pollen inside with them. Dust mites and pet dander stick in carpet and rugs so be sure to vacuum weekly to rid your home of these. CONSIDER MEDICATION OPTIONS Talk to your doctor to optimize your current medications. Maybe you need to add another medication or change to a new one. There are many allergy medications out there and your physician can find one that works best for you. Knowing what you are allergic to also helps you plan your medications, offers additional options for treatment, and helps you with knowing what may need to be modified in your environment to help reduce your allergy symptoms. SEE A MEDICAL SPECIALIST Consider seeing an allergist/immunologist to figure out exactly what you are allergic to and discuss long term treatment of your symptoms.

For more information, visit www.roundrock.sw.org

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Expert tips on how to manage springtime allergies from Scott & White

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HEALTH

SPRING CLEANING FOR THE BODY

Ten easy tips to get you in tiptop shape this spring

BY MONICA SAAVEDRA, MPH, MCHES

TEA OFF IN THE MORNING Hot tea can slash your risk of kidney cancer by 15 percent, according to a review in the International Journal of Cancer.

SLEEP SMARTER Too much sleep, or not enough of it, can kill you. A recent study found that getting more than nine hours of sleep time a night, or less than sic doubles your risk of an early death from any cause. Aim for seven to eight hours a night.

LEAN BACK Parking your torso at a 90-degree angle strains your spine, say Scottish and Canadian researchers. Instead, give your chair the La-Z-Boy treatment and recline the seat back slightly. The ideal angle is 45 degrees off vertical.

4 5

BOOST YOUR DEFENSES An Archives of Internal Medicine review reports that 400 IU of vitamin D a day reduces your risk of an early death by seven percent.

SKIP THE SPRAY Using household spray cleaners just once a week increases your risk of an asthma attack by 76 percent, say Spanish researchers. Use wipes instead.

STRETCH IT OUT Genes in your body linked to heart disease, diabetes, and obesity can be “turned on” if you sit for hours on end. Hit the “off ” button by taking hourly laps during TV, book, and computer sessions.

GET MOVING Doing any type of physical activity for 20 minutes a day at least three times a week will get your blood pumping and your body moving. We all have 20 minutes, so get up and walk, dance, or do whatever it is you enjoy best.

STEAM YOUR BROCCOLI Italian researchers recently discovered that steaming broccoli increases its concentration of glucosinolates (compounds found to fight cancer) by 30 percent. Boiling actually lowers the levels.

For more information visit, www.communitycaretx.org

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VISIT YOUR DOCTOR EVERY YEAR A visit with your doctor every year helps identify any problems that could be lingering in your body. This is also your time to discuss any concerns you may have or adjust any medications. If you don’t do any of the things above, visiting your doctor is one you shouldn’t pass up.

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DRINK WINE, STAY LEAN Polyphenols, the compounds found in red wine, help your body block fat absorption, an Israeli study found. Red-wine marinades work too.

HEALTH

RECOGNIZING SYMPTOMS OF AN UNHEALTHY

SPINE

Know the signals before itâ&#x20AC;&#x2122;s too late

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ervical stenosis results from cervical spondylosis, a chronic degenerative condition of the cervical spine. It is the most frequent cause of spinal cord dysfunction in patients over 55. 90 percent of men over 50 and ninety percent of women over 60 have evidence of cervical spondylosis. Cervical Spondylosis affects the bones and discs in the neck as well as the neural structures such as the spinal cord and the nerves. As we age, cervical discs lose their hydration. The surrounding supporting ligaments lose their elastic properties. As the disc degenerates, it can herniate into the spinal canal. The intervertebral disc is a major stabilizing structure of the spinal column. Once the disc degenerates, the surrounding ligaments and bone take on more wear and tear. This results in the formation of bone spurs and the ligament inside the spinal canal thickens. These factors contribute to spinal stenosis, compressing on nerves and the spinal cord. The course of this degenerative process may be slow with long periods of non-progressive disability mixed with progressive neurologic deterioration. Symptoms of cervical spondylosis can vary. Initial symptoms include chronic neck pain with a decrease in range of motion, headaches, and pain or numbness radiating into the shoulder, arm or hand. If symptoms progress, myelopathy, or spinal cord dysfunction ensues marked by weakness in handgrip strength, impaired fine motor coordination, hand clumsiness, and difficulty holding onto small objects. Advanced stages of the

BY RAM R. VASUDEVAN M.D.

disease demonstrate loss of balance when walking, quadraparesis, and difficulty with bowel and bladder control. Physical examination can initially reveal subtle changes such as brisk reflexes or diminished sensation before noticeable functional changes occur. The nervous system has the ability to compensate for the excess forces placed on these delicate structures. Once neurologic symptoms become apparent, neurologic function can decline rapidly and regaining function can be difficult. Pain syndromes can be treated by several different conservative methods. Non-steroidal, anti-inflammatory medications such as ibuprofen can provide significant relief. Immobilization of the cervical spine using a brace can limit nerve irritation; traction can provide temporary relief by widening the exit tunnels for nerves. Cervical exercises, physical therapy, massage therapy, and manipulation can also be used for symptomatic relief. When neurologic dysfunction develops, however, surgical intervention is crucial.

Surgery is meant at preventing further neurologic decline and to attempt to avoid permanent loss of neurologic function. Pain and weakness may improve, numbness, however, can remain. Austin NeuroSpine utilizes the latest minimally invasive surgical techniques to decompress cervical nerves. Certain cases require an extensive decompression to relieve pressure on the spinal cord and nerve roots requiring fusion of the affected levels. If patients suspect they may have one or many of the symptoms associated with cervical spondylosis, consult your physician or contact Austin NeuroSpine for an evaluation.

For more information visit, www.austinneurospine.com

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TECHNOLOGY

Power Down Your Phone to

AWAKEN YOUR MIND Putting your anxiety to rest - for good

1. RECOGNIZE THE REPTILIAN BRAIN. There are two parts of our brain: the primitive part containing the amygdala — which is responsible for generating and processing our fear

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and other primal emotions — and our frontal lobes. The latter is the neo-cortex or the newest part of our brain, which is sophisticated, educated, and is able to apply a bit of logic to the message of raw fear that our reptilian brain generates. When you feel that knot in your stomach, try thinking of an intellectual creature telling the reptile to evolve, that will help your higher mind win out! 2. EXAGGERATE YOUR GREATEST FEAR. I know this seems odd, but truly it works. A fellow Beyond Blue reader explained to me on a combox: “Tell your fear to someone else and make sure to be as dramatic as possible, with very descriptive words and emotions. Then, when you’ve told every detail you can think of, start over again. Tell the entire, dramatic story, again with very elaborate descriptions. By the third or fourth time, it becomes a bit silly.” A friend of mine and I do this all the time. He would tell me how he is afraid he has diabetes, and that his leg will have to be amputated, and then he won’t be able to drive a car with one leg, and because of that his wife with leave

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ccording to a recent study released by non-profit Anxiety UK, over half of the social media users polled said Facebook, Twitter and other networking sites had changed their lives — 51 percent of those said the changes have not been for the better. Forty-five percent of respondents said they feel “worried or uncomfortable” when email and Facebook are inaccessible, while 60 percent of respondents stated “they felt the need to switch off ” their phones and computers to secure a full-fledged break from technology. In other words, it’s not being plugged into social networks that makes people anxious - it’s being away from them. People already suffering from anxiety disorder can have even stronger negative responses to technology overloads. Below are some tips to calm the anxiety that so many of us are suffering from:

him, and he will be a single, lonely old man with one leg. Crazy stuff, right? Indeed overtime, the fear shrinks considerably. 3. DISTRACT YOURSELF. “Distract yourself, don’t think.” My thinking - even though I thought I was doing the right thing by using cognitive-behavioral techniques - was making things worse. It was harder than I expected, but I steered clear of self-help books and worked on word puzzles or watched a movie instead. Also, surrounding myself with people as much as possible was definitely an effective distraction. Don’t get me wrong, there is a place for cognitive-behavioral techniques and mindfulness, but when I reach a point of disabling anxiety, it’s more beneficial for me to try to get out of my head as much as possible. 4. WRITE TWIN LETTERS. Former Fresh Living blogger Holly Lebowitz Rossi offers a smart strategy for anxiety in her post about cold feet: “Compose a love letter to the object of your fear; celebrate all of the reasons you fell in love with him/her/it in the first place. List everything positive you can think of, and nothing negative. Now write a missive. Vent all of your worries about the situation, and try to make a case against moving forward. I’ll bet you can’t come up with a single true deal-breaker, but giving your worries some air will feel good. 5. SWEAT. I have found only one full-proof immediate solution to anxiety, and that’s exercise. Bike. Walk. Swim. Run. I don’t care what you do, as long as you get that ticker of yours working hard. You don’t have to be training for an Ironman to feel the antidepressant effect of exercise. Even picking the weeds and watering the flowers has been shown to boost moods. Aerobic exercise can be as effective at relieving mild and moderate depression as SSRIs (selective serotonin re-uptake inhibitors like Prozac and Zoloft). In his comprehensive book, “The Depression Cure,” clinical psychologist Stephen Ilardi writes: “Exercise changes the brain. It increases the activity level of important brain chemicals such as dopamine and serotonin… exercise also increases the brain’s production of a key growth hormone called BDNF. Because levels of this hormone plummet in depression, some parts of the brain start to shrink over time, and learning and memory are impaired. But exercise reverses this trend, protecting the brain in a way nothing else can.” 6. WATCH THE MOVIE. In his blog, “Psychotherapy and Mindfulness,” psychologist Elisha Goldstein explains that we can practice mindfulness and experience some relief from anxiety by procuring some distance from our thoughts, so that we learn to watch them as we would a movie (in my case, “The Rocky Horror Picture Show”). That way, we can sit back with our judgments on hold, and take a solid look at what is happening in our minds. That obviously can be difficult, but with time, it’s an effective technique - pulling away from our thoughts as almost a third-party observer, gives us a level of objectivity that can help us tap into fresher mental resources to tackle our anxiety. Pull quote: pulling away from our thoughts as almost a third-party observer, gives us a level of objectivity that can help us tap into fresher mental resources to tackle our anxiety

7. EAT SUPER MOOD FOODS. Unfortunately, anxiety is usually the first clue that I should, once again, analyze my diet: to make sure I’m not drinking too much caffeine, not ingesting too much processed flour, and not binging on sweets. When we’re down, a good first step is to switch back to power foods. What are they? Elizabeth Somer, author of “Food and Mood” and “Eating Your Way to Happiness” mentions these: nuts, soy, milk and yogurt, dark green leafies, dark orange vegetables, broth soups, legumes, citrus, wheat germ, tart cherries, and berries. This dietary change can have surprising positive results on our emotions if we are committed to the switch. 8. RETURN TO THE BREATH. As simple as it may sound, counting your breaths can effectively manage anxiety, even if only as a temporary solution. Personally, I meditate by counting my breaths. I merely say “one” as I inhale and exhale, and then say “two” with my next breath. It’s like swimming laps. I can’t tune into all the chatter inside my brain because I don’t want to mess up my counting. When I bring attention to my breathing–and remember to breathe from my diaphragm, not my chest–I am able to calm myself down a notch, or at least control the mental chaos. 9. BREAK THE DAY INTO MINUTES. One cognitive adjustment that helps relieve anxiety is reminding myself that I don’t have to think about 2:45 pm when I pick up the kids from school and how I will be able to cope with the noise and chaos when I’m feeling this way, or about the boundary issue I have with a friend– whether or not I’m strong enough to continue putting myself first in that relationship. All I have to worry about is the very second before me. If I am successful at breaking my time down that way, I usually discover that everything is fine for the moment. Pull quote: If I am successful at breaking my time down that way, I usually discover that everything is fine for the moment. 10. REPEAT A MANTRA My mantras are very simple: “I am okay” or “I am enough.” But one Beyond Blue reader recites what she calls a “metta meditation,” like the one below. She claims that it slowly changes the way she responds to things in her day. Take the time to sit by yourself and jot down positive responses to the stresses you feel throughout the day. It can look like:

I am more competent at my job than I realize. My beauty is true and far-reaching. My patience is as a steel chain, and my nerves will not be broken. Our anxieties are real, this is true. However, they don’t have to intensify our weaknesses, nor undermine our strengths. Apart from unplugging from our devices, these techniques are easy, effective and an amazing show of self-love. Practice these techniques to help put your anxiety to rest, and pass on the tips for a healthier, happier Austin!

Source:World of Psychology is Psych Central’s premier and longest-running blog.

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SPORTS

A CHECKLIST OF FIVE KEY STEPS FOR YOUR

BEST GOLF GAME YET Academy of Golf Dynamics shares tips to get you in the game BY: KYLE JEROME

GOALS Writing down your goals, both short term and long term, is important because it gives you something to strive for. Goals can be

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anything you hope to accomplish this year in golf. It is important to make sure your goals are attainable. For example, if your handicap is 20 and you want to be a 12 by the end of the year, set a goal to bring your handicap down two points at a time. Doing this is small increments will help keep you from getting discouraged if you go through stretches where you don't see as much progress as you would like. Goals can consist of anything you want to accomplish. A short term goal might be to spend more time working on your short game. A long term goal might be dropping your handicap by a certain amount by the end of the year.

KEEP STATS Keeping stats lets you know where your weaknesses are. This takes a little time, but the rewards will be worth it in the long run. Have you ever heard the saying, "A chain is only as strong as the weakest link?” Think of your golf game as a chain. Maybe your weak link is your pitching, or your bunker play, or your driving. Whatever it might be, spend a little more time in the areas that are keeping you from shooting the scores you want. Having this

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o you have a checklist for your everyday activities? Do you need a list to keep you on track and productive? For some people a checklist is the first item on their checklist..huh? Well, here's an idea, make a checklist for your golf game this year. This can, and should, include everything you can think of to help you play better golf. A checklist will help you in several areas, assuming you stick to your list. First, it can help you be more organized. Second, it gives you a path to follow to a more productive golf game, whether it is the way you practice, where you spend your time practicing, making sure your equipment is up to date, or reaching certain goals you have set for yourself. We will discuss a few things that should be on your checklist. If you think of more, great! Be sure to write it down, you will remember it better and will more likely to stick to it if it’s in your writing.

“WATCH YOUR HOME OR BUSINESS FROM ANYWHERE IN THE WORLD”™

AS LONG AS YOU PRACTICE EFFICIENTLY, YOU DON’T HAVE TO PRACTICE AS MUCH AS YOU MIGHT THINK. written down on your checklist will make you more likely to put the work in on that particular area. Also, make a category on your "stats list" for course management. You need to know if you're losing strokes because of loose swings or bad decisions.

HAVE A PLAN FOR PRACTICING Having a good plan for practicing is important because you may not have a lot of time to practice and you simply may not like to practice. As long as you practice efficiently, you don't have to practice as much as you might think. If you have an hour to spend practicing, look at what part of your game needs the most work and make that link of your chain stronger. Don't neglect the other areas of your game, but you will always have an area that needs more work than others. Have a good plan and be organized with your time.

2113 Wells Branch Parkway, Suite 6700 512-518-5335 | 1-800-370-2762 www.dyezz.com

Austin • San Antonio • El Paso • Houston • Dallas SETTING THE STANDARD IN SECURITY

FITNESS AND FLEXIBILITY Make a commitment this year to improve your physical fitness and flexibility. It will make a difference in your golf game. You don't have to go to the gym for three hours a day, but spend some time getting in better shape. The more physically fit you are will not only help you feel better, but it will help you think better and make better decisions during your round. In this area, make sure to put more emphasis on stretching if you are cramped for time.

EQUIPMENT Make sure your equipment is ready to go for the year. For example, check your grips. If they get slick at all, change them. If you play at least twice a week, you will probably need to change them every six months. New grips can almost make you feel like you have new clubs. Remember, this is the only contact you have with the club, so they need to feel good. Also, check your spikes. If you wear soft spikes, check them regularly. The more you play, the more you will need to replace them. Traction is important so don't overlook your spikes. These are just a few examples that should make your checklist. If you have more, write them down and stick to them. Being organized is important and saves you valuable time. Oftentimes, the little things are the first things to be overlooked. Like we said, write them down on paper so you can look at them each day. We look forward to helping you reach your golfing goals. Good luck!

For more information visit, www.golfdynamics.com

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SPORTS

FOUR STEPS

TO A HEALTHY BODY AND MIND How fitness translates to a healthy mind BY: XAVIER RAMIREZ

PHOTOS BY: STEVE DEMENT

THE BODY CANNOT LIVE WITHOUT THE MIND and the mind cannot live without the body. Both are integrated with each other so much that when the mind is weak, the body eventually follows suit. Also, when the body is weak, the mind develops bad life patterns. One of the key aspects to develop a healthy mind and body is fitness. Here are some fitness tips to help develop a strong sound mind:

Start a fitness regimen. Commit at least two days a week to lift weights. The repetition of a fitness regimen will lead to the brainâ&#x20AC;&#x2122;s basil ganglia to store and form habits. Habits are wonderful for the brain because they require very little effort within the memory bank. With a fitness regimen as a habit, the brain is less likely to trigger excuses from the memory bank to not indulge in the regimen.

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How do we form a habit? The process for forming a habit usually requires a cue, routine, and reward. The cue being a trigger internally within you or from the surrounding environment that tell the brain to go into automatic mode, routine being the action, and reward assisting the brain to identify the particular process is worth remembering for later usage. We have the ability to keep certain habits in our lives the same, meaning the cue and reward

stay the same, but we can change the routine. For example, a person is stressed at work (cue). He/she then goes home and drinks a large bottle of alcohol (routine). That person now feels less stress (reward). We can use the stress environment and reward to our advantage by changing the routine. That same person can now feel stressed (cue), goes home and starts a fitness regimen (routine), and after the regimen feels less stress (reward). Notice how the stressful environment and reward did not change at all, the routine was only changed for the betterment of the person’s health. Remember, it takes repetition to produce a habit. In the beginning of forming a habit, it takes determination and willpower. Eventually as the habit forms, less determination and willpower is needed to continue it.

A fitness regimen will also alleviate stress from the body. Stress is released from the body by producing “happy hormones” during exercise. These “happy hormones” include serotonin and endorphins. They give the body a euphoric state, therefore causing stress and tension to decrease. In other words, if you are stressed during the day, start exercising. Exercise will help alleviate stress levels and bring you into a better state of happiness.

THE REPETITION OF A FITNESS REGIMEN WILL LEAD TO THE BRAIN’S BASIL GANGLIA TO STORE AND FORM HABITS.

Fitness can help develop a strong brain through setting and meeting goals. Setting fitness goals are a good way to not only have motivation to exercise, but also offer a reward for meeting the goals. For example, a reward can be a new wardrobe for losing two pant sizes. This is where the power of habit can be powerful. If you consistently beat your fitness goals, the brain can produce the process of beating a goal as a habit. Remember the cue, routine, and reward process! This habit can start translating into meeting other goals in life, whether it’s having career or financial success. Fitness exercise assist the brain to form healthy sound habits, alleviate stress by producing “happy hormones,” and break new barriers of setting goals within the mind. The mind and body are a powerful team when working together. For more information visit, www.urfitwellnesscenter.com

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Beauty

SPRING IS WHEN SUMMER FACES AND

BODIES ARE MADE Dr. Alina Sholar shares why now is the time to get yourself swimsuit ready BY DR. ALINA SHOLAR

NO MORE MUFFIN TOPS OR BELLY BULGE! While some people will find success in the gym, many will be left feeling defeated when their trouble area does not respond well to diet and exercise. So for many others, this may mean considering liposuction, which can remove those areas of exercise and diet resistant bulges of fat that are not so flattering poolside. I start to see many men and women in the spring months who are looking for a solution to their trouble areas in time for summer. Liposuction can get rid of stubborn love handles, hip rolls, and muffin tops to sculpt the waistline beautifully. Liposuction techniques have advanced to allow for quicker recovery time and even greater safety. Although there are many new techniques such as

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laser liposuction and ultrasonic liposuction, the ultimate result depends upon the good judgment of the surgeon and the use of small tubes, or cannulas, to remove the fat in a precise and predictable manner. I use a safe and “tried and true” procedure to permanently and reliably get rid of unwanted fatty bulges and give an impressive result. Liposuction can be used to remove fat deposits from various parts of the body including the abdomen, hips, thighs, and knees – all parts of the body that often don’t respond well to traditional diet and exercise. The waist is very responsive to liposuction, which is something that many patients don’t realize. It can give you an hourglass shape, especially when combined with suctioning of the hip rolls and abdominal liposuction and etching. With this combination of procedures, the entire circumference of the waist is sculpted and ready to show off on the beach or in the latest fashion. It can even make the buttocks look more rounded and shapely when sculpting is done above them.

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very summer, Texas lake goers and beachcombers get ready to reveal their skin and their bodies. While there is no substitute for eating a healthy diet and exercising regularly to lose weight and tone, many may need a little nipping and tucking to get rid of their trouble spots before they get in that itsy-bitsy-teenie-weenie-yellow-polkadot-bikini. The good news is, there are more options than ever to help men and women look their best in their swimsuits, and now is the time to start tightening and toning anything and everything from the breasts and buttocks to the waist and arms!

can see some improvement, and improvements will continue for up to three months. While liposuction of this area is an option for individuals with a little bit of excess, the more invasive total arm lift may benefit people with larger areas of fat and skin underneath the arms. Arm rejuvenation, or brachioplasty, has increased in popularity due to weight loss surgery being more common. People who lose massive amounts of weight tend to have significant amounts of skin hanging under their arms as a result of weight loss.

BEAUTIFUL BOSOMS AND BUMS

Abdominal etching involves the removal of excess fat in between the abdominal muscles, and in doing so creates indentations that give the appearance of a defined stomach with six-pack abs. We have the patient contract the muscles and I can feel where the natural lines of indentation are. Of note, this is an option only for individuals with a total body fat of less than 18 percent. Abdominoplasty is another common get-ready-for-summertime procedure. More commonly known as a tummy tuck, men and women visit me to undergo abdominoplasty to achieve a firm, slender midsection. A tummy tuck is designed to tighten abdominal muscles and remove

excess fat and skin. In some cases, liposuction may be used in conjunction with abdominoplasty for optimal results. It is also commonly done in combination with breast augmentation or lift, also known as the “Mommy Makeover.”

ARMED AND READY! Summer is the time for sleeveless tops and dresses, so many will look to liposuction to help create a more defined look here as well. Today we can create finely chiseled, muscular arms by using liposuction around the deltoid area especially, as well as the backs of the arms. The downtime is about seven to ten days. There will be minimal bruising. After two weeks, you

Bigger is not necessarily better when it comes to breast implants. Women now want more natural looking and feeling breasts and want to be known for their personalities, not just their breasts. We want to create a harmonious look that balances your breasts in proportion with your body. Better implants available now also contribute to looking the most feminine and natural. Now is definitely the time to get breast enhancement for summer! With breast augmentation, you should be back to full activity within a month, and that includes swimming and paddle boarding. However, it may take a few months for the implants to “settle” and look their best. So, if you are considering this procedure, let’s consult on it now. Besides breasts, the other area that a bathing suit highlights is the buttocks. Buttock fat grafting, a.k.a. the “Brazilian Butt Lift,” can certainly improve the look of the buttocks. Fat grafting involves taking fat from an area of the body where it is plentiful, such as the legs or stomach, and implanting it where it is lacking, such as in the buttocks. Your activity is limited for four to six weeks afterward and you will have to refrain from sitting in one position for too long. This keeps the fat cells as healthy as possible, and your result is as good as possible. Cellulite is the dirtiest of words for most women. In fact, 85 percent of women over age 35 have this dreaded anatomic anomaly. It has nothing to do with the amount of fat you have, but rather hormonally and

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THE WAIST IS VERY RESPONSIVE TO LIPOSUCTION, IT CAN GIVE YOU AN HOURGLASS SHAPE.

SHAVELESS SUMMER Laser hair removal is the best thing out there for removing unwanted hair. You’ll need around six treatments, each separated by a month, so definitely start right now. The timing of treatments is very important to getting great results, so you’ll want to plan ahead. You could start to see results after the first or second treatment. Another important aspect to laser hair removal is that you have the correct type of laser used and that the treatment is being done by

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an experienced expert in aesthetic laser procedures. A cheap laser (usually indicated by a super-cheap price), the wrong wavelength of device for your skin type, or an inexperienced technician can have terrible consequences or at least give you poor results. Rest assured, that in our hands, you get all the best possible!

FULL FACE FORWARD As for the skin of the face, now is the time to get your skin ready for the collagen loss that occurs when the sun’s UV rays start to bear down on us. You need to “put collagen in the bank” to ready yourself. SkinPen microneedling is an excellent way to start boosting your collagen levels now so facial aging during the summer isn’t so inevitable. Unlike energy-based laser procedures that create heat, SkinPen uses sterile, disposable micro-sized needle cartridges that deliver multi-speed and at adjustable depths for increased effectiveness for your unique skin needs. This allows SkinPen to be used for a wider range of patient types, including patients with darker skin tone. It creates a glow to the skin very quickly as collagen is built.

Dr. Alina Sholar is a Board-Certified Plastic Surgeon and Medical Director of Serenity Creek MedSpa and Sage & Sweetgrass Spa. See sees patients for plastic surgery consultations at both locations. For more information visit, www.serenitycreek.com or www.sageandsweetgrassspa.com

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genetically-determined arrangements of collagen septae, or bands, that tether the skin to the underlying muscle. The fat cells lie between these intermediary compartments created by the bands, and the bands are what results in a dimple in the skin. As we age, we also lose elasticity in the skin, so the skin becomes looser and cellulite worsens. Skin creams do not work, and most treatments offer a temporary reduction requiring multiple treatment sessions. There is hope though! Ultherapy can tighten up the loose skin to a large degree and can decrease the thickness of the fat layer – a nice secondary effect. However, the fibrous bands, until this point, have yet to be adequately addressed. But, there are some amazing new treatments offered by a plastic surgeon that will be available to you soon. It is a surgical procedure, but you are comfortably awake while the dimples are being removed by the surgeon. The results are more permanent than anything else out there so far.

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Beauty

NEED TO KNOW BEAUTY TRENDS

FOR SPRING

Quick and easy products and procedures to get that springtime glow

espite the relatively mild winter we had in Austin, winter skin still lingers, even though it will soon emerge. Heaters and diminished sun exposure, causing decreased Vitamin D levels, can still wreak havoc on skin. Here are some great products and procedures to help rejuvenate winter skin and get you that spring glow!

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SKIN CARE PRODUCTS Niacinamide - There is growing research showing it benefits skin in a number of ways, including improving elasticity, regulating pore size, evening out skin tone, and enhancing the skinâ&#x20AC;&#x2122;s barrier function. Weâ&#x20AC;&#x2122;re also starting to see its potential for helping with acne. This ingredient is found in PCA Skin Clear Skin moisturizer, SPF on Everything. Eyes and lips have generally been ignored up

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BY DR. SHIRAT LING

until recently. We recommend Colorescience Sunforgettable Mineral Powder Eyescreen SPF 30. Boosters - Some increase hydration, others help with evening out skin tone, and the superstars of the bunch are concentrated with potent anti-aging antioxidants or cell-communicating ingredients to help reduce wrinkles and other signs of aging. We recommend PCA Skin’s Exlinea, Total Strength Serum, and Rejuvenating Serums. Makeup With (Better) Skin Care Benefit - More products are emerging that multitask, providing tone-correction with anti-aging actives like antioxidants, dark spot faders, and skin-repairing ingredients. EFFECTIVE PROCEDURES WITH MINIMAL DOWNTIME Microdermabrasions - A gentle exfoliation of the top layer of skin with colorless sapphire crystals, resulting in a diminishing of fine lines and wrinkles, pore size, acne scars, and pigmentation. The glow is instant, with no peeling afterwards, and makeup can be applied – great to do on your lunch break. A chemical peel or mask can be added after this procedure for added exfoliation or hydration. Facials - We do a fabulous oxygenating facial that detoxifies dull, lifeless skin and gives you a glow for a few days. Multitasking can also be done, to address concerns for different areas of the face and neck. I generally recommend them every four to six weeks. Microneedling and CO2 Fractional Laser Resurfacing - These procedures create tiny wells in the skin that stimulate collagen production to fill in lines, acne scars, and minimize pores. Other modalities, such as stem cells and PRP (platelet rich plasma), can be added to these procedures to improve long-term efficacy. A light chemical peel can also be added to address surface imperfections while the body creates the collagen below. These treatments have some subtle instantaneous results, but typically are most obvious several months down the line. Contourlight LED Treatment - This painless procedure involves taking a nap under a multitude of happy red lights that have been scientifically shown to improve your mood and create collagen. My patients who run love the resulting tightening of the skin that loosens from pounding the pavement, and it can help saggy skin from any gravitational force. Intense Pulsed Light Treatments - Skin tightening on our IPL provides instantaneous lift and collagen production two weeks later. Spider Vein Reduction targets blood cells and unwanted blood vessels; the body absorbs these within a week or so. Photofacials target brown spots and some blood vessels, it takes about a week for your body to reject and slough the fried spots. Hair removal targets the actively growing hair follicles, which occur at different rates in the various parts of the body. Acne treatments target overactive oil glands and the P. acnes bacteria responsible for acne. If flares are related to your periods, plan your treatments the week before, or whenever it is most active. Multiple treatments may be necessary with all IPL treatments.

MORE PRODUCTS ARE EMERGING THAT MULTITASK, PROVIDING TONE-CORRECTION WITH ANTI-AGING ACTIVES LIKE ANTIOXIDANTS, DARK SPOT FADERS, AND SKINREPAIRING INGREDIENTS.

NONSURGICAL REMOVAL OF FAT Kybella - Although we’ve been offering mesotherapy for years, we are now offering the recently FDA-approved treatment, Kybella, to remedy the dreaded double chin we tend to get as we age. A series of injections target the unwanted fat cells at a fraction of the cost of surgery, and the unwanted fat can be sculpted away in a more specific manner. Trusculpt - In this procedure radio frequency is used to disrupt fat cells. It feels like a hot stone massage and can address unwanted fat on any area of the body. These monthly treatments show full results three months afterwards, and are a great way to trim down that waist or pooch, get rid of bat-wings, saddlebags, and bra-fat just in time for swimsuit season. As you emerge from your hoodies and Uggs, plan your transformation into the beautiful butterfly you are. Trust your face to a physician who has superior knowledge of internal factors of aging, facial anatomy and has a keen, artistic eye to bring out your unique, innate beauty. DR. SHIRAT LING is the Physician ArtistTM at Innate Beauty Medical Spa. She has been in medical practice for 16 years and has performed over 9,500 CO2 fractional laser treatments and countless other medical cosmetic procedures. Her signature approach, utilizing natural-appearing enhancements, has helped countless clients become the sculpture they were meant to be.

For more information visit, www.innatebeauty.com

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Beauty

he definition of our commitment to excelmental health is lence. A few days before the a person's conwedding, the bride-to-be had dition with rehad a manicure, pedicure, gard to their psychological and and face wax in Dallas, where emotional wellbeing. How do she lived. She was using Retin we attain and maintain menA, a drug which creates epital health? There are many andermal sensitivity. The waxer swers this question. Factually, never asked if she was using when one perceives that they Retinols. She was burned look good, they feel good too, badly. She was in an emotionand when one feels good about al, mental health breakdown. themselves, they are in a much Her father suggested calling more balanced mental state. us at Novita Spa and Medical Just go on the internet, there Rejuvenation Clinic. are an array of suggestions and We prescribed her our answers to the above question Hyaluronic Acid-Cellular about how to attain and mainRegenerative Serum for her tain mental health. Answers to do an all day and night apinclude many things including plication, keeping the epiderboth vacation and meditation. mis moist, followed by a LED These are two vital compoPhoto Facial for two consecunents to me personally. I’ll extive days. This saved her skin pand on this with the expertise for the wedding! She was able from my professional aesthetto be the beautiful bride she ic background. I have been a wanted to be – mental health skincare product developer, breakdown averted! medical aesthetician, educator, This is one of many examand consultant of result-oriples of results-oriented prodCEO and founder of Novita Spa on ented skincare and medical spa ucts and treatments available the Square shares how spa treatments since 1992. today in the clinical-medial treatments lead to a healthy mind I have worked with many inaesthetic toolbox. We at the dividuals who are dealing with Novita Spa and Medical ReBY MEGAN DI MARTINO emotional issues related to prejuvenation Clinic work from mature aging, skin conditions this place. Our philosophy is including acne and rosacea, couperose, melasma, psoriasis, ecze“clinical-medical excellence (true results) with a caring, pamma, and many auto-immune conditions that effect the epidermis. pering attitude.” This philosophy contributes to a mentally I have always approached every person individually and their healthy guest experience. personal needs and desires in reference to their appearance. We are a true hybrid in beauty offering traditional day, Each person’s case is like a snowflake, no two are the same. clinical-medical, and wellness spa treatments. There is a large As an example, one situation could be rooted in allergies with amount of data and statistical studies available showing that a top note of emotion. Emotional stress worsens the condition. touch and general interaction is imperative for our mental The next person’s manifestation may have stemmed from sun health. Massage and traditional facial work will assist in creatdamage and now is caused by hormonal changes. Regardless of ing this balance. Infrared sauna and detox steam sessions not the cause, the individual does not look or feel good. The result only detox the bodies system, but also create a sense of well is a breakdown of mental health. being among many other health and wellness results. There Several years ago a young woman called the Novita Spa on is an array of medical, aesthetic, and wellness treatments that the Square and Medical Rejuvenation Clinic two days before benefit guests that create harmony and balance which leads to her wedding. The wedding was to be in Georgetown, Texas, mental health. her home town, and also where Novita Spa and Medical Rejuvenation Clinic is located. Her father had been here many For more information visit, www.novitaspa.com times for massages. He was very familiar with our work and

BEAUTY BEGINS

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ONEINCHPUNCH/BIGSTOCK.COM

IN THE MIND

handmade jewelry

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Commercial Portrait Photography michaelgiophoto

michael_gio

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michaelGIORDANO

photographer/director

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dining

DOWNTOWN AUSTIN’S

REVIVAL PUBLIC HOUSE

OFFERS SAVORY AND SWIMSUIT-FRIENDLY CUISINE Chef Frank Johnson knows sinful Southern specialties as well as wholesome healthy dishes

stone’s throw from lakeside fun, Revival Public House serves savory Southern cuisine with a twist alongside a list of locally-focused beer. The beer is not the only locally-sourced thing on the menu. Produce, cheeses, and meats are all sourced from within the Texas region. “In a city like Austin that takes such pride in remaining local, it was important to me to keep a focus on that notion from the carefully selected beer list to the ingredients in each dish,” says Chef Johnson.

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Chef Frank Johnson has been honing his kitchen skills for 18 years. While the menu ranges from their version of Texas classics such as Frito Pie and beef short ribs, you can also find healthier menu options equally as delicious such as the Soy-Glazed Cedar Plank Salmon and the Farmers Salad. One of our favorite dishes – other than the sinful “Damn Good” burger and Warm Buttermilk Biscuits with bacon jam – is Chef Johnson’s Redfish with roasted corn salsa and Sriracha-maple sweet potatoes. See the recipe below, and have a deliciously happy start to spring.

PHOTOS COURTESY OF CULTIVATE PR

BY NICOLE CARBON

REDFISH WITH ROASTED CORN SALSA AND SRIRACHA-MAPLE SWEET POTATOES For the fish: 1 filet Gulf Redfish 2 Tablespoon blackening seasoning (Paul Prudhommes’ if in a hurry) 2 Tablespoon olive oil blend For the salsa: ½ cup roasted corn kernels 2 oz. each of red bell pepper, poblano pepper, and red onion 1 Tablespoon chopped cilantro 2 Teaspoons blackening seasoning 2 Tablespoon lime juice (juice of one lime)

Method of preparation: 1/ Peel and boil sweet potatoes. 2/ Once fork tender, drain water, and add all other ingredients. Season to taste. 3/ Roast corn in a 350 degree oven for 10 minutes. 4/ Once corn is cool, add all other ingredients for the salsa. 5/ Season fish with blackening and then place fish in a preheated cast iron pan with the oil blend. 6/ Roast fish for approximately four minutes on the nonskin side first, and then flip fish and cook for an additional four minutes. 7/ To plate, spoon reserved sweet potato puree onto plate, place fish on top, then top with corn salsa, and enjoy.

For the sweet potato puree: 1lb of sweet potatoes 2 oz. unsalted butter 1 oz. heavy cream 1 tsp. Srirachi 1 tsp. maple syrup Season to taste with salt and pepper.

IN A CITY LIKE AUSTIN THAT TAKES SUCH PRIDE IN REMAINING LOCAL, IT WAS IMPORTANT TO ME TO KEEP A FOCUS ON THAT NOTION FROM THE CAREFULLY SELECTED BEER LIST TO THE INGREDIENTS IN EACH DISH. For more information visit, www.revivalph.com

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BENEFITS INCLUDE: Detoxification for all Toxins Including Heavy Metals, Muscle, Joint Pain and Stiffness Relief, Post Chemo Therapy, Auto Immune Conditions, Boosts Immune System, Support Heart Health, Increase Circulation, Weight Loss, Fat Burn, Relaxation & Stress Relief, Improves and Rejuvenates Skin, Lowers Blood Pressure, Improves Cellulite,Reduces Stress, and Fatigue, Improves Sleep, Increases Endorphin and Serotonin Levels

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Day Spa Services and Packages, Medical Facials, Laser Hair & Vein Removal, Botox and Injectable Treatments, Wellness Infra Red Sauna and Detox Steam Sessions, Novita Spa Clinical Products and Mineral Cosmetics, Spa Membership and Medical Loyalty Programs Available...And Much More!

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Novita..New Birth, New Life..Always Something New!

109 W. 7th St. • 512-864-2773 • www.novitaspa.com

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Baylor Scott & White Health Primary Care Clinics. Your needs are covered. When you enter a Baylor Scott & White clinic, you enter an entire health care network with access to primary and specialty care. In our integrated system, doctors communicate with each other to give you the right diagnoses and treatment. And with MyChart – our online patient portal – you can manage your care at all times. So don’t trust your family’s health to just any clinic. Get just what you need at Baylor Scott & White.

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Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health’s subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers, Baylor Health Care System, Scott & White Healthcare or Baylor Scott & White Health. ©2015 Baylor Scott & White Health. SWClinic_175_2015 CE 12.15

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