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Author Archive for: jentwistle

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Inspired

Take a look at the story of a mother and son, who despite both being born without arms, are living life to the fullest and encouraging others.

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Active Kids of All Abilities

During the winter months kids, and adults, tend to be less active as we are often kept inside sheltered from the cold and harsh weather.  Keeping active is necessary for your body and mind and can help to ward off Seasonal Affective Disorder (SAD) and the winter blues.  Though many activities do exist, it can often be difficult to find suitable activities for children with disabilities.  The Canadian Paralympic Committee has launched a site to help families, educators and medical professionals locate activity plans and providers in their area for children with disabilities.  Check it out today!

Canadian Paralympic Committee:  Find An Activity

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Inspired

“And if at first your don’t succeed, then dust yourself off and try again!”

Aaliyah, Try Again

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Forming Healthy Habits

In my work as an Occupational Therapist I am often asked to help people learn to manage or improve their behavior.  Things they want to stop or start doing, and how to get there, become the topic of our treatment sessions.  But my response in these situations is often the same and my approach is to encourage people make “lifestyle” and not just “behavior” changes when it comes to improving function or health.  After all, if behavior (be·hav·ior) is: “the way in which one acts or conducts oneself, especially toward others” and a lifestyle (life·style) is: “the way in which a person or group lives”, then there is a difference between acting and living.  My job is to coach the latter.

Modifying behavior helps, but how do we turn this into a lifestyle?  By forming healthy habits.  In the words of Jim Rohn:   “motivation is what gets you started… Habit is what keeps you going!

Use our Daily Habit Tracker to help you work turn your new healthy habits into a lifestyle.

Simply print, fill in your goals or “habits” and record each day if these goals were or were not met.

Learn more about turning your healthy goals into lifestyle changes in our post:  Healthy is a Lifestyle, Not Just a Behaviour.

habit-trackerAccess more helpful tools for children and adults on our printable resources page.

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Patience, not Pressure Help A Picky Eater

Occupational therapists often help to address the common issue of picky eating.  An important strategy used to help expand a child’s food repertoire and make mealtime more enjoyable is to remove the pressure!   All meal time experiences should be kept positive to allow for the development of a positive association with food. Keep meal time playful and fun with no coercion or pressure to consume anything and this positive meal time environment will create the necessary foundation for food exploration.

The following article written by Casey Seidenberg, a Mother and Nutrition Counsellor, discusses how lifting the pressure worked for her family.  Check it out here and learn more of her secrets to success!

Independent:  Why you shouldn’t lecture your children about healthy eating

Learn more about resolving the picky eating problem in our informative OT-V Video:  Solutions For Picky Eaters.

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Blue Monday and Beyond — Tips to Beat the Winter Blues

Julie Entwistle, MBA, BHSc (OT), BSc (Health / Gerontology)

I made a comment after the Holidays that I was slowly recovering from Christmas Affective Disorder.  For me, Christmas is stressful, hectic and challenging.  I struggle with it every year.  After the seasonal rush, it takes me days, or even weeks, to get back to my normal equilibrium.  However, really, winter despair is not a joke and for some, can be debilitating.

In fact, some research suggests that up to 15% of people in Ontario experience the “winter blues”. These leave you feeling tired, groggy, and maybe even sad or irritable.  While this causes discomfort, it is not incapacitating.  However, a more serious form of the winter blues, known as Seasonal Affective Disorder (SAD), can be.  While occurring less frequently at 2-3% of the population, the symptoms can prevent individuals from leading a normal life.  Symptoms of SAD include decreased energy, changes in appetite, especially leading to cravings for starchy or sweet foods, oversleeping and weight gain, among other things.  If you feel this is you, talk to your doctor and have your symptoms investigated.

The problem is not always the blues, but how these create a negative behavior cycle.  When you feel down, you revert, avoid, or change habits.  This leads to feeling worse and the cycle continues.  Occupational therapists (OTs) recognize the importance of being engaged in activities that are meaningful, active and productive, and understand how these contribute to health and well-being. In fact, one of the best treatments for beating the winter blues involves just “keep on keeping on” by doing what you normally do every day.  Some tips include:

 1.       Use behavioral activation to keep your normal routine.  Make the bed, have a shower, prepare a decent breakfast, walk to the mail box.  Don’t change habits that are ingrained just because it is winter.  Never underestimate how damaging it can be if you avoid even small things that ultimately add up to a productive day.  Gradually try to get back to those important tasks if you have found that your daily behaviors have become unproductive.

2.       Stay active.  Those that love the winter do so because they get outdoors.  Walk, ski, skate, toboggan – something to help you appreciate how wonderful a change of seasons can be.  This is best facilitated by proper clothing that will keep you warm.  If exercise is tough for you, build it into your day by default – park farther from the door, use the stairs, make a few trips from the car with the groceries to get the blood flowing.

3.       Consider light therapy.  Sit by the window at lunch, get some fresh air when the sun is out, or consider purchasing an artificial light for your use at home.

4.       Up the nutrients.  When some bad eating habits creep into your winter these can be hard to break come spring, and only contribute to further mood declines.  Shop in the fruit and veggie isles, and avoid the isles that house the bad foods you seem to be eating too much of.

Finding ways to help you do the things you want to, need to, or enjoy, is at the heart of occupational therapy. While the winter months can be long, dark, and cold, ultimately how we adapt to the seasonal change is up to us.  If moving or going south is not an option, consider some of the above tips to make the winter bearable, or dare I say, even enjoyable?


Seasonal Affective Disorder. (Canadian Mental Health Association, 2013) http://www.cmha.ca/mental_health/seasonal-affective-disorder-sad/
Beat The Winter Blues (Readers Digest, no date) http://www.readersdigest.ca/health/healthy-living/beat-winter-blues
Kurlansik, SL & Ibay, AD. (2012).
Seasonal Affective Disorder. Am Fam Physician. 2012 Dec 1;86(11):1037-1041.
10 Winter Depression Busters for Seasonal Affective Disorder (Borchard, no date) http://psychcentral.com/blog/archives/2012/12/30/10-winter-depression-busters-for-seasonal-affective-disorder/